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Federal forms, ICRs, and supporting documents

Information Collection Request

Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572)

ICR 201605-0938-001 · OMB 0938-1310 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
Form CMS-10572 QHP Issuer Data Collection and Display Form New Available
CMS-10572 - Transparency 30_day comment chart 61616.docx Supplementary Document Uploaded 2016-06-16 Available
CMS-10572 - Transparency - Comment and Response.pdf Supplementary Document Uploaded 2016-05-02 Available
CMS-10572 - Supporting Statement 30-day.pdf Supporting Statement A Uploaded 2016-05-02 Available
IC Document Collections
IC IDCollectionTypeStatusForm
221316 QHP Issuer Data Collection and Display Form New
ICR Details
0938-1310 201605-0938-001
Historical Active
HHS/CMS
Information Collection for Transparency in Coverage Reporting by Qualified Health Plan Issuers (CMS-10572)
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 06/16/2016
Retrieve Notice of Action (NOA) 05/02/2016
  Inventory as of this Action Requested Previously Approved
06/30/2019 36 Months From Approved
475 0 0
72 0 0
0 0 0
Section 156.220 of Title 45 of the Code of Federal Regulations establishes new standards for qualified health plan (QHP) issuers to submit specific information related to transparency in coverage. QHPs are required to post and make are established for the submission of specific information data related to transparency in coverage available to the public in plain language and submit this data to the Department of Health and Human Services (HHS), the Exchange, and the State insurance commissioner and for posting this information to make it available to the public in plain language. Section 2715A of the Public Health Service Act as added by the ACA largely extends the transparency provisions set forth in section 1311(e)(3) to non-grandfathered group health plans and health insurance issuers offering group and individual health insurance coverage.
PL: Pub.L. 111 - 148 1311 Name of Law: Patient Protection and Affordable Care Act (Affordable Care Act)
  
PL: Pub.L. 111 - 148 1311 Name of Law: ACA
Not associated with rulemaking
  80 FR 10829 02/27/2015
81 FR 25673 04/29/2016
No
1
IC Title Form No. Form Name
QHP Issuer Data Collection and Display CMS-10572 QHP Issuer Data Collection and Display
  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 475 0 475 0 0 0
Annual Time Burden (Hours) 72 0 72 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
This is a new request for information.
$0
No
No
Yes
No
No
Uncollected
Jamaa Hill 301 492-4190
  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.
05/02/2016