Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10463 - Supporting Statement 30-dayf.docx	Supporting Statement A	Uploaded 2020-03-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
240706	Consent Form and Authorization		New
217382	Information Submissions (Assister Organization Information)		Modified
212550	Weekly Reporting	Instruction	Modified
212437	Monthly Progress Report Submissions		Modified
208329	Quarterly Progress Reports		Modified
208328	Navigator Annual Progress Report		Modified

ICR Details

OMB Control No: 0938-1215	ICR Reference No: 202003-0938-004
Status: Active	Previous ICR Reference No: 201608-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Cooperative Agreement to Support Navigators in Federally-facilitated and State Partnership Exchanges (CMS-10463)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 10/19/2020
	Date Received in OIRA: 03/12/2020
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2023	36 Months From Approved
Responses	353,600	0	0
Time Burden (Hours)	119,100	0	0
Cost Burden (Dollars)	2,123,597	0	0

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Abstract: On March 23, 2010, the President signed into law the Patient Protection and Affordable Care Act. On March 30, 2010, the Health Care and Education Reconciliation Act of 2010 was also signed into law. The two laws collectively are referred to as the Affordable Care Act . The Affordable Care Act created State-based health insurance Exchanges (Marketplaces), competitive marketplaces where consumers and small businesses can purchase private health insurance. Consumers who access health insurance coverage through a Marketplace can receive direct assistance from Navigators authorized to help consumers through the registration, eligibility determination, and plan selection process as they enroll in coverage. Section 1311(i) requires that a Marketplace establish a Navigator program under which it awards grants to individuals or entities who satisfy the requirements to be Exchange Navigators. Navigators will assist consumers by providing education about and facilitating selection of qualified health plans (QHPs) within Exchanges, as well as other required duties. For Federally-facilitated Marketplaces (FFMs) and State Partnership Marketplaces (SPMs), CMS will be awarding these grants.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1311(i) Name of Law: Navigator
  

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:
	84 FR 56812	10/23/2019
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 4324	01/24/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 6

table that charts list of burden

IC Title	Form No.	Form Name
Consent Form and Authorization
Information Submissions (Assister Organization Information)
Weekly Reporting
Navigator Annual Progress Report
Quarterly Progress Reports
Monthly Progress Report Submissions

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ICR Summary of Burden

table that charts list of burden

	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	353,600	0	0	0	346,154	7,446
Annual Time Burden (Hours)	119,100	0	0	0	96,629	22,471
Annual Cost Burden (Dollars)	2,123,597	0	0	0	-1,394,134	3,517,731

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: Due to the inclusion of the requirement to maintain consumer authorizations and the consent form requirements, burden hours have increased from 22,471 to 119,100 hours.

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Annual Cost to Federal Government: $12,347

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? No

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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: 03/12/2020

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