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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Form 8963, Report of Health Insurance Provider Information
New
2400
17808
0
Form
8963
Report of Health Insurance Provider Information
Instruction
REG-118315-12 (FINAL), Health Insurance Providers Fee
Unchanged
800
400
0
Total burden requested under this ICR:
3200
18208
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
