Information Collection

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

IC 191315 under ICR 202309-1545-007 · OMB 1545-2165.

Documents and Forms

Information Collection (IC) Details

View Information Collection (IC)

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: 1,323,153	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 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	1,323,153	-90,267	1,413,420
Annual IC Time Burden (Hours)	941,555	909,981	31,574
Annual IC Cost Burden (Dollars)	329,579	-3,905,731	4,235,310

Documents for IC

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