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

Document Name	Status
Form CMS-10320 Issuer - Attest (Small Group) Form and Instruction	New
Form CMS-10320 Issuer - Attest (Individual) Form and Instruction	New
Form CMS-10320 Issuer - Troubleshoot (Small Group) Form and Instruction	New
Form CMS-10320 Issuer - Troubleshoot (Individual) Form and Instruction	New
Form CMS-10320 Issuer - Data Entry (Small Group) Form and Instruction	New
Form CMS-10320 Issuer - Data Entry (Individual) Form and Instruction	New
Form CMS-10320 Issuers - Submission Preparation (Small Group) Form and Instruction	New
Form CMS-10320 Issuers - Submission Preparation (Individual) Form and Instruction	New
Form CMS-10320 Issuers Training and Communication Form and Instruction	New
Form CMS-10320 States - Data Collection Form and Instruction	New
Form CMS-10320 Query Writing and Record Processing Form and Instruction	Removed
Form CMS-10320 Premium Estimation Process Form and Instruction	Removed
Form CMS-10320 Issuers - Pricing and Benefit Updates Form and Instruction	Removed
Form CMS-10320 Issuers - Pricing and Benefit data Form and Instruction	Removed
Form CMS-10320 Issuers - Basic Information Submission Form and Instruction	Removed
Form CMS-10320 Issuers - Training, reviewing regulation, and analyzing data Form and Instruction	Removed
Form CMS-10320 States - Training, reviewing regulation, and analyzing data Form and Instruction	Modified
Form CMS-10320 States - Data submission Form and Instruction	Modified
CMS-10320.Terms of Approval Implementation (10-7-11)-1.docx Supplementary Document	2011-10-07
CMS-10320.Crosswalk (changes as of 10-7-11).doc Supplementary Document	2011-10-07
CMS-10320.Crosswalk (changes as of 8-4-11).doc Supplementary Document	2011-10-07
CMS-10320.CCIIO_replies_PRA_AHIPComment (10-7-11)-1.docx Supplementary Document	2011-10-07
Appendix_D_BenefitsPremiumsInformation(10-7-11).docx Supplementary Document	2011-10-07
RBIS_SG_Regions_Template_v1.xls Supplementary Document	2011-09-15
RBIS_SG_Product_Availability_Template_v1.xls Supplementary Document	2011-09-15
RBIS_SG_Business_Rules_Template_v1.xls Supplementary Document	2011-09-15
RBIS_SG_Benefit_Template-draft_v3.xls Supplementary Document	2011-09-15
Individual-plan-benefits-template.pdf Supplementary Document	2011-09-15
20110815_SG_Wireframes.pdf Supplementary Document	2011-09-15
20110815_SG_NonBenefitTemplateFields.pdf Supplementary Document	2011-09-15
20110815_SG_BenefitFields.pdf Supplementary Document	2011-09-15
Appendix_F_PoolRequirements.doc Supplementary Document	2011-09-15
Appendix_B_Section1103.docx Supplementary Document	2011-09-09
Appendix_A_Portal_Supporting_Statement(10-7-11).doc Supporting Statement A	2011-10-07

IC Document Collections

IC ID	Document Title	Status
199284	Issuer - Attest (Small Group) Form and Instruction	New
199283	Issuer - Attest (Individual) Form and Instruction	New
199282	Issuer - Troubleshoot (Small Group) Form and Instruction	New
199281	Issuer - Troubleshoot (Individual) Form and Instruction	New
199280	Issuer - Data Entry (Small Group) Form and Instruction	New
199279	Issuer - Data Entry (Individual) Form and Instruction	New
199278	Issuers - Submission Preparation (Small Group) Form and Instruction	New
199277	Issuers - Submission Preparation (Individual) Form and Instruction	New
199276	Issuers Training and Communication Form and Instruction	New
199275	States - Data Collection Form and Instruction	New
194217	Query Writing and Record Processing Form and Instruction	Removed
194216	Premium Estimation Process Form and Instruction	Removed
192730	Issuers - Pricing and Benefit Updates Form and Instruction	Removed
192729	Issuers - Pricing and Benefit data Form and Instruction	Removed
192728	Issuers - Basic Information Submission Form and Instruction	Removed
192727	Issuers - Training, reviewing regulation, and analyzing data Form and Instruction	Removed
192726	States - Training, reviewing regulation, and analyzing data Form and Instruction	Modified
192725	States - Data submission Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1086	ICR Reference No: 201109-0938-003
Status: Historical Active	Previous ICR Reference No: 201105-0938-006
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: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 10/14/2011
	Date Received in OIRA: 09/16/2011
Terms of Clearance: This ICR is approved for one year. In accordance with 5 CFR 1320.10, the next submission associated with this control number shall be sent to OMB for review at least 60 days before the expiration date of this approval, or at least 60 days before the date that the agency wishes to begin a revised collection of information, whichever is sooner. In addition, the 30-day Federal Register Notice for the next submission shall be published on or after the date that OMB review begins.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2012	36 Months From Approved	11/30/2011
Responses	5,550	0	31,690
Time Burden (Hours)	86,625	0	101,958
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. CCIIO has created a system where insurance issuers and their states log into the web portal using a custom user ID and password validation. The states were asked to provide information on issuers in their state and various websites (see Appendix E). The issuers have been downloading a basic information template to enter data then upload into the portal. Information to be collected on issuers and products can be found in Appendix C. The pricing and benefits data that will be collected can be found in Appendix D. The templates and instructions presented in support of this PRA package as Appendix G are those developed for the prior data collections.

