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:
0938-1301
ICR Reference No:
201604-0938-007
Status:
Historical Active
Previous ICR Reference No:
201512-0938-008
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Third Party Payment of QHP Premiums and Additional Notices for QHP Issuers Data Collection (CMS-10595)
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved with change
Conclusion Date:
09/13/2016
Retrieve Notice of Action (NOA)
Date Received in OIRA:
04/14/2016
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
09/30/2019
36 Months From Approved
Responses
7,600
0
0
Time Burden (Hours)
3,800
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
In proposed §156.1250, we are proposing to require entities that make third party payments of premiums on behalf of Qualified Health Plan enrollees to notify HHS, in a format and timeline specified in guidance. We expect that the notification would reflect the entity’s intent to make payments of premiums under this section and the number of consumers for whom it intends to make payments. We are considering whether we should expand the list of entities from whom issuers are required to accept payment under §156.1250 to include not-for-profit charitable organizations, beginning in 2018. In making this determination, we intend to carefully review the data provided by entities currently making third party premium payments to better understand the impact of these payments. We anticipate that any requirement to accept payments from not-for-profit charitable organizations would be limited to organizations that satisfy several criteria designed to minimize adverse selection. The data collection would exempt entities that are already providing the information to other HHS agencies, such as to the Health Resources and Services Administration (HRSA) or to the Indian Health Service (IHS). In such cases, we will work with the other agencies to avoid duplicative reporting. Under proposed §156.1256, a QHP issuer on a Federally-facilitated Exchange must, in the case of a plan or benefit display error included in §155.420(d)(4), notify their enrollees within 30 calendar days after the error is identified, if directed to do so by the FFE. We believe that enrollees should be made aware of any error that may have impacted their QHP selection and enrollment and any associated monthly or annual costs. Therefore, we are proposing a requirement for issuers to notify their enrollees of such error, should such error occur, as well as the availability of a special enrollment period, under §155.420(d)(4), for the enrollee to select a different QHP, if desired.
Authorizing Statute(s):
PL:
Pub.L. 111 - 156 1311
Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL:
Pub.L. 111 - 156 1312
Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL:
Pub.L. 111 - 148 402
Name of Law: Indian Health Care Improvement Act
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 148 1311 Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 131 1312 Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
PL: Pub.L. 111 - 148 402 Name of Law: Indian Health Care Improvement Act
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AS57
Final or interim final rulemaking
81 FR 12203
03/08/2016
Federal Register Notices & Comments
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Third Party Payment Notification
Third Party Payment of QHP Premiums and Additional Notices for QHP Issuers Data Collection – SEP Notice
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
7,600
0
8,100
0
-500
0
Annual Time Burden (Hours)
3,800
0
5,800
0
-2,000
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 is a new information collection.
Annual Cost to Federal Government:
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:
04/14/2016
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