Information Collection Request

Supporting Statement for Direct Enrollment Entities (CMS-10877)

ICR 202404-0938-015 · OMB 0938-1463 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
Document	Type	Status	Availability
Form CMS-10877 DE Entity Operational Readiness Review (ORR)	Form and Instruction	Modified	Repair queued
Form CMS-10877 Web-broker Operational Readiness Reviews (ORR)	Form and Instruction	Unchanged	Available
CMS-10877 - Appendix_R_Direct_Enrollment_Entities_60-Day_Comment_Response_508.pdf	Supplementary Document	Uploaded 2024-04-22	Repair queued
CMS-10877 Direct Enrollment Entities_Supporting Statementf.docx	Supporting Statement A	Uploaded 2024-04-19	Repair queued

Information collection document groups
IC ID	Collection	Type	Status
263481	Web-brokers to Prominently Display Consumer Eligibility Results for Advance Payments of the Premium Tax Credit and Cost-sharing Reductions		Modified
263480	Application to State Exchanges		Modified
263478	Web-brokers to Implement Application to State Exchanges		Modified
263477	Direct Enrollment Entities to Implement Application Assister Requirements		Unchanged
263476	Web-Brokers to Provide the State Exchange a List of Agents or Brokers		Modified
263474	DE Entity Web-brokers and QHP Issuers to Implement Mandate for HealthCare.gov website Changes		Unchanged
263473	Issuers to Implement Website Display Requirements for QHPs		Unchanged
263471	Direct Enrollment Entities to Implement Third-Party Entity Contractual Requirements		Unchanged
263333	Direct Enrollment Entity Separate Plan Display Exception Requirement		Unchanged
263332	DE Entities to Implement Separate Plan Display Requirement		Unchanged
263331	Web-brokers to Implement the General non-FFE Disclaimer Requirement		Modified
263330	DE Entities to Implement the Standardized Disclaimer Requirement		Modified
263329	Web-broker Website Explanation of Rationale for QHP Recommendations and Methodology for Default Display		Unchanged
263328	Web-broker Website Required QHP Comparative Information and Enrollment Support Disclaimer		Modified
263264	DE Entity Operational Readiness Review (ORR)	Form and Instruction	Modified
263263	Web-broker Operational Readiness Reviews (ORR)	Form and Instruction	Unchanged

Record metadata
Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1463
Type of Information Collection	New collection (Request for a new OMB Control Number)
Previous ICR Reference No	202311-0938-002
Agency Tracking No	CCIIO
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31