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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Information Collection (IC) Details

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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:

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 %

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