Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Components of an Insurance Match Agreement Removed 0 0 0 Form and Instruction 1 File input
Insurance Match File: Daily Reporting Electronically New 502 42 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Insurance Match File: Daily Reporting Manually New 20080 2008 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Insurance Match File: Monthly Reporting Electronically New 264 22 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Insurance Match File: Weekly Reporting Electronically New 364 30 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Total burden requested under this ICR: 21210 2102 0  
To view an IC, click on IC Title