Information Collection

REG-120692-09 (TD 9479-temp)- Notice of Medical Necessity Criteria under the Mental Health Parity and Addiction Equity Act of 2008

IC 191315 under ICR 201301-1545-004 · OMB 1545-2165.

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Information Collection (IC) Details

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IC Title:	REG-120692-09 (TD 9479-temp)- Notice of Medical Necessity Criteria under the Mental Health Parity and Addiction Equity Act of 2008	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 26 CFR 54.9812-1T

Information Collection Instruments:

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: 424,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 38 %

	Approved	Previously Approved
Annual Number of Responses for this IC	223,200	223,200
Annual IC Time Burden (Hours)	1,900	1,900
Annual IC Cost Burden (Dollars)	0	0

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