Modifications

Affordable Care Act Section 2715 Summary Disclosures

OMB: 1210-0147

IC ID: 198891

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Information Collection (IC) Details

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Modifications
 
No Modified
 
Mandatory
 
29 CFR 2590.715-2715

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

Health Consumer Health and Safety

 

858 274
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   38 %

  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 750,000 750,000 0 0 0 0
Annual IC Time Burden (Hours) 4,250 4,250 0 0 0 0
Annual IC Cost Burden (Dollars) 157,500 157,500 0 0 0 0

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