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: 201402-0938-008
Status: Historical Active	Previous ICR Reference No: 201303-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No: 21422
Title: Initial Plan Data Collection to Support QHP Certification and other Financial Management and Exchange Operations
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: 04/16/2014
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/12/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2017	36 Months From Approved	03/31/2016
Responses	27,225	0	3,490
Time Burden (Hours)	316,675	0	203,469
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion	Change Due to Adjustment in Estimate
Annual Number of Responses	27,225	3,490	24,000	-265
Annual Time Burden (Hours)	316,675	203,469	117,067	-3,861
Annual Cost Burden (Dollars)	0	0	0	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: Since finalizing this PRA package and receiving an OMB control number, we have more accurate estimates associated with the number of respondents and the burden time associated with data collections. The burden hours for Qualified Health Plan and Stand-Alone Dental Plan issuers has increased from 203,469 to 316,675, a total increase of hours 113,206.