Data Submission for the
Federally-facilitated Exchange User Fee Adjustment (CMS-10492)
Reinstatement with change of a previously approved collection
No
Regular
08/05/2022
Requested
Previously Approved
36 Months From Approved
325
0
1,450
0
0
0
CMS will use the data collections from
participating issuers and third party administrators to verify the
total dollar amount for such payments for contraceptive services
provided under this accommodation for the purpose of determining a
participating issuer's user fee adjustment. The attestation that
the payments for contraceptive services were made in compliance
with 26 CFR 54.9815-2713A(b)(2) or 29 CFR 2590.715-2713A(b)(2) will
help ensure that the user fee adjustment is being utilized to
provide contraceptive services for the self-insured plans in
accordance with the previously noted accommodation.
The number of respondents has
decreased and the burden has been adjusted accordingly.
$9,187
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.