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Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits
REG-120399-10 - Patient Protection and Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits
OMB: 1545-2179
IC ID: 193312
OMB.report
TREAS/IRS
OMB 1545-2179
ICR 201011-1545-036
IC 193312
( )
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Unchanged
Obligation to Respond:
Mandatory
CFR Citation:
26 CFR 54.9815-2711T
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Federal Enterprise Architecture Business Reference Module
Line of Business:
General Government
Subfunction:
Taxation Management
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
315
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits, Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
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
29,000
0
0
0
0
29,000
Annual IC Time Burden (Hours)
1,300
0
0
0
0
1,300
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
No associated records found
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.