Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Employer Coverage Under an Employer Group Health Plan Modified 2000 333 0 Form and Instruction RL-311-F (01-18)
Form and Instruction RL-311-F (xx-xx)
Medicare Unchanged 240 32 0 Form and Instruction AA-6 (01-12)
Form and Instruction AA-7 (01-12)
Form and Instruction AA-8 (01-12)
Total burden requested under this ICR: 2240 365 0  
To view an IC, click on IC Title