[Federal Register Volume 80, Number 243 (Friday, December 18, 2015)]
[Notices]
[Pages 79045-79046]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31887]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-855S, CMS-10142 and CMS-R-262]


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 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 January 19, 2016:

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: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Enrollment Application--Durable Medical Equipment, Prosthetics, 
Orthotics and Supplies (DMEPOS) Suppliers; Use: The primary function of 
the CMS 855S Durable Medical Equipment, Prosthetics, Orthotics and 
Supplies (DMEPOS) supplier enrollment application is to gather 
information from a supplier that tells us who it is, whether it meets 
certain qualifications to be a health care supplier, where it renders 
its services or supplies, the identity of the owners of the enrolling 
entity, and information necessary to establish correct claims payment.
    The goal of this revision of the CMS-855S is to simplify and 
clarify the current data collection and to remove obsolete and/or 
redundant questions. Grammar and spelling errors were corrected. 
Limited informational text has been added within the application form 
and instructions in conjunction with links to Web sites when detail is 
needed by the supplier. To clarify current data collection 
differentiations and to be in sync with accreditation coding, section 
3D (``Products and Services Furnished by This Supplier'') has been 
updated. This revision does not offer any new material data collection. 
CMS received one comment in response to the 60-day notice. Form Number: 
CMS-855S (OMB Control Number: 0938-1056); Frequency: Annually; Affected 
Public: Private sector (, Business or other for-profits and Not-for-
profit institutions); Number of Respondents: 31,915; Total Annual 
Responses: 31,915; Total Annual Hours: 36,842. (For policy questions 
regarding this collection contact Kimberly McPhillips at 410-786-5374.)
    2. Type of Information Collection Request: Revision of a currently

[[Page 79046]]

approved collection; Title of Information Collection: Bid Pricing Tool 
(BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans 
(PDP); Use: We require that Medicare Advantage organizations and 
Prescription Drug Plans complete the BPT as part of the annual bidding 
process. During this process, organizations prepare their proposed 
actuarial bid pricing for the upcoming contract year and submit them to 
us for review and approval. The purpose of the BPT is to collect the 
actuarial pricing information for each plan. The BPT calculates the 
plan's bid, enrollee premiums, and payment rates. We publish 
beneficiary premium information using a variety of formats 
(www.medicare.gov, the Medicare & You handbook, Summary of Benefits 
marketing information) for the purpose of beneficiary education and 
enrollment. The package has been revised subsequent to the publication 
of the 60-day Federal Register notice (September 24, 2015; 80 FR 
57619). Form Number: CMS-10142 (OMB control number 0938-0944); 
Frequency: Yearly; Affected Public: Private sector (Business or other 
for-profits and Not-for-profit institutions); Number of Respondents: 
555; Total Annual Responses: 4,995; Total Annual Hours: 149,850. (For 
policy questions regarding this collection contact Rachel Shevland at 
410-786-3026).
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Contract Year 
2017 Plan Benefit Package (PBP) Software and Formulary Submission; Use: 
We require that Medicare Advantage and Prescription Drug Plan 
organizations submit a completed PBP and formulary as part of the 
annual bidding process. During this process, organizations prepare 
their proposed plan benefit packages for the upcoming contract year and 
submit them to us for review and approval. We publish beneficiary 
education information using a variety of formats. The specific 
education initiatives that utilize PBP and formulary data include web 
application tools on www.medicare.gov and the plan benefit insert in 
the Medicare & You handbook. In addition, organizations utilize the PBP 
data to generate their Summary of Benefits marketing information. The 
package has been revised subsequent to the publication of the 60-day 
Federal Register notice (September 24, 2015; 80 FR 57619). Form Number: 
CMS-R-262 (OMB control number 0938-0763); Frequency: Yearly; Affected 
Public: Private sector (business or other for-profits and not-for-
profit institutions); Number of Respondents: 552; Total Annual 
Responses: 5,448; Total Annual Hours: 52,902. (For policy questions 
regarding this collection contact Kristy Holtje at 410-786-2209).

    Dated: December 15, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
 [FR Doc. 2015-31887 Filed 12-17-15; 8:45 am]
BILLING CODE 4120-01-P