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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:
0938-1172
ICR Reference No:
201403-0938-004
Status:
Historical Active
Previous ICR Reference No:
201211-0938-003
Agency/Subagency:
HHS/CMS
Agency Tracking No:
21561
Title:
Blueprint for Approval of Affordable State-based and State Partnership Insurance Exchanges
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
11/17/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/11/2014
Terms of Clearance:
The Blueprint covered by this request applies to plan year 2016 and beyond.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
11/30/2017
36 Months From Approved
08/31/2015
Responses
31
0
56
Time Burden (Hours)
5,552
0
11,816
Cost Burden (Dollars)
0
0
0
Abstract:
CMS is working with States (including the District of Columbia and the territories) to establish Exchanges in every State. The law gives States the opportunity to establish State-based Exchanges, subject to approval that the State-based Exchange meets federal standards and will be ready to offer health care coverage on January 1, 2014. The deadline for Exchange approval is January 1, 2013. In a State that does not achieve Exchange approval by the deadline, the law directs the Secretary of Health and Human Services to facilitate the establishment of an Exchange in that State. States will apply for approval or conditional approval of their State Exchange in the Fall of 2012 with decisions made on January 1, 2013.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1311(b)
Name of Law: Affordable Care Act
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
78 FR 50060
08/16/2013
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 13059
03/07/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Exchange Blueprint
CMS-10416
Blueprint for Approval of Affordable Healthcare Marketplaces
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
31
56
0
-25
0
0
Annual Time Burden (Hours)
5,552
11,816
0
-6,264
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
Based on the changing nature of the states' approaches to meeting the requirements of the ACA and changes in delivery format, there has been a significant reduction to the overall burden. It has been reduced by 6,264 hours. CMS has translated the application from its original paper-based format to an on-line tool that allows the states to enter the information efficiently and without redundancy. CMS has also converted many of the information requirements on the application from full explanations, requiring significant levels of effort to produce to a more streamlined "attestations" and uploading of supporting documents developed for other purposes. CMS has also revised and clarified the descriptions of various Marketplace activities to provide more concise guidance to the states. The number of responses reflects the 31 states that did not submit an application but are still eligible to submit a new Blueprint application should they wish to pursue approval from HHS/CMS for operating an SBM or State-based SHOP for coverage years beginning after January 1, 2015 and thereafter.
Annual Cost to Federal Government:
$0
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:
Jamaa Hill 301 492-4190
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:
03/11/2014
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