Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Mental Health and Substance Abuse Disorder Parity Disclosure Request, Model Notice Modified 249008 20751 0 Other-Model Notice
Other-Model Notice (Arabic)
Other-Model Notice (Chinese)
Other-Model Notice (French)
Other-Model Notice (Korean)
Other-Model Notice (Spanish)
Other-Model Notice (Tagalog)
Other-Model Notice (Vietnamese)
Notice of Medical Necessity Criteria under the Mental Health Parity and Addiction Equity Act of 2008 Modified 1064758 88730 412924
Requirements under the Consolidated Appropriations Act of 2021 and the MHPAEA FAQ 45 Modified 123175 598470 1238771 Other-Compliance Assistance Guidance
Total burden requested under this ICR: 1436941 707951 1651695  
To view an IC, click on IC Title