Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10572 Data Template - Appendix D	Form and Instruction	Modified	Available
Form CMS-10572 Data Template Appendix B2	Form and Instruction	Modified	Available
Form CMS-10572 Data Templates Appendix B	Form and Instruction	Modified	Available
Form CMS-10572 Data Elements - Appendix A1	Form and Instruction	Modified	Available
Form CMS-10572 Data Submission Template - Appendix C	Form and Instruction	Modified	Available
Form CMS-10572 QHP Issuer Data Collection - Appendix A2	Form and Instruction	Modified	Available
Form CMS-10572 Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	Repair queued
CMS-10572_Transparency in Coverage_Supporting Statement-508.docx	Supporting Statement A	Uploaded 2021-11-12	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	Data Template - Appendix D
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	Data Template Appendix B2
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	Data Templates Appendix B
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	Data Elements - Appendix A1
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	Data Submission Template - Appendix C
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified	QHP Issuer Data Collection - Appendix A2
221316	Annual Submission of Transparency in Coverage Data	Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1310	ICR Reference No: 202111-0938-008
Status: Historical Active	Previous ICR Reference No: 201903-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/12/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/15/2021
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2025	36 Months From Approved	04/30/2022
Responses	360	0	470
Time Burden (Hours)	51,480	0	42
Cost Burden (Dollars)	0	0	0

---

Abstract: Section 156.220 of Title 45 of the Code of Federal Regulations establishes new standards for qualified health plan (QHP) issuers to submit specific information related to transparency in coverage. QHPs are required to post and make are established for the submission of specific information data related to transparency in coverage available to the public in plain language and submit this data to the Department of Health and Human Services (HHS), the Exchange, and the State insurance commissioner and for posting this information to make it available to the public in plain language. Section 2715A of the Public Health Service Act as added by the ACA largely extends the transparency provisions set forth in section 1311(e)(3) to non-grandfathered group health plans and health insurance issuers offering group and individual health insurance coverage.

---

Authorizing Statute(s): PL: Pub.L. 111 - 148 1311 Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1311 Name of Law: ACA

---

Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

---

Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 39024	07/23/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 62544	11/10/2021
Did the Agency receive public comments on this ICR? No

---

Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Annual Submission of Transparency in Coverage Data	CMS-10572, CMS-10572 , CMS-10572, CMS-10572, CMS-10572, CMS-10572	QHP Issuer Data Collection - Appendix A2 ,   Data Submission Template - Appendix C ,   Data Elements - Appendix A1 ,   Data Templates Appendix B ,   Data Template Appendix B2 ,   Data Template - Appendix D

---

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	360	470	0	0	-110	0
Annual Time Burden (Hours)	51,480	42	0	1,178	50,260	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The burden hours for this data collection is currently approved for 42 hours. With this ICR, the burden hours are estimated at 51,480, a total increase of 51,438 hours. The increase in burden hours for this data collection request is due to the additional 11 hours of burden allotted to making a one-time technical modification required by 45 CFR 155.20, which was not accounted for in the previous ICR. Additionally, fewer QHP issuers will be responding to the data collection, from 470 to 360 issues, a total reduction of 110 issuers. There is no impact on burden hours due to revisions to the data collection instrument starting in PY24.

---

Annual Cost to Federal Government: $116,023

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

---

Common Form ICR:  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:

(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: 11/15/2021

---