Information Collection

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

IC 18794 under ICR 200703-1545-021 · OMB 1545-1577.

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IC Title:

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

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 29 CFR 2590 45 CFR 146 26 CFR 54

Information Collection Instruments:

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

Line of Business: General Government

Subfunction: Taxation Management

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 %

table that charts list of burden
	Approved	Previously Approved
Annual Number of Responses for this IC	197,332	197,332
Annual IC Time Burden (Hours)	3,280	3,280
Annual IC Cost Burden (Dollars)	5,403,000	5,403,000

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.