View RCF  - OIRA Conclusion

202410-1545-001CF
Active 10/31/2027
TREAS/IRS
0938-1429 202410-0938-006
Transparency in Coverage
RCF New
 Approved without change   10/17/2024
Retrieve Notice of Action (NOA) 10/09/2024
The Department of the Treasury is of the view that transparency in health coverage requirements will strengthen America's health care system by giving health care consumers, researchers, regulators, lawmakers, health innovators, and other health care stakeholders the information they need to make or assist others in making informed decisions about health care purchases. Participants, beneficiaries, and enrollees will have easier access to health care pricing information, through an internet-based self-service tool that includes consumer-specific cost- sharing amounts for items and services covered by their plan or coverage. This information will allow consumers to evaluate options for receiving health care from in-network and out-of- network providers, make cost-conscious health care purchasing decisions, and reduce surprises in relation to their out-of-pocket costs for health care services. This RCF submission accounts for the 25% share of the total burden under the rule that is attributable to Treasury.
US Code: 26 USC 7805 Name of Law: Rules And Regulations
US Code: 26 USC 9833 Name of Law: Regulations
 
Kevin Knopf 202 317-5500 kevin.knopf@irscounsel.treas.gov

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Allowed Amount File 4,082 808,513 0 Form and Instruction CMS-10715 APPENDIX 2: In-network Rate Machine-Readable File Data Elements
Form and Instruction CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements
Customer Service Representatives Training 3,270 6,540 0 Instruction
In-Network Rate File 4,082 1,566,739 0 Form and Instruction CMS-10715 APPENDIX 2: In-network Rate Machine-Readable File Data Elements
Form and Instruction CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements
Internet-based Self-Service Tool 490 11,417,705 0 Form and Instruction CMS-10715 In-network Rate Machine-Readable File Data Elements
Form and Instruction CMS-10715 APPENDIX 3: The Allowed Amount Machine-Readable File Data Elements
Prescription Drug File 4,082 504,831 0 Other
Requests for Mailed Disclosures 21,264 5,316 0 Other

  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 37,270 0 0 37,270 0 0
Annual Time Burden (Hours) 14,309,644 0 0 14,309,644 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0

Yes
Miscellaneous Actions
No
During the associated rulemaking (85 FR 72158) as well as in the subsequent submission to OMB, the ICR explicitly stated that it would be using the Request for Common Form (RCF) process. Once approved, the Departments would submit RCFs for their respective Departments. Due to an administrative oversight, CMS did not submit 0938-1429 as an ICR sponsoring a common form. With this submission we are correcting the oversight.