Information Collection

Health Insurance Reform Security Standards - Final Rule

IC 8803 under ICR 201305-0945-001 · OMB 0945-0004.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0945-0004 can be found here:

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Information Collection (IC) Details

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IC Title:	Health Insurance Reform Security Standards - Final Rule	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 164

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 4,000,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	4,000,000	4,000,000
Annual IC Time Burden (Hours)	64,539,263	64,539,263
Annual IC Cost Burden (Dollars)	0	0

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