OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

TD 9724 - Summary of Benefits and Coverage Disclosures

OMB 1545-2229 · TREAS/IRS.

OMB 1545-2229

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
1545-2229 Justification for Change 2017-03.docx Justification for No Material/Nonsubstantive Change
Simple fracture.pdf Supplementary Document
SBC Sample Completed 4 4 clean.doc Supplementary Document
SBC Template 4 4 clean.doc Supplementary Document
UG 4-1-16 -12 pm clean.doc Supplementary Document
Yes Answers 4 1 12 pm clean.doc Supplementary Document
No Answers 4 1 12 pm clean.doc Supplementary Document
maternity-narrative.pdf Supplementary Document
Copy of Copy of coverage_examples_calculator 02 07.xlsm Supplementary Document
coverage_examples_calculator instructions FINAL.docx Supplementary Document
Copy of Managing Type 2 Diabetes.xlsx Supplementary Document
Copy of Simple fracture.xlsx Supplementary Document
Copy of Having a baby.xlsx Supplementary Document
SBC Template 4 4 clean.doc Supplementary Document
SBC Response to Comments 4 5 16 clean.docx Supplementary Document
No Answers 4 1 12 pm clean.doc Supplementary Document
Individual Instructions 4 4 clean.docx Supplementary Document
Group Instructions 4 4 clean.docx Supplementary Document
2019-03-19_SS_1545-2229r.docSupporting Statement A
TD 9724 - Summary of Benefits and Coverage Disclosures Information collection

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201810-1545-024 Revision of a currently approved collection 2019-04-30 Approved without change
201703-1545-005 No material or nonsubstantive change to a currently approved collection 2017-03-22 Approved without change
201604-1545-003 Revision of a currently approved collection 2016-04-05 Approved without change
201409-1545-021 Extension without change of a currently approved collection 2015-02-27 Approved without change
201211-1545-009 Revision of a currently approved collection 2012-11-08 Approved without change
201109-1545-001 New collection (Request for a new OMB Control Number) 2012-01-24 Preapproved