Agency Information Collection Activities: Proposed Collection; Comment Request, 56678-56680 [2022-20007]
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Federal Register / Vol. 87, No. 178 / Thursday, September 15, 2022 / Notices
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consumers or households, 5,500; State
and local government agencies, 200.
Estimated average hours per response:
Private sector, 1.5; Individual
consumers or households, 1.5; State and
local government agencies, 1.5.
Estimated annual burden hours:
Private sector, 12,900; Individual
consumers or households, 16,500; State
and local government agencies. 600.
General description of collection: The
FR 3067 is a series of surveys used to
conduct research related to the Federal
Reserve System’s role in the payments
system, including supervisory,
regulatory, fiscal, or operational
responsibilities. The survey topics are
time-sensitive and the questions of
interest vary with the focus of the
survey. Because the relevant questions
may change with each survey, there is
no fixed reporting form. For each
survey, the Board prepares questions of
specific topical interest and then
determines the relevant target group to
contact.
Legal authorization and
confidentiality: The Board uses the
information obtained through the FR
3067 to discharge its statutory
responsibilities, including those under
the following statutes:
• Section 609 of the Expedited Funds
Availability Act; 1
• Title VIII of the Dodd-Frank Wall
Street Reform and Consumer Protection
Act; 2
• Sections 904 and 920 of the
Electronic Fund Transfer Act; 3
• Section 7 of the Bank Service
Company Act; 4
• Section 15 of the Check Clearing for
the 21st Century Act; 5 and
1 12 U.S.C. 4008(c) (authorizing the Board to
prescribe such regulations as it may determine
appropriate to carry out its responsibility to regulate
the payment system).
2 12 U.S.C. 5461(b) (authorizing the Board to
promote uniform standards for the management of
risks by systemically important financial market
utilities and conduct of systemically important
payment, clearing, and settlement activities by
financial institutions, as well as providing an
enhanced role in the supervision of risk
management standards for systemically important
financial market utilities and systemically
important payment, clearing, and settlement
activities by financial institutions).
3 15 U.S.C. 1693b, 1693o–2 (authorizing the Board
to prescribe regulations relating to interchange fees
for electronic debit transactions and require any
debit card issuer or payment card network to
provide the Board with such information as may be
necessary to carry out its responsibility to regulate
interchange fees for electronic debit transactions).
4 12 U.S.C. 1867 (authorizing the Board to issue
such regulations and orders as may be necessary to
administer and carry out the purposes of the Bank
Services Company Act and prevent evasions
thereof).
5 12 U.S.C. 5014 (authorizing the Board to
prescribe such regulations as it determines
necessary to implement, prevent circumvention or
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• Sections 2A, 11, 11A, 13, and 16 of
the Federal Reserve Act.6
The FR 3067 surveys are voluntary.
Individual respondents may request
confidential treatment in accordance
with the Board’s Rules Regarding
Availability of Information.7 Requests
for confidential treatment of information
are reviewed on a case-by-case basis. To
the extent information provided on the
FR 3067 is nonpublic commercial or
financial information, which is both
customarily and actually treated as
private by the respondent, the
information may be protected from
disclosure pursuant to exemption 4 of
the Freedom of Information Act.8
Board of Governors of the Federal Reserve
System, September 12, 2022.
Margaret Shanks,
Deputy Secretary of the Board.
[FR Doc. 2022–19999 Filed 9–14–22; 8:45 am]
BILLING CODE 6210–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–379, CMS–
10344, CMS–10594, CMS–10415 and CMS–
1957]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
AGENCY:
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 (the
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
SUMMARY:
evasion of, or facilitate compliance with the
Expedited Funds Availability Act, as amended).
6 12 U.S.C. 225a, 248, 248a, 342, 360, and 248–
1 (inter alia, requiring the Board to maintain long
run growth of the monetary and credit aggregates
commensurate with the economy’s long run
potential to increase production, so as to promote
effectively the goals of maximum employment,
stable prices, and moderate long-term interest
rates).
7 12 CFR 261.17.
8 5 U.S.C. 552(b)(4).
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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
November 14, 2022.
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 https://
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, you 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/PRAListing.
