Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136

ICR 199803-0938-001

OMB: 0938-0719

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0719 199803-0938-001
Historical Active
HHS/CMS
Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/01/1998
Retrieve Notice of Action (NOA) 03/02/1998
  Inventory as of this Action Requested Previously Approved
05/31/2001 05/31/2001
243,500 0 0
6,054 0 0
0 0 0

Information collection requirements will ensure that non-Federal governmental plans notify the Federal Government and participants if they exercise the 1 percent increased cost exemption and to disclose on request to these parties summary documentation of the plan's eligibility for the exemption. They will also require non-Federal governmental plans utilizing the transition period for the increased cost exemption to notify the Federal Government and to post a copy of this notice at the workplace.

None
None


No

1
IC Title Form No. Form Name
Mental Health Parity Act of 1996: Information Collection Requirements Contained in HCFA-2891-IFC -- 45 CFR 146.136 HCFA-R=223

  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 243,500 0 0 243,500 0 0
Annual Time Burden (Hours) 6,054 0 0 6,054 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.
03/02/1998


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