| Draft Estimated Breakout of PRA Estimates for Disclosure Notices to Individuals |
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| By Type of Sponsor |
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| DESCRIPTION |
GRAND TOTAL |
Federal Government |
| Type of Plan/ Respondent |
Type of Notice |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
| Health Plans (Active Workers) |
Annual and Initial Notices |
400,000 |
400,000 |
5 |
33,333.3 |
Audrey McDowell:
Issue: Not sure if each separate FEHB plan should be counted separately.
4 |
4 |
5 |
0.3 |
| |
|
0 |
0 |
0 |
|
0 |
5 |
0 |
| Change in Creditable Coverage Status |
|
4,000 |
5 |
333.3 |
|
0 |
0 |
0 |
| Retiree Drug Plan Sponsors |
Annual and Initial Notices |
46,000 |
46,000 |
5 |
3,833.3 |
Audrey McDowell:
FEHB, Tricare, TVA
3 |
3 |
5 |
0.3 |
| Upon Request |
|
0 |
0 |
0 |
|
0 |
5 |
0 |
| Change in Creditable Coverage Status |
|
500 |
5 |
41.7 |
|
0 |
0 |
0 |
| Medigap Issuers |
Annual and Initial Notices |
120 |
120 |
5 |
10.0 |
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| Upon Request |
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0 |
0 |
0.0 |
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| Change in Creditable Coverage Status |
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0 |
0 |
0 |
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| Indian Health Service (1 I.H.S. Plan included under Federal Health Plan Totals) |
Annual and Initial Notices |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
0 |
| Upon Request |
|
0 |
0 |
0 |
|
0 |
0 |
0 |
| Change in Creditable Coverage Status |
|
0 |
0 |
0 |
|
0 |
0 |
0 |
| State Pharmacy Plus Programs |
Annual and Initial Notices |
2 |
2 |
5 |
0 |
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| Upon Request |
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0 |
0 |
0 |
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| Change in Creditable Coverage Status |
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0 |
0 |
0 |
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| State Pharmaceutical Assistance Programs |
Annual and Initial Notices |
38 |
38 |
5 |
3 |
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| Upon Request |
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0 |
0 |
0 |
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| Change in Creditable Coverage Status |
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0 |
0 |
0 |
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| Totals |
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446,160.0 |
450,660.0 |
35 |
37,555.0 |
7 |
7 |
20 |
0.6 |
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| DESCRIPTION |
State, Local or Tribal Governments |
Private Sector Businesses (for-profit & not for profit) |
| Type of Plan/ Respondent |
Type of Notice |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
Number of Plans/ Respondents |
Annual # Notices/ Responses |
Est. Minutes per Response |
Annual Burden Hours |
| Health Plans (Active Workers) |
Annual and Initial Notices |
2,999 |
2,999 |
5 |
249.9 |
396,997 |
396,997 |
5 |
33,083.1 |
| Upon Request |
|
0 |
5 |
0 |
|
0 |
5 |
0 |
| Change in Creditable Coverage Status |
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5 |
0 |
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4,000 |
5 |
333.3 |
| Retiree Drug Plan Sponsors |
Annual and Initial Notices |
2,501 |
2,501 |
5 |
208.4 |
43,496 |
43,496 |
5 |
3,624.7 |
| Upon Request |
|
0 |
5 |
0 |
|
0 |
5 |
0 |
| Change in Creditable Coverage Status |
|
0 |
5 |
0 |
|
500 |
5 |
41.7 |
| Medigap Issuers |
Annual and Initial Notices |
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|
120 |
120 |
5 |
10.0 |
| Upon Request |
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|
0 |
5 |
0 |
| Change in Creditable Coverage Status |
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|
0 |
0 |
0 |
| Indian Health Service |
Annual and Initial Notices |
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| Upon Request |
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| Change in Creditable Coverage Status |
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| State Pharmacy Plus Programs |
Annual and Initial Notices |
2 |
2 |
5 |
0.2 |
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| Upon Request |
|
0 |
0 |
0 |
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| Change in Creditable Coverage Status |
|
0 |
0 |
0 |
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| State Pharmaceutical Assistance Programs |
Annual and Initial Notices |
38 |
38 |
5 |
3.2 |
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| Upon Request |
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0 |
0 |
0 |
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| Change in Creditable Coverage Status |
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0 |
0 |
0 |
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| Totals |
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5,540 |
5,540 |
40 |
461.7 |
440,613 |
445,113 |
40 |
37,092.8 |