Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Glossary Modified 1250200 10418 431319
Modifications Modified 1316001 6799 363085
Summary of Benefits and Coverage Modified 68686125 414335 8478862 Other-SBC template-April 2017
Instruction
Other-SBC Sample Glossary
Other-SBC Yes Answers -- Why This Matters
Other-SBC - No Answers - Why This Matters
Other-Template
Other-Template
Other-Template
Instruction
Other-Narrative
Other-Narrative
Other-Narrative
Other-SBC template- 2012
Instruction
Other-SBC Yes Answers--Why This Matters
Other-No Answers- Why This Matters
Other-Template
Other-Template
Other-Narrative
Other-Narrative
Instruction
Other-Coverage Calculator
Other-Coverage Calculator
Total burden requested under this ICR: 71252326 431552 9273266  
To view an IC, click on IC Title