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–379 Financial Statement of
Debtor
CMS–10344 Elimination of CostSharing for full benefit dual-eligible
Individuals Receiving Home and
Community-Based Services
CMS–10594 Provider Network
Coverage Data Collection
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CMS–10415 Generic Clearance for the
Collection of Qualitative Feedback on
Agency Service Delivery
CMS–1957 Social Security Office
(SSO) Report of State Buy-In Problem
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.
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Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Financial
Statement of Debtor; Use: CMS is
authorized to collect the information
requested on this form by sections
1124(a)(1), 1124A(a)(3), 1128, 1814,
1815, 1833(e), and 1842(r) of the Social
Security Act [42 U.S.C. 1320a–3(a)(1),
1320a–7, 1395f, 1395g, 1395(l)(e), and
1395u(r)] and section 31001(1) of the
Debt Collection Improvement Act [31
U.S.C. 7701(c)]. Section 1893(f) (1)) of
the Social Security Act and 42 CFR
401.607 provides the authority for
collection of this information. Section
42 CFR 405.607 requires that, CMS
recover amounts of claims due from
debtors including interest where
appropriate by direct collections in
lump sums or in installments. The
physician/supplier may be unable to
refund a large overpaid amount in a
single payment. The MAC cannot
recover the overpayment by recoupment
if the physician/supplier does not
accept assignment of future claims, or is
not expected to file future claims
because of going out of business, illness
or death. In these unusual
circumstances, the MAC has authority
to approve or deny extended repayment
schedules up to 12 months, or may
recommend to the Centers for Medicare
and Medicaid Services (CMS) to
approve up to 60 months. Before the
MAC takes these actions, the MAC will
require full documentation of the
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physician’s/supplier’s financial
situation. Thus, the physician/supplier
must complete the CMS–379, Financial
Statement of Debtor. Form Number:
CMS–379 (OMB control number 0938–
0270); Frequency: Annually; Affected
Public: Private Sector (business or other
for-profits, not-for-profit institutions);
Number of Respondents: 500; Number
of Responses: 500; Total Annual Hours:
1,000. (For policy questions regarding
this collection contact Monica Thomas
at 410–786–4292).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Elimination of
Cost-Sharing for full benefit dualeligible Individuals Receiving Home
and Community-Based Services; Use:
Section 1860 D–14 of the Social
Security Act sets forth requirements for
premium and cost-sharing subsidies for
low-income beneficiaries enrolled in
Medicare Part D. Based on this statute,
42 CFR 423.771, provides guidance
concerning limitations for payments
made by and on behalf of low-income
Medicare beneficiaries who enroll in
Part D plans. 42 CFR 423.771 (b)
establishes requirements for
determining a beneficiary’s eligibility
for full subsidy under the Part D
program. Regulations set forth in
423.780 and 423.782 outline premium
and cost sharing subsidies to which full
subsidy eligible are entitled under the
Part D program.
Each month CMS deems individuals
automatically eligible for the full
subsidy, based on data from State
Medicaid Agencies and the Social
Security Administration (SSA). The
SSA sends a monthly file of
Supplementary Security Income-eligible
beneficiaries to CMS. Similarly, the
State Medicaid agencies submit
Medicare Modernization Act files to
CMS that identify full subsidy
beneficiaries. CMS deems the
beneficiaries as having full subsidy and
auto-assigns these beneficiaries to bench
mark Part D plans. Part D plans receive
premium amounts based on the monthly
assessments. Form Number: CMS–10344
(OMB control number 0938–1127);
Frequency: Monthly; Affected Public:
Private Sector (business or other forprofits, not-for-profit institutions);
Number of Respondents: 51; Number of
Responses: 612; Total Annual Hours:
621. (For policy questions regarding this
collection contact Roland Herrera at
410–786–0668).
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Provider
Network Coverage Data Collection; Use:
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56679
The Patient Protection and Affordable
Care Act (Pub. L. 111–148) was signed
into law on March 23, 2010. On March
30, 2010, the Health Care and Education
Reconciliation Act of 2010 (Pub. L. 111–
152) was signed into law. The two laws
are collectively referred to as the
Affordable Care Act (ACA). The ACA
established competitive private health
insurance markets called Marketplaces,
or Exchanges, which gave millions of
Americans and small businesses access
to affordable, quality insurance options
that meet certain requirements. These
requirements include ensuring
sufficient choice of providers and
providing information to enrollees and
prospective enrollees on the availability
of in-network and out-of-network
providers.
