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	Form and Instruction	Modified	Available
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments	Form and Instruction	Modified	Available
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments	Form and Instruction	Modified	Available
Form CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments	Form and Instruction	Modified	Available
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	Available
Form CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10).	Form and Instruction	Modified	Repair queued
Form 00 HIOS Issuer Data Entry Form	Form	Modified	Available
Form CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10).	Form and Instruction	Modified	Available
CMS-10320.HIOS Data Entry Form (5-16-11).xls	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Memo Reducing Effort (5-16-11).docx	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Appendix_F_PoolRequirements (5-16-11).doc	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Appendix_E_BenefitsPremiumsInformation (5-16-11).docx	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Appendix_D_InsuranceIssuers (5-16-11).docx	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Appendix_B_Section1103 (5-16-11).docx	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Response to Public Comments (5-16-11).docx	Supplementary Document	Uploaded 2011-05-16	Available
CMS-10320.Appendix_F_PoolRequirements.pdf	Supplementary Document	Uploaded 2011-03-27	Available
CMS-10320.Appendix_E_BenefitsPremiumsInformation.pdf	Supplementary Document	Uploaded 2011-03-27	Available
CMS-10320.Appendix_D_InsuranceIssuers.pdf	Supplementary Document	Uploaded 2011-03-27	Available
CMS-10320.Appendix_B_Section1103.pdf	Supplementary Document	Uploaded 2011-03-27	Available
CMS-10320.Appendix_C_StateRequirements.pdf	Supplementary Document	Uploaded 2011-03-27	Available
CMS-10320 CMS healthcaregov Emergency Justification v1.DOC	Supplementary Document	Uploaded 2011-03-27	Available
CMS-10320.Appendix_A_Portal_Supporting_Statement (05-16-11).doc	Supporting Statement A	Uploaded 2011-05-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
194217	Query Writing and Record Processing	Form and Instruction	Modified	CMS-10320.Issuer - FINAL Instructions and Instruments
194216	Premium Estimation Process	Form and Instruction	Modified	CMS-10320.Issuer - FINAL Instructions and Instruments
192730	Issuers - Pricing and Benefit Updates	Form and Instruction	Modified	CMS-10320.Issuer - FINAL Instructions and Instruments
192729	Issuers - Pricing and Benefit data	Form and Instruction	Modified	CMS-10320.Issuer - FINAL Instructions and Instruments
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	Modified	HIOS Issuer Data Entry Form
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: 201103-0938-016
Status: Historical Inactive	Previous ICR Reference No: 201008-0938-005
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: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Withdrawn	Conclusion Date: 05/17/2011
Retrieve Notice of Action (NOA)	Date Received in OIRA: 03/30/2011
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		6 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: In accordance with Sections 1103 and 10102 of The Patient Protection and Affordability Care Act, P.L. 111-148 (PPACA) the U.S. Department of Health and Human Services (DHHS) is tasked with developing and implementing an Internet website portal to assist consumers with identifying affordable and comprehensive health insurance coverage options that are available in their State. We are 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 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
  

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:
	76 FR 16793	03/25/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 16793	03/25/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 8

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	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Pricing and Benefit data	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Training, reviewing regulation, and analyzing data	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
Premium Estimation Process	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments
Query Writing and Record Processing	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments
States - Data submission	CMS-10320, 00	CMS-10320.FINAL State Instructions and Instrument (5-5-10). ,   HIOS Issuer Data Entry Form
States - Training, reviewing regulation, and analyzing data	CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10).

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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: $14,968,149

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]? No

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: 03/30/2011

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