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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
1545-2172
ICR Reference No:
201203-1545-021
Status:
Historical Active
Previous ICR Reference No:
201005-1545-005
Agency/Subagency:
TREAS/IRS
Agency Tracking No:
Title:
REG-114494-10 - Affordable Care Act Enrollment Opportunity Notice Relating to Extended Dependent Coverage
Type of Information Collection:
Existing collection in use without an OMB Control Number
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
07/17/2012
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/27/2012
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2015
36 Months From Approved
Responses
39,786,500
0
0
Time Burden (Hours)
411,000
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
26 CFR 54.9815-2714T requires plans and issuers to provide a notice of enrollment opportunity to individuals whose coverage ended, or who were denied coverage (or not eligible for coverage) under a group health plan or group health insurance coverage because, under the terms of the plan or coverage, the availability of dependent coverage of children ended before the attainment of age 26.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1001,
Name of Law: Patient Protection and Affordable Care Act
PL:
Pub.L. 111 - 152 2714
Name of Law: Health Care and Education Reconciliation Act
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 148 1001 Name of Law: Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 152 2714 Name of Law: Health Care and Education Reconciliation Act
US Code: 26 USC 9833 Name of Law: Regulations
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
1545-BJ46
Final or interim final rulemaking
75 FR 27122
05/13/2010
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
REG-114494-10 - Affordable Care Act Enrollment Opportunity Notice Relating to Extended Dependent Coverage
ICR Summary of Burden
Total Approved
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
39,786,500
0
39,786,500
0
0
0
Annual Time Burden (Hours)
411,000
0
411,000
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
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:
This submission is for clearance of the final rule that received preapproval but was never activated.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
No
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Karen Levin 202 622-6080 karen.levin@irscounsel.treas.gov
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
03/27/2012
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