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Federal forms, ICRs, and supporting documents

Information Collection

Registration of Group Health Plans and Health Insurance Issuers

IC 280783 under ICR 202606-1210-003 · OMB 1210-0169.

Documents and Forms
Document Name
Document Type
Other-Health Plan Registry Instrumen
Information Collection (IC) Details

View Information Collection (IC)

Registration of Group Health Plans and Health Insurance Issuers
 
Yes New
 
Mandatory
 
29 CFR 2590

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Health Plan Registry Instrument Health Plan Registry Instrument clean 6.8.26.docx Yes Yes Fillable Printable

Income Security General Retirement and Disability

 

396 348
   
Private Sector Businesses or other for-profits
 
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 396 0 0 396 0 0
Annual IC Time Burden (Hours) 1,816 0 0 1,816 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.
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