Information Collection

Requirements under the Consolidated Appropriations Act of 2021 and the MHPAEA FAQ 45

IC 246377 under ICR 202405-1210-001 · OMB 1210-0138.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
FAQs-Part-45 FINAL for posting.docx	Other-Compliance Assistance Guidance
FAQs-Part-45 FINAL for posting.docx	Other-Compliance Assistance Guidance

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Compliance Assistance Guidance			FAQs-Part-45 FINAL for posting.docx		No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 123,175

Number of Respondents for Small Entity: 114,553

Affected Public: Private Sector

Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	123,175	10,052	113,123
Annual IC Time Burden (Hours)	598,470	-2,420,849	3,019,319
Annual IC Cost Burden (Dollars)	1,238,771	1,237,571	1,200

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

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