Agency Information Collection Activities: Submission for OMB Review; Comment Request, 66709-66711 [2022-24098]
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<![CDATA[
Federal Register / Vol. 87, No. 213 / Friday, November 4, 2022 / Notices
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–R–282 Medicare Advantage
Appeals and Grievance Data Form
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: Medicare
Advantage Appeals and Grievance Data
Form; Use: Part 422 of Title 42 of the
Code of Federal Regulations (CFR)
distinguishes between certain
information a Medicare Advantage (MA)
organization must provide to each
enrollee (on an annual basis) and
information that the MA organization
must disclose to any MA eligible
individual (upon request). This
requirement can be found in
§ 1852(c)(2)(C) of the Social Security Act
and in 42 CFR 422.111(c)(3) which
states that MA organizations must
disclose information pertaining to the
number of disputes, and their
disposition in the aggregate, with the
categories of grievances and appeals, to
any individual eligible to elect an MA
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18:12 Nov 03, 2022
Jkt 259001
organization who requests this
information.
The appeals and grievance data form
is an OMB approved form for use by
Medicare Advantage organizations to
disclose grievance and appeal data,
upon request, to individuals eligible to
elect an MA organization. By utilizing
the form, MA organizations will meet
the disclosure requirements set forth in
regulations at 42 CFR 422.111(c)(3).
Form Number: CMS–R–282 (OMB
control number: 0938–0778); Frequency:
Yearly; Affected Public: State, Local, or
Tribal Governments; Number of
Respondents: 949; Total Annual
Responses: 63,740; Total Annual Hours:
5,964. (For policy questions regarding
this collection contact Sabrina
Edmonston at 410–786–3209.)
Dated: November 1, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2022–24097 Filed 11–3–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10003, CMS–
1771, CMS–10789 and CMS–10379]
Agency Information Collection
Activities: Submission for OMB
Review; 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
(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
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate 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
SUMMARY:
PO 00000
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66709
information to be collected, and the use
of automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
Comments on the collection(s) of
information must be received by the
OMB desk officer by December 5, 2022.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
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/PRAListing.
DATES:
FOR FURTHER INFORMATION CONTACT:
William Parham at (410) 786–4669.
Under the
Paperwork Reduction Act of 1995 (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 (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-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 that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title: Notice of
Denial of Medical Coverage (or
Payment); Use: Section 1852(g)(1)(B) of
the Social Security Act (the Act)
requires Medicare health plans to
provide enrollees with a written notice
in understandable language of the
reasons for the denial and a description
of the applicable appeals processes.
SUPPLEMENTARY INFORMATION:
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66710
Federal Register / Vol. 87, No. 213 / Friday, November 4, 2022 / Notices
Medicare health plans, including
Medicare Advantage plans, cost plans,
and Health Care Prepayment Plans
(HCPPs), are required to issue the Notice
of Denial of Medical Coverage (or
Payment) (NDMCP) when a request for
either a medical service or payment is
denied, in whole or in part.
Additionally, the notices inform
Medicare enrollees of their right to file
an appeal, outlining the steps and
timeframes for filing. All Medicare
health plans are required to use these
standardized notices. Form Number:
CMS–10003 (OMB Control Number:
0938–0829); Frequency: Annually;
Affected Public: Private Sector, Business
or other for-profit and not-for-profit
institutions; Number of Respondents:
937; Number of Responses: 16,191,812;
Total Annual Hours: 2,697,556. (For
policy questions regarding this
collection contact Sabrina Edmonston at
410–786–3209.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title: Emergency
and Foreign Hospital Services and
Supporting Regulation in 42 CFR
Section 424.103; Use: Section 1866 of
the Social Security Act states that any
provider of services shall be qualified to
participate in the Medicare program and
shall be eligible for payments under
Medicare if it files an agreement with
the Secretary to meet the conditions
outlined in this section of the Act.
Section 1814(d)(1) of the Social Security
Act and 42 CFR 424.100, allows
payment of Medicare benefits for a
Medicare beneficiary to a
nonparticipating hospital that does not
have an agreement in effect with the
Centers for Medicare and Medicaid
Services. These payments can be made
if such services were emergency
services and if CMS would be required
to make the payment if the hospital had
an agreement in effect and met the
conditions of payment. This form is
used in connection with claims for
emergency hospital services provided
by hospitals that do not have an
agreement in effect under Section 1866
of the Social Security Act.
