Essential Community Provider Data Collection to Support QHP Certification for PY 2017 (CMS-10561)

ICR 201811-0938-002

OMB: 0938-1295

Federal Form Document

Forms and Documents
IC Document Collections
218061 Modified
ICR Details
0938-1295 201811-0938-002
Active 201508-0938-015
Essential Community Provider Data Collection to Support QHP Certification for PY 2017 (CMS-10561)
Revision of a currently approved collection   No
Approved without change 12/19/2018
Retrieve Notice of Action (NOA) 11/14/2018
  Inventory as of this Action Requested Previously Approved
12/31/2021 36 Months From Approved 12/31/2018
14,958 0 31,634
22,404 0 53,491
0 0 0

For plan years beginning on or after January 1, 2017, Health and Human Services (HHS) intends to collect more complete provider data for inclusion on the HHS Essential Community Provider (ECP) list to ensure a more accurate reflection of the universe of qualified available ECPs in a given service area that can be counted toward an issuer's satisfaction of the ECP standard. The HHS will collect data on qualified and available ECPs from providers. Providers will submit an ECP petition to be added to the HHS ECP list or provide required missing data fields to remain on the list. The degree of provider participation in this data collection effort through the ECP provider petition will help inform HHS's future proposals for counting issuers' ECP write-ins toward satisfaction of the ECP standard.

PL: Pub.L. 111 - 155 1311(c)(1)(C) Name of Law: Affordable Care Act
PL: Pub.L. 111 - 115 1311(c)(1)(c) Name of Law: Affordable Care Act

Not associated with rulemaking

  83 FR 13130 03/27/2018
83 FR 39759 08/10/2018

IC Title Form No. Form Name
Essential Community Provider Petition CMs-10561, CMS-10561 ECP Provider Petition ,   ECP Provider Petition Instructions

  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 14,958 31,634 0 0 -16,676 0
Annual Time Burden (Hours) 22,404 53,491 0 0 -31,087 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Reductions in the three-year provider cost burden are associated, in part, with programming enhancements that HHS has made to its online ECP petition process for providers updating their data for inclusion on the HHS ECP list. We estimate that this logic enhancement will reduce the amount of time for providers to renew their ECP listing by at least 50 percent, necessitating only a half hour to complete the online petition, rather than an hour. Additional reductions in the three-year provider cost burden pertain to an estimated decrease of 16,676 total providers needing to submit the online ECP petition, due to an overall decrease in available ECPs. Fewer providers needing to submit the online ECP petition will reduce the three-year cost burden to the Federal Government with respect to reviewing these online petitions. Furthermore, the Federal Government is estimated to have fewer operational costs during years 2019-2021, compared with years 2016-2018 that included design and launch costs of the online provider petition.

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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