National Medical Support Notice - Part B

Forms and Documents

Document Name	Status
NMSNss09.doc Supporting Statement A	2009-08-12

IC Document Collections

IC ID	Document Title	Status
13476	National Medical Support Notice - Part B Other-National Medical Support Notiec -- Part B	Modified

ICR Details

OMB Control No: 1210-0113	ICR Reference No: 200906-1210-004
Status: Historical Active	Previous ICR Reference No: 200604-1210-002
Agency/Subagency: DOL/EBSA	Agency Tracking No:
Title: National Medical Support Notice - Part B
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/29/2009
	Date Received in OIRA: 09/04/2009
Terms of Clearance: Approved without change, understanding that EBSA is working with HHS to develop an electronic submission option. EBSA and HHS will submit that revision separately when appropriate.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	10/31/2009
Responses	10,754,484	0	2,900,000
Time Burden (Hours)	896,207	0	1,000,000
Cost Burden (Dollars)	5,807,421	0	4,800,000

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Abstract: Section 609 of ERISA and 29 CFR 2590.609-2 establish a National Medical Support Notice. Part B of which is used to implement coverage of children under ERISA covered group health plans pursuant to "Qualified Medical Child Support Orders."

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Authorizing Statute(s): US Code: 29 USC 1169(a) Name of Law: Employee Retirement Income Security Act of 1974
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 13476	03/27/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 45880	09/04/2009
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
National Medical Support Notice - Part B

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ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	10,754,484	2,900,000	0	0	7,854,484	0
Annual Time Burden (Hours)	896,207	1,000,000	0	0	-103,793	0
Annual Cost Burden (Dollars)	5,807,421	4,800,000	0	0	1,007,421	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The NMSN was revised slightly since the prior ICR submission in response to public comments. The Department has not estimated any additional hour or cost burden for the revisions, because they are minor. Using data obtained from the Bureau of Labor Statistics, specifically the drop in the percentage of workers in the private sector and an increase in the separation rate of workers from their employers, the Department estimates that fewer NMSNs will reach employers, and therefore, fewer notices will be sent to plan administrators by employers. The drop in the estimated number of notices sent is expected to reduce the hour burden associated with this ICR by about 104,000 hours. However, increases in labor rates and mailing costs led the estimated cost burden associated with this ICR to increase by approximately $1 million.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 09/04/2009

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