Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Model Employer CHIP Notice (Private Sector Burden) Modified 200500932 698412 16761878 Other-Model Notice
Other-Model Notice Spanish
Model Employer CHIP Notice (State, Local, Tribal Governmental Burden) Modified 15255939 53142 1275397 Other-Model Notice
Other-Model Notice Spanish
Total burden requested under this ICR: 215756871 751554 18037275  
To view an IC, click on IC Title