Grandfathered Plan Disclosure and Recordkeeping Requirement

Grandfathered Group Health Plans and Grandfathered Group Health Insurance Coverage

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Grandfathered Plan Disclosure and Recordkeeping Requirement	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 146.145 26 CFR 54.9831 29 CFR 2590.732 26 CFR 54.9815-1251T

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Taxation Management

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 321,168	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	8,829,157	8,762,557	66,600
Annual IC Time Burden (Hours)	0	-2,220	2,220
Annual IC Cost Burden (Dollars)	0	-366,800	366,800

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.