42 CFR 424.103 (b) requires that
before a non-participating hospital may
be paid for emergency services rendered
to a Medicare beneficiary, a statement
must be submitted that is sufficiently
comprehensive to support that an
emergency existed. Form CMS- 1771
contains a series of questions relating to
the medical necessity of the emergency.
The attending physician must attest that
the hospitalization was required under
the regulatory emergency definition (42
CFR 424.101 attached) and give clinical
documentation to support the claim. A
VerDate Sep<11>2014
18:12 Nov 03, 2022
Jkt 259001
photocopy of the beneficiary’s hospital
records may be used in lieu of the CMS–
1771 if the records contain all the
information required by the form.; Form
Number: CMS–1771 (OMB Control
Number: 0938–0023); Frequency:
Annually; Affected Public: Private
Sector, Business or other for-profit and
not-for-profit institutions; Number of
Respondents: 100; Number of
Responses: 200; Total Annual Hours:
50. (For policy questions regarding this
collection contact Shauntari Cheely at
410–786–1818.)
3. Type of Information Collection
Request: New Collection; Title of
Information Collection: Customer
Satisfaction Survey for Enterprise Portal
Services (EPS) Users; Use: This EPS
customer satisfaction survey will
support EADG’s goal of promoting
improvements in the quality of EPS for
all end-users and business owners. The
collection of this information is
necessary to enable EADG to obtain
feedback in an efficient, timely manner,
in accordance to our commitment to
improving the quality and usability of
our system. It will also allow for
ongoing, collaborative, and actionable
communications between EADG and all
customers, stakeholders, and end-users.
The goal of this Generic clearance and
its survey is to capture feedback from
actual users of the system immediately
after they finish using the system, while
their user experience, negative or
positive, is still fresh in their minds.
This user feedback will allow our team
to discover areas of improvement within
EPS. It will help us improve the user
experience, provide better service/
support, improve marketing strategies,
and identify gaps/issues that require
resolution. For example, if we get
several responses through the collection
instrument stating that users feel that
the EPS system is slow, we can use that
feedback to invest efforts into increasing
the EPS response times. As the feedback
is analyzed and implemented over time,
the survey questions will evolve to
support implemented changes,
providing the EPS team with the most
up-to-date feedback on system
improvement.
By using a Generic Instrument
Collection, the survey will evolve over
time. Within the CMS EPS, features are
frequently added, and sometimes even
removed. The team needs to be able to
add new survey questions, specific to
those new features, in order to capture
valuable feedback on the effectiveness,
ease-of-use, pain points, and areas of
improvement for the 2 feature. When
features are removed from the CMS EPS,
questions relevant to those features
must be modified or removed from the
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Fmt 4703
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survey as well. In general, given that the
CMS EPS is a dynamic system, designed
to meet enterprise needs that change
over time, a Generic Instrument
Collection will allow the survey to
evolve as the system evolves, and
remain relevant, capturing up-to-date
feedback on the system. Form Number:
CMS–10789 (OMB control number:
0938-New); Frequency: Quarter;
Affected Public: Individuals and
Households, Private Sector (Business or
other for-profits, Not-for-Profit
Institutions); Number of Respondents:
300,000; Total Annual Responses:
360,000; Total Annual Hours: 90,000.
(For policy questions regarding this
collection contact Corey L. Redden at
410–279–5152.)
4. Type of Information Collection
Request: Revision of a previously
approved information collection; Title
of Information Collection: Rate Increase
Disclosure and Review Reporting
Requirements; Use: 45 CFR part 154
implements the annual review of
unreasonable increases in premiums for
health insurance coverage called for by
section 2794. The regulation established
a rate review program to ensure that all
rate increases that meet or exceed an
established threshold are reviewed by a
state or the Centers for Medicare and
Medicaid Services (CMS) to determine
whether the rate increases are
unreasonable. Accordingly, issuers
offering non-grandfathered health
insurance coverage in the individual
and/or small group markets are required
to submit Rate Filing Justifications to
CMS. Section 154.103 exempts
grandfathered health plan coverage as
defined in 45 CFR 147.140, excepted
benefits as described in section 2791(c)
of the PHS Act and student health
insurance coverage, as defined in
§ 147.145, from Federal rate review
requirements.
