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: 0938-1187	ICR Reference No: 202204-0938-007
Status: Active	Previous ICR Reference No: 201902-0938-012
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations (CMS-10433)
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: 06/10/2022
Retrieve Notice of Action (NOA)	Date Received in OIRA: 04/19/2022
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2025	36 Months From Approved	06/30/2022
Responses	2,925	0	2,892
Time Burden (Hours)	71,660	0	68,666
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	2,925	2,892	33
Annual Time Burden (Hours)	71,660	68,666	2,994
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: There is an overall increase in the financial burden from the 2019 PRA package because of an increase in the adjusted hourly wage of the compliance officer position from the Bureau of Labor Statistics from $68.78 to $72.70. The number of QHP issuers increased from 200 to 215 issuers based on the number of QHP certification issuers for plan year 2022. Also, there is additional burden for states that are engaged with CMS as State-based Exchanges as they will be performing Plan Management activities. The currently approved Information Collection Requirement (ICR) burden is for 2,892 respondents, and the proposed ICR estimates 2,925 respondents. The estimated burden hours for this data collection are currently approved for 68,666 hours. With this ICR, the estimated annualized burden hours are 71,660. This is an increase of 2,994 burden hours compared to the previously approved clearance. In addition, the change in burden is due to adjustments to the data collection instruments. The estimated annual costs increased from $4,722,848 to $5,209,694. This is an increase in annual costs of $486,846.

Annual Cost to Federal Government: $186,141

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? No

Agency Contact: Jamaa Hill 301 492-4190