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Federal Register / Vol. 86, No. 177 / Thursday, September 16, 2021 / Proposed Rules TABLE 7PROPOSED ANNUAL RECORDKEEPING AND REPORTING REQUIREMENTS
Regulation section
45 CFR 148.410c2i Issuers
45 CFR 148.410c2i Agents and Brokers
45 CFR 148.410c2ii, 148.410c3
45 CFR 148.410d
45 CFR 149.230
45 CFR 149.460
Total

OMB control No.

Respondents
Burden per response hours
Total annual burden hours
Hourly labor cost of reporting
Total labor cost of reporting
Printing and materials cost
Total cost
0938NEW

1,324

1,110,820

2

2,648

$143.18

$379,141

$333,246

$712,387

0938NEW

55,541

55,541

0.5

27,771

66.44

1,845,072

0

1,845,072

0938NEW
0938NEW
0938NEW
0938NEW

1,324
1,324
326
75

4,440,971
1,324
326
75

0.06
50
24
146.67

244,253
66,200
7,819
11,000

2
85.53
100
101

9,491,687
5,662,218
783,362
1,114,612

856,268
0 0
0

10,347,956
5,662,218
783,362
1,114,612

59,914

5,609,057

359,691

19,276,093

1,189,514

20,465,607

H. Submission of PRA-Related Comments HHS has submitted a copy of these proposed rules to OMB for its review of the rules information collection and recordkeeping requirements. These requirements are not effective until they have been approved by the OMB.
To obtain copies of the supporting statement and any related forms for the proposed collections, please visit CMSs website at www.cms.hhs.gov/
PaperworkReductionActof1995, or call the Reports Clearance Office at 410
7861326.
HHS invites public comments on these potential information collection requirements. If you wish to comment, please submit your comments electronically as specified in the ADDRESSES section of these proposed rules and identify the rule CMS9907
P, the ICRs CFR citation, CMS ID
number, and OMB control number.
ICR-related comments are due November 15, 2021.
VI. Collection of Information RequirementsThe Department of Labor, the Department of the Treasury, and OPM
As part of the continuing effort to reduce paperwork and respondent burden, the Departments conduct a preclearance consultation program to provide the general public and Federal agencies with an opportunity to comment on proposed and continuing collections of information in accordance with the PRA. This program helps to ensure that the public understands the Departments collection instructions, respondents can provide the requested data in the desired format, reporting burden time and financial resources is minimized, collection instruments are clearly understood, and the Departments can properly assess the impact of collection requirements on respondents.
Under the PRA, an agency may not conduct or sponsor, and an individual
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is not required to respond to, a collection of information unless it displays a valid OMB control number.
The information collections are summarized as follows:
A. ICRs Regarding Air Ambulance Reporting Requirements for Group Health Plans, Health Insurance Issuers, and FEHB Carriers 5 CFR 890.114e, 26 CFR 54.98231, 29 CFR 2590.723
As discussed in section V.D. of the Collection of Information Requirements for HHS, the total annual burden for all issuers, FEHB carriers, and TPAs and any self-insured plans that choose not to use a TPA or third-party entity to make the appropriate IT and system changes would be approximately 34,752 hours, at a total cost of approximately $3,563,933 to be incurred in 2022.
Issuers, FEHB carriers, and TPAs would also incur an annual burden, in 2023
and 2024, of 8,688 hours and a total cost of approximately $829,241 to submit the data to HHS. As HHS, DOL, the Department of the Treasury, and OPM
share jurisdiction, HHS will account for 45 percent of the burden, DOL and the Department of the Treasury will each share 25 percent of the burden, and OPM will share five 5 percent of the burden. DOL and the Department of the Treasury will share approximately 8,688
hours in 2022 with an equivalent cost of $890,983 and an annual burden of approximately 2,172 hours in 2023 and 2024, with an equivalent cost of $207,310. OPM will share approximately 1,738 hours in 2022 with an equivalent cost of $1,738 and an annual burden of approximately 434
hours in 2023 and 2024, with an equivalent cost of $41,462.
Summary of Burden Type of Review: New Collection.
Agency: DOLEBSA, Treasury-IRS, OPMFEHB.
Title: Air Ambulance Reporting Requirements for Group Health Plans,
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Health Insurance Issuers, and FEHB
Carriers.
OMB Numbers: DOL1210NEW, Treasury1545NEW.
Affected Public: Businesses or other for-profits, Not-for-profit institutions.
Total Respondents: 181.
Total Responses: 181.
Frequency of Response: Annually.
Estimated Total Annual Burden Hours: 9,557 DOL4,344, Treasury 4,344, OPM869.
Estimated Total Annual Burden Cost:
$957,423 DOL$870,402, Treasury $870,402, OPM$87,040.
VII. Response to Comments Because of the large number of public comments the Departments normally receive on Federal Register documents, the Departments are not able to acknowledge or respond to them individually. The Departments will consider all comments received by the date and time specified in the DATES
section of the preamble, and, when the Departments proceed with a subsequent document, the Departments will respond to the comments in the preamble to that document.
VIII. Regulatory Impact Analysis A. Statement of Need The proposed reporting requirements in these proposed rules would increase transparency and better understanding regarding agent and broker compensation and the air ambulance industry.
Title II of Division BB of the CAA
includes provisions related to increased transparency. The proposed requirements in 45 CFR 148.410 of these proposed rules are related to the agent and broker compensation disclosure and data reporting requirements as set forth in section 202c of Title II of Division BB of the CAA. The proposed disclosure requirements would inform consumers of agent and broker compensation prior to enrolling in individual health insurance coverage or short-term,
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