View ICR - Agency Submission

Comment Period Closed - Comments are accepted for the first 30 days of OIRA's review. See FAQ page for more information.

OMB Control No: 0938-1164	ICR Reference No: 202311-0938-016
Status: Received in OIRA	Previous ICR Reference No: 202011-0938-007
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: 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	07/31/2024
Responses	5,197,932	9,166,846
Time Burden (Hours)	170,090	232,427
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	5,197,932	9,166,846	-3,968,914
Annual Time Burden (Hours)	170,090	232,427	-62,337
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. The 2022 Annual Report reflects two new lines that will only be used by roughly 5 percent of issuers and a number of routine instruction updates and clarifications of the existing requirements that, together, are expected to have a negligible impact on the burden hours. In 2022, it is expected that issuers will submit fewer reports on average, and on average send fewer notices and rebate checks to policyholders and subscribers, which will overall decrease burden on issuers. It is estimated that there will be a net decrease in total burden from 232,427 to 170,091.

Annual Cost to Federal Government: $114,978

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