REG-253578-96 Final Regulations for Health Coverage Portability for Group Health Plans and Group Health insurance Issuers under HIPPA Titles I & IV

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
SS.doc	Supporting Statement A	Uploaded 2012-11-07	Available
Final_123004.pdf	Supplementary Document	Uploaded 2009-06-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
190002	Initial eligibility for enrollment, special enrollment periods		Unchanged
190001	Exclusion Period Notification		Unchanged
189995	REG-253578-96, Certification requirements		Unchanged
18644	REG-253578-96, Health plans imposing pre-existing condition notification requirements		Unchanged

ICR Details

OMB Control No: 1545-1537	ICR Reference No: 201211-1545-005
Status: Historical Active	Previous ICR Reference No: 200901-1545-029
Agency/Subagency: TREAS/IRS	Agency Tracking No: ah-1537-029
Title: REG-253578-96 Final Regulations for Health Coverage Portability for Group Health Plans and Group Health insurance Issuers under HIPPA Titles I & IV
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 01/11/2013
	Date Received in OIRA: 11/30/2012
Terms of Clearance: Under the Affordable Care Act (ACA, pre-existing condition exclusions will be prohibited in all health insurance plans starting January 1, 2014. In light of this prohibition, OMB recommends that IRS reevaluate and revise this information collection as needed, and resubmit this collection for OMB review and approval. If the collection is no longer necessary, as a result of this ACA prohibition, we recommmend IRS discontinue the collection.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved	01/31/2013
Responses	33,440,000	0	33,440,000
Time Burden (Hours)	262,289	0	262,289
Cost Burden (Dollars)	19,318,793	0	19,318,793

---

Abstract: The regulations provide guidance for group health plans and the employers maintaining them regarding requirements imposed on plans relating to preexisting condition exclusions, discrimination based on health status, and access to coverage.

---

Authorizing Statute(s): PL: Pub.L. 104 - 191 N/A Name of Law: HIPAA
  

Citations for New Statutory Requirements: None

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 57195	09/17/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 69543	11/19/2012
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 4

table that charts list of burden

IC Title	Form No.	Form Name
REG-253578-96, Certification requirements
REG-253578-96, Health plans imposing pre-existing condition notification requirements
Initial eligibility for enrollment, special enrollment periods
Exclusion Period Notification

---

ICR Summary of Burden

table that charts list of burden

	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	33,440,000	33,440,000	0	0	0	0
Annual Time Burden (Hours)	262,289	262,289	0	0	0	0
Annual Cost Burden (Dollars)	19,318,793	19,318,793	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

---

Annual Cost to Federal Government: $19,318,793

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

---

Common Form ICR:  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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/30/2012

---