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REG-125592-10 (TD 9494), Patient Protection and Affordable Care Act Internal Claims and Appeals and External review Disclosures.
No Modified
26 CFR 54.9815-2719T

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

General Government Taxation Management


1,769,264 0
Private Sector Businesses or other for-profits
   0 %

  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 278,412 0 0 216,412 0 62,000
Annual IC Time Burden (Hours) 2,271 0 0 1,921 0 350
Annual IC Cost Burden (Dollars) 1,143,236 0 0 1,143,236 0 0

Title Document Date Uploaded
TD 9494 REG-125592-10 (TD 9494).rtf 02/11/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.