Information Collection

Uniform Health Insurance Claim Form -- Ub 92

IC 122374 under ICR 199412-1215-002 · OMB 1215-0176.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	UNIFORM HEALTH INSURANCE CLAIM FORM -- UB 92	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	OWCP/92				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 143,462	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	143,462	154,077	-10,615	0
Annual IC Time Burden (Hours)	33,513	13,063	-900	21,350
Annual IC Cost Burden (Dollars)	0	0	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.