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View ICR - OIRA Conclusion

OMB Control No: 0938-1164	ICR Reference No: 202011-0938-007
Status: Active	Previous ICR Reference No: 202006-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Medical Loss Ratio Annual Reports, MLR Notices, and Recordkeeping Requirements (CMS-10418)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 07/21/2021
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/13/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	07/31/2024	36 Months From Approved
Responses	9,166,846	0	0
Time Burden (Hours)	232,427	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	9,166,846	5,248,438	3,918,408
Annual Time Burden (Hours)	232,427	31,005	201,422
Annual Cost Burden (Dollars)	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: No

Burden Reduction Due to:

Short Statement: Based upon CMS’ experience in the MLR data collection and evaluation process, CMS is updating its annual burden hour estimates to reflect the actual numbers of submissions, rebates and rebate notices. In 2020, it is expected that issuers will submit fewer reports on average, and on average send more notices and rebate checks to policyholders and subscribers, which will overall increase burden on issuers. In addition, issuers of qualified health plans no longer have to submit on the annual report the data for the risk corridors program established under section 1342 of the Patient Protection and Affordable Care Act, because that submission requirement no longer applies, which reduced the burden on issuers. It is estimated that there will be a net increase in total burden from 200,597 to 232,427. The annual report of MLR data for each reporting year is due to the Secretary by July 31 of the following year.

Annual Cost to Federal Government: $117,162

Does this IC contain surveys, censuses, or employ statistical methods? No

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination. No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination. 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? Yes

Agency Contact: Jamaa Hill 301 492-4190