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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0938-1155
ICR Reference No:
201309-0938-028
Status:
Historical Active
Previous ICR Reference No:
201205-0938-009
Agency/Subagency:
HHS/CMS
Agency Tracking No:
19687
Title:
Standards Related to Reinsurance, Risk Corridors, and Risk Adjustment
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
12/02/2013
Retrieve Notice of Action (NOA)
Date Received in OIRA:
09/26/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
12/31/2016
36 Months From Approved
10/31/2015
Responses
568,485
0
3,785
Time Burden (Hours)
1,075,514
0
86,014
Cost Burden (Dollars)
0
0
0
Abstract:
The reinsurance program, risk corridors program, and risk adjustment program support the effective functioning of the American Health Benefit Exchanges ("Exchanges"), which will become operational by January 1, 2014. The program also mitigate the negative impacts of adverse selection and market uncertainty.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1321; 1341; 1342; 1343
Name of Law: Affordable Care Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AR07
Final or interim final rulemaking
77 FR 17220
03/23/2012
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 5457
01/25/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 31555
05/24/2013
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Calculation of Reinsurance Contributions
Data Validation Requirements When HHS Operates Risk Adjustment
Health Insurance Issuer Standards Related to the Transitional Reinsurance Program (153.400-153.410)
Health Insurance Issuer Standards for the Risk Adjustment Program (153.610-153.620)
State Notice of Insurance Benefits and Payment Parameters (153.100-153.110)
State Standards for the Risk Adjustment Program (153.310, 153.330) - Request and Update for Alternative Methodology
State Standards for the Transitional Reinsurance Program in the Individual Market (153.210-153.220, 153.240) - Recordkeeping
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number
ICR Summary 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
568,485
3,785
0
564,700
0
0
Annual Time Burden (Hours)
1,075,514
86,014
0
989,500
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
As detailed above, certain burden estimates for information collection requirements associated with the reinsurance, risk adjustment, and risk corridors programs have changed from what was previously estimated in the Premium Stabilization Rule due to policy changes in the final HHS notice of benefit and payment parameters for 2014. We have also updated the burden we described in the draft Payment Notice information collection notice published as part of the proposed Notice of Benefit and Payment Parameters for 2014 (77 FR 73117) to reflect-- o policy changes that were finalized in the final HHS notice of benefit and payment parameters for 2014, o the agency's most current estimates of the reinsurance, risk adjustment, and risk corridors operations, and o public comments on the information collection that were received during the 60-day comment period. As a result of these adjustments, we are reducing the total annual burden estimate described in draft Payment Notice information collection notice by 9,741,696 hours, which results in an estimated total annual burden of 1,013,293 hours associated with the requirements set forth in the final HHS notice of benefit and payment parameters for 2014. This reduction reflects the following modifications-- o an adjustment to our estimate of the burden associated with the distributed data requirements under ?153.610 and ?153.700 to reflect only the incremental burden that was not already accounted for in the information collection for the Premium Stabilization Rule, addition of the burden associated with submission of a masked enrollee ID number under the distributed data approach set forth in ?153.610 and ?153.700, o the removal of the burden associated with State operation of the risk adjustment and reinsurance programs because we expect fewer than 10 states to operate risk adjustment or reinsurance in the 2014 benefit year, and o an increase in the number of reinsurance contributing entities based on the Department of Labor's current estimate of the number of self-insured plans.
Annual Cost to Federal Government:
$274,936
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
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?
Uncollected
Agency Contact:
William Parham 4107864669
Common Form ICR:
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:
(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:
09/26/2013
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