View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1147	ICR Reference No: 202606-0938-016
Status: Active	Previous ICR Reference No: 202512-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: [Medicaid] Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010 (CMS-10410)
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 08/07/2026
	Date Received in OIRA: 07/30/2026
Terms of Clearance: By December 31, 2026, HHS/CMS must provide OMB with a written update describing the comments received on this ICR via the Community Engagement IFC (published June 1, 2026), any response to the comments provided, and if appropriate, whether any elements of this package need to be revised. As appropriate, HHS/CMS must revise this ICR based on the public comments received.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2029	36 Months From Approved	08/31/2026
Responses	188,354,389	0	76,500,218
Time Burden (Hours)	72,906,051	0	21,266,302
Cost Burden (Dollars)	0	0	0

Abstract: The Patient Protection and Affordable Care Act (Pub. L. 111-148, enacted on March 23, 2010) as amended by the Health Care and Education Reconciliation Act of 2010 (Pub. L. 111-152, enacted on March 30, 2010) are collectively referred to as the Affordable Care Act. The Affordable Care Act expands access to insurance affordability programs through improvements in Medicaid eligibility, enrollment simplification, the establishment of Affordable Insurance Exchanges ("Exchanges"), and coordination between Medicaid, the Children's Health Insurance Program (CHIP), and Exchanges. Relevant to this Statement, the Affordable Care Act promotes a high level of coordination, simplification, and data sharing among State and Federal agencies for the purpose of a seamless and streamlined eligibility system. The Affordable Care Act allows for significant use of Web-based technology to provide information to the public and facilitate application and renewal functions. It creates a "no wrong door" approach to insurance affordability programs so that individuals will not have to apply to multiple programs. Nor will they have to repeat the application process if they initially apply to a program for which they are not ultimately determined eligible. It also provides a simplified process for maintaining coverage through a streamlined renewal process. The provisions of the Affordable Care Act relevant to this Statement are effective January 1, 2014. The proposed requirements for the collection and reporting of information and recordkeeping (collectively known as information collections) generally relate to ensuring data sharing and coordination among State and Federal agencies, recordkeeping efforts among State agencies, and the development of Web-based systems and notices in support of the implementation of the Affordable Care Act.

Authorizing Statute(s): PL: Pub.L. 111 - 148 2001 Name of Law: Affordable Care Act
   Statute at Large: 21 Stat. 2102
   PL: Pub.L. 111 - 148 1413 Name of Law: Patient Protection and Affordable Care Act
   PL: Pub.L. 111 - 148 2101 Name of Law: Patient Protection and Affordable Care Act
   PL: Pub.L. 111 - 148 2201 Name of Law: Patient Protection and Affordable Care Act
   Statute at Large: 19 Stat. 1902
   PL: Pub.L. 111 - 148 1414 Name of Law: Patient Protection and Affordable Care Act
   PL: Pub.L. 111 - 148 2002 Name of Law: Patient Protection and Affordable Care Act

Citations for New Statutory Requirements: Statute at Large: 21 Stat. 2102
PL: Pub.L. 111 - 148 1414 Name of Law: Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 148 1413 Name of Law: Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 148 2101 Name of Law: Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 148 2001 Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 2002 Name of Law: Patient Protection and Affordable Care Act
PL: Pub.L. 111 - 148 2201 Name of Law: Patient Protection and Affordable Care Act
Statute at Large: 19 Stat. 1902

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion
Annual Number of Responses	188,354,389	76,500,218	94,870,071	16,984,100
Annual Time Burden (Hours)	72,906,051	21,266,302	29,230,674	22,409,075
Annual Cost Burden (Dollars)	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to: Changing Regulations

Short Statement: The changes in this 2026 collection of information request are associated with our Interim Final Rule with Comment Period (CMS-2454-IFC; RIN 0938-AV98) entitled, “Medicaid Program; Community Engagement Requirement for Certain Individuals.” Overall, the rule adds 51,640,055 hr of burden..

Annual Cost to Federal Government: $421,602,623

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: Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov

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