The Rate Filing Justification consists
of three parts. All issuers must continue
to submit a Uniform Rate Review
Template (URRT) (Part I of the Rate
Filing Justification) for all single risk
pool plans. Section 154.200(a)(1)
establishes a 15 percent federal default
threshold for reasonableness review.
Issuers that submit a rate filing that
includes a plan that meets or exceeds
the threshold must include a written
description justifying the rate increase,
also known as the consumer
justification narrative (Part II of the Rate
Filing Justification). We note that the
threshold set by CMS constitutes a
minimum standard and most states
currently employ stricter rate review
standards and may continue to do so.
Issuers offering a QHP or any single risk
pool submission containing a rate
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66711
Federal Register / Vol. 87, No. 213 / Friday, November 4, 2022 / Notices
increase of any size must continue to
submit an actuarial memorandum (Part
III of the Rate Filing Justification). Form
Number: CMS–10379 (OMB control
number: 0938–1141); Frequency:
Annually; Affected Public: Private
Sector; Businesses or other for-profits,
Not-for-profit institutions; Number of
Respondents: 626; Total Annual
Responses: 820; Total Annual Hours:
17,788. (For policy questions regarding
this collection contact Lisa Cuozzo at
410–786–1746.)
Dated: November 1, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2022–24098 Filed 11–3–22; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Administration for Children and
Families Uniform Project Description
Office of Administration, Office
of Grants Policy, Administration for
Children and Families, Department of
Health and Human Services.
AGENCY:
ACTION:
Request for public comments.
The Administration for
Children and Families (ACF) is
requesting a revision of the approved
ACF Uniform Project Description (UPD)
(Office of Management and Budget
(OMB) # 0970–0139, expiration March
31, 2025).
DATES: Comments due within 30 days of
publication. OMB must make a decision
about the collection of information
between 30 and 60 days after
publication of this document in the
Federal Register. Therefore, a comment
is best assured of having its full effect
if OMB receives it within 30 days of
publication.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review-Open
for Public Comments’’ or by using the
search function. You can also obtain
copies of the proposed collection of
information by emailing infocollection@
acf.hhs.gov. Identify all emailed
requests by the title of the information
collection.
SUPPLEMENTARY INFORMATION:
Description: The proposed information
collection would revise the approved
ACF UPD. The UPD provides a uniform
format for applicants to submit project
information in response to ACF
discretionary Notices of Funding
SUMMARY:
Opportunity. The UPD requires
applicants to describe how program
objectives will be achieved and provide
a rationale for the project’s budgeted
costs. All ACF discretionary grant
programs are required to use the UPD.
ACF uses this information, along with
other OMB-approved information
collections (Standard Forms), to
evaluate and rank applications. Use of
the UPD protects the integrity of the
ACF award selection process.
The UDP has been revised as follows:
(1) included a text field for the
Geographic Location standardized text,
which will allow ACF program offices
to enter project-specific language; (2)
under Organizational Capacity, inserted
an option to allow submission of an
Audit Summary report in lieu of a full
audit report; (3) inserted a checkbox and
standardized language to request current
and pending funding support; (4) added
a prior written approval requirement to
Plan for Oversight of Federal Award
Funds and Activities; (5) included
Memoranda of Agreement (MOA) under
Third Party Agreements; and (6)
updated The Project Budget and Budget
Justification standardized language
related to salary limitation, budget
preparation, fringe benefits, definition
of supplies, contractual costs,
accounting for real property, the Other
Costs category, and Indirect Costs.
Respondents: Applicants responding
to ACF Discretionary Notices of
Funding Opportunity.
ANNUAL BURDEN ESTIMATES
Instrument
Total number
of respondents
Annual
number
of responses
per
respondent
Average
burden hours
per response
Annual burden
hours
ACF Uniform Project Description .....................................................................
3,218
1
60
193,080
Estimated Total Annual Burden
Hours: 64,360.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Authority: 45 CFR 75.203 and 75.204, and
45 CFR part 75, appendix I.
Food and Drug Administration
[Docket No. FDA–2022–N–0150]
Mary B. Jones,
ACF/OPRE Certifying Officer.
