Information Collection

REG-140038-10 - Summary of Benefits and Coverage and the Uniform Glossary

IC 199118 under ICR 201211-1545-009 · OMB 1545-2229.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2229 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
REG-140038-10.pdf REG140038-10	IC Document
Notice 2011-.pdf Notice 2011	IC Document

IC Title:

REG-140038-10 - Summary of Benefits and Coverage and the Uniform Glossary

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: New

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 54.9815Â¿2715

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 858

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 %

table that charts list of burden
	Approved	Program Change Due to New Statute
Annual Number of Responses for this IC	79,699,998	79,699,998
Annual IC Time Burden (Hours)	649,500	649,500
Annual IC Cost Burden (Dollars)	5,035,021	5,035,021

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
REG140038-10	REG-140038-10.pdf	09/02/2011
Notice 2011	Notice 2011-.pdf	09/02/2011

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.