Establishment of Qualified Health Plans and Affordable Insurance Exchanges

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10400.SupportingStatement Part A (revised 7-19-11).doc	Supporting Statement A	Uploaded 2011-07-19	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
198563	Qualified Health Plan Minimum Certification Standards		New
198562	Exchange Function: Certification of Qualified Health Plans		New
198561	Exchange Functions: Small Business Health Options Program (SHOP)		New
198560	Exchange Functions in the Individual Market: Enrollment in Qualified Health Plans		New
198559	General Functions of an Exchange (Website)		New
198558	Changes to Proposal		New
198557	General Standards Related to the Establishment of an Exchange		New

ICR Details

OMB Control No: 0938-1156	ICR Reference No: 201107-0938-009
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Establishment of Qualified Health Plans and Affordable Insurance Exchanges
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: Comment filed on proposed rule	Conclusion Date: 02/15/2012
	Date Received in OIRA: 07/20/2011
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Title I of the the Affordable Care Act expands access to health insurance through the establishment of the new American Health Benefit Exchanges (Exchanges). The proposed reporting requirements and data collection addresses Federal requirements that States must meet with respect to the establishment and operation of an Exchange; minimum requirements that health insurance issuers must meet with respect to participation in a State or Federal Exchange; and requirements that employers must meet with respect to their participation in Small Business Health Options Program (SHOP) Exchanges and compliance with other provisions of the Affordable Care Act.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1311 (b) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
   PL: Pub.L. 111 - 148 1311 (d) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
   PL: Pub.L. 111 - 148 1313 (a) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
   PL: Pub.L. 111 - 148 1341; 1342; 1343; 1512; Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1341; 1342; 1343; 1512 Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 1313(a) Name of Law: (Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 1311(b) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 1311(d) Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AQ67	Proposed rulemaking	76 FR 41866	07/15/2011

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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: 7

table that charts list of burden

IC Title	Form No.	Form Name
General Standards Related to the Establishment of an Exchange
Changes to Proposal
General Functions of an Exchange (Website)
Exchange Functions in the Individual Market: Enrollment in Qualified Health Plans
Exchange Functions: Small Business Health Options Program (SHOP)
Exchange Function: Certification of Qualified Health Plans
Qualified Health Plan Minimum Certification Standards

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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: This is a new information collection.

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Annual Cost to Federal Government: $233,744

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: 07/20/2011

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