Grandfathered Plan Disclosure and Recordkeeping Requirement

Affordable Care Act Grandfathered Health Plan Disclosure, Recordkeeping Requirement, and Change in Carrier Disclosure

OMB: 1210-0140

IC ID: 193127

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Grandfathered Plan Disclosure and Recordkeeping Requirement
 
No Modified
 
Required to Obtain or Retain Benefits
 
29 CFR 2590.715-1251(a)

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

Income Security General Retirement and Disability

 

321,168 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 8,829,157 0 0 -1,870,843 0 10,700,000
Annual IC Time Burden (Hours) 0 0 0 0 0 0
Annual IC Cost Burden (Dollars) 44,454 0 0 -13,796 0 58,250

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