Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829)

Forms and Documents

Document Name	Status
Form CMS-10829 Improper Payment and Pre-Testing Assessment Form and Instruction	Modified
CMS-10829 - IPPTA_Supporting Statement Final 112124.docx Supporting Statement A	2024-11-21

IC Document Collections

IC ID	Document Title	Status
257715	Improper Payment and Pre-Testing Assessment Form and Instruction	Modified

ICR Details

OMB Control No: 0938-1439	ICR Reference No: 202411-0938-006
Status: Received in OIRA	Previous ICR Reference No: 202304-0938-027
Agency/Subagency: HHS/CMS	Agency Tracking No: CCIIO - 10829
Title: Improper Payment Pre-Testing and Assessment (IPPTA) (CMS-10829)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 11/22/2024

	Requested	Previously Approved
Expiration Date	36 Months From Approved	06/30/2026
Responses	11	18
Time Burden (Hours)	5,830	9,540
Cost Burden (Dollars)	0	1,025,748

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Abstract: To comply with the Payment Integrity Information Act of 2019 (PIIA), HHS is proposing the IPPTA to prepare State Exchanges for the measurement of improper payments of advance payments of the premium tax credit (APTC), to test processes and procedures that support HHS’s review of determinations of APTC made by State Exchanges, and to provide a mechanism for HHS and State Exchanges to share information that would aid in developing an efficient measurement process. The PIIA requires executive agencies to report on Federal programs susceptible to significant improper payments. The APTC program was identified as a Federal program susceptible to significant improper payments Currently in operation are 18 State Exchanges, which do not use the Federal platform to perform eligibility and enrollment determinations. Each State Exchange will be selected to participate in the IPPTA data collection for a period of 1 calendar year, which would occur either in 2024 or 2025. To facilitate collection of the required data and data documentation, HHS created a pre-testing and assessment data request form with instructions. This collection of data and data documentation is intended to allow HHS to test the data elements as specified in the scenarios provided to each State Exchange in the pre-testing and assessment data request form to enable HHS to comply with the requirements of the Payment Integrity Information Act of 2019 (PIIA) and implementing guidance.

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Authorizing Statute(s): US Code: 31 USC 3301 Name of Law: Payment Integrity Information Act of 2019
   US Code: 42 USC 18033 Name of Law: Patient Protection and Affordable Care Act of 2010
   US Code: 45 USC 155.1510 Name of Law: Public Welfare
  

Citations for New Statutory Requirements: US Code: 31 USC 3301 Name of Law: Payment Integrity Information Act of 2019
US Code: 42 USC 18033 Name of Law: Patient Protection and Affordable Care Act of 2010

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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:
	89 FR 61122	07/30/2024
30-day Notice:	Federal Register Citation:	Citation Date:
	89 FR 88051	11/06/2024
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
Improper Payment and Pre-Testing Assessment	CMS-10829	Data Request Form

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ICR Summary of Burden

	Total Request	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	11	18	0	0	-7	0
Annual Time Burden (Hours)	5,830	9,540	0	0	-3,710	0
Annual Cost Burden (Dollars)	0	1,025,748	0	0	-1,025,748	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: Burden hours have decreased (from 9540 to 5,830) as a result of a fewer number of respondents (State Exchanges) being required to submit IPPTA. The number of State Exchanges has decreased from 18 to 11 respondents.

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Annual Cost to Federal Government: $1,391,477

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

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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: 11/22/2024

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