Information Collection Request

Electronic Disclosure by Group Health Plans Under ERISA

ICR 202607-1210-001 · OMB unassigned · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
1210-0NEW Health E-disclosure SS 7-21-2026 (2).docx Supporting Statement A Uploaded 2026-07-23 Available

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
281409 Electronic Disclosure by Group Health Plans Under ERISA New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved
44,478,847 0
14,391 0
8,895,769 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Electronic Disclosure by Group Health Plans Under ERISA

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 44,478,847 0 0 0 44,478,847 0
Annual Time Burden (Hours) 14,391 0 0 0 14,391 0
Annual Cost Burden (Dollars) 8,895,769 0 0 0 8,895,769 0


Reginfo record details
  No