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

ICR 202206-0938-008

OMB: 0938-1295

Federal Form Document

Forms and Documents
Supporting Statement A
IC Document Collections
218061 Modified
ICR Details
0938-1295 202206-0938-008
Received in OIRA 201811-0938-002
Essential Community Provider Data Collection to Support QHP Certification (CMS-10561)
Reinstatement without change of a previously approved collection   No
Regular 06/09/2022
  Requested Previously Approved
36 Months From Approved
12,408 0
9,420 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

  86 FR 35095 07/01/2021
86 FR 70502 12/10/2021

IC Title Form No. Form Name
Essential Community Provider Petition

  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 12,408 0 0 0 -2,550 14,958
Annual Time Burden (Hours) 9,420 0 0 0 -12,984 22,404
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. For instance, during year one (2022), we expect providers to experience a lower burden as a result of programming enhancements made to the facility search feature and the selective display of only the data fields applicable to the respective provider. Furthermore, providers that are renewing their ECP listing will simply enter their ECP reference number from the existing ECP list into the online petition, which will then auto-populate their provider data from the ECP list, so that the provider only needs to update data that have changed, rather than manually enter each data element anew. We estimate that these logic enhancements will reduce the amount of time for providers to complete their provider updates and respond to the new telehealth questions. Additional reductions in the three-year provider cost burden pertain to an estimated decrease of 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. The total number of respondents have been reduced from 14,958 respondents to 12,408, a total reduction of 2,550. The number of burden hours have been reduced from 22,404 to 9,420, a total reduction of 12,984 hours.

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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