Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (CMS-10592)

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10592 - Supporting Statementf.docx	Supporting Statement A	Uploaded 2024-01-26	Repair queued

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
242970	Issuer Surveys		Modified
242967	Non-certification and decertification of QHPs		Modified
242963	Termination of coverage or enrollment for qualified individuals.		Modified
242959	Enrollment of qualified individuals into QHPs		Modified
226172	Qualified Health Plan Minimum Certification Standards		Modified

ICR Details

OMB Control No: 0938-1341	ICR Reference No: 202401-0938-015
Status: Active	Previous ICR Reference No: 202007-0938-013
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers (CMS-10592)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/08/2024
Retrieve Notice of Action (NOA)	Date Received in OIRA: 01/26/2024
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2027	36 Months From Approved	04/30/2024
Responses	1,223	0	1,013
Time Burden (Hours)	148,539	0	122,981
Cost Burden (Dollars)	8,193,354	0	0

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Abstract: Section 1321(a) requires HHS to issue regulations setting standards for meeting the requirements under Title I of the Affordable Care Act including the offering of qualified health plans through the Marketplaces. On March 27, 2012, HHS published the rule CMS-9989-F: Establishment of Exchanges and Qualified Health Plans; Exchange Standards for Employers. The Exchange rule contains provisions that mandate reporting and data collections necessary to ensure that health insurance issuers are meeting the requirements of the Affordable Care Act. These information collection requirements are set forth in 45 CFR Part 156. The data collection and reporting requirements will assist HHS in creating a seamless and coordinated system of eligibility and enrollment. The data collected by health insurance issuers will help to inform HHS, Marketplaces, and health insurance issuers as to the participation of individuals, employers, and employees in the individual Exchange.

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Authorizing Statute(s): US Code: 45 USC 260(b) Name of Law: Affordable Care Act; Enrollment periods for qualified individuals.
  

Citations for New Statutory Requirements: US Code: 45 USC 260(b) Name of Law: Affordable Care Act; Enrollment periods for qualified individuals.

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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:
	88 FR 56022	08/17/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 85622	12/08/2023
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 5

table that charts list of burden

IC Title	Form No.	Form Name
Non-certification and decertification of QHPs
Enrollment of qualified individuals into QHPs
Issuer Surveys
Qualified Health Plan Minimum Certification Standards
Termination of coverage or enrollment for qualified individuals.

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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	1,223	1,013	0	0	210	0
Annual Time Burden (Hours)	148,539	122,981	0	0	25,558	0
Annual Cost Burden (Dollars)	8,193,354	0	0	0	8,193,354	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: There is a total burden hour increase of 25,558 hours (from 122,981 to 148,539) because there are more QHP issuers participating in the Exchanges. All prior iterations of this information collection used wage rate data based on mean values; however, the current iteration is based on median values.

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Annual Cost to Federal Government: $164,616

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

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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: 01/26/2024

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