Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Employer Coverage Under an Employer Group Health Plan	Modified	2000	333	0	Form and Instruction	RL-311F (08-22) Current
Employer Coverage Under an Employer Group Health Plan	Modified	2000	333	0	Form and Instruction	RL-311F (XX-XX) Proposed
Medicare	Modified	1840	245	0	Form and Instruction	AA-6 (XX-XX) Proposed
					Form and Instruction	AA-7 (XX-XX) Proposed
					Form and Instruction	AA-8 (XX-XX) Proposed
					Form and Instruction	AA-23 (XX-XX) Proposed
					Form and Instruction	AA-24 (XX-XX) Proposed
					Form and Instruction	AA-6 (01-18) Current
					Form and Instruction	AA-7 (01-18) Current
					Form and Instruction	AA-8 (01-18) Current
Total burden requested under this ICR:		3840	578	0
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