Non-Grandfathered Group Health Plans Internal Claims and Appeals and External Review Processes

Affordable Care Act Internal Claims and Appeals and External Review Procedures for Non-grandfathered Plans

OMB: 1210-0144

IC ID: 193842

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)

Non-Grandfathered Group Health Plans Internal Claims and Appeals and External Review Processes
 
No Modified
 
Mandatory
 
29 CFR 2590.715-2719

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

Income Security General Retirement and Disability

 

1,020,374 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 111,328 0 49,525 0 0 61,803
Annual IC Time Burden (Hours) 233 0 -30 0 0 263
Annual IC Cost Burden (Dollars) 628,863 0 386,035 0 0 242,828

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.

© 2024 OMB.report | Privacy Policy