Agency Information Collection Activities: Proposed Collection; Comment Request, 71573-71575 [2023-22897]

Download as PDF Federal Register / Vol. 88, No. 199 / Tuesday, October 17, 2023 / Notices lotter on DSK11XQN23PROD with NOTICES1 1 year (adjusted every 3 years by the Administrator of the Office of Information and Regulatory Affairs (OIRA) for changes in gross domestic product) or adversely affecting in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, territorial, or tribal governments or communities; (2) creating a serious inconsistency or otherwise interfering with an action taken or planned by another agency; (3) materially altering the budgetary impacts of entitlement grants, user fees, or loan programs or the rights and obligations of recipients thereof; or (4) raising legal or policy issues, for which centralized review would meaningfully further the President’s priorities or the principles set forth in this Executive order, as specifically authorized in a timely manner by the Administrator of OIRA in each case. A regulatory impact analysis (RIA) must be prepared for major rules with significant regulatory action/s and/or with significant effects as per section 3(f)(1) of Executive Order 12866 ($200 million or more in any 1 year). Based on our estimates, OMB’s Office of Information and Regulatory Affairs has determined that this rulemaking is not significant and not major under Subtitle E of the Small Business Regulatory Enforcement Fairness Act of 1996 (also known as the Congressional Review Act). As stated in section IV of this notice, we estimate that the overall effect of the changes in the Medicare Part A premium will be a savings to voluntary enrollees (sections 1818 and 1818A of the Act) of about $9 million. C. Accounting Statement and Table As required by OMB Circular A–4 (available at https:// www.whitehouse.gov/wp-content/ uploads/legacy_drupal_files/omb/ circulars/A4/a-4.pdf), in the Table below we have prepared an accounting statement showing the total aggregate savings to enrollees paying premiums in CY 2024, compared with the amount that they paid in CY 2023. The amount of savings will be about $9 million. As stated in section IV of this notice, the CY 2024 premium of $505 is approximately 0.2 percent lower than the CY 2023 premium of $506. We estimate that approximately 729,000 enrollees will voluntarily enroll in Medicare Part A by paying the full premium and that over 90 percent of these individuals will have their Part A premium paid for by states, since they are enrolled in the QMB eligibility group. Furthermore, the CY 2024 VerDate Sep<11>2014 17:02 Oct 16, 2023 Jkt 262001 reduced premium of $278 is the same as for CY 2023. TABLE—ESTIMATED TRANSFERS FOR CY 2024 MEDICARE PART A PREMIUMS Category Annualized Monetized Transfers. From Whom to Whom Transfers ¥$9 million. Beneficiaries to Federal Government. D. Regulatory Flexibility Act The Regulatory Flexibility Act (RFA) requires agencies to analyze options for regulatory relief of small entities if a rule has a significant impact on a substantial number of small entities. For purposes of the RFA, small entities include small businesses, nonprofit organizations, and small governmental jurisdictions. Most hospitals and most other providers and suppliers are small entities, either by being nonprofit organizations or by meeting the Small Business Administration’s definition of a small business (having revenues of less than $9.0 million to $47 million in any 1 year). Individuals and states are not included in the definition of a small entity. This annual notice announces the Medicare Part A premiums for CY 2024 and will have an impact on certain Medicare beneficiaries. As a result, we are not preparing an analysis for the RFA because the Secretary has certified that this notice will not have a significant economic impact on a substantial number of small entities. In addition, section 1102(b) of the Act requires us to prepare a RIA if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 604 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside of a metropolitan statistical area and has fewer than 100 beds. This annual notice announces the Medicare Part A premiums for CY 2024 and will have an impact on certain Medicare beneficiaries. As a result, we are not preparing an analysis for section 1102(b) of the Act because the Secretary has certified that this notice will not have a significant impact on the operations of a substantial number of small rural hospitals. E. Unfunded Mandates Reform Act Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule whose mandates require spending PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 71573 in any 1 year of $100 million in 1995 dollars, updated annually for inflation. In 2023, that threshold is approximately $177 million. This notice would not impose a mandate that will result in expenditures by state, local, and Tribal Governments, in the aggregate, or by the private sector, of more than $177 million in any 1 year. F. Federalism Executive Order 13132 establishes certain requirements that an agency must meet when it promulgates a proposed