View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1156	ICR Reference No: 202002-0938-006
Status: Historical Active	Previous ICR Reference No: 201603-0938-005
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO-10400
Title: Establishment of Qualified Health Plans and American Health Benefit Exchanges (CMS-10400)
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/10/2021
	Date Received in OIRA: 02/14/2020
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2024	36 Months From Approved
Responses	210	0	0
Time Burden (Hours)	580	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	210	-10,925	11,135
Annual Time Burden (Hours)	580	-55,196	55,776
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: CMS is discontinuing several ICRs previously included in this collection relating to Small Business Health Options Program (SHOP), which will no longer be collected. The remaining data collections are being updated based on recent data and are significantly decreased as a result of fewer issuers being subject to its requirement. As a result, the burden hours over the three-year period are reduced from 55,776 hours to 580 for a total reduction of 55,196 hours.

Annual Cost to Federal Government: $0

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? No

Agency Contact: Jamaa Hill 301 492-4190

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