Information Collection Request

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)

ICR 201109-0938-003 · OMB 0938-1086 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-10320 Issuer - Attest (Small Group) Form and Instruction New Available
Form CMS-10320 Issuer - Attest (Individual) Form and Instruction New Available
Form CMS-10320 Issuer - Troubleshoot (Small Group) Form and Instruction New Available
Form CMS-10320 Issuer - Troubleshoot (Individual) Form and Instruction New Available
Form CMS-10320 Issuer - Data Entry (Small Group) Form and Instruction New Available
Form CMS-10320 Issuer - Data Entry (Individual) Form and Instruction New Available
Form CMS-10320 Issuers - Submission Preparation (Small Group) Form and Instruction New Available
Form CMS-10320 Issuers - Submission Preparation (Individual) Form and Instruction New Available
Form CMS-10320 Issuers Training and Communication Form and Instruction New Available
Form CMS-10320 States - Data Collection Form and Instruction New Repair queued
Form CMS-10320 Query Writing and Record Processing Form and Instruction Removed Available
Form CMS-10320 Premium Estimation Process Form and Instruction Removed Repair queued
Form CMS-10320 Issuers - Pricing and Benefit Updates Form and Instruction Removed Repair queued
Form CMS-10320 Issuers - Pricing and Benefit data Form and Instruction Removed Available
Form CMS-10320 Issuers - Basic Information Submission Form and Instruction Removed Repair queued
Form CMS-10320 Issuers - Training, reviewing regulation, and analyzing data Form and Instruction Removed Repair queued
Form CMS-10320 States - Training, reviewing regulation, and analyzing data Form and Instruction Modified Available
Form CMS-10320 States - Data submission Form and Instruction Modified Repair queued
CMS-10320.Terms of Approval Implementation (10-7-11)-1.docx Supplementary Document Uploaded 2011-10-07 Repair queued
CMS-10320.Crosswalk (changes as of 10-7-11).doc Supplementary Document Uploaded 2011-10-07 Available
CMS-10320.Crosswalk (changes as of 8-4-11).doc Supplementary Document Uploaded 2011-10-07 Repair queued
CMS-10320.CCIIO_replies_PRA_AHIPComment (10-7-11)-1.docx Supplementary Document Uploaded 2011-10-07 Available
Appendix_D_BenefitsPremiumsInformation(10-7-11).docx Supplementary Document Uploaded 2011-10-07 Repair queued
RBIS_SG_Regions_Template_v1.xls Supplementary Document Uploaded 2011-09-15 Available
RBIS_SG_Product_Availability_Template_v1.xls Supplementary Document Uploaded 2011-09-15 Available
RBIS_SG_Business_Rules_Template_v1.xls Supplementary Document Uploaded 2011-09-15 Repair queued
RBIS_SG_Benefit_Template-draft_v3.xls Supplementary Document Uploaded 2011-09-15 Repair queued
Individual-plan-benefits-template.pdf Supplementary Document Uploaded 2011-09-15 Available
20110815_SG_Wireframes.pdf Supplementary Document Uploaded 2011-09-15 Available
20110815_SG_NonBenefitTemplateFields.pdf Supplementary Document Uploaded 2011-09-15 Available
20110815_SG_BenefitFields.pdf Supplementary Document Uploaded 2011-09-15 Available
Appendix_F_PoolRequirements.doc Supplementary Document Uploaded 2011-09-15 Available
Appendix_B_Section1103.docx Supplementary Document Uploaded 2011-09-09 Available
Appendix_A_Portal_Supporting_Statement(10-7-11).doc Supporting Statement A Uploaded 2011-10-07 Available
IC Document Collections
IC IDCollectionTypeStatusForm
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
0938-1086 201109-0938-003
Historical Active 201105-0938-006
HHS/CMS
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)
Revision of a currently approved collection   No
Regular
Approved with change 10/14/2011
Retrieve Notice of Action (NOA) 09/16/2011
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
10/31/2012 36 Months From Approved 11/30/2011
5,550 0 31,690
86,625 0 101,958
0 0 0

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.

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
  
None

Not associated with rulemaking

  76 FR 13415 03/11/2011
76 FR 53474 08/30/2011
No

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

  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
Yes
Miscellaneous Actions
Yes
Miscellaneous Actions
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.

$15,161,494
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.
09/16/2011