Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Memo to Shelanski 07242013.pdf	Supplementary Document	Uploaded 2013-07-26	Available
CMS-10494 - Responses to Comments CMS-2334-F2.PDF	Supplementary Document	Uploaded 2013-07-21	Available
CMS-10494 - APPENDIX B CMS-2334-F2.PDF	Supplementary Document	Uploaded 2013-07-21	Available
CMS-10494 - APPENDIX A CMS-2334-F2.PDF	Supplementary Document	Uploaded 2013-07-21	Available
CMS-2334-F2-Supporting Statement - OMB comments and responding edits_CLEAN.doc	Supporting Statement A	Uploaded 2013-07-26	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207940	?155.225(d)(2) and (f) (CAC authorization to consumer)		New
207939	?155.225(d)(2) and (f) (organization record of authorization)		New
207938	?155.225(b)(1)(i) (certificate issuance)		New
207937	?155.225(b)(1) (organization list)		New
207874	?155.225(b)(1)(i) (organization attestation)		New
207873	?155.225(b)(1) (organization follow-up for application)		New
207872	?155.225(b)(1) (organization designation by Exchange)		New

ICR Details

OMB Control No: 0938-1205	ICR Reference No: 201307-0938-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No: 20088
Title: Standards for Navigators and Non-Navigator Assistance Personnel; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors
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: Approved with change	Conclusion Date: 07/26/2013
	Date Received in OIRA: 07/23/2013
Terms of Clearance: This approval extends only to the collections described in the supporting statement and burden estimates. For other information collections associated with this program (e.g., (1) training registration for CAC applicants, (2) disclosure requirements for CACs, (3) recordkeeping requirements for CACs, (4) third-party disclosure requirements for CACs, (5) notice requirements for the Exchanges, and (6) other collections associated with implementation of § 155.225), CMS will submit a revision to this information collection to obtain approval. Consistent with 5 CFR Part 1320, these provisions will not be effective until OMB approves them.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2014	36 Months From Approved
Responses	4,446,000	0	0
Time Burden (Hours)	664,080	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Section 1413 of the Affordable Care Act directs the Secretary of HHS to establish, subject to minimum requirements, a streamlined enrollment system for qualified health plans offered through the Exchange and insurance affordability programs. In addition, section 1321(a)(1) of the Affordable Care Act directs and authorizes the Secretary to issue regulations setting standards for meeting the requirements under title I of the Affordable Care Act, with respect to, among other things, the establishment and operation of Exchanges. Pursuant to this authority, regulations establishing the certified application counselor program are being finalized at 45 CFR ?155.225. Specifically, 45 CFR ?155.225(a) requires an Exchange to establish a certified application counselor program that complies with the requirements of the rule. Section155.225(b)(1) allows each Exchange to designate certain organizations, including organizations designated by state Medicaid or CHIP agencies, which will certify their staff and volunteers to act as certified application counselors. In accordance with 45 CFR ?155.225(b)(2), Exchanges may choose to certify directly individuals who seek to act as certified application counselors, designate certain organizations which will certify staff or volunteers to perform application services, or do both.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1321(a)(1)(A) and (D) Name of Law: State Flexibility in Operation and Enforcement of Exchanges and Related Requirements
   PL: Pub.L. 111 - 148 1413 Name of Law: Streamlining of procedures for enrollment through an exchange
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1413 Name of Law: Streamlining of procedures for enrollment through an exchange

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AR75	Final or interim final rulemaking	78 FR 42824	07/17/2013

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 4661	01/22/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 42778	07/17/2013
Did the Agency receive public comments on this ICR? Yes

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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
§155.225(b)(1) (organization list)
§155.225(b)(1)(i) (certificate issuance)
§155.225(d)(2) and (f) (organization record of authorization)
§155.225(d)(2) and (f) (CAC authorization to consumer)
§155.225(b)(1) (organization designation by Exchange)
§155.225(b)(1) (organization follow-up for application)
§155.225(b)(1)(i) (organization attestation)

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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	4,446,000	0	4,446,000	0	0	0
Annual Time Burden (Hours)	664,080	0	664,080	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: $933

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: 07/23/2013

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