Supporting Statement for Direct Enrollment Entities (CMS-10877)
New collection (Request for a new OMB Control Number)
No
Regular
Approved with change
09/25/2024
04/22/2024
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
09/30/2027
36 Months From Approved
1,774
0
0
56,290
0
0
4,205,238
0
0
This Information Collection Request (ICR) serves as the formal request for a new clearance associated with the Department of Health and Human Services (HHS) Program Integrity: Exchange, SHOP, and Eligibility Appeals Final Rule; and Notice of Benefit and Payment Parameters for 2018 Final Rule (2018 Payment Notice), 2020 Final Rule (2020 Payment Notice), 2022 Final Rule (2022 Payment Notice), 2023 Final Rule (2023 Payment Notice), and the 2025 Proposed Rule (2025 Payment Notice). This ICR details the burden associated with direct enrollment (DE) requirements that affect DE Entities (i.e., web-brokers and QHP issuers) as finalized in the 2020 Payment Notice covered under regulations in 45 C.F.R. §§ 155.205, 155.220, 155.221, and 156.1230; agreements between the Centers for Medicare & Medicaid Services (CMS) and DE Entities; and applicable program guidance issued by CMS; and 2022 and 2023 Payment Notices at 45 C.F.R. §§155.220 and 155.221. These DE requirements relate to Web-broker Operational Readiness Reviews (ORR); DE Entity ORR; Web-broker display of QHP comparative information and disclaimer; Web-broker rationale for QHP recommendations and methodology of QHP display; and required Disclaimers.
US Code:
45 USC 156
Name of Law: Health Insurance Issuer Standards under the Affordable Care Act
PL:
Pub.L. 111 - 148 1312
Name of Law: Patient Protection and Affordable Care Act; Health Care and Education Reconciliation Act of 2010
US Code:
45 USC 155
Name of Law: Exchange Establishment Standards under the Affordable Care Act
PL: Pub.L. 111 - 148 1312 Name of Law: Patient Protection and Affordable Care Act; Health Care and Education Reconciliation Act of 2010
There are no changes to the burden as this is a new information collection.
$1,058,376
No
No
No
Yes
No
No
No
Jamaa Hill 301 492-4190
Reginfo record details
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.
Web-brokers to Prominently Display Consumer Eligibility Results for Advance Payments of the Premium Tax Credit and Cost-sharing Reductions