Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology

Forms and Documents

Document Name	Status
CMS-10469 Supporting Statement - Part A - CSR Recon.doc Supporting Statement A	2013-09-17

IC Document Collections

IC ID	Document Title	Status
207593	Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology Other-Appendix	New

ICR Details

OMB Control No: 0938-1214	ICR Reference No: 201306-0938-011
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No: 19890
Title: Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 09/20/2013
	Date Received in OIRA: 06/28/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2016	36 Months From Approved
Responses	1,200	0	0
Time Burden (Hours)	13,200	0	0
Cost Burden (Dollars)	13,200	0	0

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Abstract: HHS provides qualified health plan (QHP) issuers two options for how to reconcile cost-sharing reduction (CSR) amounts at the end of each benefit year. This PRA establishes what data elements a QHP issuer must submit to HHS to inform the agency of which CSR reconciliation option the issuer chooses to be subject to for benefit year 2014.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1402 Name of Law: null
   US Code: 42 USC 18071 Name of Law: null
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 21956	04/12/2013
30-day Notice:	Federal Register Citation:	Citation Date:
	78 FR 38983	06/28/2013
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Issuer Reporting Requirements for Selecting a Cost-Sharing Reductions Reconciliation Methodology

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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	1,200	0	0	1,200	0	0
Annual Time Burden (Hours)	13,200	0	0	13,200	0	0
Annual Cost Burden (Dollars)	13,200	0	0	13,200	0	0

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

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: New Collection.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? 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? Uncollected

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Common Form ICR:  No

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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: 06/28/2013

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