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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 13415	03/11/2011
30-day Notice:	Federal Register Citation:	Citation Date:
	76 FR 53474	08/30/2011
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 12

IC Title	Form No.	Form Name
States - Data submission	CMS-10320, CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10). ,   Appendix_E_StateRequirements
States - Training, reviewing regulation, and analyzing data	CMS-10320, CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10). ,   Appendix_E_StateRequirements
States - Data Collection	CMS-10320, CMS-10320	Appendix_E_StateRequirements ,   CMS-10320.FINAL State Instructions and Instrument
Issuers - Submission Preparation (Individual)	CMS-10320, CMS-10320, CMS-10320	Appendix_C_InsuranceIssuers2 ,   Appendix_D_BenefitsPremiumsInformation2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Submission Preparation (Small Group)	CMS-10320, CMS-10320, CMS-10320	Appendix_C_InsuranceIssuers2 ,   Appendix_D_BenefitsPremiumsInformation2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Data Entry (Individual)	CMS-10320, CMS-10320, CMS-10320	Appendix_D_BenefitsPremiumsInformation2 ,   Appendix_C_InsuranceIssuers2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Data Entry (Small Group)	CMS-10320, CMS-10320, CMS-10320	Appendix_D_BenefitsPremiumsInformation2 ,   Appendix_C_InsuranceIssuers2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers Training and Communication	CMS-10320, CMS-10320, CMS-10320	Appendix_C_InsuranceIssuers2 ,   Appendix_D_BenefitsPremiumsInformation2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Troubleshoot (Individual)	CMS-10320, CMS-10320, CMS-10320	Appendix_D_BenefitsPremiumsInformation2 ,   Appendix_C_InsuranceIssuers2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Troubleshoot (Small Group)	CMS-10320, CMS-10320, CMS-10320	Appendix_D_BenefitsPremiumsInformation2 ,   Appendix_C_InsuranceIssuers2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Attest (Individual)	CMS-10320, CMS-10320, CMS-10320	Appendix_C_InsuranceIssuers2 ,   Appendix_D_BenefitsPremiumsInformation2 ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuer - Attest (Small Group)	CMS-10320, CMS-10320, CMS-10320	Appendix_C_InsuranceIssuers2 ,   Appendix_D_BenefitsPremiumsInformation2 ,   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).
Issuers - Basic Information Submission	CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments (5-12-10).
Issuers - Pricing and Benefit data	CMS-10320	CMS-10320.Deliberative Document
Issuers - Pricing and Benefit Updates	CMS-10320	CMS-10320.Deliberative Document
Premium Estimation Process	CMS-10320	CMS-10320.Deliberative Document
Query Writing and Record Processing	CMS-10320	CMS-10320.Deliberative Document

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ICR Summary 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	5,550	31,690	0	-26,140	0	0
Annual Time Burden (Hours)	86,625	101,958	0	-15,333	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The current estimate for the burden on issuers is a reduction of $755,200 from the initial estimates provided in 2010, as evidenced in the included tables. Essentially, during the course of the prior year, we have readjusted our estimate for the amount of time required to set up reporting systems and begin submissions. However, we are also proposing a change in methodology to allow for fewer actual submissions (from 13,000 down to 5,550) by making quarterly reports sufficient to reflect changes to benefits and pricing. We would anticipate that after the first year costs will begin to decrease significantly as issuers familiarize themselves with the systems and requirements. The burden on State governments is anticipated to drop from $50,539.50 to $37,625 based primarily on a reduction in training costs associated with a basic refresh in contrast to an initial submission.

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Annual Cost to Federal Government: $15,161,494

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: 09/16/2011

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