Information Collection Requirements Referenced in HIPAA for the Group Market -- Supporting Regulations 45 CFR 146 and Forms/Instructions

ICR 199910-0938-002

OMB: 0938-0702

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0702 199910-0938-002
Historical Active 199812-0938-007
HHS/CMS
Information Collection Requirements Referenced in HIPAA for the Group Market -- Supporting Regulations 45 CFR 146 and Forms/Instructions
Extension without change of a currently approved collection   No
Regular
Approved without change 12/30/1999
Retrieve Notice of Action (NOA) 10/18/1999
  Inventory as of this Action Requested Previously Approved
12/31/2002 12/31/2002 12/31/1999
43,000,000 0 43,268,400
2,700,000 0 5,900,000
0 0 30,800,000

Information collection requirements will ensure 1) that issuers in the group market comply with HIPAA, including providing individuals with documentation necessary to demonstrate prior credible coverage, notifying individuals about their status with respect to preexisting condition exclusions, and affording them special enrollment rights to which they are entitled and 2) that States and the Federal Government have the flexibility necessary to enforce HIPAA.

None
None


No

1
IC Title Form No. Form Name
Information Collection Requirements Referenced in HIPAA for the Group Market -- Supporting Regulations 45 CFR 146 and Forms/Instructions HCFA-R-206

  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 43,000,000 43,268,400 0 3,831 -272,231 0
Annual Time Burden (Hours) 2,700,000 5,900,000 0 45,675 -3,245,675 0
Annual Cost Burden (Dollars) 0 30,800,000 0 0 -30,800,000 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.
10/18/1999


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