HRA Notice to Participants and other disclosures

Notice for Health Reimbursement Arrangements integrated with Individual Health Insurance Coverage

OMB: 1210-0160

IC ID: 233410

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Information Collection (IC) Details

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HRA Notice to Participants and other disclosures
 
No New
 
Mandatory
 
29 CFR 2590.702-2

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

Health Health Care Services

 

678,200 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   54 %

  Requested 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 8,782,690 0 8,782,690 0 0 0
Annual IC Time Burden (Hours) 196,991 0 196,991 0 0 0
Annual IC Cost Burden (Dollars) 37,569 0 37,569 0 0 0

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