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:
0938-1205
ICR Reference No:
202210-0938-013
Status:
Historical Active
Previous ICR Reference No:
202110-0938-014
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CCIIO - 10494
Title:
Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel - CAC (CMS-10494)
Type of Information Collection:
No material or nonsubstantive change to a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
01/11/2023
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/25/2022
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2025
03/31/2025
03/31/2025
Responses
4,858,068
0
4,858,068
Time Burden (Hours)
918,023
0
918,023
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 1413
Name of Law: Streamlining of procedures for enrollment through an exchange
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
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:
86 FR 32049
06/16/2021
30-day Notice:
Federal Register Citation:
Citation Date:
86 FR 59165
10/26/2021
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
25
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
Certified Counselor Designated Organization (CDO Application)
CMS-10494
CDO Agreement
Navigator Requirements for Training Certification
CMS-10494, CMS-10494
Post-Training Questionnaire
,
Training Completion Document
Recertification Training
Recertification request by organization
CMS-10494
Recertification Request Form
§155.225 (b)(1)(iii)- (reporting by organizations)
§155.225 (b)(1)(iii)- (review by State Exchange)
§155.225 (b)(ii) (performance tracking form by organization)
§155.225 (b)(ii) (recordkeeping performance data by organization)
§155.225 (b)(ii) (reporting performance data by certified application counselor)
§155.225(b)(1)(iii)-(review byFederally-facilitatedExchange)
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
4,858,068
4,858,068
0
0
0
0
Annual Time Burden (Hours)
918,023
918,023
0
0
0
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:
The burden increased from 857,046 hours to 918,023 hours due the added requirement for Navigator certification training. This change in burden is associated with restoring requirements related to certification training for Navigators that were inadvertently omitted from a previous information collection.
Annual Cost to Federal Government:
$65,520
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:
10/25/2022
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