Notice of Group Health Plan's Use of Transition Period and Posting Thereof

ICR 199806-1210-005

OMB: 1210-0107

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
1210-0107 199806-1210-005
Historical Active 199712-1210-003
DOL/EBSA
Notice of Group Health Plan's Use of Transition Period and Posting Thereof
Extension without change of a currently approved collection   No
Regular
Approved without change 08/26/1998
Retrieve Notice of Action (NOA) 06/30/1998
  Inventory as of this Action Requested Previously Approved
08/31/2001 08/31/2001 08/31/1998
286 0 286
9 0 9
1,000 0 1,000

The Mental Health Parity Act of 1996 requires parity between the dollar limits imposed on mental health benefits and those imposed on medical/surgical benefits offered by group health plans and group health insurance coverage offered by issuers. Plans may be exempted from this requirement if parity would result in an increase in costs of at least one percent and notice requirements are met. Plans electing increased cost exemption during all or part of the first quarter of 1998 under the rule's transition provisions must notify the Federal Government and post a copy of the notice in the workplace.

None
None


No

1
IC Title Form No. Form Name
Notice of Group Health Plan's Use of Transition Period and Posting Thereof

  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 286 286 0 0 0 0
Annual Time Burden (Hours) 9 9 0 0 0 0
Annual Cost Burden (Dollars) 1,000 1,000 0 0 0 0
No
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.
06/30/1998


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