OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

Consolidated Omnibus Budget Reconciliation Act Health Benefits Subsidy Under the American Recovery and Reinvestment Act of 2009 Evaluation

ICR 201109-1291-001 · OMB 1291-0001 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
COBRA_OMBResponseMemo-Sept13.docx Supplementary Document Uploaded 2012-09-25 Available
PART B. App_A_TAA Incentive Experiment Results(kg).pdf Supplementary Document Uploaded 2012-04-04 Available
PART A APP_A-FedRegNotice.pdf Supplementary Document Uploaded 2012-04-04 Available
BLS Approval.PDF Supplementary Document Uploaded 2012-03-27 Available
PART A.rev.pdf Supporting Statement A Uploaded 2012-04-04 Available
PART B.docx Supporting Statement B Uploaded 2012-04-04 Available
IC Document Collections
IC IDCollectionTypeStatusForm
201487 Impact of the ARRA Subsidy on COBRA Take-up Pre-screener Other-Survey New
199766 COBRA Subsidy Study Other-Survey New
ICR Details
1291-0001 201109-1291-001
Historical Active
DOL/OASAM
Consolidated Omnibus Budget Reconciliation Act Health Benefits Subsidy Under the American Recovery and Reinvestment Act of 2009 Evaluation
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 09/25/2012
Retrieve Notice of Action (NOA) 04/10/2012
This information collection request is approved as supplemented by DOL's response memo providing additional information, appended to this record. In addition, DOL agrees to amend the incentives associated with the collection to limit payment to $40 for respondents who call in and $30 to those who wait to be called. DOL will amend its submission to reflect this via a nonsubstantive change request.
  Inventory as of this Action Requested Previously Approved
09/30/2015 36 Months From Approved
31,800 0 0
5,217 0 0
0 0 0
This Information Collection Request is needed to conduct an evaluation of the impact of a subsidy for health benefits under the Consolidated Omnibus Budget Reconciliation Act (COBRA) that was provided by the American Recovery and Reinvestment Act (ARRA) of 2009. The subsidy was available to workers who experienced involuntary termination of a job from September 2008 to May 2010, were eligible for COBRA at the time of job loss, and were not eligible for certain other health insurance options. The overall aim of the evaluation is to determine whether and how people who had employer-sponsored health insurance maintained health care coverage after employment termination and whether the COBRA subsidy provided by ARRA led to increased health care coverage. The Department of Labor is requesting Office of Management and Budget clearance for approval to conduct a one-time survey of randomly selected unemployment insurance recipients as part of this evaluation.
None
None
Not associated with rulemaking
  76 FR 77263 12/12/2011
77 FR 21586 04/10/2012
No
2
IC Title Form No. Form Name
COBRA Subsidy Study
Impact of the ARRA Subsidy on COBRA Take-up Pre-screener
  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 31,800 0 0 31,800 0 0
Annual Time Burden (Hours) 5,217 0 0 5,217 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This is a new information collection to support a program evaluation.
$3,499,443
Yes Part B of Supporting Statement
No
No
No
Yes
Uncollected
Michel Smyth 202 693-0638 [email protected]
  No
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:
 
 
 
 
 
 
 
    (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;
 
 
 
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.
04/10/2012