Information Collection

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

IC 8374 under ICR 199803-0938-001 · OMB 0938-0719.

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IC Title:

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

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
Form	HCFA-R=223				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 2,491

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	243,500	243,500
Annual IC Time Burden (Hours)	6,054	6,054
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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