View Information Collection Request (ICR) Package

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: 1210-0142	ICR Reference No: 201510-1210-004
Status: Historical Active	Previous ICR Reference No: 201401-1210-003
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: Patient Protection and Affordable Care Act Patient Protection Notice
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/04/2016
	Date Received in OIRA: 11/18/2015
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2019	36 Months From Approved	04/30/2017
Responses	693,007	0	1,700,000
Time Burden (Hours)	5,173	0	15,000
Cost Burden (Dollars)	5,371	0	13,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	693,007	1,700,000	-1,006,993
Annual Time Burden (Hours)	5,173	15,000	-9,827
Annual Cost Burden (Dollars)	5,371	13,000	-7,629

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: The final rules do not change the information collections contained in the 2010 interim final regulations. The Department’s estimate had been updated to reflect a burden reduction due to the reduced number of impacted plans. Although this ICR may still impact plans in the future, the bulk of the burden associated occurred during the initial three year approval because this ICR only impacts plans that relinquish grandfathered status during the first year that they do so. As time goes on, most of the plans that intend to relinquish their grandfathered status will already have done so. The burden associated with continuing to provide this notice is factored into the estimates for the Summary Plan Description ICR (OMB Control Number 1210-0039).

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