[FR Doc. 2022–23976 Filed 11–3–22; 8:45 am]
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BILLING CODE 4184–01–P
Revocation of Two Authorizations of
Emergency Use of In Vitro Diagnostic
Devices for Detection and/or Diagnosis
of COVID–19; Availability
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
18:12 Nov 03, 2022
Jkt 259001
PO 00000
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The Authorizations for the
Cleveland Clinic SARS–CoV–2 Assay
and SelfCheck COVID–19 TaqPath
Multiplex PCR are revoked as of October
19, 2022.
DATES:
The Food and Drug
Administration (FDA) is announcing the
revocation of the Emergency Use
Authorizations (EUAs) (the
SUMMARY:
VerDate Sep<11>2014
Authorizations) issued to Cleveland
Clinic Robert J. Tomsich Pathology and
Laboratory Medicine Institute
(Cleveland Clinic) for the Cleveland
Clinic SARS–CoV–2 Assay and
SelfCheck COVID–19 TaqPath Multiplex
PCR. FDA revoked these Authorizations
under the Federal Food, Drug, and
Cosmetic Act (FD&C Act). The
revocations, which include an
explanation of the reasons for each
revocation, are reprinted in this
document.
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]]>Agencies
[Federal Register Volume 87, Number 213 (Friday, November 4, 2022)]
[Notices]
[Pages 66709-66711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-24098]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10003, CMS-1771, CMS-10789 and CMS-10379]
Agency Information Collection Activities: Submission for OMB
Review; 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 (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 a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate 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 on the collection(s) of information must be received by
the OMB desk officer by December 5, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
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 Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(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 (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-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 that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Extension of a currently
approved collection; Title: Notice of Denial of Medical Coverage (or
Payment); Use: Section 1852(g)(1)(B) of the Social Security Act (the
Act) requires Medicare health plans to provide enrollees with a written
notice in understandable language of the reasons for the denial and a
description of the applicable appeals processes.
[[Page 66710]]
Medicare health plans, including Medicare Advantage plans, cost
plans, and Health Care Prepayment Plans (HCPPs), are required to issue
the Notice of Denial of Medical Coverage (or Payment) (NDMCP) when a
request for either a medical service or payment is denied, in whole or
in part. Additionally, the notices inform Medicare enrollees of their
right to file an appeal, outlining the steps and timeframes for filing.
All Medicare health plans are required to use these standardized
notices. Form Number: CMS-10003 (OMB Control Number: 0938-0829);
Frequency: Annually; Affected Public: Private Sector, Business or other
for-profit and not-for-profit institutions; Number of Respondents: 937;
Number of Responses: 16,191,812; Total Annual Hours: 2,697,556. (For
policy questions regarding this collection contact Sabrina Edmonston at
410-786-3209.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title: Emergency and Foreign Hospital Services and
Supporting Regulation in 42 CFR Section 424.103; Use: Section 1866 of
the Social Security Act states that any provider of services shall be
qualified to participate in the Medicare program and shall be eligible
for payments under Medicare if it files an agreement with the Secretary
to meet the conditions outlined in this section of the Act. Section
1814(d)(1) of the Social Security Act and 42 CFR 424.100, allows
payment of Medicare benefits for a Medicare beneficiary to a
nonparticipating hospital that does not have an agreement in effect
with the Centers for Medicare and Medicaid Services. These payments can
be made if such services were emergency services and if CMS would be
required to make the payment if the hospital had an agreement in effect
and met the conditions of payment. This form is used in connection with
claims for emergency hospital services provided by hospitals that do
not have an agreement in effect under Section 1866 of the Social
Security Act.
42 CFR 424.103 (b) requires that before a non-participating
hospital may be paid for emergency services rendered to a Medicare
beneficiary, a statement must be submitted that is sufficiently
comprehensive to support that an emergency existed. Form CMS- 1771
contains a series of questions relating to the medical necessity of the
emergency. The attending physician must attest that the hospitalization
was required under the regulatory emergency definition (42 CFR 424.101
attached) and give clinical documentation to support the claim. A
photocopy of the beneficiary's hospital records may be used in lieu of
the CMS-1771 if the records contain all the information required by the
form.; Form Number: CMS-1771 (OMB Control Number: 0938-0023);
Frequency: Annually; Affected Public: Private Sector, Business or other
for-profit and not-for-profit institutions; Number of Respondents: 100;
Number of Responses: 200; Total Annual Hours: 50. (For policy questions
regarding this collection contact Shauntari Cheely at 410-786-1818.)
