Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Model Employer CHIP Notice (Private Sector Burden) Modified 214189174 744307 17863377 Other-Model Notice
Other-Model Notice Spanish
Model Employer CHIP Notice (State, Local, Tribal Governmental Burden) Modified 9243991 32123 770949 Other-Model Notice
Other-Model Notice Spanish
Total burden requested under this ICR: 223433165 776430 18634326  
To view an IC, click on IC Title