Notice of Revocation of Accommodation

Coverage of Certain Preventive Services under the Affordable Care Act—Private Sector

OMB: 1210-0150

IC ID: 228285

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)

Notice of Revocation of Accommodation
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 2510.3-16 29 CFR 2590.715-2713A

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

Health Health Care Services

 

109 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 182,051 0 117,672 0 0 64,379
Annual IC Time Burden (Hours) 109 0 0 0 0 109
Annual IC Cost Burden (Dollars) 46,359 0 30,263 0 0 16,096

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