Glossary

Affordable Care Act Section 2715 Summary Disclosures

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1210-0147 can be found here:

Documents and Forms

Document Name Document Type
SBCUniformGlossary.pdf Uniform Glossary IC Document

Information Collection (IC) Details

IC Title:	Glossary	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 2590.715-2715

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Consumer Health and Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 2,388,423	Number of Respondents for Small Entity: 2,248,021

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,101,999	-648,001	1,750,000
Annual IC Time Burden (Hours)	9,183	-6,567	15,750
Annual IC Cost Burden (Dollars)	380,190	-154,810	535,000

Documents for IC

Title	Document	Date Uploaded
Uniform Glossary	SBCUniformGlossary.pdf	04/23/2013

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.