Cost-Sharing Reduction Reconciliation (CMS-10526)

Forms and Documents

Document Name	Status
Form CMS-10526 Simplified Methodology Effective Parameters and Plan and Policy Reports Form and Instruction	Removed
Form CMS-10526 Standard Methodology Plan and Policy Report Form and Instruction	Removed
Form CMS-10526 Simplified Actuarial Value Methodology Plan and Policy Report Form and Instruction	Modified
Form CMS-10526 Issuer Report Form and Instruction	Modified
CMS-10526 CSR Reconciliation Supporting_Statement 30.docx Supporting Statement A	2020-12-18

IC Document Collections

IC ID	Document Title	Status
213320	Simplified Methodology Effective Parameters and Plan and Policy Reports Form and Instruction	Removed
213319	Standard Methodology Plan and Policy Report Form and Instruction	Removed
213296	Simplified Actuarial Value Methodology Plan and Policy Report Form and Instruction	Modified
213295	Issuer Report Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1266	ICR Reference No: 202012-0938-014
Status: Received in OIRA	Previous ICR Reference No: 201703-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Cost-Sharing Reduction Reconciliation (CMS-10526)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 12/21/2020

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	2,030,100	0
Time Burden (Hours)	2,363	0
Cost Burden (Dollars)	0	0

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Abstract: 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.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1402 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1412 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:
	85 FR 21010	04/15/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 80790	12/14/2020
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 2

IC Title	Form No.	Form Name
Standard Methodology Plan and Policy Report	CMS-10526	CSR Reconciliation Data Elements
Simplified Actuarial Value Methodology Plan and Policy Report	CMS-10526	CSR Reconciliation Data Elements
Simplified Methodology Effective Parameters and Plan and Policy Reports	CMS-10526	CSR Reconciliation Data Elements
Issuer Report	CMS-10526	CSR Reconciliation Data Elements

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ICR Summary of Burden

	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	2,030,100	0	0	0	-1,970,223	4,000,323
Annual Time Burden (Hours)	2,363	0	0	0	-3,233	5,596
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: We are revising this collection to estimate a reduction in burden. The cessation of CSR payments to issuers coupled with the fact that the CSR reconciliation data submission is now optional for issuers has led to a significant reduction in the number of issuers that submit data reports during the CSR data submission window. Since it is now optional, following 2017, for issuers to generate reports and submit CSR data to CMS, it is reducing the capital requirements associated with operating a CSR plan in the aggregate. Although all issuers must now use the standard methodology and may no longer use either the simplified or simplified AV methodologies, this is still outweighed by the fact that many less issuers are submitting reports. Further, even for those issuers that do submit files, we are no longer requiring issuers to submit plan level data. As a result, this will lead to an overall reduction in burden going forward as compared to prior years.

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Annual Cost to Federal Government: $16,780

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: 12/21/2020

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