Extension without change of a currently approved collection
No
Regular
03/15/2022
Requested
Previously Approved
36 Months From Approved
03/31/2022
207
103
311
155
106
54
The No Surprises Act allows plans to
voluntarily opt in to state law that provides for a method for
determining the cost-sharing amount or total amount payable under
such a plan, where a state has chosen to expand access to such
plans, to satisfy their obligations under Code section 9816(a)-(d),
ERISA section 716(a)-(d) and PHS Act section
2799A-1(a)-(d).
The estimates reflect the
update in number of private self-insured plans will opt in Nevada,
Virginia, Washington, and New Jersey.
$0
No
No
No
No
No
No
No
James Butikofer 202 693-8434
Butikofer.James@dol.gov
No
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.