View Information Collection Request (ICR) Package
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IC List
Burden
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Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
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:
0938-1101
ICR Reference No:
201101-0938-004
Status:
Historical Active
Previous ICR Reference No:
201009-0938-009
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Limited Competition for State Planning and Establishment Grants for the Affordable Care Act's Exchanges
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
01/14/2011
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/18/2011
Retrieve Notice of Action (NOA)
Date Received in OIRA:
01/13/2011
Terms of Clearance:
This emergency request is approved with the amended justification provided by HHS. HHS will ensure timely approval of this package via the standard PRA process and will ensure that future groups of FOA's are coordinated in advance.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2011
6 Months From Approved
01/31/2011
Responses
561
0
336
Time Burden (Hours)
262,115
0
281,960
Cost Burden (Dollars)
13,131,365
0
9,079,616
Abstract:
Section 1311 of the Affordable Care Act provides for grants to States for the planning and establishment of American Health Benefit Exchanges (hereinafter referred to as 'Exchanges'). The Secretary is planning to disburse funds in at least two phases; first, for planning, and second, for implementation. $56 million is available for States (including the 50 States, the District of Columbia, and the Territories) during the planning phase, which will begin in early Federal fiscal year 2011 and extend for 12 months. States are eligible for up to $1 million each from this grant announcement.
Emergency Justfication:
Please see the attached emergency justification.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1311
Name of Law: Planning and Establishment Grants
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Other Documents for OIRA Review
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
Annual Report
CMS-10337
Application
CMS-10337
Public Reporting
CMS-10337
Quarterly Reports
CMS-10337
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
561
336
0
255
-30
0
Annual Time Burden (Hours)
262,115
281,960
0
2,168
-22,013
0
Annual Cost Burden (Dollars)
13,131,365
9,079,616
0
0
4,051,749
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:
No
Burden Reduction Due to:
Short Statement:
The collection was revised to include more precise numbers of respondents and burden estimates with respect to reporting.
Annual Cost to Federal Government:
$80
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:
William Parham 4107864669
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:
01/13/2011
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