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 Issuer - Attest (Small Group)	Form and Instruction	Modified	Available
Form CMS-10320 Issuer - Attest (Individual)	Form and Instruction	Modified	Repair queued
Form CMS-10320 Issuer - Troubleshoot (Small Group)	Form and Instruction	Modified	Repair queued
Form CMS-10320 Issuer - Troubleshoot (Individual)	Form and Instruction	Modified	Available
Form CMS-10320 Issuer - Data Entry (Small Group)	Form and Instruction	Modified	Repair queued
Form CMS-10320 Issuer - Data Entry (Individual)	Form and Instruction	Modified	Available
Form CMS-10320 Issuers - Submission Preparation (Small Group)	Form and Instruction	Modified	Available
Form CMS-10320 Issuers - Submission Preparation (Individual)	Form and Instruction	Modified	Available
Form CMS-10320 Issuers Training and Communication	Form and Instruction	Modified	Available
Form CMS-10320 States - Data Collection	Form and Instruction	Modified	Available
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	Available
CMS-10320 CCIIO_PRA_Comment_Replies_20122731.pdf	Supplementary Document	Uploaded 2012-12-05	Available
CMS-10320 Appendix_F_PoolRequirements.pdf	Supplementary Document	Uploaded 2012-12-05	Available
CMS-10320 Appendix_B_Section1103.pdf	Supplementary Document	Uploaded 2012-12-05	Available
CMS-10320 Appendix_A_Supporting_Statement20120801.pdf	Supporting Statement A	Uploaded 2012-12-05	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
199284	Issuer - Attest (Small Group)	Form and Instruction	Modified
199283	Issuer - Attest (Individual)	Form and Instruction	Modified
199282	Issuer - Troubleshoot (Small Group)	Form and Instruction	Modified
199281	Issuer - Troubleshoot (Individual)	Form and Instruction	Modified
199280	Issuer - Data Entry (Small Group)	Form and Instruction	Modified
199279	Issuer - Data Entry (Individual)	Form and Instruction	Modified
199278	Issuers - Submission Preparation (Small Group)	Form and Instruction	Modified
199277	Issuers - Submission Preparation (Individual)	Form and Instruction	Modified
199276	Issuers Training and Communication	Form and Instruction	Modified
199275	States - Data Collection	Form and Instruction	Modified
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: 201212-0938-005
Status: Historical Active	Previous ICR Reference No: 201109-0938-003
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 with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 03/20/2013
	Date Received in OIRA: 12/14/2012
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2016	36 Months From Approved
Responses	5,550	0	0
Time Burden (Hours)	91,225	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. 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:
	77 FR 33221	06/05/2012
30-day Notice:	Federal Register Citation:	Citation Date:
	77 FR 48986	08/15/2012
Did the Agency receive public comments on this ICR? No

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

table that charts list of burden

IC Title	Form No.	Form Name
States - Data submission	CMS-10320, CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10). ,   CMS-10320 Appendix_E_StateRequirements
States - Training, reviewing regulation, and analyzing data	CMS-10320, CMS-10320	CMS-10320.FINAL State Instructions and Instrument (5-5-10). ,   CMS-10320 Appendix_E_StateRequirements
States - Data Collection	CMS-10320, CMS-10320	CMS-10320.FINAL State Instructions and Instrument ,   CMS-10320 Appendix_E_StateRequirements
Issuers Training and Communication	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuers - Submission Preparation (Individual)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuers - Submission Preparation (Small Group)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Data Entry (Individual)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation20120801
Issuer - Data Entry (Small Group)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Troubleshoot (Individual)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Troubleshoot (Small Group)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Attest (Individual)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   CMS-10320 Appendix_D_BenefitsPremiumsInformation
Issuer - Attest (Small Group)	CMS-10320, CMS-10320, CMS-10320	CMS-10320.Issuer - FINAL Instructions and Instruments ,   CMS-10320 Appendix_C_InsuranceIssuers ,   10350\10320\Files for 30-day 8-7-12\CMS-10320 Appendix_D_BenefitsPremiumsInformation

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ICR Summary of Burden

table that charts list 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	0	0	0	0	5,550
Annual Time Burden (Hours)	91,225	0	0	4,600	0	86,625
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: No

Burden Reduction Due to:

Short Statement: A one hour addition has been made to the submission time to include the new elements associated with the Summary of Benefits and Coverage.

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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: 12/14/2012

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