View Information Collection Request (ICR) Package
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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:
0938-1349
ICR Reference No:
202103-0938-008
Status:
Historical Active
Previous ICR Reference No:
201708-0938-021
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
State Permissions for Enrollment in Qualified Health Plans in the Federally Facilitated Exchange & Non-Exchange Entities (CMS-10650)
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 without change
Conclusion Date:
08/03/2021
Retrieve Notice of Action (NOA)
Date Received in OIRA:
03/18/2021
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
08/31/2024
36 Months From Approved
Responses
55,148
0
0
Time Burden (Hours)
272,707
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
The Patient Protection and Affordable Care Act, Public Law 111-148, enacted on March 23, 2010, and the Health Care and Education Reconciliation Act, Public Law 111-152, enacted on March 30, 2010 (collectively, “Affordable Care Act”), expand access to health insurance for individuals and employees of small businesses through the establishment of new Affordable Insurance Exchanges (Exchanges), also called Marketplaces, including the Small Business Health Options Program (SHOP). The Exchanges, which became operational on January 1, 2014, enhance competition in the health insurance market, expand access to affordable health insurance for millions of Americans, and provide consumers with a place to easily compare and shop for health insurance coverage. This Information Collection Request (ICR) serves as the formal request for a new data collection clearance associated with the HHS Notice of Benefit and Payment Parameters for 2018 Final Rule (2018 Payment Notice). This ICR includes ICRs related to the ability of states to permit agents and brokers to assist qualified individuals, qualified employers, or qualified employees enrolling in Qualified Health Plans in the Federally Facilitated Exchange (§155.220) and ICRs related to non-exchange entities (§155.260).
Authorizing Statute(s):
US Code:
45 USC 156
Name of Law: Health Insurance Issuer Standards under the Affordable Care Act
PL:
Pub.L. 111 - 156 1312
Name of Law: Patient Protection and Affordable Care Act
US Code:
45 USC 144
Name of Law: Requirements Relating to Health Insurance Coverage
US Code:
45 USC 147
Name of Law: Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets
US Code:
45 USC 155
Name of Law: Exchange Establishment Standards and Other Related Standards under the Affordable Care Act
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 156 1312 Name of Law: Patient Protection and Affordable Care Act
US Code: 45 USC 144 Name of Law: Requirements Relating to Health Insurance Coverage
US Code: 45 USC 147 Name of Law: Health Insurance Reform Requirements for the Group and Individual Health Insurance Markets
US Code: 45 USC 155 Name of Law: Exchange Establishment Standards and Other Related Standards under the Affordable Care Act
US Code: 45 USC 156 Name of Law: Health Insurance Issuer Standards under the Affordable Care Act
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:
85 FR 86567
12/30/2020
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 13719
03/10/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
8
IC Title
Form No.
Form Name
Burden to Agents and Brokers to Request Reconsideration of Termination of FFE Agreements and Other Penalties
Burden to Agents and Brokers to Respond to HHS Feedback Request regarding Training
Burden to Agents and Brokers to Respond to Immediate Termination for Non-Licensure
Burden to Agents, Brokers, and Web-brokers to Respond to Notices of Intent to Terminate, of Temporary Suspension, and of Termination of FFE Agreements
Burden to Web-Brokers to Provide the FFE a List of Agents or Brokers
Burden to Web-brokers to Confirm Compliance with Internet Website Requirements through Annual Data Collection
Burden to Web-brokers to Confirm Compliance with Internet Website Requirements through Periodic Data Collection
ICRs Related to Non-Exchange Entities: Privacy and Security Policies and Procedures (§155.260(b))
CMS-10650, CMS-10650
Agent Broker Privacy and Security Agreement
,
IM Agent Broker Privacy and Security Agreement
ICRs Related to Privacy and Security Policies and Procedures
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
55,148
0
0
0
-49,017
104,165
Annual Time Burden (Hours)
272,707
0
0
0
-407,674
680,381
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:
The total annual burden hours have changed from 680,381 hours to 272,707 hours, a reduction in burden of 407,674 hours. This change is due in part to the removal of the burden for navigators and certified assistance counselors, which is now approved under OMB control number 0938-1215. In addition, the number of agents and brokers that will develop and adhere to privacy and security policies and procedures has decreased from 100,000 in the previously approved package to 54,000 in this current request. The number of web-brokers that will develop and adhere to privacy and security policies and procedures and confirm compliance with internet website requirements through annual data collection has decreased from 113 in the previously approved package to 30 in the current request.
Annual Cost to Federal Government:
$32,257
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
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:
03/18/2021
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