Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10463 - Comment and response.pdf	Supplementary Document	Uploaded 2015-07-06	Available
CMS-10463 - Appendix B Reporting Requirements Crosswalk.pdf	Supplementary Document	Uploaded 2015-07-06	Available
CMS-10463 - Navigator FOA Supporting Statement CLEAN 063015 MM508.pdf	Supporting Statement A	Uploaded 2015-07-06	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
217382	Information Submissions		New
212550	Weekly Reporting		Modified
212437	Monthly Progress Report Submissions		Modified
208329	Quarterly Progress Reports		Modified
208328	Navigator Annual Progress Report		Modified

ICR Details

OMB Control No: 0938-1215	ICR Reference No: 201507-0938-001
Status: Historical Active	Previous ICR Reference No: 201407-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: 20350
Title: Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/11/2015
	Date Received in OIRA: 07/09/2015
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2018	36 Months From Approved	11/30/2017
Responses	7,446	0	6,831
Time Burden (Hours)	29,254	0	46,537
Cost Burden (Dollars)	3,517,731	0	3,414,268

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Abstract: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act. On March 30, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws collectively are referred to as the Affordable Care Act . The Affordable Care Act created State-based health insurance Exchanges (Marketplaces), competitive marketplaces where consumers and small businesses can purchase private health insurance. Consumers who access health insurance coverage through a Marketplace can receive direct assistance from Navigators authorized to help consumers through the registration, eligibility determination, and plan selection process as they enroll in coverage. Section 1311(i) requires that a Marketplace establish a Navigator program under which it awards grants to individuals or entities who satisfy the requirements to be Exchange Navigators. Navigators will assist consumers by providing education about and facilitating selection of qualified health plans (QHPs) within Exchanges, as well as other required duties. For Federally-facilitated Marketplaces (FFMs) and State Partnership Marketplaces (SPMs), CMS will be awarding these grants.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1311(i) Name of Law: Navigator
  

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:
	80 FR 16687	03/30/2015
30-day Notice:	Federal Register Citation:	Citation Date:
	80 FR 36810	06/26/2015
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Information Submissions
Weekly Reporting
Navigator Annual Progress Report
Quarterly Progress Reports
Monthly Progress Report Submissions

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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	7,446	6,831	0	0	615	0
Annual Time Burden (Hours)	29,254	46,537	0	0	-17,283	0
Annual Cost Burden (Dollars)	3,517,731	3,414,268	0	0	103,463	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: There is an overall burden decreased from 46,537 hours to 29,254 hours. The decrease in burden hours was mainly due to the reduction in the time required to complete weekly and quarterly reporting. CMS increased the number of respondents slightly, from 99 respondents to 102 respondents which based on most recent data is a more accurate figure over the next three years.

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Annual Cost to Federal Government:

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: 07/09/2015

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