[Federal Register Volume 90, Number 124 (Tuesday, July 1, 2025)]
[Notices]
[Pages 28753-28754]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-12281]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10433]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (PRA), federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of information 
(including each proposed extension or reinstatement of an existing 
collection of information) and to allow 60 days for public comment on 
the proposed action. Interested persons are invited to send comments 
regarding our burden estimates or any other aspect of this collection 
of information, including the necessity and utility of the proposed 
information collection for the proper performance of the agency's 
functions, the accuracy of the estimated burden, ways to enhance the 
quality, utility, and clarity of the information to be collected, and 
the use of automated collection techniques or other forms of 
information technology to minimize the information collection burden.

DATES: Comments must be received by September 2, 2025.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number: __, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION:

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10433--Initial Plan Data Collection to Support QHP Certification 
and other Financial Management and Exchange Operations

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collections

    1. Type of Information Collection: Revision of a currently approved 
collection; Title of Information Collection Request: Initial Plan Data 
Collection to Support QHP Certification and other Financial Management 
and Exchange Operations; Use: As directed by the rule Establishment of 
Exchanges and Qualified Health Plans; Exchange Standards for Employers 
(77 FR 18310) (Exchange rule), each Exchange is responsible for the 
certification and offering of Qualified Health Plans (QHPs). To offer 
insurance through an certification standards, such as network adequacy, 
inclusion of Essential Community Providers (ECPs), and non-

[[Page 28754]]

discrimination. The Exchange is responsible for ensuring that QHPs meet 
these minimum certification standards as described in the Exchange rule 
under 45 CFR 155 and 156, based on the Patient Protection and 
Affordable Care Act (PPACA), as well as other standards determined by 
the Exchange. Issuers can offer individual and small group market plans 
outside of the Exchanges that are not QHPs.
    Issuers can offer individual and small group market plans outside 
of the Exchanges that are not QHPs. Such plans are referred to in this 
document as ``non-Exchange.'' For the risk adjustment program, 
administrative information is used to identify all non-grandfathered 
small group and individual market non-Exchange plan offerings eligible 
for the program. Risk adjustment also requires select data such as 
rating area, rating factors, and actuarial value (AV) level, to perform 
calculation of payments and charges.
    This information collection request serves as a formal request for 
the revision of the data collection clearance. We intend to use the 
instruments in this information collection for the 2025 certification 
process and beyond, and believe that providing these instruments now 
will give issuers and other stakeholders more opportunity to 
familiarize themselves with the instruments before releasing the 2025 
application. While we intend to use these instruments in 2025, we may 
propose further revisions to this data collection in the future as 
necessary which will include seeking comments through the full 60-day 
and 30-day public comment periods. Form Number: CMS-10433 (OMB control 
number: 0938-1187); Frequency: Annually; Affected Public: Private 
Sector--Business or other for-profits; State, Local, or Tribal 
Governments; Number of Respondents: 1,073; Number of Responses: 1,073; 
Total Annual Hours: 61,154. (For questions regarding this collection, 
contact Alexandra Gribbin at (667) 290-9977).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-12281 Filed 6-30-25; 8:45 am]
BILLING CODE 4120-01-P