rule (and subsequent final rule) that imposes substantial direct requirement costs on state and local governments, preempts state law, or otherwise has Federalism implications. This notice will not have a substantial direct effect on state or local governments, preempt state law, or otherwise have Federalism implications. G. Congressional Review This final regulation is subject to the Congressional Review Act provisions of the Small Business Regulatory Enforcement Fairness Act of 1996 (5 U.S.C. 801 et seq.) and has been transmitted to the Congress and the Comptroller General for review. Chiquita Brooks-LaSure, Administrator of the Centers for Medicare & Medicaid Services, approved this document on October 11, 2023. Xavier Becerra, Secretary, Department of Health and Human Services. [FR Doc. 2023–22848 Filed 10–12–23; 4:15 pm] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10450, CMS– 10383, and CMS–10466] 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 SUMMARY: E:\FR\FM\17OCN1.SGM 17OCN1 71574 Federal Register / Vol. 88, No. 199 / Tuesday, October 17, 2023 / Notices lotter on DSK11XQN23PROD with NOTICES1 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 December 18, 2023. 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: lll, Room C4–26– 05, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/ Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/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–10450 Consumer Assessment of Healthcare Providers and Systems VerDate Sep<11>2014 17:02 Oct 16, 2023 Jkt 262001 (CAHPS) Survey for Merit-based Incentive Payment Systems (MIPS) CMS–10383 Review and Approval Process for Waivers for State Innovation CMS–10466 Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions 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 Information Collection; Title of Information Collection: Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey for Meritbased Incentive Payment Systems (MIPS); Use: The CAHPS for MIPS survey is used in the Quality Payment Program (QPP) to collect data on fee-forservice Medicare beneficiaries’ experiences of care with eligible clinicians participating in MIPS and is designed to gather only the necessary data that CMS needs for assessing physician quality performance, and related public reporting on physician performance, and should complement other data collection efforts. The survey consists of the core Agency for Healthcare Research and Quality (AHRQ) CAHPS Clinician & Group Survey, version 3.0, plus additional survey questions to meet CMS’s information and program needs. The survey information is used for quality reporting, the compare tool on the Medicare.gov website, and annual statistical experience reports describing MIPS data for all MIPS eligible clinicians. This 2024 information collection request addresses the requirements related to the statutorily required quality measurement. The CAHPS for MIPS survey results in burden to three different types of entities: groups, PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 virtual groups, and subgroups; vendors; and beneficiaries associated with administering the survey. Virtual groups are subject to the same requirements as groups and subgroups; therefore, we will refer only to ‘‘groups’’ as an inclusive term for all entities unless otherwise noted. Form Number: CMS– 10450 (OMB control number: 0938– 1222); Frequency: Yearly; Affected Public: Business or other for-profits and Not-for-profit institutions and Individuals and Households; Number of Respondents: 25,536; Total Annual Responses: 25,536; Total Annual Hours: 5,867 (For policy questions regarding this collection contact Renee Oneill at 410–786–8821.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Review and Approval Process for Waivers for State Innovation; Use: The information required under this collection is necessary to ensure that states comply with statutory and regulatory requirements related to the development and implementation of section 1332 waivers. States seeking waiver authority under section 1332 of the ACA are required to meet certain requirements for applications, public notice, and reporting. The authority for these requirements is found in section 1332 of the ACA. This information collection reflects the requirements provided in the final rules published in February 2012 (77 FR 11700) and September 2021 (86 FR 3412). On October 24, 2018, the Departments published guidance (86 FR 53575) that provided supplementary information about the requirements that must be met for the approval of a section 1332 waiver, the Secretaries’ application review procedures, the calculation of pass-through funding, certain analytical requirements, and operational considerations. However, the September 2021 final rule superseded and rescinded policies and interpretations outlined in the 2018 guidance and repealed the previous codification of the interpretations of the statutory guardrails in part 1 of the 2022 Payment Notice final rule (86 FR 6138). The September 2021 final rule (86 FR 53412) finalized modifications to section 1332 waiver implementing regulations, including