Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges

ICR 201101-0938-006

OMB: 0938-1119

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
195986
New
ICR Details
0938-1119 201101-0938-006
Historical Active
HHS/CMS
Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges
New collection (Request for a new OMB Control Number)   No
Emergency 01/19/2011
Approved with change 01/20/2011
Retrieve Notice of Action (NOA) 01/18/2011
This information collection request is approved on an emergency basis. HHS will work with OMB on a planning process to ensure timely PRA approvals of its FOAs. HHS will also begin the process to have any ongoing elements associated with this emergency approved under the standard PRA procedures. HHS will also upload the final copy of this FOA via an 83-C.
  Inventory as of this Action Requested Previously Approved
07/31/2011 6 Months From Approved
106 0 0
59,784 0 0
2,976,684 0 0

Section 1311(b) of the Affordable Care Act provides the opportunity for each State to establish an Exchange no later than January 1, 2014. Section 1311 of the Affordable Care Act provides for grants to States for the planning and establishment of these Exchanges. Given the innovative nature of Exchanges and the statutorily-prescribed relationship between the Secretary and States in their development and operation, it is critical that the Secretary work closely with States to provide necessary guidance and technical assistance to ensure that States can meet the prescribed timelines, federal requirements, and goals of the statute. Information collected as a part of the application for this grant will be used to evaluate the applications and determine awardees. Information collected pursuant to the reporting requirements for awardees will be used to evaluate the progress of States in planning for and implementing Exchanges, and determine how the Secretary can provide assistance to achieve the goals of the grant program and the Affordable Care Act.
Please see the attached emergency justification.

PL: Pub.L. 111 - 148 1311 Name of Law: Affordable choices of health benefit plans
  
PL: Pub.L. 111 - 148 1311 Name of Law: Affordable choices of health benefit plans.

Not associated with rulemaking
Other Documents for OIRA Review

No

1
IC Title Form No. Form Name
Application CMS-10371

  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 106 0 106 0 0 0
Annual Time Burden (Hours) 59,784 0 59,784 0 0 0
Annual Cost Burden (Dollars) 2,976,684 0 2,976,684 0 0 0
No
No
This is a new information collection request.

$10,812
No
No
Yes
No
No
Uncollected
William Parham 4107864669

  No

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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
01/18/2011


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