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

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).	Form and Instruction	Modified	Available
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).	Form and Instruction	Modified	Repair queued
Form CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10).	Form and Instruction	Modified	Available
Form CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10).	Form and Instruction	Modified	Available
IssuerTemplateCrosswalk.doc	Supplementary Document	Uploaded 2010-05-18	Available
CMS-10320.StateTemplateCrosswalk.doc	Supplementary Document	Uploaded 2010-05-18	Repair queued
CMS-10320.Justification for Nonmaterial change.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2010-05-18	Available
CMS-10320.PortalPRAJustification-(4-30-10).doc	Supplementary Document	Uploaded 2010-05-18	Repair queued
CMS-10320.Appendix_F_PoolRequirements (4-27-10).doc	Supplementary Document	Uploaded 2010-05-18	Available
CMS-10320.Appendix_E_BenefitsPremiumsInformation (4-28-10).docx	Supplementary Document	Uploaded 2010-05-18	Available
CMS-10320.Appendix_D_InsuranceIssuers (4-30-10).docx	Supplementary Document	Uploaded 2010-05-18	Available
CMS-10320.Appendix_C_StateRequirements (4-28-10).docx	Supplementary Document	Uploaded 2010-05-18	Available
CMS-10320.Appendix_B_Section1103.docx	Supplementary Document	Uploaded 2010-05-18	Available
CMS-10320.Appendix A - Supporting_Statement Part A (4-30-10).doc	Supporting Statement A	Uploaded 2010-05-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192730	Issuers - Pricing and Benefit Updates		Modified
192729	Issuers - Pricing and Benefit data		Modified
192728	Issuers - Basic Information Submission	Form and Instruction	Modified	CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
192727	Issuers - Training, reviewing regulation, and analyzing data	Form and Instruction	Modified	CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
192726	States - Training, reviewing regulation, and analyzing data	Form and Instruction	Modified	CMS-10320.FINAL State Instructions and Instrument (5-5-10).
192725	States - Data submission	Form and Instruction	Modified	CMS-10320.FINAL State Instructions and Instrument (5-5-10).

ICR Details

OMB Control No: 0938-1086	ICR Reference No: 201005-0938-010
Status: Historical Active	Previous ICR Reference No: 201005-0938-008
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: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/19/2010
Retrieve Notice of Action (NOA)	Date Received in OIRA: 05/18/2010
Terms of Clearance:

table that charts list comparision

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

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Abstract: CMS is requesting approval to implement this information portal for the collection of information to assist consumers in making educated decisions on their health care options. This is an emergency request for a six month period until additional details are determined and a more comprehensive system is developed.

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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: None

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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

table that charts list of burden

IC Title	Form No.	Form Name
Issuers - Basic Information Submission	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
Issuers - Pricing and Benefit Updates
Issuers - Pricing and Benefit data
Issuers - Training, reviewing regulation, and analyzing data	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
States - Data submission	CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10).
States - Training, reviewing regulation, and analyzing data	CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10).

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ICR Summary of Burden

table that charts list 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	27,400	0	0	0	0
Annual Time Burden (Hours)	20,216	20,216	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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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: 05/18/2010

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