Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400)

ICR 201603-0938-005

OMB: 0938-1156

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-03-22
IC Document Collections
IC ID
Document
Title
Status
220456
New
198558
Removed
198557
Modified
ICR Details
0938-1156 201603-0938-005
Historical Active 201205-0938-010
HHS/CMS
Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400)
Revision of a currently approved collection   No
Regular
Approved without change 06/15/2016
Retrieve Notice of Action (NOA) 03/04/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved 06/30/2016
11,135 0 21,879
55,776 0 1,232,237
0 0 0

The Patient Protection and Affordable Care Act, Public Law 111-148, enacted on March 23, 2010, and the Health Care and Education Reconciliation Act, Public Law 111-152, enacted on March 30, 2010 (collectively, "Affordable Care Act"), expand access to health insurance for individuals and employees of small businesses through the establishment of new Affordable Insurance Exchanges (Exchanges), including the Small Business Health Options Program (SHOP). The Exchanges, which will become operational by January 1, 2014, will enhance competition in the health insurance market, expand access to affordable health insurance for millions of Americans, and provide consumers with a place to easily compare and shop for health insurance coverage. The reporting requirements and data collection in the Exchange rule address Federal requirements that States must meet with respect to the establishment and operation of an Exchange; minimum requirements that health insurance issuers must meet with respect to participation in a State based or Federally-facilitated Exchange; and requirements that employers must meet with respect to participation in the SHOP and compliance with other provisions of the Affordable Care Act. The submission seeks OMB approval of the regulatory PRA requirements associated with 45 CFR parts 155, 156, and 157.

PL: Pub.L. 111 - 148 1321 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1401 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1402 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1411 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1412 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1413 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 6005 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1311 Name of Law: Affordable Care Act
  
US Code: 45 USC 157.205 Name of Law: Qualified employer participation process in a SHOP

Not associated with rulemaking

  80 FR 72968 11/23/2015
81 FR 11569 03/04/2016
No

2
IC Title Form No. Form Name
Issuers - Segregation Plan Attestation Reconciliation Termination
Employers
Exchanges

  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 11,135 21,879 10,000 0 -20,744 0
Annual Time Burden (Hours) 55,776 1,232,237 40,000 0 -1,216,461 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Several ICRs previously included in this collection are also included in other collections with different OMB control numbers and have been removed from this collection. One requirement is being discontinued because it has not been implemented. In addition, in order to consolidate similar requirements in the same collection, some ICRs previously included in this collection will now be included under separate collections for which we are seeking OMB approval under new OMB Control Numbers. The burden estimates for the remaining ICRs have also been updated based on recent data. As a result, the burden hours are reduced from 1,232,237 hours to 55,776 for a total reduction of 1,176,461.

$10,365
No
No
Yes
No
No
Uncollected
William Parham 4107864669

  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.
03/04/2016


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