TD 9724 - Summary of Benefits and Coverage Disclosures

ICR 201703-1545-005

OMB: 1545-2229

Federal Form Document

Forms and Documents
Document
Name
Status
Justification for No Material/Nonsubstantive Change
2017-03-22
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supplementary Document
2016-04-05
Supporting Statement A
2017-03-22
IC Document Collections
IC ID
Document
Title
Status
199118
Modified
ICR Details
1545-2229 201703-1545-005
Historical Active 201604-1545-003
TREAS/IRS Not Ready
TD 9724 - Summary of Benefits and Coverage Disclosures
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 03/22/2017
Retrieve Notice of Action (NOA) 03/22/2017
  Inventory as of this Action Requested Previously Approved
04/30/2019 04/30/2019 04/30/2019
71,252,326 0 213,624,047,553
431,553 0 431,550
9,273,266 0 1,749,999,652,592

This document contains regulations regarding disclosure of the summary of benefits and coverage and the uniform glossary for group health plans and health insurance coverage in the group and individual markets under the Patient Protection and Affordable Care Act. This document implements the disclosure requirements to help plans and individuals better understand their health coverage, as well as other coverage options. The templates and instructions to be used in making these disclosures are being issued in a separate notice.

PL: Pub.L. 111 - 148 2701- 2719A Name of Law: Affordable Care Act
  
None

Not associated with rulemaking

  79 FR 78578 12/31/2014
81 FR 9945 02/26/2016
Yes

1
IC Title Form No. Form Name
TD 9724 - Summary of Benefits and Coverage Disclosures

  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 71,252,326 213,624,047,553 0 -213,552,795,227 0 0
Annual Time Burden (Hours) 431,553 431,550 0 3 0 0
Annual Cost Burden (Dollars) 9,273,266 1,749,999,652,592 0 -1,749,990,379,326 0 0
Yes
Miscellaneous Actions
No
Non labor costs and number of respondents were incorrectly reflected in our previous submission. The correct non labor costs are $9,273,266 and number of respondents is 71,252,236. The total burden hours remain relatively unchanged at 431, 553. The IRS has updated the supporting statement to include a Table 2. Summary of Burden to reflect the changes made to this submission.

No
No
Yes
Yes
Yes
Uncollected
Karen Levin 202 622-6080 karen.levin@irscounsel.treas.gov

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
03/22/2017


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