View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1119	ICR Reference No: 201708-0938-014
Status: Historical Active	Previous ICR Reference No: 201504-0938-011
Agency/Subagency: HHS/CMS	Agency Tracking No: 20357
Title: Cooperative Agreement to Support Establishment of State-Operated Health Insurance Exchanges (CMS-10371)
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: 10/05/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/31/2017
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/2020	36 Months From Approved	05/31/2018
Responses	554	0	1,080
Time Burden (Hours)	12,328	0	30,731
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	554	1,080	-526
Annual Time Burden (Hours)	12,328	30,731	-18,403
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: This revision removes the workplan, public report, and implementation review reporting requirements. It also the amends the number of respondents for the semi-annual and budget reports to reflect the current number of active grantees. Updates to reporting metrics for the SBM Individual Market (formerly known as Weekly and Monthly Periodic) reports results in a net decrease of 192 metrics. The changes to the Quarterly Periodic reports results in a net decrease of 332 metrics. The addition of the SBM three-year budget report adds 272 hours to this package. Thus, there is a total net reduction of 18,403 hours.

Annual Cost to Federal Government: $121,350

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? Uncollected

Agency Contact: Jamaa Hill 301 492-4190