Information Collection Request
Affordable Care Act Internal Claims and Appeals and External review Disclosures.
ICR 202301-1545-016 · OMB 1545-2182 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-2182 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 1545-2182 SS_IFR2_2023r1 (final).docx |
Supporting Statement A | Uploaded 2023-03-24 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 250359 |  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 |
Other-Model | Modified | |
| 193852 | Group Health Plans Internal Claims and Appeals and External Review Processes |
Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | TREAS/IRS |
| OMB Control No | 1545-2182 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202111-1545-011 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |