Notification Procedures for States Implementing Alternative Mechanisms in the Individual Health Insurance Market and Supporting Notice -- BPD-882-N

ICR 199701-0938-002

OMB: 0938-0699

Federal Form Document

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ICR Details
0938-0699 199701-0938-002
Historical Active
HHS/CMS
Notification Procedures for States Implementing Alternative Mechanisms in the Individual Health Insurance Market and Supporting Notice -- BPD-882-N
New collection (Request for a new OMB Control Number)   No
Emergency 01/17/1997
Approved without change 01/27/1997
Retrieve Notice of Action (NOA) 01/16/1997
  Inventory as of this Action Requested Previously Approved
07/31/1997 07/31/1997
55 0 0
66,000 0 0
0 0 0

The agency needs this information in order to have sufficient information to grant States approval of their alternative mechanisms in the individual health insurance market. HCFA will review the information from the States to make a determination if a State's alternative mechanism meets the statutory requirements under section 111 of the Health Insurance Portability and Accountability Act of 1986 (HIPAA). The respondents will be the Chief Executive Officer (generally the Governor) of the State.

None
None


No

  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 55 0 0 55 0 0
Annual Time Burden (Hours) 66,000 0 0 66,000 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
01/16/1997


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