PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Form 1094-C
Modified
15000
60000
0
Form
Form 1094-C
Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
Instruction
Form 1095-C
Modified
3850000
750000
0
Form
Form 1095-C
Employer-Provided Health Insurance Offer and Coverage
Instruction
Form 4423
Modified
6
2
0
Form and Instruction
4423
Application for Filing Affordable Care Act (ACA) Information Returns
Total burden requested under this ICR:
3865006
810002
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
