REG-120399-10 - Patient Protection and Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
PRA Form 14029 REG-120399-10 (2711 SS).pdf	Supporting Statement A	Uploaded 2010-06-18	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
193312	Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits		New

ICR Details

OMB Control No: 1545-2179	ICR Reference No: 201008-1545-024
Status: Historical Active	Previous ICR Reference No: 201006-1545-035
Agency/Subagency: TREAS/IRS	Agency Tracking No:
Title: REG-120399-10 - Patient Protection and Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits
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: 08/12/2010
	Date Received in OIRA: 08/12/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2010	6 Months From Approved
Responses	29,000	0	0
Time Burden (Hours)	1,300	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This document contains interim final regulations implementing the rules for group health plans and health insurance coverage in the group and individual markets under provisions of the Affordable Care Act regarding preexisting condition exclusions, lifetime and annual dollar limits on benefits, rescissions, prohibition on discrimination in favor of highly compensated individuals, and patient protections.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 2711 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 152 1001 Name of Law: Health Care and Education Reconciliation Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 2711 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 152 1001 Name of Law: Health Care and Education Reconciliation Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
1545-BJ61	Final or interim final rulemaking	75 FR 37811	06/28/2010

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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: 1

table that charts list of burden

IC Title	Form No.	Form Name
Affordable Care Act Enrollment Opportunity Notice Relating to Lifetime Limits

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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	29,000	0	29,000	0	0	0
Annual Time Burden (Hours)	1,300	0	1,300	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: The Departments assume that the notice for all plans and policies (including self-insured plans that are administered by insurers) will be prepared by the estimated 630 health insurers operating in the United States. On average, the Departments expect that one-half hour of a legal professional’s time will be required to draft this notice, resulting in an hour burden of approximately 160 hours. The Departments estimate that, on average, five minutes of a clerical staff member’s time will be required to incorporate the specific information into the notice and mail the estimated 29,000 notices. This results in an estimated hour burden of approximately 2,400 hours. Therefore, the total hour burden of this notice requirement is approximately 2,600 hours (50% to DOL and 50% to IRS).

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Annual Cost to Federal Government: $7,000

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]? Yes

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: 06/18/2010

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