Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Deemed Compliance Reporting Unchanged 427 213 0
SBC Disclosure Unchanged 41804628 214791 4180463 Other-Maternity Care Narrative
Other-Diabetes 2 Narrative
Other-Uniform Glossary Anchor
Other-What the Plan Covers and What You Pay (No Answers)
Other-Why This Matters for SBC (Yes Answers)
Instruction
Instruction
Other-Completed SBC Template
Other-SBC Template
Other-Foot Fracture Narrative
Instruction
Other-Coverage Calculator
Other-Template
Other-Diabetes Guide
Other-Glossary Anchor
Other-Template
Instruction
Instruction
Other-Uniform Glossary
Total burden requested under this ICR: 41805055 215004 4180463  
To view an IC, click on IC Title