View Information Collection (IC)

View Information Collection (IC)

Employers - Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 157 45 CFR 155 45 CFR 156

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

13,200 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 13,200 0 0 13,199 0 1
Annual IC Time Burden (Hours) 960 0 0 892 0 68
Annual IC Cost Burden (Dollars) 53,196,000 0 0 53,191,970 0 4,030

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.