Cost-Sharing Reduction Reconciliation (CMS-10526)

ICR 201703-0938-006

OMB: 0938-1266

Federal Form Document

ICR Details
0938-1266 201703-0938-006
Historical Active 201601-0938-004
Cost-Sharing Reduction Reconciliation (CMS-10526)
Revision of a currently approved collection   No
Approved with change 03/28/2017
Retrieve Notice of Action (NOA) 03/08/2017
  Inventory as of this Action Requested Previously Approved
03/31/2020 36 Months From Approved 03/31/2019
4,000,323 0 4,000,323
5,596 0 6,757
0 0 0

This collection is necessary for HHS to reconcile advance payments for cost-sharing reductions to health insurance issuers against actual amounts paid by issuers on behalf of enrollees during the benefit year.

PL: Pub.L. 111 - 148 1402 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1412 Name of Law: Affordable Care Act

Not associated with rulemaking

  81 FR 78597 11/08/2016
82 FR 10908 02/16/2017

  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 4,000,323 4,000,323 0 0 0 0
Annual Time Burden (Hours) 5,596 6,757 0 0 -1,161 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Changes here are limited to making optional the reporting of certain data elements and the addition of three other data elements. Upon review of the Supporting Statement for this revised collection, we now estimate that 80 percent of issuers will not submit the newly optional plan summary data, but that 80 percent of issuers will submit the 3 new optional data elements and, as a result, the overall burden will decrease from the current 6,757 hours to a total of 5,596 hours. The primary reason for this decrease is operational efficiencies; the data elements will speed data validation and reduce the number of times issuers must resubmit data. Please see Table 12A for a summary of burden hours.

Jamaa Hill 301 492-4190


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.

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