Information Collection Request

Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage

ICR 202312-1545-010 · OMB 1545-2178 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Supporting Statement-1545-2178.docx Supporting Statement A Uploaded 2024-03-21 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
263884 Grandfathered Plan Change in Carrier Disclosure New
193151 Grandfathered Plan Disclosure and Recordkeeping Requirement Modified

ICR Details

Record metadata
Received in OIRA
TREAS/IRS
1545-2178
Revision of a currently approved collection
202011-1545-008
1969-12-31
1969-12-31