Health Care Reform Insurance Web Portal and Supporting Authority Contained in Sections 1103 and 10102 of The Patient Protection and Affordability Care Act, P.L. 111-148 (PPACA)

Forms and Documents

Document Name	Status
Form CMS-10320 Issuers - Basic Information Submission Form and Instruction	New
Form CMS-10320 Issuers - Training, reviewing regulation, and analyzing data Form and Instruction	New
Form CMS-10320 States - Training, reviewing regulation, and analyzing data Form and Instruction	New
Form CMS-10320 States - Data submission Form and Instruction	New
CMS-10320.Appendix_C_StateRequirements (4-28-10).docx Supplementary Document	2010-04-30
CMS-10320.Appendix_D_InsuranceIssuers (4-30-10).docx Supplementary Document	2010-04-30
CMS-10320.Appendix_E_BenefitsPremiumsInformation (4-28-10).docx Supplementary Document	2010-04-30
Appendix_F_PoolRequirements (4-27-10).doc Supplementary Document	2010-04-28
CMS-10320.PortalPRAJustification-(4-30-10).doc Supplementary Document	2010-04-30
CMS-10320.Appendix_B_Section1103.docx Supplementary Document	2010-04-23
CMS-10320.Supporting_Statement Part A (4-30-10).doc Supporting Statement A	2010-04-30

IC Document Collections

IC ID	Document Title	Status
192730	Issuers - Pricing and Benefit Updates	New
192729	Issuer - Pricing and Benefit data	New
192728	Issuers - Basic Information Submission Form and Instruction	New
192727	Issuers - Training, reviewing regulation, and analyzing data Form and Instruction	New
192726	States - Training, reviewing regulation, and analyzing data Form and Instruction	New
192725	States - Data submission Form and Instruction	New

ICR Details

OMB Control No: 0938-1086	ICR Reference No: 201005-0938-008
Status: Historical Active	Previous ICR Reference No: 201004-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Health Care Reform Insurance Web Portal and Supporting Authority Contained in Sections 1103 and 10102 of The Patient Protection and Affordability Care Act, P.L. 111-148 (PPACA)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/14/2010
	Date Received in OIRA: 05/14/2010
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is approved for 6 months. However, prior to the July 1st launch of the web portal, HHS must submit final versions of the instructions/templates for the information collected that will populate the website. HHS may submit these documents as a non-substantive, non-material change to the collection. OMB is withholding full approval of the collection and updating of pricing and benefits inoformation at this time because HHS has not provided the instructions or instruments that will be used. Once HHS completes development and finalizes instructions/templates for the data for collecting and updating pricing and benefits data for issuers, HHS may also submit these documents as a non-substantive, non-material change to the collection. In this submission, they should they should provide the burden estimate for these collections. If it varies from the burden estimate provided in this request, HHS should provide a brief explanation of the reason for change. OMB also encourages HHS to continue their consultation efforts as they develop these instruments.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2010	6 Months From Approved
Responses	27,400	0	0
Time Burden (Hours)	20,216	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Information is required to implement a web portal to assist consumers in making educated decisions on their health care options.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 10102 Name of Law: The Patient Protection and Affordability Care Act
   PL: Pub.L. 111 - 148 1103 Name of Law: The Patient Protection and Affordability Care Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1103 Name of Law: The Patient Protection and Affordability Care Act
PL: Pub.L. 111 - 148 10102 Name of Law: The Patient Protection and Affordability Care Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0991-AB63	Final or interim final rulemaking	75 FR 24470	05/05/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

IC Title	Form No.	Form Name
Issuers - Basic Information Submission	CMS-10320	Issuer - Instructions and Instruments
Issuer - Pricing and Benefit data
Issuers - Pricing and Benefit Updates
States - Data submission	CMS-10320	States - Instructions and Instruments
States - Training, reviewing regulation, and analyzing data	CMS-10320	States - Instructions and Instruments
Issuers - Training, reviewing regulation, and analyzing data	CMS-10320	Issuer - Instructions and Instruments

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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	27,400	0	13,000	14,400	0	0
Annual Time Burden (Hours)	20,216	0	19,708	508	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

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

Burden Reduction Due to:

Short Statement: This is a new information collection request.

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Annual Cost to Federal Government: $11,660,472

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: 04/26/2010

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