PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Form 1094-C
Modified
400000
1600000
0
Form
Form 1094-C
Transmittal of Employer-Provided Health Insurance Offer and Coverage Information Returns
Instruction
Form 1095-C
Modified
105000000
21000000
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:
105400006
22600002
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.
