Excepted Benefit Health Reimbursement Arrangements

Excepted Benefit Health Reimbursement Arrangements

OMB: 0938-1375

IC ID: 241379

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)

Excepted Benefit Health Reimbursement Arrangements
 
No New
 
Required to Obtain or Retain Benefits
 
45 CFR 146.145

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

Health Health Care Services

 

901 0
   
State, Local, and Tribal Governments
 
   0 %

  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 193,715 193,715 0 0 0 0
Annual IC Time Burden (Hours) 1,352 1,352 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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