In the final rule, the Patient Protection
and Affordable Care Act; HHS Notice of
Benefit and Payment Parameters for
2017 (CMS–9937–P), we finalized
network adequacy standards for
qualified health plan (QHP) issuers,
including stand-alone dental plans
(SADPs) mostly focused on issuers in
QHPs in the Federally-facilitated
Exchanges (FFEs). This information
collection notice is for two of the
standards from the rule: one applying in
the FFE and one applying to all QHPs.
Specifically, under 45 CFR 156.230(d)
and 156.230(e), we require notification
requirements for enrollees in cases
where a provider leaves the network
and for cases where an enrollee might
be seen by an out of network ancillary
provider in an in-network setting. These
standards will help inform consumers
about his or her health plan coverage to
better make cost effective choices. The
Centers for Medicare and Medicaid
Services (CMS) is updating an
information collection request (ICR) in
connection with these standards. The
burden estimates for this ICR included
in this package reflects the additional
time and effort for QHP issuers to
provide these notifications to enrollees.
Form Number: CMS–10594 (OMB
control number 0938–1302); Frequency:
Annually; Affected Public: Private
Sector (business or other for-profits, notfor-profit institutions); Number of
Respondents: 374; Number of
Responses: 374; Total Annual Hours:
551,276. (For policy questions regarding
this collection contact Nicole Levesque
at nicole.levesque@cms.hhs.gov).
4. Type of Information Collection
Request: Revision of a currently
approved colleciton; Title of
Information Collection: Generic
Clearance for the Collection of
Qualitative Feedback on Agency Service
Delivery; Use: This collection of
information is necessary to enable the
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Federal Register / Vol. 87, No. 178 / Thursday, September 15, 2022 / Notices
Agency to garner customer and
stakeholder feedback in an efficient,
timely manner, in accordance with our
commitment to improving service
delivery. The information collected
from our customers and stakeholders
will help ensure that users have an
effective, efficient, and satisfying
experience with the Agency’s programs.
This feedback will provide insights into
customer or stakeholder perceptions,
experiences and expectations, provide
an early warning of issues with service,
or focus attention on areas where
communication, training or changes in
operations might improve delivery of
products or services. These collections
will allow for ongoing, collaborative and
actionable communications between the
Agency and its customers and
stakeholders. It will also allow feedback
to contribute directly to the
improvement of program management.
Collecting voluntary customer feedback
is the least burdensome, most effective
way for the Agency to determine
whether or not its public websites are
useful to and used by its customers.
Generic clearance is needed to ensure
that the Agency can continuously
improve its websites through regular
surveys developed from these predefined questions. Surveying the
Agency websites on a regular, ongoing
basis will help ensure that users have an
effective, efficient, and satisfying
experience on any of the websites,
maximizing the impact of the
information and resulting in optimum
benefit for the public. The surveys will
ensure that this communication channel
meets customer and partner priorities,
builds the Agency’s brands, and
contributes to the Agency’s health and
human services impact goals. Form
Number: CMS–10415 (OMB control
number 0938–1185); Frequency:
Occasionally; Affected Public:
Individuals and Households; Number of
Respondents: 2,000,000; Number of
Responses: 2,000,000; Total Annual
Hours: 50,000. (For policy questions
regarding this collection contact Aaron
Lartey at 410–786–7866.)
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Social Security
Office (SSO) Report of State Buy-In
Problem; Use: The statutory authority
for the State Buy-in program is Section
1843 of the Social Security Act,
amended through 1989. Under section
1843, a State can enter into an
agreement to provide Medicare
protection to individuals who are
members of a Buyin coverage group, as
specified in the State’s Buy-in
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agreement. The Code of Federal
Regulations at 42 CFR 407.40 provides
for States to enroll in Medicare and pay
the premiums for all eligible members
covered under a Buyin coverage group.
Individuals enrolled in Medicare
through the Buy-in program must be
eligible for Medicare and be an eligible
member of a Buy-in coverage group. The
day to day operations of the State Buyin program is accomplished through an
automated data exchange process. The
automated data exchange process is
used to exchange Medicare and Buy-in
entitlement information between the
Social Security District Offices, State
Medicaid Agencies and the Centers for
Medicare & Medicaid Services (CMS).
