Information Collection

REG-109704-97 (NPRM) HIPAA Mental Health Parity Act; (Temporary) Interim Rules for Mental Health Parity

IC 18793 under ICR 200104-1545-003 · OMB 1545-1577.

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Information Collection (IC) Details

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IC Title:	REG-109704-97 (NPRM) HIPAA Mental Health Parity Act; (Temporary) Interim Rules for Mental Health Parity	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,053	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	197,332	0	197,332
Annual IC Time Burden (Hours)	3,280	-9	3,289
Annual IC Cost Burden (Dollars)	5,403,000	5,403,000	0

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