Information Collection Requirements Referenced in HIPAA for the Group Market, Supporting Regulations 45 CFR 146, and forms/instructions

ICR 201408-0938-011

OMB: 0938-0702

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Unchanged
Supplementary Document
2014-08-28
Justification for No Material/Nonsubstantive Change
2014-08-28
Supplementary Document
2014-08-28
Supplementary Document
2014-08-28
Supporting Statement A
2014-08-28
ICR Details
0938-0702 201408-0938-011
Historical Active 201303-0938-008
HHS/CMS 18923
Information Collection Requirements Referenced in HIPAA for the Group Market, Supporting Regulations 45 CFR 146, and forms/instructions
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/28/2014
Retrieve Notice of Action (NOA) 08/28/2014
  Inventory as of this Action Requested Previously Approved
04/30/2016 04/30/2016 04/30/2016
39,831,442 0 39,831,442
3,760,421 0 3,760,421
0 0 0

The provisions of title XXVII of the Public Health Service Act (PHS Act) are designed to make it easier for people to get access to health care coverage and to reduce the limitations that can be put on the coverage. Sections 2723 and 2761 of the PHS Act direct CMS to enforce a provision (or provisions) of title XXVII of the PHS Act with respect to health insurance issuers when a state has notified CMS that it has not enacted legislation to enforce or that it is not otherwise enforcing a provision (or provisions) of the individual and group market reforms with respect to health insurance issuers, or when CMS has determined that a state is not substantially enforcing one or more of those provisions. This collection also pertains to notices issued by individual and group health insurance issuers and self-funded non-Federal governmental plans. This collection includes the issuance of certificates of creditable coverage; notification of preexisting condition exclusions; notification of special enrollment rights; and review of issuers' filings of individual and group market products or similar Federal review in cases in which a state is not enforcing a title XXVII individual or group market provision.

US Code: 42 USC 300gg-23 Name of Law: Individual and Group Market Reforms
   US Code: 42 USC 241 Name of Law: Research and investigations generally
   PL: Pub.L. 104 - 204 title VI Name of Law: Newborns' and Mothers' Health Protection Act of 1996
   PL: Pub.L. 104 - 191 title I Name of Law: Health Insurance Portability and Accountability Act of 1996 (HIPAA)
   PL: Pub.L. 105 - 277 title IX Name of Law: The Women's Health and Cancer Rights Act of 1998
   PL: Pub.L. 111 - 148 title I Name of Law: Affordable Care Act
   PL: Pub.L. 110 - 343 title V Name of Law: Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008
   PL: Pub.L. 110 - 223 title I Name of Law: Genetic Information Nondiscrimination Act of 2008
   US Code: 42 USC 300gg-61 Name of Law: Individual Market Rules
  
None

Not associated with rulemaking

  77 FR 69846 11/21/2012
78 FR 12322 02/22/2013
No

  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 39,831,442 39,831,442 0 0 0 0
Annual Time Burden (Hours) 3,760,421 3,760,421 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The revised burden is a result of new statutory requirements under title XXVII of the PHS Act.

$0
No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190

  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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
08/28/2014


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