[Federal Register Volume 79, Number 85 (Friday, May 2, 2014)]
[Notices]
[Page 25132]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-10128]



[[Page 25132]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-304/CMS-304a and CMS-368/CMS-R-144]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

ACTION: Notice.

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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 any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.

DATES: Comments must be received by July 1, 2014.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). 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 
http://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 may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326

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-304 and-304a Reconciliation of State Invoice and Prior Quarter 
Adjustment Statement
CMS-368 and-R-144 Medicaid Drug Rebate Program Forms
    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: Reconciliation of 
State Invoice and Prior Quarter Adjustment Statement; Use: Form CMS-304 
(Reconciliation of State Invoice) is used by manufacturers to respond 
to the state's rebate invoice for current quarter utilization. Form 
CMS-304a (Prior Quarter Adjustment Statement) is required only in those 
instances where a change to the original rebate data submittal is 
necessary. Form Number: CMS-304 and -304a (OCN: 0938-0676); Frequency: 
Quarterly; Affected Public: Private sector (business or other for-
profits); Number of Respondents: 1,037; Total Annual Responses: 4,148; 
Total Annual Hours: 187,880. (For policy questions regarding this 
collection contact Andrea Wellington at 410-786-3490).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Drug 
Rebate Program Forms; Use: We develop the rebate amount per drug unit 
from information supplied by the drug manufacturers and distributes 
these data to the states. States then must report quarterly to the drug 
manufacturers and report to us the total number of units of each dosage 
form/strength of their covered outpatient drugs reimbursed during a 
quarter and the rebate amount to be refunded. This report is due within 
60 days of the end of each calendar quarter. The information in the 
report is based on claims paid by the state Medicaid agency during a 
calendar quarter. CMS-R-144 (Quarterly Report Data) is required from 
states quarterly to report utilization for any drugs paid for during 
that quarter. Form CMS-368 (Administrative Data) is required only in 
those instances where a change to the original data submittal is 
necessary. Form Number: CMS-368 and -R-144 (OCN: 0938-0582); Frequency: 
Quarterly; Affected Public: State, Local, or Tribal Governments; Number 
of Respondents: 56; Total Annual Responses: 224; Total Annual Hours: 
12,101. (For policy questions regarding this collection contact Andrea 
Wellington at 410-786-3490).

    Dated: April 29, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-10128 Filed 5-1-14; 8:45 am]
BILLING CODE 4120-01-P