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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:
201405-0938-006
Status:
Historical Active
Previous ICR Reference No:
201309-0938-028
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 with change
Conclusion Date:
10/17/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
05/29/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2017
36 Months From Approved
12/31/2016
Responses
6,495,970
0
568,485
Time Burden (Hours)
19,650,586
0
1,075,514
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-AR89
Final or interim final rulemaking
79 FR 13744
03/11/2014
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
77 FR 73118
12/07/2012
30-day Notice:
Federal Register Citation:
Citation Date:
77 FR 73118
12/07/2012
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
11
IC Title
Form No.
Form Name
Administrative Burden Related to Audits of the Risk Adjustment Covered Issuers (§153.410(d); §153.620(c))
Adminstative Appeals for Premium Stabilization Program, Federal Exchange User Fees, Premium Tax Credits and Costs Sharing Reductions (156.1220)
Calculation of Reinsurance Contributions
Confirmation of Interim Reports (153.710)
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)
Initial Validation Audit Identification and Inter-rater Reliability Report (153.630(b)(1) and (b)(8)
Risk Adjustment Data Validation (153.630)
Risk Corridors Data Validation (153.530 and 153.540)
Risk adjustment and reinsurance distributed data collection (153.700(a))
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
Supplemental Diagnosis (153.700(a))
Upload of Risk Adjustment and Reinsurance Data for Masked Enrollee Identification Number (153.700(a))
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
6,495,970
568,485
0
6,467,485
-540,000
0
Annual Time Burden (Hours)
19,650,586
1,075,514
0
19,536,272
-961,200
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:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Changing Regulations
Short Statement:
As detailed above, certain burden estimates for information collection requirements associated with the reinsurance, risk adjustment, risk corridors, premium tax credit, cost-sharing reduction, and user fee programs would change from what was previously estimated in the Premium Stabilization Rule and 2014 Payment Notice due to the proposed policy changes in the proposed HHS notice of benefit and payment parameters for 2015. We have also updated burden to reflect our most current estimates of program operations, including increasing our estimate of the number of risk adjustment covered issuers in the individual and small group insurance market.
Annual Cost to Federal Government:
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:
05/29/2014
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