[Federal Register Volume 79, Number 133 (Friday, July 11, 2014)]
[Notices]
[Pages 40105-40106]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-16076]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10137, CMS-10237, CMS-10398 and CMS-10522]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human Services (HHS).

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 September 9, 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-10137 Solicitation for Applications for Medicare Prescription Drug 
Plan 2015 Contracts

CMS-10237 Part C--Medicare Advantage and 1876 Cost Plan Expansion 
Application

CMS-10398 Generic Clearance for Medicaid and CHIP State Plan, Waiver, 
and Program Submissions

CMS-10522 Executive Summary Form for Research Identifiable Data

    Under the Paperwork Reduction Act (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.

[[Page 40106]]

Information Collection

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Solicitation for 
Applications for Medicare Prescription Drug Plan 2015 Contracts; Use: 
The information will be collected under the solicitation of proposals 
from PDP, MA-PD, Cost Plan, PACE, and EGWP applicants. We will use the 
information to ensure that applicants meet our requirements and support 
the determination of contract awards. Participation in the Part D 
program is voluntary in nature. Only organizations that are interested 
in participating in the program will respond to the solicitation. The 
MA-PDs that voluntarily participate in the Part C program must submit a 
Part D application and successful bid. Form Number: CMS-10137 (OMB 
control number: 0938--0936); Frequency: Yearly; Affected Public: 
Private sector--Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 254; Total Annual Responses: 254; 
Total Annual Hours: 2,193. (For policy questions regarding this 
collection contact Arianne Spaccarelli at 410-786-5715).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Part C--Medicare 
Advantage and 1876 Cost Plan Expansion Application; Use: The 
information will be collected under the solicitation of Part C 
applications from MA, EGWP Plan, and Cost Plan applicants and will be 
used to ensure that applicants meet our requirements and support the 
determination of contract awards. Participation in all programs is 
voluntary in nature; only organizations that are interested in 
participating in the program will respond to the solicitation. The MA-
PDs that voluntarily participate in the Part C program must submit a 
Part D application and successful bid. Form Number: CMS-10237 (OMB 
control number: 0938-0935); Frequency: Yearly; Affected Public: Private 
sector--Business or other for-profits and Not-for-profit institutions; 
Number of Respondents: 566; Total Annual Responses: 566; Total Annual 
Hours: 22,625. (For policy questions regarding this collection contact 
Melissa Staud at 410-786-3669).
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Generic Clearance 
for Medicaid and CHIP State Plan, Waiver, and Program Submissions; Use: 
State Medicaid and CHIP agencies are responsible for developing 
submissions to CMS, including State plan amendments and requests for 
waivers and program demonstrations. States use templates when they are 
available and submit the forms to review for consistency with statutory 
and regulatory requirements (or in the case of waivers and 
demonstrations whether the proposal is likely to promote the objectives 
of the Medicaid program). If the requirements are met, we approve the 
States' submissions giving the States the authority to implement the 
flexibilities. For a State to receive Medicaid Title XIX funding, there 
must be an approved Title XIX State plan.
    The development of streamlined submissions forms enhances the 
collaboration and partnership between States and CMS by documenting our 
policy for States to use as they are developing program changes. 
Streamlined forms improve efficiency of administration by creating a 
common and user-friendly understanding of the information we need to 
quickly process requests for State plan amendments, waivers, and 
demonstration, as well as ongoing reporting. Form Number: CMS-10398 
(OMB control number: 0938-1148); Frequency: Collection specific, but 
generally the frequency is yearly, once, and occasionally; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 56; 
Total Annual Responses: 1,120; Total Annual Hours: 28,747. (For policy 
questions regarding this collection contact Annette Pearson at 410-786-
6858).
    4. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Executive Summary Form for Research Identifiable Data; Use: The Centers 
for Medicare & Medicaid Services (CMS) is responsible for administering 
the Medicare, Medicaid and State Children's Health Insurance Programs. 
We collect data to support the Agency's mission and operations. These 
data include information about Medicare beneficiaries, Medicare claims, 
Medicare providers, and Medicaid eligibility and claims. We disclose 
the identifiable data consistent with the routine uses identified in 
the Privacy Act Systems of Records notices that are published in the 
Federal Register and the limitations on uses and disclosures that are 
set out in the HIPAA Privacy Rule.
    All requests for identifiable data are received and reviewed by the 
Division of Privacy Operations & Compliance (DPOC) in the Office of E-
Health Standards and Services. The DPOC staff and the CMS Privacy 
Officer review the requests to determine if there is legal 
authorization for disclosure of the data. If legal authorization 
exists, the request is reviewed to ensure that the minimal data 
necessary is requested and approved for the project. Requests for 
identifiable data for research purposes must be submitted to and 
approved by the CMS Privacy Board. To assist the CMS Privacy Board with 
its review of research data requests, OIPDA has developed the Executive 
Summary (ES) forms. The ES collects all the information that the CMS 
Privacy Board needs to review and make a determination on whether the 
request meets the requirements for release of identifiable data for 
research purposes. We currently have three versions of the ES Form and 
an ES Supplement for Requestors of the National Death Index (NDI) 
Causes of Death Variables. Each meets the need for a different type of 
requestor. Form Number: CMS-10522 (OMB control number: 0938-New); 
Frequency: On occasion; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 325; Total Annual Responses: 325; 
Total Annual Hours: 650. (For policy questions regarding this 
collection contact Kim Elmo at 410-786-0161).

    Dated: July 3, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-16076 Filed 7-10-14; 8:45 am]
BILLING CODE 4120-01-P