Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Claims Denial Disclosure under MHPAEA (Processed By Issuer or Third Party Services) (Electronic)
New
316725
0
712631
Claims Denial Disclosure under MHPAEA (Processed By Issuer or Third Party Services) (Paper)
New
105575
0
305112
Claims Denial Disclosure under MHPAEA (Processed In-house)(Electronic))
New
17025
1425
0
Claims Denial Disclosure under MHPAEA (Processed In-house)(Paper)
New
5675
475
3632
Medical Necessity Disclosure under MHPAEA (Processed By Issuer or Third Party Services) (Electronic)
New
7334
0
16795
Medical Necessity Disclosure under MHPAEA (Processed By Issuer or Third Party Services) (Paper)
New
11966
0
34582
Medical Necessity Disclosure under MHPAEA (Processed In-House: Paper) : CMS-10307
New
620
53
397
Medical Necessity Disclosure under MHPAEA (Processed In-House:Electronic)
New
380
33
0
Medical Necessity Disclosure under MHPAEA (Processed In-house: Sent w/Claims Denial Disclosure) (Paper)
New
575
48
368
Medical Necessity Disclosure under MHPAEA (Processed In-house: sent w/Claims Denial Disclosure)(Electronic))
New
1725
143
0
Medical Necessity Disclosure under MHPAEA(Processed By Issuer or Third Party Services) Sent w Claims Denial Dis) (Electronic)
New
31500
0
70875
Medical Necessity Disclosure under MHPAEA(Processed By Issuer or Third Party Services) Sent w Claims Denial Dis) (Paper)
New
10500
0
30345
Total burden requested under this ICR:
509600
2177
1174737
To view an IC, click on IC Title