Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400)

ICR 202002-0938-006

OMB: 0938-1156

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-03-22
IC Document Collections
IC ID
Document
Title
Status
220456
Removed
198557
Modified
ICR Details
0938-1156 202002-0938-006
Received in OIRA 201603-0938-005
HHS/CMS CCIIO-10400
Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400)
Reinstatement with change of a previously approved collection   No
Regular 02/14/2020
  Requested Previously Approved
36 Months From Approved
210 0
1,740 0
0 0

The Patient Protection and Affordable Care Act, Public Law 111-148, enacted on March 23, 2010, and the Health Care and Education Reconciliation Act, Public Law 111-152, enacted on March 30, 2010 (collectively, "Affordable Care Act"), expand access to health insurance for individuals and employees of small businesses through the establishment of new Affordable Insurance Exchanges (Exchanges), including the Small Business Health Options Program (SHOP). The Exchanges, which will become operational by January 1, 2014, will enhance competition in the health insurance market, expand access to affordable health insurance for millions of Americans, and provide consumers with a place to easily compare and shop for health insurance coverage. The reporting requirements and data collection in the Exchange rule address Federal requirements that States must meet with respect to the establishment and operation of an Exchange; minimum requirements that health insurance issuers must meet with respect to participation in a State based or Federally-facilitated Exchange; and requirements that employers must meet with respect to participation in the SHOP and compliance with other provisions of the Affordable Care Act. The submission seeks OMB approval of the regulatory PRA requirements associated with 45 CFR parts 155, 156, and 157.

PL: Pub.L. 111 - 148 1321 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1401 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1402 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1411 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1412 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1413 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 6005 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1311 Name of Law: Affordable Care Act
  
US Code: 45 USC 157.205 Name of Law: Qualified employer participation process in a SHOP

Not associated with rulemaking

  84 FR 36099 07/26/2019
84 FR 57735 10/28/2019
No

1
IC Title Form No. Form Name
Issuer Burden
Employers

  Total Request 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 210 0 0 -10,925 0 11,135
Annual Time Burden (Hours) 1,740 0 0 -54,036 0 55,776
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
CMS is discontinuing several ICRs previously included in this collection relating to Small Business Health Options Program (SHOP), which will no longer be collected. The remaining data collections are being updated based on recent data,and are significantly decreased as a result of fewer issuers being subject to its requirement. As a result, the burden hours over the three-year period are reduced from 55,776 hours to 1,740 for a total reduction of 54,036 hours.

$0
No
    No
    No
Yes
No
No
No
William Parham 4107864669

  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.
02/14/2020


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