Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology (CMS-10469)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10469 Supporting Statement - Part A - CSR Recon (extension clean) 30 DAY 72916.doc	Supporting Statement A	Uploaded 2016-08-15	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
207593	Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology	Other-Appendix	Modified

ICR Details

OMB Control No: 0938-1214	ICR Reference No: 201608-0938-012
Status: Historical Active	Previous ICR Reference No: 201306-0938-011
Agency/Subagency: HHS/CMS	Agency Tracking No: 19890
Title: Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology (CMS-10469)
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: 12/12/2016
	Date Received in OIRA: 08/15/2016
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2019	36 Months From Approved	12/31/2016
Responses	575	0	1,200
Time Burden (Hours)	6,325	0	13,200
Cost Burden (Dollars)	6,325	0	13,200

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Abstract: HHS provides qualified health plan (QHP) issuers two options for how to reconcile cost-sharing reduction (CSR) amounts at the end of each benefit year. This PRA establishes what data elements a QHP issuer must submit to HHS to inform the agency of which CSR reconciliation option the issuer chooses to be subject to for benefit year 2014.

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Authorizing Statute(s): US Code: 42 USC 18071 Name of Law: null
   PL: Pub.L. 111 - 148 1402 Name of Law: null
  

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:
	81 FR 30308	06/01/2016
30-day Notice:	Federal Register Citation:	Citation Date:
	81 FR 52877	08/10/2016
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology

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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	575	1,200	0	0	-625	0
Annual Time Burden (Hours)	6,325	13,200	0	0	-6,875	0
Annual Cost Burden (Dollars)	6,325	13,200	0	0	-6,875	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: As result in a reduction of the number of respondents from 1,200 to 575, there is an overall decrease in the number of burden hours from 13,200 to 6,325. The Agency was able to provide a more updated and accurate estimate based on current data.

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Annual Cost to Federal Government: $0

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: 08/15/2016

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