TD 9166 - Final Regulations for Health Coverage Portability for Group Health Plans and Group Health insurance Issuers under HIPAA Titles I & IV

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Supporting Statement (HIPAA)1545-1537.doc	Supporting Statement A	Uploaded 2014-01-31	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	TD 9166 - Certification requirements		Modified
18644	TD 9166, Health plans imposing pre-existing condition notification requirements		Modified

ICR Details

OMB Control No: 1545-1537	ICR Reference No: 201401-1545-009
Status: Historical Inactive	Previous ICR Reference No: 201211-1545-005
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: TD 9166 - Final Regulations for Health Coverage Portability for Group Health Plans and Group Health insurance Issuers under HIPAA 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OIRA Conclusion Action: Withdrawn and continue	Conclusion Date: 04/03/2014
	Date Received in OIRA: 01/31/2014
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2014	36 Months From Approved	04/30/2014
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

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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.

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

Citations for New Statutory Requirements: None

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

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 63567	10/24/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 5022	01/30/2014
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
TD 9166 - Certification requirements
TD 9166, Health plans imposing pre-existing condition notification requirements
Initial eligibility for enrollment, special enrollment periods
Exclusion Period Notification

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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:

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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

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Common Form ICR:  No

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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: 01/31/2014

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