Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488)

Forms and Documents

Document Name	Status
Form CMS-10488 Adult Qualified Health Plan Enrollee Experience Survey Form and Instruction	Modified
2023 QHP Survey_Part A_Clean.docx Supporting Statement A	2022-06-29
CMS-10488 0 NonSubstantive ICR to Account for Increased Burden_2022-05-11.docx Justification for No Material/Nonsubstantive Change	2022-06-29
2021 QHP Survey_Part B.docx Supporting Statement B	2020-09-30
2021 QHP Enrollee Survey Public Comments Responses.docx Supplementary Document	2020-09-30
2021 QHP Enrollee Survey Change Crosswalk.docx Supplementary Document	2020-09-30

IC Document Collections

IC ID	Document Title	Status
210330	Adult Qualified Health Plan Enrollee Experience Survey Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1221	ICR Reference No: 202206-0938-025
Status: Received in OIRA	Previous ICR Reference No: 202009-0938-018
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 07/05/2022

	Requested	Previously Approved
Expiration Date	11/30/2023	11/30/2023
Responses	105,010	82,500
Time Burden (Hours)	54,050	49,550
Cost Burden (Dollars)	0	0

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Abstract: Section 1311(c)(4) of the ACA requires the Department of Health and Human Services (HHS) to develop an enrollee satisfaction survey system that assesses consumer experience with qualified health plans (QHPs) offered through an Exchange. It also requires public display of enrollee satisfaction information by the Exchange to allow individuals to easily compare enrollee satisfaction levels between comparable plans. CMS is developing, testing and implementing two surveys, a survey for adult enrollees in QHPs and a survey for health insurance Marketplace consumers. CMS is requesting approval for information collection associated with these surveys.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1313 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1321(a) Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1311(c)(4) Name of Law: Affordable Care Act (ACA)
  

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 16631	03/24/2020
30-day Notice:	Federal Register Citation:	Citation Date:
	85 FR 48255	08/10/2020
Did the Agency receive public comments on this ICR? Yes

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

IC Title	Form No.	Form Name
Adult Qualified Health Plan Enrollee Experience Survey	CMS-10488 , CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488	Survey Vendor Application ,   QHP Survey (Chinese) ,   Cover Letter (Chinese) ,   QHP Survey (English) ,   Cover Letter 1 (English) ,   QHP Survey (Spanish) ,   Cover Letter (Spanish) ,   Chinese Cover Letter - 2 ,   Chinese Prenotification Letter ,   Chinese Reminder Letter ,   English Cover Letter 2 ,   English Cover Letter 2

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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	105,010	82,500	0	0	22,510	0
Annual Time Burden (Hours)	54,050	49,550	0	0	4,500	0
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: The forecasted burden for implementing the 2021-2023 QHP Enrollee Survey has been reduced for four reasons. First, CMS has reduced its estimate for the number of reporting units that will be required to administer the survey. In previous information collection requests, CMS estimated that 300 reporting units would be required to contract with a survey vendor to field the QHP Enrollee Survey. CMS is now estimating that 275 reporting units will be required to administer the QHP Enrollee Survey. This change reflects the reduced number of QHP issuers operating in the Exchange and the reduction of different product types offered by each issuer. There were 238 reporting units administering the 2020 QHP Enrollee Survey and CMS anticipates a similar number of reporting units in future administrations (2021 through 2023). Second, CMS has reduced the estimate burden hours to complete the survey from 12.5 to 12 minutes. CMS collected data on the time respondents spent completing the 2019 QHP Enrollee Survey and found that it took an average of 11 minutes to complete the survey. However, with the emergence of the COVID-19 pandemic, CMS updated the survey to include two new questions and instructions related to the pandemic and the increase use of telehealth (see the Crosswalk of Changes to the QHP Enrollee Survey). Consequently, CMS updated the estimate burden hours to 12 minutes. Third, CMS has reduced the number of survey vendors applying to become HHS-approved QHP Enrollee Survey vendors. In previous Information Collection Reviews, CMS estimated that 15 survey vendors would apply. CMS now estimates that 10 vendors will apply due to the consolidation of several survey vendors in recent years. Nine survey vendors applied to become vendors for the 2020 QHP Enrollee Survey. Fourth, CMS has minimally increased the estimated burden hours to complete the Survey Vendor Participation Form. This increase is offset by the reductions in the estimated number of required reporting units, survey vendors, and survey burden hours mentioned above. CMS added additional minimum business requirements that survey vendors must confirm they meet in order to receive HHS-approval. CMS added minimum business requirements for QHP Enrollee Survey vendors to align with other CMS surveys’ minimum business requirements for vendors to maintain similar standards for survey vendors across CMS. In addition, CMS added minimum business requirements based on the refinements to the email and internet survey protocols. As a result of these changes CMS has reduced the three-year burden from 57,230 to 49,550 hours, a reduction of 7,680 burden hours.

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Annual Cost to Federal Government: $5,100,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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? Yes

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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: 07/05/2022

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