Glossary

Summary of Benefits and Coverage and Uniform Glossary Required Under the Affordable Care Act

OMB: 1210-0147

IC ID: 198890

Documents and Forms
Information Collection (IC) Details

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Glossary
 
No Modified
 
Mandatory
 
29 CFR 2590.715-2715

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

Health Consumer Health and Safety

 

2,327,339 2,160,922
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   56 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 1,526,350 0 0 276,150 0 1,250,200
Annual IC Time Burden (Hours) 12,720 0 0 2,302 0 10,418
Annual IC Cost Burden (Dollars) 572,381 0 0 141,062 0 431,319

Title Document Date Uploaded
Uniform Glossary-April 2016 UG April 2017.doc 04/04/2016
Uniform Glossary- 2012 SBCUniformGlossary - 2012.pdf 04/04/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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