3. Type of Information Collection Request: New Collection; Title of
Information Collection: Customer Satisfaction Survey for Enterprise
Portal Services (EPS) Users; Use: This EPS customer satisfaction survey
will support EADG's goal of promoting improvements in the quality of
EPS for all end-users and business owners. The collection of this
information is necessary to enable EADG to obtain feedback in an
efficient, timely manner, in accordance to our commitment to improving
the quality and usability of our system. It will also allow for
ongoing, collaborative, and actionable communications between EADG and
all customers, stakeholders, and end-users.
The goal of this Generic clearance and its survey is to capture
feedback from actual users of the system immediately after they finish
using the system, while their user experience, negative or positive, is
still fresh in their minds. This user feedback will allow our team to
discover areas of improvement within EPS. It will help us improve the
user experience, provide better service/support, improve marketing
strategies, and identify gaps/issues that require resolution. For
example, if we get several responses through the collection instrument
stating that users feel that the EPS system is slow, we can use that
feedback to invest efforts into increasing the EPS response times. As
the feedback is analyzed and implemented over time, the survey
questions will evolve to support implemented changes, providing the EPS
team with the most up-to-date feedback on system improvement.
By using a Generic Instrument Collection, the survey will evolve
over time. Within the CMS EPS, features are frequently added, and
sometimes even removed. The team needs to be able to add new survey
questions, specific to those new features, in order to capture valuable
feedback on the effectiveness, ease-of-use, pain points, and areas of
improvement for the 2 feature. When features are removed from the CMS
EPS, questions relevant to those features must be modified or removed
from the survey as well. In general, given that the CMS EPS is a
dynamic system, designed to meet enterprise needs that change over
time, a Generic Instrument Collection will allow the survey to evolve
as the system evolves, and remain relevant, capturing up-to-date
feedback on the system. Form Number: CMS-10789 (OMB control number:
0938-New); Frequency: Quarter; Affected Public: Individuals and
Households, Private Sector (Business or other for-profits, Not-for-
Profit Institutions); Number of Respondents: 300,000; Total Annual
Responses: 360,000; Total Annual Hours: 90,000. (For policy questions
regarding this collection contact Corey L. Redden at 410-279-5152.)
4. Type of Information Collection Request: Revision of a previously
approved information collection; Title of Information Collection: Rate
Increase Disclosure and Review Reporting Requirements; Use: 45 CFR part
154 implements the annual review of unreasonable increases in premiums
for health insurance coverage called for by section 2794. The
regulation established a rate review program to ensure that all rate
increases that meet or exceed an established threshold are reviewed by
a state or the Centers for Medicare and Medicaid Services (CMS) to
determine whether the rate increases are unreasonable. Accordingly,
issuers offering non-grandfathered health insurance coverage in the
individual and/or small group markets are required to submit Rate
Filing Justifications to CMS. Section 154.103 exempts grandfathered
health plan coverage as defined in 45 CFR 147.140, excepted benefits as
described in section 2791(c) of the PHS Act and student health
insurance coverage, as defined in Sec. 147.145, from Federal rate
review requirements.
The Rate Filing Justification consists of three parts. All issuers
must continue to submit a Uniform Rate Review Template (URRT) (Part I
of the Rate Filing Justification) for all single risk pool plans.
Section 154.200(a)(1) establishes a 15 percent federal default
threshold for reasonableness review. Issuers that submit a rate filing
that includes a plan that meets or exceeds the threshold must include a
written description justifying the rate increase, also known as the
consumer justification narrative (Part II of the Rate Filing
Justification). We note that the threshold set by CMS constitutes a
minimum standard and most states currently employ stricter rate review
standards and may continue to do so. Issuers offering a QHP or any
single risk pool submission containing a rate
[[Page 66711]]
increase of any size must continue to submit an actuarial memorandum
(Part III of the Rate Filing Justification). Form Number: CMS-10379
(OMB control number: 0938-1141); Frequency: Annually; Affected Public:
Private Sector; Businesses or other for-profits, Not-for-profit
institutions; Number of Respondents: 626; Total Annual Responses: 820;
Total Annual Hours: 17,788. (For policy questions regarding this
collection contact Lisa Cuozzo at 410-786-1746.)
Dated: November 1, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-24098 Filed 11-3-22; 8:45 am]
BILLING CODE 4120-01-P
