REG-114082-00 (NPRM) HIPAA Nondiscrimination; REG-109707-97 (Temporary and Final) Interim Final Rules for Nondiscrimination in Health Coverage in the Group Market
ICR 200106-1545-005
OMB: 1545-1728
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 1545-1728 can be found here:
REG-114082-00 (NPRM) HIPAA
Nondiscrimination; REG-109707-97 (Temporary and Final) Interim
Final Rules for Nondiscrimination in Health Coverage in the Group
Market
Extension without change of a currently approved collection
The agency is
not required to display the expiration date.
Inventory as of this Action
Requested
Previously Approved
07/31/2004
07/31/2004
07/31/2001
2,000,000
0
2,000,000
5,950
0
5,950
5,100,000,000
0
5,100,000,000
This regulation requires group health
plans, and the employers and employee organizations that sponsor
them, to provide a notice to individuals previously discriminated
against based on a health factor, informing the individuals of
their right to enroll in the plan without regard to their health.
The notice is necessary so that these individuals will know that
they have the right to enroll in the plan.
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.