Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488)

Forms and Documents

Document Name	Status
Form CMS-10488 Adult Qualified Health Plan Enrollee Experience Survey Form and Instruction	Modified
2025 Non-Substantive Change Request Memo (QHP Enrollee Survey-Chinese Internet) (004).pdf Justification for No Material/Nonsubstantive Change	2024-07-31
2024-QHP-EnrollSurvey-SSA-508.docx Supporting Statement A	2023-07-31
2024-QHP-EnrollSurvey-SS-B-508.docx Supporting Statement B	2023-07-13
2024-QHP-Enrollee-Survey-Change-Crosswalk.docx Supplementary Document	2023-07-13
2024-Responses-to-Public-Comments-to-the-QHP-Enrollee-Survey-Final.docx Supplementary Document	2023-07-13

IC Document Collections

IC ID	Document Title	Status
210330	Adult Qualified Health Plan Enrollee Experience Survey Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1221	ICR Reference No: 202407-0938-021
Status: Received in OIRA	Previous ICR Reference No: 202307-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Health Insurance Marketplace Consumer Experience Surveys: Enrollee Satisfaction Survey and Marketplace Survey Data Collection (CMS-10488)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 08/01/2024

	Requested	Previously Approved
Expiration Date	09/30/2026	09/30/2026
Responses	97,505	97,505
Time Burden (Hours)	48,872	48,872
Cost Burden (Dollars)	0	0

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Abstract: Section 1311(c)(4) of the ACA requires the Department of Health and Human Services (HHS) to develop an enrollee satisfaction survey system that assesses consumer experience with qualified health plans (QHPs) offered through an Exchange. It also requires public display of enrollee satisfaction information by the Exchange to allow individuals to easily compare enrollee satisfaction levels between comparable plans. CMS is developing, testing and implementing two surveys, a survey for adult enrollees in QHPs and a survey for health insurance Marketplace consumers. CMS is requesting approval for information collection associated with these surveys.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1313 Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1321(a) Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1311(c)(4) Name of Law: Affordable Care Act (ACA)
  

Citations for New Statutory Requirements: None

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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 16634	03/20/2023
30-day Notice:	Federal Register Citation:	Citation Date:
	88 FR 43355	07/07/2023
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Adult Qualified Health Plan Enrollee Experience Survey	CMS-10488, CMS-10488 , CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS-10488, CMS_10488, CMS-10440, CMS-10488, CMS-10488	Survey Vendor Application ,   QHP Survey (Chinese) ,   Cover Letter (Chinese) ,   QHP Survey (English) ,   Cover Letter 1 (English) ,   QHP Survey (Spanish) ,   Cover Letter (Spanish) ,   Chinese Cover Letter - 2 ,   Chinese Prenotification Letter ,   Chinese Reminder Letter ,   English Cover Letter 2 ,   English Cover Letter 2 ,   Prenotification Letter - English ,   Prenotification Letter (Spanish) ,   Enrollee Survey Reminder Letter - Spanish ,   QHP Enrollee Survey Internet Script - Chinese ,   QHP - QHP Enrollee Survey Notification Email - Chinese ,   QHP Enrollee Survey Reminder Email - Chinese

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ICR Summary of Burden

	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	97,505	97,505	0	0	0	0
Annual Time Burden (Hours)	48,872	48,872	0	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	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:

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Annual Cost to Federal Government: $6,700,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

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: 08/01/2024

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