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OMB Control No:	ICR Reference No: 202606-1545-004
Status: Received in OIRA	Previous ICR Reference No:
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: Excepted Fertility Benefits
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 07/17/2026

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	8,934,284	0
Time Burden (Hours)	270	0
Cost Burden (Dollars)	446,704	0

Abstract: Executive Order 14216, “Expanding Access to In Vitro Fertilization” (EO 14216). EO 14216 recognizes both the medical necessity of infertility treatment and the broader importance of supporting families in achieving their reproductive goals. This EO seeks to enhance reliable access to in vitro fertilization (IVF) by providing more affordable treatment options. The Departments’ proposed regulation would establish a new excepted fertility benefit. The regulation’s information collections include third-party disclosures and associated recordkeeping requirements. These information collections are designed to inform participants and beneficiaries of their eligibility for coverage and provide a summary of the limitations and benefits of the coverage should they elect to enroll. The proposed rule at paragraph (c)(3)(ix)(D) of 26 CFR 54.9831-1 and 29 CFR 2590.732 and paragraph (b)(3)(ix)(D) of 45 CFR 146.145 would require plans or issuers, offering limited fertility benefits, to provide written notice to participants and beneficiaries. This notice requirement would be necessary to ensure that participants and beneficiaries are fully informed about the availability of the excepted fertility benefits coverage, understand the benefits and limitations of such coverage, including the applicable claims procedures, in order to make informed decisions about whether to enroll in such coverage.

Authorizing Statute(s): EO: EO 14216 Name/Subject of EO: Expanding Access to In Vitro Fertilization

Citations for New Statutory Requirements: EO: EO 14216 Name/Subject of EO: Expanding Access to In Vitro Fertilization

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1545-BS02	Proposed rulemaking	91 FR 27140	05/13/2026

Federal Register Notices & Comments
Did the Agency receive public comments on this ICR? No

ICR Summary of Burden

	Total Request	Change Due to New Statute
Annual Number of Responses	8,934,284	8,934,284
Annual Time Burden (Hours)	270	270
Annual Cost Burden (Dollars)	446,704	446,704

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 is a new information collection request.

Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? No

Agency Contact: Alexander Krupnick 202 317-3899 alexander.a.krupnick@irscounsel.treas.gov

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