When problems arise that cannot be
resolved though the normal data
exchange process, clerical actions are
required. The CMS–1957, ‘‘SSO Report
of State Buy-In Problem’’ is used to
report Buy-in problems cases. The
CMS–1957 is the only standardized
form available for communications
between the aforementioned agencies
for the resolution of beneficiary
complaints and inquiries regarding State
Buy-in eligibility. Form Number: CMS–
1957 (OMB control number 0938–0035);
Frequency: Occasionally; Affected
Public: Individuals and Households;
Number of Respondents: 1,400; Number
of Responses: 1,400; Total Annual
Hours: 467. (For policy questions
regarding this collection contact Keith
Johnson at 410–786–2262.)
Dated: September 12, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2022–20007 Filed 9–14–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2020–N–2143]
Determination That Bacitracin for
Injection, 10,000 Units/Vial and 50,000
Units/Vial, Was Withdrawn From Sale
for Reasons of Safety or Effectiveness
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA or Agency) has
determined that bacitracin for injection,
10,000 units/vial and 50,000 units/vial,
was withdrawn from sale for reasons of
safety or effectiveness. The Agency will
not accept or approve abbreviated new
SUMMARY:
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drug applications (ANDAs) for
bacitracin for injection.
FOR FURTHER INFORMATION CONTACT:
Sungjoon Chi, Center for Drug
Evaluation and Research, Food and
Drug Administration, 10903 New
Hampshire Ave., Bldg. 51, Rm. 6216,
Silver Spring, MD 20993–0002, 240–
402–9674, Sungjoon.Chi@fda.hhs.gov.
SUPPLEMENTARY INFORMATION: Section
505(j) of the Federal Food, Drug, and
Cosmetic Act (FD&C Act) (21 U.S.C.
355(j)) allows the submission of an
ANDA to market a generic version of a
previously approved drug product. To
obtain approval, the ANDA applicant
must show, among other things, that the
generic drug product: (1) has the same
active ingredient(s), dosage form, route
of administration, strength, conditions
of use, and (with certain exceptions)
labeling as the listed drug, which is a
version of the drug that was previously
approved and (2) is bioequivalent to the
listed drug. ANDA applicants do not
have to repeat the extensive clinical
testing otherwise necessary to gain
approval of a new drug application
(NDA).
Section 505(j)(7) of the FD&C Act
requires FDA to publish a list of all
approved drugs. FDA publishes this list
as part of the ‘‘Approved Drug Products
With Therapeutic Equivalence
Evaluations,’’ which is known generally
as the ‘‘Orange Book.’’ Under FDA
regulations, drugs are removed from the
list if the Agency withdraws or
suspends approval of the drug’s NDA or
ANDA for reasons of safety or
effectiveness or if FDA determines that
the listed drug was withdrawn from sale
for reasons of safety or effectiveness
(§ 314.162 (21 CFR 314.162)).
A person may petition the Agency to
determine, or the Agency may
determine on its own initiative, whether
a listed drug was withdrawn from sale
for reasons of safety or effectiveness.
This determination may be made at any
time after the drug has been withdrawn
from sale, but must be made prior to
approving an ANDA that refers to the
listed drug (§ 314.161 (21 CFR 314.161)).
FDA may not approve an ANDA that
does not refer to a listed drug.
Bacitracin for injection, 10,000 units/
vial and 50,000 units/vial, is the subject
of ANDA 060733 (originally NDA 6–
483), held by Pharmacia and Upjohn
Company (a subsidiary of Pfizer Inc.),
and was initially approved on July 29,
1948. Bacitracin for injection is an
antibiotic for intramuscular
administration, the use of which is
limited to the treatment of infants with
pneumonia and empyema caused by
staphylococci shown to be susceptible
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]]>Agencies
[Federal Register Volume 87, Number 178 (Thursday, September 15, 2022)]
[Notices]
[Pages 56678-56680]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-20007]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-379, CMS-10344, CMS-10594, CMS-10415 and CMS-
1957]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
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 (the 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 November 14, 2022.
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
https://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, you 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-379 Financial Statement of Debtor
CMS-10344 Elimination of Cost-Sharing for full benefit dual-eligible
Individuals Receiving Home and Community-Based Services
CMS-10594 Provider Network Coverage Data Collection
[[Page 56679]]
CMS-10415 Generic Clearance for the Collection of Qualitative Feedback
on Agency Service Delivery
CMS-1957 Social Security Office (SSO) Report of State Buy-In Problem
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 Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Financial
Statement of Debtor; Use: CMS is authorized to collect the information
requested on this form by sections 1124(a)(1), 1124A(a)(3), 1128, 1814,
1815, 1833(e), and 1842(r) of the Social Security Act [42 U.S.C. 1320a-
3(a)(1), 1320a-7, 1395f, 1395g, 1395(l)(e), and 1395u(r)] and section
31001(1) of the Debt Collection Improvement Act [31 U.S.C. 7701(c)].
