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View ICR - Agency Submission
OMB Control No:
0938-1174
ICR Reference No:
202311-0938-014
Status:
Received in OIRA
Previous ICR Reference No:
202006-0938-008
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCIIO
Title:
Essential Health Benefits Benchmark Plans (CMS-10448)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
Date Submitted to OIRA:
02/13/2024
Requested
Previously Approved
Expiration Date
36 Months From Approved
04/30/2024
Responses
20
231
Time Burden (Hours)
200
157
Cost Burden (Dollars)
0
0
Abstract:
The Affordable Care Act requires that all qualified health plans (QHPs) offered in the Exchanges provide the essential health benefits (EHB) and be accredited by an accrediting entity that is recognized by the Secretary of Health and Human Services. In order to establish EHB benchmark plans in each State, CMS will collect data from potential default benchmark plan issuers in each State and from States that select their own benchmark. CMS also intends to ask all States for a voluntary submission of their State mandated benefits. This data collection will include: administrative data necessary to identify the plan, all health benefits offered by the plans and associated limits, drug coverage, network type, and plan level enrollment. Finally, we plan to collect submissions from dental plan issuers on whether they intend to apply for certification to participate in the Exchanges as stand-alone plans.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1201, 1301, 1302, 1311, 1321
Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
Citations for New Statutory Requirements:
US Code: 42 USC 156.111 Name of Law: Essential health benefits requirements
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AV22
Proposed rulemaking
88 FR 82510
11/24/2023
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
4
IC Title
Form No.
Form Name
Confirmations on the State EHB-benchmark Plan
CMS-10448
EHB State Confirmations
EHB Benchmark Plan Formulary Drug
CMS-10448
EHB Benchmark Rx Plan
EHB Reporting - EHB Actuarial Certificate Template
CMS-10448, CMS-10488, CMS-10448, CMS-10448, CMS-10448
EHB Confirmation Template
,
EHB Benchmark Plan Certification
,
Benchmark Plans Prescription Template
,
Summary of Benefits Template
,
EHB Benchmark Plan Certificate
State's EHB-benchmark Plan's Benefits and Limits
CMS-10448
EHB State Benefits and Limits
ICR Summary of Burden
Total Request
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
20
231
0
0
-211
0
Annual Time Burden (Hours)
200
157
0
0
43
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:
No
Burden Reduction Due to:
Short Statement:
There is an overall decrease in the financial burden from the 2023 extension PRA package because of the reduction in the number of States from 10 to 5. The total burden hours decreased from 157 hours to 200 hours, which is an increase of 43 hours. There was an increase in the adjusted hourly wage rates as we previously used the mean wage rate but were advised by OMB to use the median wage rate for the labor categories.
Annual Cost to Federal Government:
$14,993
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
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:
02/13/2024
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