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-B, Transmittal of Health Coverage Information Returns
Modified
30000
5000
0
Form
1094-B
Transmittal of Health Coverage Information Returns
Instruction
Form 1095-B, Health Coverage
Modified
125000000
2083333
0
Instruction
Form
1095-B
Health Coverage
Total burden requested under this ICR:
125030000
2088333
0
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An official website of the United States government
The .gov means it's official.
The site is secure.
