View Information Collection Request (ICR) Package
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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:
0938-1205
ICR Reference No:
201504-0938-012
Status:
Historical Active
Previous ICR Reference No:
201308-0938-016
Agency/Subagency:
HHS/CMS
Agency Tracking No:
20316
Title:
Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel (CAC)
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
05/27/2015
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/24/2015
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
05/31/2018
36 Months From Approved
08/31/2016
Responses
4,676,018
0
4,596,000
Time Burden (Hours)
693,701
0
667,740
Cost Burden (Dollars)
0
0
0
Abstract:
Section 1413 of the Affordable Care Act directs the Secretary of HHS to establish, subject to minimum requirements, a streamlined enrollment system for qualified health plans offered through the Exchange and insurance affordability programs. In addition, section 1321(a)(1) of the Affordable Care Act directs and authorizes the Secretary to issue regulations setting standards for meeting the requirements under title I of the Affordable Care Act, with respect to, among other things, the establishment and operation of Exchanges. Pursuant to this authority, regulations establishing the certified application counselor program are being finalized at 45 CFR 155.225. Specifically, 45 CFR 155.225(a) requires an Exchange to establish a certified application counselor program that complies with the requirements of the rule. Section155.225(b)(1) allows each Exchange to designate certain organizations, including organizations designated by state Medicaid or CHIP agencies, which will certify their staff and volunteers to act as certified application counselors. In accordance with 45 CFR 155.225(b)(2), Exchanges may choose to certify directly individuals who seek to act as certified application counselors, designate certain organizations which will certify staff or volunteers to perform application services, or do both.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 1321(a)(1)(A) and (D)
Name of Law: State Flexibility in Operation and Enforcement of Exchanges and Related Requirements
PL:
Pub.L. 111 - 148 1413
Name of Law: Streamlining of procedures for enrollment through an exchange
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 148 1321(A) and (D) Name of Law: State Flexibility in Operation and Enforcement of Exchanges and Related Requirements
PL: Pub.L. 111 - 148 1413 Name of Law: Streamlining of procedures for enrollment through an exchange
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
80 FR 5118
01/30/2015
30-day Notice:
Federal Register Citation:
Citation Date:
80 FR 21721
03/31/2015
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
17
IC Title
Form No.
Form Name
155.225(b)(1) (organization designation by Exchange)
CMS-10494
Individual CAC Agreement
155.225(b)(1) (organization follow-up for application)
CMS-10494
CAC Organization Application
155.225(b)(1) (organization list)
155.225(b)(1) Organization designation by Exchange Information Updates
CMS-10494
Find Local Help Instrument
155.225(b)(1)(i) (certificate issuance)
CMS-10494, CMS-10494, CMS-10494
Training Certificate
,
Training Certificate (English)
,
Sample Certification Certificate (Spanish)
155.225(b)(1)(i) (organization attestation)
155.225(b)(1)(ii) - Identification number record retention
CMS-10494
Registration
155.225(b)(1)(ii) - Issuance of unique registration identification number
CMS-10494
Registration Portal
155.225(d)(1) - Training Registration
CMS-10494
Registration
155.225(d)(1) - Training certificate proof
CMS-10494
Registration
155.225(d)(1) - Training certificate retention
CMS-10494
Registration
155.225(d)(1) and (7) Training Quality Optional Questionnaire
CMS-10494
Training Quality Questionnaire
155.225(d)(2) and (f) (CAC authorization to consumer)
CMS-10494, CMS-10494, CMS-10494
CAC Agreement
,
Model Authorization Form (English)
,
Model Authorization Form (Spanish)
155.225(d)(2) and (f) (organization record of authorization)
CAC Recertification
Recertification Training
Recertification request by organization
CMS-10494
Recertification Request Form
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
4,676,018
4,596,000
0
0
80,018
0
Annual Time Burden (Hours)
693,701
667,740
0
0
25,961
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:
This revised collection increased the total time burden by 11,350 hours. There are no changes in the labor costs rates. The change in burden is associated with making updates and changes to the information posted about designated organizations on the CMS public-facing website, completion of the optional training quality questionnaire at the end of the initial certification, and annual recertification, trainings. The questionnaire is optional, therefore actual increases in time and cost burdens may be lower. In addition, 14,611 were inadvertedly removed during the last approval. The hours are associated with recertification of training and should remain active.
Annual Cost to Federal Government:
$933
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:
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:
04/24/2015
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