changes to many of the policies and interpretations of the statutory guardrails codified in regulation. In addition, the September 2021 final rule modified regulations to provide flexibilities in the public notice requirements and post-award public participation requirements for section 1332 waivers under certain future E:\FR\FM\17OCN1.SGM 17OCN1 71575 Federal Register / Vol. 88, No. 199 / Tuesday, October 17, 2023 / Notices emergent situations. The final rule also provided new information regarding the processes and procedures for amendments and extensions for approved waiver plans. Form Number: CMS–10383 (OMB Control Number 0938–1389; Frequency: Occasionally; Affected Public: State Governments; Number of Respondents: 19; Total Annual Responses: 399; Total Annual Hours: 5,549. (For policy questions regarding this collection contact Lina Rashid at 301–492–4193.) 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Use: The data collection and reporting requirements in ‘‘Patient Protection and Affordable Care Act; Exchange Functions: Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage Provisions’’ (78 FR 39494 (July 1, 2013)), address federal requirements that states must meet with regard to the Exchange minimum function of performing eligibility determinations and issuing certificates of exemption from the shared responsibility payment. In the final regulation, CMS addresses standards related to eligibility, including the verification and eligibility determination process, eligibility redeterminations, options for states to rely on HHS to make eligibility determinations for certificates of exemption, and reporting. CMS developed four appendices of application materials to illustrate the process applicants use to apply for exemptions from the shared responsibility payment. This information collection requests seeks approval for the requirements associated with the collection of information associated with these four appendices. Form Number: CMS–10466 (OMB Control Number 0938–1190; Frequency: Annually; Affected Public: Individuals and Households—State, Local, or Tribal Governments; Number of Respondents: 849; Total Annual Responses: 849; Total Annual Hours: 1,962. (For policy questions regarding this collection contact John Kenna at 301–492–4452.) Dated: October 12, 2023. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2023–22897 Filed 10–16–23; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for Office of Management and Budget Review; Federal Case Registry (Office of Management and Budget #0970–0421) Office of Child Support Enforcement, Administration for Children and Families, United States Department of Health and Human Services. ACTION: Request for public comments. AGENCY: The Office of Child Support Enforcement (OCSE), Administration for Children and Families (ACF), is requesting from the Office of Management and Budget (OMB) to extend approval of the Federal Case Registry (FCR) for an additional three years. The current approval expires November 30, 2023. OCSE is proposing minor changes to punctuation, formatting, grammar, clarity, and spacing to enable easier completion of the form. 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. SUMMARY: 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. ADDRESSES: SUPPLEMENTARY INFORMATION: Description: The FCR is a national database of information pertaining to child support cases processed by state child support agencies, referred to as ‘‘IV–D’’ cases, and non-IV–D support orders privately established or modified by courts or tribunals on or after October 1, 1998. FCR information is comprised of child support orders and case information from each State Case Registry (SCR). The FCR automatically compares new SCR submissions to existing FCR information and to wage and employment information in the National Directory of New Hires. The Federal Parent Locator Service notifies state agencies if a IV–D case participant in the state matches a participant in a IV–D or non-IV–D case in another state and supplies any matched wage and employment information. Matches enable state agencies to locate parties that live in different states to establish, modify, or enforce child support obligations; to establish paternity; to enforce state law regarding parental kidnapping; and to establish or enforce child custody or visitation determinations. The FCR instrument, Appendix G: Input Record Layout, contains minor changes in punctuation, formatting, grammar, clarity, and spacing to enable easier completion of the form. Respondents: State child support enforcement agencies. lotter on DSK11XQN23PROD with NOTICES1 ANNUAL BURDEN ESTIMATES Instrument Total number of respondents Annual number of responses per respondent Average burden hours per response Annual burden hours Appendix G: Input Transactions Layout .......................................................... 54 406 0.033 730 Estimated Total Annual Burden Hours: 730. VerDate Sep<11>2014 17:02 Oct 16, 2023 Jkt 262001 Authority: 42 U.S.C. 653(h); 42 U.S.C. 654a(e); 42 U.S.C. 654a(f)(1). PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 E:\FR\FM\17OCN1.SGM 17OCN1

