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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:
0938-1121
ICR Reference No:
201408-0938-009
Status:
Historical Active
Previous ICR Reference No:
201308-0938-004
Agency/Subagency:
HHS/CMS
Agency Tracking No:
20262
Title:
Reporting Requirements for Grants to States for Rate Review Cycle IV and Effective Rate Review Program (CMS-10380)
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:
10/17/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/28/2014
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
10/31/2017
36 Months From Approved
09/30/2016
Responses
553
0
1,463
Time Burden (Hours)
20,951
0
55,400
Cost Burden (Dollars)
0
0
0
Abstract:
On May 23, 2011, CMS published a final rule with comment period (76 FR 29964) to implement the annual review of unreasonable increases in premiums for health insurance coverage called for by section 2794. Under the regulation, if CMS determines that a state has an effective rate review program in a given market, using the criteria set forth in the rule, CMS will adopt that state's determinations regarding whether rate increases in that market are unreasonable, provided that the state reports its final determinations to CMS and explains the bases of its determinations. The final rule titled "Patient Protection and Affordable Care Act; Health Insurance Market Rules; Rate Review" (78 FR 13406, February 27, 2013) amends the standards under the rate review program. Currently, CMS relies on publicly available information and annual calls with individual States to obtain the information needed to determine whether a State has an effective rate review program. CMS is proposing to instead collect the information in writing from all States that would like to request effective status.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1003
Name of Law: Ensuring that consumers get value for their dollars
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:
79 FR 31336
06/02/2014
30-day Notice:
Federal Register Citation:
Citation Date:
79 FR 50655
08/25/2014
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
6
IC Title
Form No.
Form Name
(Cycle I) Final Report
CMS-10380, CMS-10380
Cycle I FOA
,
Cycle 1 - Final report template
(Cycle I) Quarterly Reports
CMS-10380
Cycle I - Quarterly Report
(Cycle I) Transaction Data Collection
CMS-10380
Cycle I FOA
(Cycle II ) Final Report - end of grant
CMS-10380
Cycle II FOA
(Cycle II) Annual Report
CMS-10380
Cycle II FOA
(Cycle II) Quarterly Report
CMA-10380, CMS-10380
Cycle II FOA
,
Cycle II - Quarterly Report Template
(Cycle II) Transaction Data Collection
CMS-10380
Cycle II FOA
(Cycle III) Annual Report
CMS-10380
Cycle III - Annual Reporting Template
(Cycle III) Application
(Cycle III) Final Report
CMS-10380
Cycle III - Final Report Template
(Cycle III) Quarterly Report
CMS-10380
Cycle III - Quarterly Report Template
(Cycle III) Transaction Data Collection
CMS-10380
Cycle III - Data
Effective Rate Review Program
Rate Review Grant - Cycle IV Annual Report
CMS-10380
Rate Review Grant cycle IV - Annual Report
Rate Review Program Grant - Cycle IV Application
Rate Review Program Grant - Cycle IV Final Report
Rate Review Program Grant - Cycle IV Quarterly Report
CMS-10380
Rate Review Program Quarterly Report
Transaction Data Collection
CMS-10380
Grant Program Data Dictionary
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
553
1,463
0
-910
0
0
Annual Time Burden (Hours)
20,951
55,400
0
-34,449
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:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
All instruments and burden estimates associated with Cycle I, II, and III have been deleted as the data collection requirements do not apply to the Cycle IV grant program. As a result of this revision the number of responses decreased by 1,239. The number of hours decreased by 49,240. Changes to the application process for Cycle IV will reduce the burden from that in Cycle III by one hour (from 160 to 159) per application. The burden for preparing and submitting the application was updated to reflect that applicants are no longer required to obtain a letter from the Governor or independently-elected Insurance Commissioner as part of the application process. This requirement was eliminated in the Cycle IV application process. There will be additional burden related to Cycle IV. We estimate that the one-time burden related to grant applications will be 6,678 hours or $6,154 and the annual burden related to reporting is estimated to be 14,028 hours or $724,094. The additional burden related to the Effective Rate Review Program is estimated to be 245 hours or $15,658.81 annually.
Annual Cost to Federal Government:
$238,538
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:
08/28/2014
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