[Federal Register Volume 80, Number 123 (Friday, June 26, 2015)]
[Notices]
[Pages 36810-36812]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-15770]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-179, CMS-10410, CMS-10463, CMS-R-74 and CMS-
10558]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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 (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

[[Page 36811]]

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 on the collection(s) of information must be received by 
the OMB desk officer by July 27, 2015:

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions:
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-5806 OR, Email: 
[email protected].
    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: 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 of Information Collection: Medicaid State 
Plan Base Plan Pages; Use: State Medicaid agencies complete the plan 
pages while we review the information to determine if the state has met 
all of the requirements of the provisions the states choose to 
implement. If the requirements are met, we will approve the amendments 
to the state's Medicaid plan giving the state the authority to 
implement the flexibilities. For a state to receive Medicaid Title XIX 
funding, there must be an approved Title XIX state plan. Form Number: 
CMS-179 (OMB control number 0938-0193); Frequency: Occasionally; 
Affected Public: State, Local, and Tribal Governments; Number of 
Respondents: 56; Total Annual Responses: 1,120; Total Annual Hours: 
22,400. (For policy questions regarding this collection contact Annette 
Pearson at 410-786-6958).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Program 
Eligibility Changes under the Affordable Care Act of 2010; Use: The 
eligibility systems are essential to the goal of increasing coverage in 
insurance affordability programs while reducing administrative burden 
on states and consumers. The electronic transmission and automation of 
data transfers are key elements in managing the expected insurance 
affordability program caseload that started in 2014. Accomplishing the 
same work without these information collection requirements would not 
be feasible. Form Number: CMS-10410 (OMB control number 0938-1147); 
Frequency: Occasionally; Affected Public: Individuals or Households, 
and State, Local, and Tribal Governments; Number of Respondents: 
25,500,096; Total Annual Responses: 76,500,149; Total Annual Hours: 
21,278,142. (For policy questions regarding this collection contact 
Brenda Sheppard at 410-786-8534).
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Cooperative 
Agreement to Support Navigators in Federally-facilitated and State 
Partnership Exchanges; Use: Section 1311(i) of the Affordable Care Act 
requires Exchanges (Marketplaces) to establish a Navigator grant 
program as part of its function to provide consumers with assistance 
when they need it. Navigators will assist consumers by providing 
education about and facilitating selection of qualified health plans 
(QHPs) within Marketplaces, as well as other required duties. Section 
1311(i) requires that a Marketplace operating as of January 1, 2014, 
must establish a Navigator Program under which it awards grants to 
eligible individuals or entities who satisfy the requirements to be 
Exchange Navigators. For Federally-facilitated Marketplaces (FFMs) and 
State Partnership Marketplaces (SPMs), CMS will be awarding these 
grants. Navigator awardees must provide weekly, monthly, quarterly, and 
annual progress reports to CMS on the activities performed during the 
grant period and any sub-awardees receiving funds. We have modified the 
data collection requirements for the weekly, monthly, quarterly, and 
annual reports that were provided in 80 FR 16687 (May 30, 2015). Form 
Number: CMS-10463 (OMB control number: 0938-1215); Frequency: Annually; 
Quarterly; Monthly; Weekly; and Quarterly; Affected Public: Private 
sector (Businesses or other For-profit and Not-for-profit 
institutions); Number of Respondents: 102; Total Annual Responses: 
7,446; Total Annual Hours: 29,251. (For policy questions regarding this 
collection, contact Gian Johnson at 301-492-4323.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Income and 
Eligibility Verification System Reporting and Supporting Regulations; 
Use: A state Medicaid agency that currently obtains and uses 
information from certain sources, or with more frequency than 
specified, could continue to do so to the extent that the verifications 
are useful and not redundant. An agency that has found it effective to 
verify all wage or benefit information with another agency or with the 
recipient is encouraged to continue these practices if it chooses. On 
the other hand, the agency may implement an approved targeting plan 
under 42 CFR 435.953. The agency's experience should guide its decision 
whether to exceed these regulatory requirements on income and 
eligibility verification. While states may target resources when 
verifying income of course, agencies are still held accountable for 
their accuracy in eligibility determinations. Form Number: CMS-R-74 
(OMB control number 0938-0467); Frequency: Occasionally; Affected 
Public: State, Local, or Tribal Governments; Number

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of Respondents: 50; Total Annual Responses: 71; Total Annual Hours: 
134,865. (For policy questions regarding this collection contact Brenda 
Sheppard at 410-786-8534).
    5. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Information Collection for Machine Readable Data for Provider Network 
and Prescription Formulary Content for FFM QHPs; Use: We are requiring 
for plan years beginning on or after January 1, 2016, qualified health 
plan (QHP) issuers to submit provider and formulary data in a machine-
readable format to HHS. As required by the Patient Protection and 
Affordable Care Act; HHS Notice of Benefit and Payment Parameter for 
2016 (CMS-9944-P), which went on display on, November 26, 2014, QHPs in 
the Federally-facilitated marketplace (FFMs) are required to publish 
information regarding the formulary drug list and provider directory on 
its Web site in an HHS-specified format, in a format and at times 
determined by HHS. Form Number: CMS-10558 (0938-New); Frequency: 
Monthly; Affected Public: Private Sector; Number of Respondents: 475; 
Number of Responses: 36; Total Annual Hours: 79,800. (For questions 
regarding this collection, contact Lisa-Ann Bailey at (301) 492-4169.)

    Dated: June 23, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-15770 Filed 6-25-15; 8:45 am]
 BILLING CODE 4120-01-P