[Federal Register Volume 84, Number 161 (Tuesday, August 20, 2019)]
[Notices]
[Pages 43134-43135]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17939]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1957 and CMS-10407]


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

AGENCY: Centers for Medicare & Medicaid 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 (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 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 on the collection(s) of information must be received by 
the OMB desk officer by September 19, 2019.

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' website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    2. Call the Reports Clearance Office at (410) 786-1326.

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

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 without change 
of a currently approved collection; Title of Information Collection: 
Social Security Office Report of State Buy-in Problem; Use: The 
statutory authority for the State Buy-in program is Section 1843 of the 
Social Security Act, amended through 1989. Under Section 1843, a State 
can enter into an agreement to provide Medicare protection to 
individuals who are members of a Buy-in coverage group, as specified in 
the State's Buy-in agreement. The Code of Federal Regulations at 42 CFR 
Section 407.40 provides for States to enroll in Medicare and pay the 
premiums for all eligible members covered under a Buy-in coverage 
group. Individuals enrolled in Medicare through the Buy-in program must 
be eligible for Medicare and be an eligible member of a Buy-in coverage

[[Page 43135]]

group. The day to day operations of the State Buy-in program is 
accomplished through an automated data exchange process. The automated 
data exchange process is used to exchange Medicare and Buy-in 
entitlement information between the Social Security District Offices, 
State Medicaid Agencies and the Centers for Medicare & Medicaid 
Services (CMS). When problems arise that cannot be resolved though the 
normal data exchange process, clerical actions are required. The CMS-
1957, ``SSO Report of State Buy-In Problem'' is used to report Buy-in 
problems cases. The CMS-1957 is the only standardized form available 
for communications between the aforementioned agencies for the 
resolution of beneficiary complaints and inquiries regarding State Buy-
in eligibility. Form Number: CMS-1957 (OMB control number: 0938-0035); 
Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 5,854; Total Annual Responses: 
5,854; Total Annual Hours: 1,951. (For policy questions regarding this 
collection contact Keith Johnson at 410-786-1148.)
    2. Type of Information Collection Request: Reinstatement without 
change of a currently approved collection; Title of Information 
Collection: Summary of Benefits and Coverage and Uniform Glossary; Use: 
This information collection will ensure that consumers shopping for or 
enrolled in private, individually purchased, or non-federal 
governmental group health plan coverage receive the consumer 
protections of the Affordable Care Act. Employers, employees, and 
individuals will use this information to compare coverage options prior 
to selecting coverage and to understand the terms of, and extent of 
medical benefits offered by, their coverage (or exceptions to such 
coverage or benefits) once they have coverage. Form Number: CMS-10407 
(OMB control number: 0938-1146); Frequency: Yearly; Affected Public: 
Private Sector--Business or other for-profits and not-for-profit 
institutions; Number of Respondents: 128,511; Total Annual Responses: 
24,433,233; Total Annual Hours: 41,551. (For policy questions regarding 
this collection contact Jessica Weinberg at 301-492-4404.)

    Dated: August 15, 2019.
William N. Parham, III
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-17939 Filed 8-19-19; 8:45 am]
 BILLING CODE 4120-01-P