Marketplace Quality Standards (CMS-10520)

Forms and Documents

Document Name	Status
Form CMS-10520 Monitoring and appeals process for survey vendors Form and Instruction	Modified
CMS-10520 - Quality Standards_Supporting_Statement-8-25-14.docx Supporting Statement A	2014-09-04

IC Document Collections

IC ID	Document Title	Status
212995	Patient safety reporting standards for QHP issuers	New
212994	Reporting for the Enrollee Satisfaction Survey (ESS)	New
212992	Implementation and reporting for the Quality Rating System (QRS)	New
212011	Monitoring and appeals process for survey vendors Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1249	ICR Reference No: 201409-0938-003
Status: Historical Active	Previous ICR Reference No: 201406-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Marketplace Quality Standards (CMS-10520)
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 without change	Conclusion Date: 09/23/2014
	Date Received in OIRA: 09/05/2014
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	09/30/2017	36 Months From Approved
Responses	1,770	0	0
Time Burden (Hours)	1,084,495	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Section 1311(c)(3) of the Affordable Care Act directs the Secretary to develop a system to rate QHPs on the basis of quality and price and requires Exchanges to display this quality rating information on their respective websites. Section 1311(c)(4) of the Affordable Care Act requires the Secretary to develop an enrollee satisfaction survey (ESS) system to assess enrollee experience with each QHP (with more than 500 enrollees in the previous year) offered through an Exchange. Section 1311(h) requires QHPs to contract with certain hospitals that meet specific patient safety and health care quality standards beginning January 1, 2015. CMS is requesting approval for information collection associated with these related Marketplace quality standards.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 1311(c)(3)-(4) Name of Law: Affordable Care Act
   PL: Pub.L. 111 - 148 1311(h) Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 1311(c)(3)-(4) Name of Law: Affordable Care Act
PL: Pub.L. 111 - 148 1311(h) Name of Law: Affordable Care Act

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AS02	Final or interim final rulemaking	79 FR 30240	05/27/2014

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Federal Register Notices & Comments
30-day Notice:	Federal Register Citation:	Citation Date:
	79 FR 29776	05/23/2014
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 4

IC Title	Form No.	Form Name
Reporting for the Enrollee Satisfaction Survey (ESS)
Monitoring and appeals process for survey vendors	CMS-10520	Vendor Appeal Form
Implementation and reporting for the Quality Rating System (QRS)
Patient safety reporting standards for QHP issuers

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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	1,770	0	1,770	0	0	0
Annual Time Burden (Hours)	1,084,495	0	1,084,495	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: This is a new information collection request.

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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: 09/05/2014

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