Patient Protection and Affordable Care Act Patient Protection Notice

Patient Protection and Affordable Care Act Patient Protection Notice

OMB: 1210-0142

IC ID: 193285

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Patient Protection and Affordable Care Act Patient Protection Notice
 
No Modified
 
Mandatory
 
29 CFR 2590.722

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

Income Security General Retirement and Disability

 

11,241 10,791
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   58 %

  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 148,181 0 0 20,048 0 128,133
Annual IC Time Burden (Hours) 2,810 0 0 -724 0 3,534
Annual IC Cost Burden (Dollars) 7,409 0 0 5,807 0 1,602

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