Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401)

Forms and Documents

Document	Type	Status	Availability
CMS-10401 - 30 day Supporting Statement 1217.docx	Supporting Statement A	Uploaded 2017-12-22	Available

IC Document Collections

IC ID	Collection	Type	Status	Form
211711	Confirmation of Interim Reports (153.710)		Unchanged
211710	Initial Validation Audit Identification and Inter-rater Reliability Report (153.630(b)(1) and (b)(8)		Unchanged
211709	Risk Adjustment Data Validation (153.630)		Unchanged
211708	Supplemental Diagnosis (153.700(a))		Unchanged
211707	Risk adjustment and reinsurance distributed data collection (153.700(a))		Unchanged
211675	Administrative Burden Related to Audits of the Risk Adjustment Covered Issuers (§153.410(d); §153.620(c))		Unchanged
211674	Risk Corridors Data Validation (153.530 and 153.540)		Unchanged
211663	Adminstative Appeals for Premium Stabilization Program, Federal Exchange User Fees, Premium Tax Credits and Costs Sharing Reductions (156.1220)		Unchanged
208838	Calculation of Reinsurance Contributions		Unchanged
208837	Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number (153.700(a))		Unchanged
198554	Health Insurance Issuer Standards Related to the Transitional Reinsurance Program (153.400-153.410)		Unchanged

ICR Details

OMB Control No: 0938-1155	ICR Reference No: 201712-0938-015
Status: Historical Inactive	Previous ICR Reference No: 201405-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: 19687
Title: Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment (CMS-10401)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Improperly submitted	Conclusion Date: 02/23/2018
	Date Received in OIRA: 12/28/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: The reinsurance program, risk corridors program, and risk adjustment program support the effective functioning of the American Health Benefit Exchanges ("Exchanges"), which will become operational by January 1, 2014. The program also mitigate the negative impacts of adverse selection and market uncertainty.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1321; 1341; 1342; 1343 Name of Law: Affordable Care Act
  

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:
	82 FR 42555	09/08/2017
30-day Notice:	Federal Register Citation:	Citation Date:
	82 FR 53503	11/16/2017
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 11

IC Title	Form No.	Form Name
Health Insurance Issuer Standards Related to the Transitional Reinsurance Program (153.400-153.410)
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number (153.700(a))
Calculation of Reinsurance Contributions
Risk Adjustment Data Validation (153.630)
Initial Validation Audit Identification and Inter-rater Reliability Report (153.630(b)(1) and (b)(8)
Confirmation of Interim Reports (153.710)
Risk Corridors Data Validation (153.530 and 153.540)
Adminstative Appeals for Premium Stabilization Program, Federal Exchange User Fees, Premium Tax Credits and Costs Sharing Reductions (156.1220)
Risk adjustment and reinsurance distributed data collection (153.700(a))
Supplemental Diagnosis (153.700(a))
Administrative Burden Related to Audits of the Risk Adjustment Covered Issuers (§153.410(d); §153.620(c))

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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:

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Annual Cost to Federal Government: $27,849,872

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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: 12/28/2017

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