Establishing Creditable Coverage under Group Health Plans

Establishing Creditable Coverage under Group Health Plans

OMB: 1210-0103

IC ID: 38420

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Establishing Creditable Coverage under Group Health Plans
 
No Modified
 
Mandatory
 
29 CFR 2590.701-5 29 CFR 2520.104b-1

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

Health Health Care Services

 

2,493,046 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 16,250,284 0 0 -4,749,716 0 21,000,000
Annual IC Time Burden (Hours) 75,306 0 0 -184,694 0 260,000
Annual IC Cost Burden (Dollars) 11,456,011 0 0 -7,043,989 0 18,500,000

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