Cooperative Agreement to
Support Establishment of State-Operated Health Insurance Exchanges
(CMS-10371)
Reinstatement without change of a previously approved
collection
No
Regular
06/04/2025
Requested
Previously Approved
36 Months From Approved
363
0
7,306
0
0
0
Information collected as a part of the
application for this grant will be used to evaluate the
applications and determine awardees. Information collected pursuant
to the reporting requirements for awardees will be used to evaluate
the progress of States in planning for and implementing Exchanges,
and determine how the Secretary can provide assistance to achieve
the goals of the grant program and the Affordable Care
Act.
The number of respondents has
been adjusted. CMS accounted for an increase in the number of SBE
and SBE-FPs (from 21 to 23), which increased the total annual
burden hours for the four reports remaining in this package from
2,821 to 7,306.
$79,956
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.