Non-Substantive Change Request to Control Number 0938-1174

Non-Substantive Change Request to Control Number 0938-1174

This is a non-substantive change request to OMB control number 0938-1174 (Essential Health Benefits Benchmark Plans) to increase the number of respondents from 153 issuers to 158, which includes U.S. territories (Puerto Rico, Guam, the U.S. Virgin Islands, American Samoa, and the Northern Mariana Islands) and increasing the burden across all respondents subject to the reporting requirements of this rule as indicated below. There is no change to the estimate of the burden for a single health insurance issuer.

In the proposed rule on essential health benefits (EHB), CMS-9980-P, we explain that the Public Health Service Act (PHS Act) defines “state” to include the territories and that consequently, the PHS Act requirements related to EHB apply to the territories. Therefore, we request to add the following sentence to the justification and burden on issuers sections of Part A of the supporting statement, “As defined in proposed rule on essential health benefits (EHB), CMS-9980-P and for EHB purposes, territories are included in the definition of states.”

*Estimate of the burden across all respondents that are subject to the reporting requirements of this rule.

Data Element	# of Respondents	Total Number of Responses (all respondents)	Total Number of Hours (per year)	Total Burden Cost (per year)
Benefit Submission	158	158	632	$48,664