Information Collection

Health Insurance Portability for Group Health Plans (Temporary, Interim Rules, and Proposed Rule)

IC 18641 under ICR 199712-1545-034 · OMB 1545-1537.

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Documents and Forms

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IC Title:

Health Insurance Portability for Group Health Plans (Temporary, Interim Rules, and Proposed Rule)

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1,300,000

Number of Respondents for Small Entity: 0

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	37,190,000	37,190,000
Annual IC Time Burden (Hours)	591,561	591,561
Annual IC Cost Burden (Dollars)	52,760,000	52,760,000

Documents for IC

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Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.