Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annuity Application (Exchange Form 1450-011) Modified 320 107 4142 Form and Instruction Exchange Form 1450-011
Beneficiary Designation (Exchange Form 1700-012) Modified 250 83 3236 Form and Instruction Exchange Form 1700-012
Web-based Health/Benefit Enrollment Modified 9960 3320 128916 Other-Website
Total burden requested under this ICR: 10530 3510 136294  
To view an IC, click on IC Title