Affordable Care Act Notice of Patient Protections

REG-120399-10 - Affordable Care Act Notice of Patient Protections

OMB: 1545-2181

IC ID: 193323

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Affordable Care Act Notice of Patient Protections
 
No Unchanged
 
Mandatory
 
26 CFR 54.9815-2719AT

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

General Government Taxation Management

 

170,000 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 4,000,000 0 0 0 0 4,000,000
Annual IC Time Burden (Hours) 33,000 0 0 0 0 33,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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