Section 1893(f) (1)) of the Social Security Act and 42 CFR 401.607
provides the authority for collection of this information. Section 42
CFR 405.607 requires that, CMS recover amounts of claims due from
debtors including interest where appropriate by direct collections in
lump sums or in installments. The physician/supplier may be unable to
refund a large overpaid amount in a single payment. The MAC cannot
recover the overpayment by recoupment if the physician/supplier does
not accept assignment of future claims, or is not expected to file
future claims because of going out of business, illness or death. In
these unusual circumstances, the MAC has authority to approve or deny
extended repayment schedules up to 12 months, or may recommend to the
Centers for Medicare and Medicaid Services (CMS) to approve up to 60
months. Before the MAC takes these actions, the MAC will require full
documentation of the physician's/supplier's financial situation. Thus,
the physician/supplier must complete the CMS-379, Financial Statement
of Debtor. Form Number: CMS-379 (OMB control number 0938-0270);
Frequency: Annually; Affected Public: Private Sector (business or other
for-profits, not-for-profit institutions); Number of Respondents: 500;
Number of Responses: 500; Total Annual Hours: 1,000. (For policy
questions regarding this collection contact Monica Thomas at 410-786-
4292).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Elimination of
Cost-Sharing for full benefit dual-eligible Individuals Receiving Home
and Community-Based Services; Use: Section 1860 D-14 of the Social
Security Act sets forth requirements for premium and cost-sharing
subsidies for low-income beneficiaries enrolled in Medicare Part D.
Based on this statute, 42 CFR 423.771, provides guidance concerning
limitations for payments made by and on behalf of low-income Medicare
beneficiaries who enroll in Part D plans. 42 CFR 423.771 (b)
establishes requirements for determining a beneficiary's eligibility
for full subsidy under the Part D program. Regulations set forth in
423.780 and 423.782 outline premium and cost sharing subsidies to which
full subsidy eligible are entitled under the Part D program.
Each month CMS deems individuals automatically eligible for the
full subsidy, based on data from State Medicaid Agencies and the Social
Security Administration (SSA). The SSA sends a monthly file of
Supplementary Security Income-eligible beneficiaries to CMS. Similarly,
the State Medicaid agencies submit Medicare Modernization Act files to
CMS that identify full subsidy beneficiaries. CMS deems the
beneficiaries as having full subsidy and auto-assigns these
beneficiaries to bench mark Part D plans. Part D plans receive premium
amounts based on the monthly assessments. Form Number: CMS-10344 (OMB
control number 0938-1127); Frequency: Monthly; Affected Public: Private
Sector (business or other for-profits, not-for-profit institutions);
Number of Respondents: 51; Number of Responses: 612; Total Annual
Hours: 621. (For policy questions regarding this collection contact
Roland Herrera at 410-786-0668).
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Provider Network
Coverage Data Collection; Use: The Patient Protection and Affordable
Care Act (Pub. L. 111-148) was signed into law on March 23, 2010. On
March 30, 2010, the Health Care and Education Reconciliation Act of
2010 (Pub. L. 111-152) was signed into law. The two laws are
collectively referred to as the Affordable Care Act (ACA). The ACA
established competitive private health insurance markets called
Marketplaces, or Exchanges, which gave millions of Americans and small
businesses access to affordable, quality insurance options that meet
certain requirements. These requirements include ensuring sufficient
choice of providers and providing information to enrollees and
prospective enrollees on the availability of in-network and out-of-
network providers.
In the final rule, the Patient Protection and Affordable Care Act;
HHS Notice of Benefit and Payment Parameters for 2017 (CMS-9937-P), we
finalized network adequacy standards for qualified health plan (QHP)
issuers, including stand-alone dental plans (SADPs) mostly focused on
issuers in QHPs in the Federally-facilitated Exchanges (FFEs). This
information collection notice is for two of the standards from the
rule: one applying in the FFE and one applying to all QHPs.
