Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges (CMS-10464)

ICR 202207-0938-019

OMB: 0938-1204

Federal Form Document

ICR Details
0938-1204 202207-0938-019
Received in OIRA 201903-0938-015
HHS/CMS CCIIO
Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges (CMS-10464)
Extension without change of a currently approved collection   No
Regular 07/29/2022
  Requested Previously Approved
36 Months From Approved 07/31/2022
64,000 52,000
15,360 15,600
0 0

The Center for Consumer Information and Insurance Oversight (CCIIO), the agency within Centers for Medicare & Medicaid Services (CMS) charged with helping implement many provisions of the Affordable Care Act including the establishment of Affordable Insurance Exchanges (Exchanges), needs to collect data from individual agent/brokers to register them with the Federally-facilitated Exchange (FFE) and provide the required training in Exchange enrollment policies and procedures. Both section 1312(e) of the Affordable Care Act and 45 CFR ?155.220 permit States to allow agent/brokers to enroll individuals, employers, and employees in Qualified Health Plans (QHPs), including through the Exchanges; and assist individuals in applying for advance payments of the premium tax credit and cost-sharing reductions. Agent/brokers will serve as additional access points to the Exchange for individuals or SHOP employers/employees requiring or desiring agent/broker assistance. Agent/brokers must register with the FFE and meet training requirements that enforce their understanding of eligibility and enrollment in Exchanges prior to enrolling individuals or SHOP employer/employees in QHPs through the Exchanges. They must also apply this understanding to the development of any non-Exchange Web site used as a tool for enrollment. Agent/broker designed and administered web sites or tools will improve the flow of information to the FFE, and State-based Exchanges may also find these tools useful toward streamlining data submissions and easing the burden on the Exchange. The collection of information from agent/brokers described in detail below is needed to register and completion training with the FFE. Collected information will be used by CMS/CCIIO to verify the completion of the training requirement, provide the public with a list of registered agent/brokers trained in Exchange enrollment requirements and functions, and perform oversight of agent/brokers operating through the FFE.

PL: Pub.L. 111 - 152 1217 Name of Law: the Health Care and Eduction Reconciliaton Act of 2010
   PL: Pub.L. 111 - 148 1312(e) Name of Law: the Patient Protection and Affordable Care Act - Enrollment through Agents and Brokers
  
US Code: 45 USC 155.220 Name of Law: EXCHANGE ESTABLISHMENT STANDARDS AND OTHER RELATED STANDARDS UNDER THE AFFORDABLE CARE ACT

Not associated with rulemaking

  87 FR 32028 05/26/2022
87 FR 45777 07/29/2022
No

1
IC Title Form No. Form Name
Agents/Broker Data Collection in Federally Facilitated Health Insurance Exchanges CMS-10464 Agent-Broker Appendix A Screenshot_508_07.20.22

  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 64,000 52,000 0 12,000 0 0
Annual Time Burden (Hours) 15,360 15,600 0 -240 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
The number of respondents has increased but the overall burden has slightly decreased.

$5,118
No
    No
    No
Yes
No
No
No
Jamaa Hill 301 492-4190

  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:
 
 
 
 
 
 
 
    (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.
07/29/2022


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