View Information Collection Request (ICR) Package

View ICR - Agency Submission

Comment Period Closed - Comments are accepted for the first 30 days of OIRA's review. See FAQ page for more information.

OMB Control No: 0938-1310	ICR Reference No: 202509-0938-031
Status: Received in OIRA	Previous ICR Reference No: 202111-0938-008
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO
Title: Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572)
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular	Date Submitted to OIRA: 10/01/2025

	Requested	Previously Approved
Expiration Date	36 Months From Approved
Responses	400	0
Time Burden (Hours)	57,200	0
Cost Burden (Dollars)	0	0

ICR Summary of Burden

	Total Request	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	400	40	360
Annual Time Burden (Hours)	57,200	5,720	51,480
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: There is an overall increase in the financial burden from the 2022 PRA package. The number of QHP issuers increased from 360 issuers to 400 issuers, an increase of 40 issuers. The total burden hours increased from 51,480 hours to 57,200 hours, an increase of 5,720 hours. The estimated cost increased from $3,404,476.80 to $3,949,648, an increase of $545,171.20. All prior iterations of wage data was based on mean values and the current iteration is based on median values.

Annual Cost to Federal Government: $268,952

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