Specifically, under 45 CFR 156.230(d) and 156.230(e), we require
notification requirements for enrollees in cases where a provider
leaves the network and for cases where an enrollee might be seen by an
out of network ancillary provider in an in-network setting. These
standards will help inform consumers about his or her health plan
coverage to better make cost effective choices. The Centers for
Medicare and Medicaid Services (CMS) is updating an information
collection request (ICR) in connection with these standards. The burden
estimates for this ICR included in this package reflects the additional
time and effort for QHP issuers to provide these notifications to
enrollees. Form Number: CMS-10594 (OMB control number 0938-1302);
Frequency: Annually; Affected Public: Private Sector (business or other
for-profits, not-for-profit institutions); Number of Respondents: 374;
Number of Responses: 374; Total Annual Hours: 551,276. (For policy
questions regarding this collection contact Nicole Levesque at
[email protected]).
4. Type of Information Collection Request: Revision of a currently
approved colleciton; Title of Information Collection: Generic Clearance
for the Collection of Qualitative Feedback on Agency Service Delivery;
Use: This collection of information is necessary to enable the
[[Page 56680]]
Agency to garner customer and stakeholder feedback in an efficient,
timely manner, in accordance with our commitment to improving service
delivery. The information collected from our customers and stakeholders
will help ensure that users have an effective, efficient, and
satisfying experience with the Agency's programs. This feedback will
provide insights into customer or stakeholder perceptions, experiences
and expectations, provide an early warning of issues with service, or
focus attention on areas where communication, training or changes in
operations might improve delivery of products or services. These
collections will allow for ongoing, collaborative and actionable
communications between the Agency and its customers and stakeholders.
It will also allow feedback to contribute directly to the improvement
of program management. Collecting voluntary customer feedback is the
least burdensome, most effective way for the Agency to determine
whether or not its public websites are useful to and used by its
customers. Generic clearance is needed to ensure that the Agency can
continuously improve its websites through regular surveys developed
from these pre-defined questions. Surveying the Agency websites on a
regular, ongoing basis will help ensure that users have an effective,
efficient, and satisfying experience on any of the websites, maximizing
the impact of the information and resulting in optimum benefit for the
public. The surveys will ensure that this communication channel meets
customer and partner priorities, builds the Agency's brands, and
contributes to the Agency's health and human services impact goals.
Form Number: CMS-10415 (OMB control number 0938-1185); Frequency:
Occasionally; Affected Public: Individuals and Households; Number of
Respondents: 2,000,000; Number of Responses: 2,000,000; Total Annual
Hours: 50,000. (For policy questions regarding this collection contact
Aaron Lartey at 410-786-7866.)
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Social Security
Office (SSO) Report of State Buy-In Problem; Use: The statutory
authority for the State Buy-in program is Section 1843 of the Social
Security Act, amended through 1989. Under section 1843, a State can
enter into an agreement to provide Medicare protection to individuals
who are members of a Buyin coverage group, as specified in the State's
Buy-in agreement. The Code of Federal Regulations at 42 CFR 407.40
provides for States to enroll in Medicare and pay the premiums for all
eligible members covered under a Buyin coverage group. Individuals
enrolled in Medicare through the Buy-in program must be eligible for
Medicare and be an eligible member of a Buy-in coverage group. The day
to day operations of the State Buy-in program is accomplished through
an automated data exchange process. The automated data exchange process
is used to exchange Medicare and Buy-in entitlement information between
the Social Security District Offices, State Medicaid Agencies and the
Centers for Medicare & Medicaid Services (CMS). When problems arise
that cannot be resolved though the normal data exchange process,
clerical actions are required. The CMS-1957, ``SSO Report of State Buy-
In Problem'' is used to report Buy-in problems cases. The CMS-1957 is
the only standardized form available for communications between the
aforementioned agencies for the resolution of beneficiary complaints
and inquiries regarding State Buy-in eligibility. Form Number: CMS-1957
(OMB control number 0938-0035); Frequency: Occasionally; Affected
Public: Individuals and Households; Number of Respondents: 1,400;
Number of Responses: 1,400; Total Annual Hours: 467. (For policy
questions regarding this collection contact Keith Johnson at 410-786-
2262.)
Dated: September 12, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-20007 Filed 9-14-22; 8:45 am]
BILLING CODE 4120-01-P
