View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 1210-0142	ICR Reference No: 201011-1210-009
Status: Historical Active	Previous ICR Reference No: 201009-1210-005
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: Affordable Care Act Patient Protection Notice
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 02/27/2011
	Date Received in OIRA: 12/28/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2014	36 Months From Approved	02/28/2011
Responses	6,186,404	0	6,186,404
Time Burden (Hours)	33,000	0	33,000
Cost Burden (Dollars)	48,000	0	48,000

ICR Summary of Burden

	Total Approved	Previously Approved
Annual Number of Responses	6,186,404	6,186,404
Annual Time Burden (Hours)	33,000	33,000
Annual Cost Burden (Dollars)	48,000	48,000

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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