Patient Protection and Affordable Care Act Patient Protection Notice

Patient Protection and Affordable Care Act Patient Protection Notice

OMB: 1210-0142

IC ID: 193285

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Patient Protection and Affordable Care Act Patient Protection Notice
 
No Modified
 
Mandatory
 
29 CFR 2590.715-2719A

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

Income Security General Retirement and Disability

 

28,272 27,355
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   58 %

  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 128,133 -606,667 0 0 0 734,800
Annual IC Time Burden (Hours) 3,534 -3,012 0 0 0 6,546
Annual IC Cost Burden (Dollars) 1,602 -2,403 0 0 0 4,005

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