Document
Burden change table
ICR 201705-0938-014 · OMB 0938-1207 · Object 74304301.
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-1207 can be found here:
Document [xlsx]
Download: xlsx | pdf | html
| Transferred or Retained? | Previously Approved Burden | Currently Requested Burden | |||
| Role of authorized representatives | Retained | 31 | 31 | ||
| Conducting eligibility determinations | Transferred | 315 | 315 | ||
| Eligibility process | Transferred | 1890 | 3920 | ||
| Employer notices | Transferred | 1746 | 1980 | ||
| Verification process- data sharing agreements | Transferred | 315 | 315 | ||
| Resolving inconsistencies | Retained | 21.6 | 21.6 | ||
| Verifying employer-sponsored coverage | Retained | 2.2 | 4812 | ||
| Report a change | Retained | 12835913.184 | 21.6 | ||
| Verify enrollee reported change | Retained | 21.6 | 21.6 | ||
| Integrate electronic notifications in eligibility system | Retained | 21 | 21 | ||
| Annual redetermination notice | Transferred | 1800 | 3920 | ||
| Report any changes with respect to redetermination notice | Retained | 21.6 | 21.6 | ||
| Verify enrollee reported info to redetermination notice | Retained | 21.6 | 21.6 | ||
| Sign and return redetermination notice | Retained | 21.6 | 21.6 | ||
| Transmital notice of enrollee's terminations of coverage | Retained | 1746 | 1746 | ||
| Written agreement with agencies administering insurance affordability programs | Transferred | 315 | 315 | ||
| Transmit E&E information to QHP issuers and HHS | Transferred | 426 | 426 | ||
| Maintain records of all enrollemtns in QHPs | Transferred | 426 | 426 | ||
| Reconciling enrollment information with QHP issuers and HHS | Transferred | 5832 | 6824 | ||
| Collect and retain coverage termination information | Transferred | 1260 | 1400 | ||
| SHOP notices | Retained | 1800 | 180 | ||
| Notices from QHP issuers | Retained | 1800 | 1800 | ||
| SHOP notices from qualified employers | Retained | 612 | 180 | ||
| Total Burden | 12856358.384 | 8899.6 |
| File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
| File Title | Burden change table |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |