TD 9724 - Summary of Benefits and Coverage Disclosures

TD 9724 - Summary of Benefits and Coverage Disclosures

OMB: 1545-2229

IC ID: 199118

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TD 9724 - Summary of Benefits and Coverage Disclosures
 
No Modified
 
Mandatory
 
26 CFR 54.9815-2715

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

General Government Taxation Management

 

2,299,742 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 71,252,326 0 -213,552,795,227 0 0 213,624,047,553
Annual IC Time Burden (Hours) 431,553 0 3 0 0 431,550
Annual IC Cost Burden (Dollars) 9,273,266 0 -1,749,990,379,326 0 0 1,749,999,652,592

Title Document Date Uploaded
TD 9575 TD 9575.pdf 12/11/2014
TD 9724 1545-2229 (TD 9724).pdf 04/05/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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