Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Insurance Match File: Daily Reporting Electronically Modified 251 21 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Insurance Match File: Daily Reporting Manually Modified 29618 2962 0 Other-Daily Reporting Manual Submission
Insurance Match File: Monthly Reporting Electronically Modified 312 26 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Insurance Match File: Quarterly Reporting Electronically New 4 0 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Insurance Match File: Weekly Reporting Electronically Modified 988 82 0 Form and Instruction 1 OCSE Insurance Match Standard Input File Record
Total burden requested under this ICR: 31173 3091 0  
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