Information Collection Request

Health Care Reform Insurance Web Portal (CMS-10320)

ICR 201404-0938-002 · OMB 0938-1086 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-10320 Issuer - Attest (Small Group) Form and Instruction Modified Repair queued
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 Available
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 Repair queued
Form CMS-10320 Issuers Training and Communication Form and Instruction Modified Available
Form CMS-10320 States - Data Collection Form and Instruction Modified 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 Available
CMS-10320 - Major Changes as requested by OMB Final.docx Supplementary Document Uploaded 2014-06-18 Available
CMS-10320 Summary of Changes.docx Supplementary Document Uploaded 2014-06-04 Available
CMS-10320 - Appendix_F_PoolRequirements_v2.pdf Supplementary Document Uploaded 2014-04-11 Available
CMS-10320 - Appendix_B_Section1103.pdf Supplementary Document Uploaded 2014-04-11 Available
CMS-10320 - Supporting Statement 30day App A 2014docx.pdf Supporting Statement A Uploaded 2014-04-11 Available
IC Document Collections
IC IDCollectionTypeStatusForm
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
0938-1086 201404-0938-002
Historical Active 201212-0938-005
HHS/CMS CMS-10320
Health Care Reform Insurance Web Portal (CMS-10320)
Revision of a currently approved collection   No
Regular
Approved with change 07/03/2014
Retrieve Notice of Action (NOA) 04/11/2014
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved 03/31/2016
5,500 0 5,550
89,725 0 91,225
0 0 0

HHS has developed and implemented an Internet website portal to assist consumers with identifying affordable and comprehensive health insurance coverage options that are available in their State. The Department 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

  79 FR 6197 02/03/2014
79 FR 20209 04/11/2014
Yes

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 - State Requirements
States - Training, reviewing regulation, and analyzing data CMS-10320, CMS-10320 CMS-10320.FINAL State Instructions and Instrument (5-5-10). ,   Appendix E - State Requirements
States - Data Collection CMS-10320, CMS-10320 Appendix E - State Requirements ,   State Instructions and Application
Issuers Training and Communication CMS-10320, CMS-10320, CMS-10320 Appendix C Insurance Issuer and Product Level Data ,   Appendix D ,   CMS-10320.Issuer - FINAL Instructions and Instruments
Issuers - Submission Preparation (Individual) CMS-10320 , CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Insurance Issurer and Product Level Data ,   Appendix D - Data Collection 2014
Issuers - Submission Preparation (Small Group) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendic C - Insurance Issuer and Product Level Data ,   Data Collection 2014
Issuer - Data Entry (Individual) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Issurance Issuer and Product Level Data ,   Appendix D - Data Collection 2014
Issuer - Data Entry (Small Group) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2014
Issuer - Troubleshoot (Individual) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2014
Issuer - Troubleshoot (Small Group) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Insurance Issuer and Product Level Data ,   Appendix S - Data Collection 2014
Issuer - Attest (Individual) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2014
Issuer - Attest (Small Group) CMS-10320, CMS-10320, CMS-10320 CMS-10320.Issuer - FINAL Instructions and Instruments ,   Appendix C - Insurance Issuer and Product Level Data ,   Appendix D - Data Collection 2014

  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 5,500 5,550 0 0 -50 0
Annual Time Burden (Hours) 89,725 91,225 0 0 -1,500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
There is an overall reduction of 1,500 hours (from 91,225 hours to 89,725 hours) due to a decrease in the number of issuers reporting from 800 to 750.

$15,161,494
No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190

  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.
04/11/2014