HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P)

ICR 200101-0938-005

OMB: 0938-0819

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0819 200101-0938-005
Historical Active
HHS/CMS
HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 05/10/2001
Retrieve Notice of Action (NOA) 01/29/2001
  Inventory as of this Action Requested Previously Approved
05/31/2004 05/31/2004
2,600 0 0
100 0 0
0 0 0

The proposed rule defines bona fide wellness programs. The rule specifies who is eligible for the programs, that a plan must inform plan participants about the programs, and the reward a plan may offer to a plan participant to encourage participation in the wellness program.

None
None


No

1
IC Title Form No. Form Name
HIPAAA Nondiscrimination Provisions (Regulation HCFA-2078-P) HCFA-10009

  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 2,600 0 0 2,600 0 0
Annual Time Burden (Hours) 100 0 0 100 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.
01/29/2001


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