Agencies

[Federal Register Volume 88, Number 199 (Tuesday, October 17, 2023)]
[Notices]
[Pages 71573-71575]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-22897]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10450, CMS-10383, and CMS-10466]


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

[[Page 71574]]

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 December 18, 2023.

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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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

SUPPLEMENTARY INFORMATION:

Contents

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

CMS-10450 Consumer Assessment of Healthcare Providers and Systems 
(CAHPS) Survey for Merit-based Incentive Payment Systems (MIPS)
CMS-10383 Review and Approval Process for Waivers for State Innovation
CMS-10466 Patient Protection and Affordable Care Act; Exchange 
Functions: Eligibility for Exemptions

    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 Information Collection; Title of Information Collection: 
Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey 
for Merit-based Incentive Payment Systems (MIPS); Use: The CAHPS for 
MIPS survey is used in the Quality Payment Program (QPP) to collect 
data on fee-for-service Medicare beneficiaries' experiences of care 
with eligible clinicians participating in MIPS and is designed to 
gather only the necessary data that CMS needs for assessing physician 
quality performance, and related public reporting on physician 
performance, and should complement other data collection efforts. The 
survey consists of the core Agency for Healthcare Research and Quality 
(AHRQ) CAHPS Clinician & Group Survey, version 3.0, plus additional 
survey questions to meet CMS's information and program needs. The 
survey information is used for quality reporting, the compare tool on 
the Medicare.gov website, and annual statistical experience reports 
describing MIPS data for all MIPS eligible clinicians.
    This 2024 information collection request addresses the requirements 
related to the statutorily required quality measurement. The CAHPS for 
MIPS survey results in burden to three different types of entities: 
groups, virtual groups, and subgroups; vendors; and beneficiaries 
associated with administering the survey. Virtual groups are subject to 
the same requirements as groups and subgroups; therefore, we will refer 
only to ``groups'' as an inclusive term for all entities unless 
otherwise noted. Form Number: CMS-10450 (OMB control number: 0938-
1222); Frequency: Yearly; Affected Public: Business or other for-
profits and Not-for-profit institutions and Individuals and Households; 
Number of Respondents: 25,536; Total Annual Responses: 25,536; Total 
Annual Hours: 5,867 (For policy questions regarding this collection 
contact Renee Oneill at 410-786-8821.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Review and 
Approval Process for Waivers for State Innovation; Use: The information 
required under this collection is necessary to ensure that states 
comply with statutory and regulatory requirements related to the 
development and implementation of section 1332 waivers. States seeking 
waiver authority under section 1332 of the ACA are required to meet 
certain requirements for applications, public notice, and reporting. 
The authority for these requirements is found in section 1332 of the 
ACA. This information collection reflects the requirements provided in 
the final rules published in February 2012 (77 FR 11700) and September 
2021 (86 FR 3412).
    On October 24, 2018, the Departments published guidance (86 FR 
53575) that provided supplementary information about the requirements 
that must be met for the approval of a section 1332 waiver, the 
Secretaries' application review procedures, the calculation of pass-
through funding, certain analytical requirements, and operational 
considerations. However, the September 2021 final rule superseded and 
rescinded policies and interpretations outlined in the 2018 guidance 
and repealed the previous codification of the interpretations of the 
statutory guardrails in part 1 of the 2022 Payment Notice final rule 
(86 FR 6138). The September 2021 final rule (86 FR 53412) finalized 
modifications to section 1332 waiver implementing regulations, 
including changes to many of the policies and interpretations of the 
statutory guardrails codified in regulation. In addition, the September 
2021 final rule modified regulations to provide flexibilities in the 
public notice requirements and post-award public participation 
requirements for section 1332 waivers under certain future

[[Page 71575]]

emergent situations. The final rule also provided new information 
regarding the processes and procedures for amendments and extensions 
for approved waiver plans. Form Number: CMS-10383 (OMB Control Number 
0938-1389; Frequency: Occasionally; Affected Public: State Governments; 
Number of Respondents: 19; Total Annual Responses: 399; Total Annual 
Hours: 5,549. (For policy questions regarding this collection contact 
Lina Rashid at 301-492-4193.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Patient 
Protection and Affordable Care Act; Exchange Functions: Eligibility for 
Exemptions; Use: The data collection and reporting requirements in 
``Patient Protection and Affordable Care Act; Exchange Functions: 
Eligibility for Exemptions; Miscellaneous Minimum Essential Coverage 
Provisions'' (78 FR 39494 (July 1, 2013)), address federal requirements 
that states must meet with regard to the Exchange minimum function of 
performing eligibility determinations and issuing certificates of 
exemption from the shared responsibility payment. In the final 
regulation, CMS addresses standards related to eligibility, including 
the verification and eligibility determination process, eligibility 
redeterminations, options for states to rely on HHS to make eligibility 
determinations for certificates of exemption, and reporting. CMS 
developed four appendices of application materials to illustrate the 
process applicants use to apply for exemptions from the shared 
responsibility payment. This information collection requests seeks 
approval for the requirements associated with the collection of 
information associated with these four appendices. Form Number: CMS-
10466 (OMB Control Number 0938-1190; Frequency: Annually; Affected 
Public: Individuals and Households--State, Local, or Tribal 
Governments; Number of Respondents: 849; Total Annual Responses: 849; 
Total Annual Hours: 1,962. (For policy questions regarding this 
collection contact John Kenna at 301-492-4452.)

    Dated: October 12, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-22897 Filed 10-16-23; 8:45 am]
BILLING CODE 4120-01-P
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