Information Collection Request

Excepted Fertility Benefits

ICR 202606-1545-004 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
IRS 1545-NEW_Excepted Fertility Benefit Supporting Statement - 2026-6-15.docx Supporting Statement A Uploaded 2026-06-15 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
280741 Group Health Private Sector Plans - Distribute Notice to Participants New
280740 Group Health Insurers - Draft and Maintain Notice for Plans New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
8,934,284 0
270 0
446,704 0





Reginfo record details
2
table that charts list of burden
IC Title Form No. Form Name
Group Health Insurers - Draft and Maintain Notice for Plans
Group Health Private Sector Plans - Distribute Notice to Participants

table that charts list of burden
  Total Request 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 8,934,284 0 8,934,284 0 0 0
Annual Time Burden (Hours) 270 0 270 0 0 0
Annual Cost Burden (Dollars) 446,704 0 446,704 0 0 0


Reginfo record details
  No