Information Collection Requirements Referenced in HIPAA, Title 1, for the Group Market, Supporting Regulations at 45 CFR 146.111, 146.115, 146.117, 146.150, 146.152, 146.160, and 146.180, and...

ICR 200303-0938-002

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 200303-0938-002
Historical Active 199910-0938-002
HHS/CMS
Information Collection Requirements Referenced in HIPAA, Title 1, for the Group Market, Supporting Regulations at 45 CFR 146.111, 146.115, 146.117, 146.150, 146.152, 146.160, and 146.180, and...
Extension without change of a currently approved collection   No
Regular
Approved without change 06/12/2003
Retrieve Notice of Action (NOA) 03/12/2003
  Inventory as of this Action Requested Previously Approved
06/30/2006 06/30/2006 06/30/2003
43,003,297 0 43,000,000
2,652,281 0 2,700,000
0 0 0

Information collection requirements will ensure issuers in group market comply with HIPAA, including providing individuals with certificates of creditable coverage, notifying individuals about their status with respect to preexisting condition exclusions, and giving them special enrollment rights to which they are entitled and that states and Federal government have the flexibility necessary to enforce HIPAA.

None
None


No

  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 43,003,297 43,000,000 0 0 3,297 0
Annual Time Burden (Hours) 2,652,281 2,700,000 0 0 -47,719 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
03/12/2003


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