Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Form 1094-B, Transmittal of Health Coverage Information Returns Modified 285000 47500 0 Form 1094-B Transmittal of Health Coverage Information Returns
Instruction
Form 1095-B, Health Coverage Modified 211470000 3524500 0 Form 1095-B Health Coverage
Instruction
Total burden requested under this ICR: 211755000 3572000 0  
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