Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 1094-B, Transmittal of Health Coverage Information Returns Modified 430 72 0 Form 1094-B Transmittal of Health Coverage Information Returns
Instruction
Form 1095-B, Health Coverage New 4600000 86000 0 Instruction
Form 1095-B Health Coverage
Total burden requested under this ICR: 4600430 86072 0  
To view an IC, click on IC Title