Summary of Benefits and Coverage and Uniform Glossary Required Under the Affordable Care Act

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PC_202503-1210-005_050225_113852_1.pdf	Public Comments	Uploaded 2025-05-02	Repair queued
1210-0147 SBC DOL PRA supporting statement 6-20-25.docx	Supporting Statement A	Uploaded 2025-06-25	Repair queued
1210-0147 SBC DOL PRA supporting statement 3-20-25.docx	Supporting Statement A	Uploaded 2025-03-20	Available
Justification for No Material or Nonsubstantive Change to Currently Approved Collection (OMB Control 1210-0147).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-01-14	Repair queued
Justification for No Material or Nonsubstantive Change to Currently Approved Collection (OMB Control 1210-0147).docx	Justification for No Material/Nonsubstantive Change	Uploaded 2025-01-14	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198891	Modifications		Modified
198890	Glossary	Other-Uniform Glossary- November 2019	Modified
198888	Summary of Benefits and Coverage	Other-SBC Template	Modified

ICR Details

OMB Control No: 1210-0147	ICR Reference No: 202503-1210-005
Status: Active	Previous ICR Reference No: 202501-1210-003
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: Summary of Benefits and Coverage and Uniform Glossary Required Under the Affordable Care Act
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/23/2025
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/30/2025
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2028	36 Months From Approved	09/30/2025
Responses	77,793,387	0	80,182,298
Time Burden (Hours)	303,970	0	313,490
Cost Burden (Dollars)	7,612,109	0	7,605,988

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Abstract: The Patient Protection and Affordable Care Act, Pub. L. 111-148, was signed into law on March 23, 2010, and the Health Care and Education Reconciliation Act of 2010, Pub. L. 111-152, was signed into law on March 30, 2010 (collectively known as the “Affordable Care Act”). The Affordable Care Act amends the Public Health Service Act (PHS Act) by adding section 2715 “Development and Utilization of Uniform Explanation of Coverage Documents and Standardized Definitions.” Each group health plan and health insurance issuer offering group insurance coverage must provide a summary of benefits and coverage to plans and participants at specified points in the enrollment process. This disclosure must include, among other things, coverage examples that illustrate common benefits scenarios and related cost sharing. Additionally, plans and issuers must make the uniform glossary available in electronic form, with paper upon request, and provide 60 days advance notice of any material modifications in the plan or coverage.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2715 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 54616	07/09/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	90 FR 17981	04/30/2025
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Glossary
Modifications
Summary of Benefits and Coverage

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	77,793,387	80,182,298	0	0	-2,388,911	0
Annual Time Burden (Hours)	303,970	313,490	0	0	-9,520	0
Annual Cost Burden (Dollars)	7,612,109	7,605,988	0	0	6,121	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Burden estimates have been adjusted to account for new estimates of the number of issuers, plans, participants, and beneficiaries affected by the information collection, as well as updated data on labor rates and an updated assumption on the usage of electronic distribution. These updated data inputs decrease the hour burden by 9,520 hours and increase the cost burden by $6,121 compared with the prior submission.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? No

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Common Form ICR:  No

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On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).

The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(i) Why the information is being collected;

(ii) Use of information;

(iii) Burden estimate;

(iv) Nature of response (voluntary, required for a benefit, or mandatory);

(v) Nature and extent of confidentiality; and

(vi) Need to display currently valid OMB control number;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.

Certification Date: 04/30/2025

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