Interim Procedures for Federal External Review and Model Notices Relating to Internal Claims and Appeals and External Review under the Patient Protection and Affordable Care Act

Affordable Care Act Internal Claims and Appeals and External Review Procedures for ERISA Plans

OMB: 1210-0144

IC ID: 194302

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Interim Procedures for Federal External Review and Model Notices Relating to Internal Claims and Appeals and External Review under the Patient Protection and Affordable Care Act
 
No Modified
 
Mandatory
 
29 CFR 2590

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

Income Security General Retirement and Disability

 

35,748 31,101
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   93 %

  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 35,748 -2,914 0 0 0 38,662
Annual IC Time Burden (Hours) 1,272 -823 0 0 0 2,095
Annual IC Cost Burden (Dollars) 63,302 -9,084 0 0 0 72,386

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