Notice of Medical Necessity Criteria under the Mental Health Parity and Addiction Equity Act of 2008

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1545-2165 can be found here:

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Information Collection (IC) Details

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IC Title:	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 54.9812-1

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: IRS 24.046-Customer Account Data Engine Business Master File.	FR Citation: 82 FR 28939

Number of Respondents: 1,217,875	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	1,217,875	1,103,875	114,000
Annual IC Time Burden (Hours)	27,206	21,218	5,988
Annual IC Cost Burden (Dollars)	3,649,360	3,393,360	256,000

Documents for IC

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