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

ICR 202503-1210-005

OMB: 1210-0147

Federal Form Document

Forms and Documents

Document Name	Status
1210-0147 SBC DOL PRA supporting statement 3-20-25.docx Supporting Statement A	2025-03-20
Justification for No Material or Nonsubstantive Change to Currently Approved Collection (OMB Control 1210-0147).docx Justification for No Material/Nonsubstantive Change	2025-01-14

IC Document Collections

IC ID	Document Title	Status
198891	Modifications	Modified
198890	Glossary Other-Uniform Glossary- November 2019	Modified
198888	Summary of Benefits and Coverage Other-SBC Template	Modified