Information Collection Request
Coverage of Certain Preventive Services Under the Affordable Care Act - Private Sector
ICR 202210-1545-017 · OMB 1545-2307 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Supporting Statement IRS.docx |
Supporting Statement A | Uploaded 2022-11-07 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 256649 |  Confirmation of Eligibility for the Individual Contraceptive Arrangement |
New | ||
| 256648 | Notice of Availability of Separate Payments for Contraceptive Services |
New | ||
| 256647 | Self-Certification or Notification to HHS |
New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | TREAS/IRS |
| OMB Control No | 1545-2307 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |