Agency Information Collection Activities: Submission for OMB Review; Comment Request, 57035-57037 [2010-23160]
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57035
Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Notices
formula grant program. The purpose of
this program is to educate adolescents
on both abstinence and contraception to
prevent pregnancy and sexually
transmitted infections (STIs); and at
least three adulthood preparation
subjects. The Personal Responsibility
Education grant program funding is
available for fiscal years 2010 through
2014.
An emergency request is being made
to solicit comments from the public on
paperwork reduction as it relates to
ACYF’s receipt of the following
documents from applicants and
awardees: Application for Mandatory
Formula Grant State Plan; Performance
Progress Report.
Respondents: 50 States and 9
Territories, to include, District of
Columbia, Puerto Rico, Virgin Islands,
Guam, American Samoa, Northern
Mariana Islands, the Federated States of
Micronesia, the Marshall Islands and
Palau
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
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Application, to include program narrative ........................................................
State Plan ........................................................................................................
Performance Progress Reports .......................................................................
Estimated Total Annual Burden
Hours: 8,496
In compliance with the requirements
of Section 506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the
Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
Copies of the proposed collection of
information can be obtained and
comments may be forwarded by writing
to the Administration for Children and
Families, Office of Administration,
Office of Information Services, 370
L’Enfant Promenade, SW., Washington,
DC 20447, Attn: ACF Reports Clearance
Officer. E-mail address:
infocollection@acf.hhs.gov. All requests
should be identified by the title of the
information collection.
The Department specifically requests
comments on: (a) Whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted
within 60 days of this publication.
Dated: September 14, 2010
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2010–23200 Filed 9–16–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10267, CMS–
10137, CMS–10237, CMS–R–240, CMS–
10316 and CMS–10305]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services.
In compliance with the requirement
of section 3506I(2)(A) of the Paperwork
Reduction Act of 1995, the Centers for
Medicare & Medicaid Services (CMS),
Department of Health and Human
Services, is publishing the following
summary of proposed collections for
public comment. Interested persons are
invited to send comments regarding this
burden estimate or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: QualityNet
Identity Management System (QIMS)
Account Form; Use: The QualityNet
Identity Management System (QIMS)
account registration form must be
completed by any new persons needing
access to Consolidated Renal Operations
in a Web Enabled Network
AGENCY:
PO 00000
Frm 00057
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Sfmt 4703
Number of
responses per
respondent
1
1
5
Average
burden hours
per response
24
40
16
Total burden
hours
1,416
2,360
4,720
(CROWNWeb.) The 8,561 existing
accounts owners will not have to
reregister for new user accounts. The
CROWNWeb user community is
composed of CMS employees, ESRD
Network Organization staff and dialysis
facilities staff. The CROWNWeb system
is the system used as the collection
point of data necessary for entitlement
of ESRD patients to Medicare benefits
and Federal Government monitoring
and assessing of quality and type of care
provided to renal patients. The data
collected in QIMS will provide the
necessary security measures for creating
and maintaining active CROWNWeb
user accounts and collection of audit
trail information required by the CMS
Information Security Officers (ISSO).
Form Number: CMS–10267 (OMB#:
0938–1050); Frequency: Occasionally;
Affected Public: Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 7,439; Total
Annual Responses: 7,439; Total Annual
Hours: 3,720. (For policy questions
regarding this collection contact
Michelle Tucker at 410–786–0376. For
all other issues call 410–786–1326.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Application for
Prescription Drug Plans (PDP);
Application for Medicare Advantage
Prescription Drug (MA–PD);
Application for Cost Plans to Offer
Qualified Prescription Drug Coverage;
Application for Employer Group Waiver
Plans to Offer Prescription Drug
Coverage; Service Area Expansion
Application for Prescription Drug
Coverage; Use: The Applications for Part
D sponsors to offer qualified
prescription drug coverage are
completed by entities seeking approval
to offer Part D benefits under the
Medicare Prescription Drug Benefit
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Federal Register / Vol. 75, No. 180 / Friday, September 17, 2010 / Notices
program established by section 101 of
the Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA) and is codified in section
1860D of the Social Security Act.
Effective January 1, 2006, the Part D
program established an optional
prescription drug benefit for individuals
who are entitled to Medicare Part A or
enrolled in Part B. In general, coverage
for the prescription drug benefit is
provided through PDPs that offer drugonly coverage, or through MA
organizations that offer integrated
prescription drug and health care
coverage (MA–PD plans). PDPs must
offer a basic drug benefit. Medicare
Advantage Coordinated Care Plans
(MA–CCPs) must offer either a basic
benefit or may offer broader coverage for
no additional cost. Medicare Advantage
Private Fee for Service Plans (MA–
PFFS) may choose to offer a Part D
benefit. Cost Plans that are regulated
under Section 1876 of the Social
Security Act, and Employer Group Plans
may also provide a Part D benefit. If any
of the contracting organizations meet
basic requirements, they may also offer
supplemental benefits through
enhanced alternative coverage for an
additional premium.
The information will be collected
under the solicitation of proposals from
PDP, MA–PD, Cost Plan, PACE, and
EGWP applicants. The collected
information will be used by CMS to: (1)
ensure that applicants meet CMS
requirements, (2) support the
determination of contract awards. Form
Number: CMS–10137 (OMB#: 0938–
0936); Frequency: Once; Affected
Public: Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 295; Total Annual
Responses: 295; Total Annual Hours:
3,576. (For policy questions regarding
this collection contact Linda Anders at
410–786–0459. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Part C Medicare
Advantage Application and 1876 Cost
Plan Expansion Application; Use: The
Balanced Budget Act of 1997 (BBA)
established a new ‘‘Part C’’ in the
Medicare statute (sections 1851 through
1859 of the Social Security Act (the Act)
which provided for a Medicare+Choice
(M+C) program. Under section
1851(a)(1) of the Act, every individual
entitled to Medicare Part A and enrolled
under Part B, except for most
individuals with end-stage renal disease
(ESRD), could elect to receive benefits
either through the Original Medicare
Program or an M+C plan, if one was
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offered where he or she lived. The
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA), established the Medicare
Prescription Drug Benefit Program (Part
D) and made revisions to the provisions
of Medicare Part C, governing what is
now called the Medicare Advantage
(MA) program (formerly
Medicare+Choice) Organizations
wishing to provide healthcare services
under MA and/or MA–PD plans must
complete an application, file a bid, and
receive final approval from CMS.
Existing MA plans may expand their
contracted area by completing the
Service Area Expansion (SAE)
application. Any current Cost Plan
Contractor that wants to expand its
Medicare cost-based contract with CMS
under Section 1876 of the Act, as
amended by the Tax Equity and Fiscal
Responsibility Act of 1982 (TEFRA) and
subsequent legislation can complete the
application. Form Number: CMS–10237
(OMB#: 0938–0935); Frequency: Yearly;
Affected Public: Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 870; Total
Annual Responses: 870; Total Annual
Hours: 15,696. (For policy questions
regarding this collection contact Letticia
Ramsey at 410–786–5262. For all other
issues call 410–786–1326.)
4. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Prospective
Payments for Hospital Outpatient
Service and Supporting Regulations is
42 CFR 413.65; Use: Section 1833(t) of
the Social Security Act (the Act)
requires the Secretary to establish a
prospective payment system (PPS) for
hospital outpatient services. Successful
implementation of an outpatient PPS
requires that CMS distinguish facilities
or organizations that function as
departments of hospitals from those that
are freestanding, so that CMS can
determine which services should be
paid under the outpatient prospective
payment system (OPPS), the clinical
laboratory fee schedule, or other
payment provisions applicable to
services furnished to hospital
outpatients.
CMS will use the information from
sections 413.65(b)(3) and (c) to
determine whether a facility or
organization acquired by a main
provider should be treated as providerbased for Medicare certification,
coverage, and payment purposes or
whether a main provider has had a
material change in its relationship to a
provider-based facility or organization
that affects the provider-based status of
the facility or organization. In addition,
PO 00000
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Fmt 4703
Sfmt 4703
section 1866(b)(2) of the Act authorizes
hospitals and other providers to impose
deductible and coinsurance charges for
facility services, but does not allow such
charges by facilities or organizations
which are not provider-based.
Implementation of this provision
requires that CMS have information
from the required reports, so it can
determine which facilities are providerbased. Form Number: CMS–R–240
(OMB#: 0938–0798); Frequency:
Occasionally; Affected Public: Business
or other for-profits and Not-for-profit
institutions; Number of Respondents:
905; Total Annual Responses: 500,405;
Total Annual Hours: 26,563 (For policy
questions regarding this collection
contact Daniel Schroder at 410–786–
7452. For all other issues call 410–786–
1326.)
5. Type of Information Collection
Request: New collection; Title of
Information Collection: Medicare
Prescription Drug Plan (PDP) and
Medicare Advantage Prescription Drug
Plan (MA–PD) Disenrollment Reasons
Survey; Use: The Medicare Prescription
Drug, Improvement, and Modernization
Act of 2003 (MMA) requires the
collection and reporting performance
data for Part D prescription drug plans.
Specifically, the MMA under section
1860D–4 (Beneficiary Protections for
Qualified Prescription Drug Coverage)
requires CMS to conduct consumer
satisfaction surveys regarding PDPs and
MA–PDs. CMS will use the survey to
obtain information regarding
beneficiaries’ reasons for disenrolling
from their chosen Part D plan, and their
expectations relative to provided
benefits and services. Determining the
reasons for disenrollment from Part D
plans will provide important
information regarding potential
dissatisfaction with some aspect of the
plan, such as access, service, cost,
quality of care, or the benefits provided.
This information can be used by CMS to
improve the design and functioning of
the Part D program. Form Number:
CMS–10316 (OMB#: 0938–New);
Frequency: Yearly; Affected Public:
Individuals and households; Number of
Respondents: 120,000; Total Annual
Responses: 120,000; Total Annual
Hours: 34,800. (For policy questions
regarding this collection contact Phyllis
Nagy at 410–786–6646. For all other
issues call 410–786–1326.)
6. Type of Information Collection
Request: New collection; Title of
Information Collection: Medicare Part C
and Part D Data Validation (42 CFR
422.516g and 423.514g); Use:
Organizations contracted to offer
Medicare Part C and Part D benefits are
required to report data to the Centers for
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Medicare & Medicaid Services on a
variety of measures. In order for the data
to be useful for monitoring and
performance measurement, the data
must be reliable, valid, complete, and
comparable among sponsoring
organizations. To meet this goal, CMS is
developing reporting standards and data
validation specifications with respect to
the Part C and Part D reporting
requirements. These standards will
provide a review process for Medicare
Advantage Organizations (MAOs), Cost
Plans, and Part D sponsors to use to
conduct data validation checks on their
reported Part C and Part D data. Form
Number: CMS–10305 (OMB#: 0938–
NEW); Frequency: Yearly; Affected
Public: Business or other for-profit;
Number of Respondents: 634; Total
Annual Responses: 634; Total Annual
Hours: 237,127. (For policy questions
regarding this collection contact Terry
Lied at 410–786–8973. For all other
issues call 410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web Site
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on October 18, 2010. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
OIRA_submission@omb.eop.gov.
Dated: September 13, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–23160 Filed 9–16–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources
and Services Administration (HRSA)
publishes abstracts of information
collection requests under review by the
Office of Management and Budget
(OMB), in compliance with the
Paperwork Reduction Act of 1995 (44
U.S.C. Chapter 35). To request a copy of
the clearance requests submitted to
OMB for review, e-mail
paperwork@hrsa.gov or call the HRSA
Reports Clearance Office on (301) 443–
1129.
The following request has been
submitted to the Office of Management
and Budget for review under the
Paperwork Reduction Act of 1995:
Proposed Project: Black Lung Clinics
Program Database (OMB No. 0915–
0292)—Revision
The Office of Rural Health Policy
(ORHP), Health Resources and Services
Administration, conducts an annual
data collection of user information for
the Black Lung Program. This has been
ongoing with OMB approval since 2004.
The purpose of the Black Lung Clinic
Program is to improve the health status
of coal workers by providing services to
minimize the effects of respiratory and
pulmonary impairments of coal miners,
treatment procedures required in the
management of problems associated
with black lung disease which improves
the quality of life or the miner and
reduces economic costs associated with
morbidity and mortality arising from
pulmonary diseases. The purpose of
collecting this data is to provide HRSA
with information on how well each
grantee is meeting the needs of active
and retired miners in the funded
communities.
Data from the annual report will
provide quantitative information about
the programs, specifically: (a) The
characteristics of the patients they serve
(gender, age, disability level, occupation
type); (b) the characteristics of services
provided (medical encounters, nonmedical encounters, benefits
counseling, or outreach); and (c) the
number of patients served. The annual
report will be updated to include a
qualitative measure on the percent of
patients that show improvement in
pulmonary function. This assessment
will provide data useful to the program
and will enable HRSA to provide data
required by Congress under the
Government Performance and Results
Act of 1993. It will also ensure that
funds are being effectively used to
provide services to meet the needs of
the target population.
There has been a modification to a
long term Black Lung performance
measures. The new measure will be the
evaluation of the quality of spirometry
performed by the clinic. The evaluation
of coal miners for the presence of
disabling pneumoconiosis depends on
well performed, valid and accurate lung
function testing. There is no additional
burden on the grantee to collect this
information since the grantees are
currently collecting this data.
The annual estimate of burden is as
follows:
Number of
respondents
Responses
per
respondent
Total
responses
Hours per
response
Total burden
hours
Database ..............................................................................
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15
1
1
10
150
Written comments and
recommendations concerning the
proposed information collection should
be sent within 30 days of this notice to
the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov
or by fax to 202–395–6974. Please direct
all correspondence to the ‘‘attention of
the desk officer for HRSA.’’
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Dated: September 13, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2010–23260 Filed 9–16–10; 8:45 am]
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PO 00000
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: New Runaway and Homeless
Youth Management Information System
(NEORHYMIS)
OMB No.: 0970–0123.
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]]>Agencies
[Federal Register Volume 75, Number 180 (Friday, September 17, 2010)]
[Notices]
[Pages 57035-57037]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-23160]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10267, CMS-10137, CMS-10237, CMS-R-240, CMS-
10316 and CMS-10305]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
In compliance with the requirement of section 3506I(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: QualityNet
Identity Management System (QIMS) Account Form; Use: The QualityNet
Identity Management System (QIMS) account registration form must be
completed by any new persons needing access to Consolidated Renal
Operations in a Web Enabled Network (CROWNWeb.) The 8,561 existing
accounts owners will not have to reregister for new user accounts. The
CROWNWeb user community is composed of CMS employees, ESRD Network
Organization staff and dialysis facilities staff. The CROWNWeb system
is the system used as the collection point of data necessary for
entitlement of ESRD patients to Medicare benefits and Federal
Government monitoring and assessing of quality and type of care
provided to renal patients. The data collected in QIMS will provide the
necessary security measures for creating and maintaining active
CROWNWeb user accounts and collection of audit trail information
required by the CMS Information Security Officers (ISSO). Form Number:
CMS-10267 (OMB: 0938-1050); Frequency: Occasionally; Affected
Public: Business or other for-profits and Not-for-profit institutions;
Number of Respondents: 7,439; Total Annual Responses: 7,439; Total
Annual Hours: 3,720. (For policy questions regarding this collection
contact Michelle Tucker at 410-786-0376. For all other issues call 410-
786-1326.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Application for
Prescription Drug Plans (PDP); Application for Medicare Advantage
Prescription Drug (MA-PD); Application for Cost Plans to Offer
Qualified Prescription Drug Coverage; Application for Employer Group
Waiver Plans to Offer Prescription Drug Coverage; Service Area
Expansion Application for Prescription Drug Coverage; Use: The
Applications for Part D sponsors to offer qualified prescription drug
coverage are completed by entities seeking approval to offer Part D
benefits under the Medicare Prescription Drug Benefit
[[Page 57036]]
program established by section 101 of the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA) and is codified in
section 1860D of the Social Security Act.
Effective January 1, 2006, the Part D program established an
optional prescription drug benefit for individuals who are entitled to
Medicare Part A or enrolled in Part B. In general, coverage for the
prescription drug benefit is provided through PDPs that offer drug-only
coverage, or through MA organizations that offer integrated
prescription drug and health care coverage (MA-PD plans). PDPs must
offer a basic drug benefit. Medicare Advantage Coordinated Care Plans
(MA-CCPs) must offer either a basic benefit or may offer broader
coverage for no additional cost. Medicare Advantage Private Fee for
Service Plans (MA-PFFS) may choose to offer a Part D benefit. Cost
Plans that are regulated under Section 1876 of the Social Security Act,
and Employer Group Plans may also provide a Part D benefit. If any of
the contracting organizations meet basic requirements, they may also
offer supplemental benefits through enhanced alternative coverage for
an additional premium.
The information will be collected under the solicitation of
proposals from PDP, MA-PD, Cost Plan, PACE, and EGWP applicants. The
collected information will be used by CMS to: (1) ensure that
applicants meet CMS requirements, (2) support the determination of
contract awards. Form Number: CMS-10137 (OMB: 0938-0936);
Frequency: Once; Affected Public: Business or other for-profits and
Not-for-profit institutions; Number of Respondents: 295; Total Annual
Responses: 295; Total Annual Hours: 3,576. (For policy questions
regarding this collection contact Linda Anders at 410-786-0459. For all
other issues call 410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Part C Medicare
Advantage Application and 1876 Cost Plan Expansion Application; Use:
The Balanced Budget Act of 1997 (BBA) established a new ``Part C'' in
the Medicare statute (sections 1851 through 1859 of the Social Security
Act (the Act) which provided for a Medicare+Choice (M+C) program. Under
section 1851(a)(1) of the Act, every individual entitled to Medicare
Part A and enrolled under Part B, except for most individuals with end-
stage renal disease (ESRD), could elect to receive benefits either
through the Original Medicare Program or an M+C plan, if one was
offered where he or she lived. The Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA), established the
Medicare Prescription Drug Benefit Program (Part D) and made revisions
to the provisions of Medicare Part C, governing what is now called the
Medicare Advantage (MA) program (formerly Medicare+Choice)
Organizations wishing to provide healthcare services under MA and/or
MA-PD plans must complete an application, file a bid, and receive final
approval from CMS. Existing MA plans may expand their contracted area
by completing the Service Area Expansion (SAE) application. Any current
Cost Plan Contractor that wants to expand its Medicare cost-based
contract with CMS under Section 1876 of the Act, as amended by the Tax
Equity and Fiscal Responsibility Act of 1982 (TEFRA) and subsequent
legislation can complete the application. Form Number: CMS-10237
(OMB: 0938-0935); Frequency: Yearly; Affected Public: Business
or other for-profits and Not-for-profit institutions; Number of
Respondents: 870; Total Annual Responses: 870; Total Annual Hours:
15,696. (For policy questions regarding this collection contact
Letticia Ramsey at 410-786-5262. For all other issues call 410-786-
1326.)
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Prospective
Payments for Hospital Outpatient Service and Supporting Regulations is
42 CFR 413.65; Use: Section 1833(t) of the Social Security Act (the
Act) requires the Secretary to establish a prospective payment system
(PPS) for hospital outpatient services. Successful implementation of an
outpatient PPS requires that CMS distinguish facilities or
organizations that function as departments of hospitals from those that
are freestanding, so that CMS can determine which services should be
paid under the outpatient prospective payment system (OPPS), the
clinical laboratory fee schedule, or other payment provisions
applicable to services furnished to hospital outpatients.
CMS will use the information from sections 413.65(b)(3) and (c) to
determine whether a facility or organization acquired by a main
provider should be treated as provider-based for Medicare
certification, coverage, and payment purposes or whether a main
provider has had a material change in its relationship to a provider-
based facility or organization that affects the provider-based status
of the facility or organization. In addition, section 1866(b)(2) of the
Act authorizes hospitals and other providers to impose deductible and
coinsurance charges for facility services, but does not allow such
charges by facilities or organizations which are not provider-based.
Implementation of this provision requires that CMS have information
from the required reports, so it can determine which facilities are
provider-based. Form Number: CMS-R-240 (OMB: 0938-0798);
Frequency: Occasionally; Affected Public: Business or other for-profits
and Not-for-profit institutions; Number of Respondents: 905; Total
Annual Responses: 500,405; Total Annual Hours: 26,563 (For policy
questions regarding this collection contact Daniel Schroder at 410-786-
7452. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Prescription Drug Plan (PDP) and
Medicare Advantage Prescription Drug Plan (MA-PD) Disenrollment Reasons
Survey; Use: The Medicare Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA) requires the collection and reporting
performance data for Part D prescription drug plans. Specifically, the
MMA under section 1860D-4 (Beneficiary Protections for Qualified
Prescription Drug Coverage) requires CMS to conduct consumer
satisfaction surveys regarding PDPs and MA-PDs. CMS will use the survey
to obtain information regarding beneficiaries' reasons for disenrolling
from their chosen Part D plan, and their expectations relative to
provided benefits and services. Determining the reasons for
disenrollment from Part D plans will provide important information
regarding potential dissatisfaction with some aspect of the plan, such
as access, service, cost, quality of care, or the benefits provided.
This information can be used by CMS to improve the design and
functioning of the Part D program. Form Number: CMS-10316
(OMB: 0938-New); Frequency: Yearly; Affected Public:
Individuals and households; Number of Respondents: 120,000; Total
Annual Responses: 120,000; Total Annual Hours: 34,800. (For policy
questions regarding this collection contact Phyllis Nagy at 410-786-
6646. For all other issues call 410-786-1326.)
6. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Part C and Part D Data Validation (42
CFR 422.516g and 423.514g); Use: Organizations contracted to offer
Medicare Part C and Part D benefits are required to report data to the
Centers for
[[Page 57037]]
Medicare & Medicaid Services on a variety of measures. In order for the
data to be useful for monitoring and performance measurement, the data
must be reliable, valid, complete, and comparable among sponsoring
organizations. To meet this goal, CMS is developing reporting standards
and data validation specifications with respect to the Part C and Part
D reporting requirements. These standards will provide a review process
for Medicare Advantage Organizations (MAOs), Cost Plans, and Part D
sponsors to use to conduct data validation checks on their reported
Part C and Part D data. Form Number: CMS-10305 (OMB: 0938-
NEW); Frequency: Yearly; Affected Public: Business or other for-profit;
Number of Respondents: 634; Total Annual Responses: 634; Total Annual
Hours: 237,127. (For policy questions regarding this collection contact
Terry Lied at 410-786-8973. For all other issues call 410-786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
Site address at https://www.cms.hhs.gov/PaperworkReductionActof1995, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786-1326.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on October 18, 2010.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.
Dated: September 13, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-23160 Filed 9-16-10; 8:45 am]
BILLING CODE 4120-01-P
