Consumer Assistance Program Grants (CMS-10333)

ICR 201611-0938-003

OMB: 0938-1097

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Form and Instruction
Modified
Supplementary Document
2012-12-11
Supporting Statement A
2016-11-04
ICR Details
0938-1097 201611-0938-003
Historical Active 201212-0938-004
HHS/CMS
Consumer Assistance Program Grants (CMS-10333)
Revision of a currently approved collection   No
Regular
Approved without change 11/18/2016
Retrieve Notice of Action (NOA) 11/08/2016
  Inventory as of this Action Requested Previously Approved
11/30/2019 36 Months From Approved 11/30/2016
459 0 560
11,883 0 16,184
0 0 0

Pursuant to section 2793(d) of the Public Health Services Act (PHSA), as amended by Section 1002 of the ACA, as a condition for receiving the consumer assistance program grant, programs must collect and report data to the Secretary on the types of problems and inquiries encountered by consumers. Accordingly, program staff will need a system to maintain case files that will track these types of problems and inquiries. Problems and inquiries will be summarized and will be reported to HHS. By law, the user of the summary data is the Secretary of HHS and will be used for oversight. Further, ACA dictates that the Secretary will share these reports with the Department of Labor and Treasury, and with State insurance regulators for use in enforcement.

PL: Pub.L. 111 - 148 1002 Name of Law: Health Insurance Consumer Information
  
None

Not associated with rulemaking

  80 FR 67406 11/02/2015
81 FR 3146 01/20/2016
No

2
IC Title Form No. Form Name
Data Collection Report (Initial Submission) CMS-10333 Appendix 1
Data Collection Report (Quarterly and Annual Reports) CMS-10333, CMS-10333 Appendix 3 ,   Appendix 2

  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 459 560 0 0 -101 0
Annual Time Burden (Hours) 11,883 16,184 0 0 -4,301 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
Reporting requirements have not changed and there are no changes to the estimated annual time burden per respondent, except to correct previous calculation errors. However, due to changes in 2014 legislation, specifically, 2793 of the PHS Act (Section 1002 of the ACA), the number of respondents is decreasing from 56 to 51 respondents, excluding five Territories. The Act excludes all five territories as they no longer fall under the definition of “state”. As of 2014, these respondents are no longer eligible to apply for any programs under the ACA. As a result, the total annual time burden estimate hours decreased from 16,184 to 11,883. In addition, the estimated annual cost burden is increased per respondent to account for wage inflation, but the overall annual cost burden is decreased due to fewer possible grantees.

$30,874
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.
11/08/2016


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