Information Collection

TD 9166, Health plans imposing pre-existing condition notification requirements

IC 18644 under ICR 201401-1545-009 · OMB 1545-1537.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
TD 9166.pdf TD 9166	IC Document
TD 9491.pdf TD 9491	IC Document

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 602 26 CFR 54

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: 2,700,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	2,700,000	2,700,000
Annual IC Time Burden (Hours)	2,289	2,289
Annual IC Cost Burden (Dollars)	272,000	272,000

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
TD 9166	TD 9166.pdf	01/13/2014
TD 9491	TD 9491.pdf	01/13/2014

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