Survey of Vermont Employers to Assess the Impact of the Vermont Parity Act

Forms and Documents

Document Name	Status

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

IC ID	Document Title	Status
7612	Survey of Vermont Employers to Assess the Impact of the Vermont Parity Act	Migrated

ICR Details

OMB Control No: 0930-0211	ICR Reference No: 200003-0930-003
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/SAMHSA	Agency Tracking No:
Title: Survey of Vermont Employers to Assess the Impact of the Vermont Parity Act
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/24/2000
	Date Received in OIRA: 03/24/2000
Terms of Clearance: Approval is granted in concept for the information collection entitled, "Survey of Vermont Employers to Assess the Impact of the Vermont Parity Act," through May 2003 once the agency addresses the following issues: 1. Considering the highly technical nature of the information requested from respondents, non-response is a concern. OMB advises the agency to develop a pilot to test the questions for non-response and incorporate the results into the final survey instrument. 2. How does the agency plan to validate the responses given by respondents? For example, validity could be tested utilizing copies of the insurance plans for a representative sample. 3. The agency is further directed to consult with other agencies within HHS including ASPE, HCFA, AHRQ,NCHS, and the Department of Labor. The agency must provide OMB with the results of this consultation and any subsequent amendments to the instrument and/or survey methodology. OMB requests that the agency address these issues in a written response no later than 2 weeks before the anticipated data collection. OMB reserves the right to ask for amendments and/or deletions based on the results of the agency's response.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2001	05/31/2001
Responses	1,311	0	0
Time Burden (Hours)	347	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The purpose of this survey is to determine the effects of the Vermont Mental Health and Substance Abuse Parity Act, a comprehensive mental health and substance abuse parity law that went into effect in Vermont in 1998. The survey will gather information on the effects of the parity law on employer-sponsored health insurance coverage and will provide quantitative information on employer responses to parity that can contribute to the policy discussion concerning the costs and consequences of parity.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Survey of Vermont Employers to Assess the Impact of the Vermont Parity Act

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ICR Summary of Burden

	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	1,311	0	0	1,311	0	0
Annual Time Burden (Hours)	347	0	0	347	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 03/24/2000

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