[Federal Register Volume 87, Number 208 (Friday, October 28, 2022)]
[Notices]
[Pages 65207-65209]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-23553]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10731, CMS-10825 and CMS-10439]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, 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 the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden,

[[Page 65208]]

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 must be received by December 27, 2022.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. 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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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

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-10731 Generic Clearance for CMS and Medicare Administrative 
Contractor (MAC) Generic Customer Experience
CMS-10825 List of Screening Instruments for Housing Stability, Food 
Security, and Transportation Questions on Health Risk Assessments
CMS-10439 Data Collection to Support Eligibility Determinations for 
Small Businesses in the Small Business Health Options Program

    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: New collection (Request 
for a new OMB control number); Title of Information Collection: Generic 
Clearance for CMS and Medicare Administrative Contractor (MAC) Generic 
Customer Experience; Use: The Centers for Medicare & Medicaid Services 
(CMS) is requesting approval to collect generic feedback from 
respondents including, but not limited to Medicare providers, Medicare 
suppliers, provider or supplier staff, billers, credentialing agencies, 
researchers, clearinghouses, consultants, and attorneys. These surveys 
will give us insights into customers' perceptions and opinions and will 
be used to improve customer experiences and communications materials; 
however, the results will not be generalized to the population of 
study.
    Improving agency programs requires ongoing systemic review of 
service delivery and program operations compared to defined standards. 
We'll use multiple methods to collect, analyze, and interpret 
information from this generic clearance to find the strengths and 
weaknesses of our current services. We'll use this feedback to inform 
process improvements or maintain service quality offered to providers 
and stakeholders. Form Number: CMS-10731 (OMB control number: 0938-
New); Frequency: Occasionally; Affected Public: Private sector 
(business or other for-profits); Number of Respondents: 997,100; Total 
Annual Responses: 997,100; Total Annual Hours: 50,000. (For policy 
questions regarding this collection contact Alyssa Schaub-Rimel at 410-
786-4660.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: List of 
Screening Instruments for Housing Stability, Food Security, and 
Transportation Questions on Health Risk Assessments; Use: This 
information collection request is for the new regulation at 42 CFR 
422.101(f)(1)(i) requiring that all MA SNP health risk assessments 
(HRAs) include at least one question from a list of screening 
instruments specified by CMS in sub-regulatory guidance on each of 
three domains (housing stability, food security, and access to 
transportation) beginning in CY 2024. This new requirement will help 
better identify the risk factors that may inhibit enrollees from 
accessing care and achieving optimal health outcomes and independence 
and enable MA SNPs to take these risk factors into account in enrollee 
individualized care plans. This information collection request provides 
the list of CMS-specified Social Determinants of Health (SDOH) 
screening instruments available for SNPs to meet the new requirement.
    We note that the scope of the information collection currently 
approved under OMB control number 0938-1422 (CMS-10799) listed in the 
January 2022 proposed rule was too broad to include a discussion of the 
new regulation at 42 CFR 422.101(f)(1)(i) and the information 
collection requirements contained therein. Also, we did not finalize 
our proposal to require SNPs to use a standardized set of questions 
based on comments received from on the January 2022 proposed rule 
titled ``Medicare Program; Contract Year 2023 Policy and Technical 
Changes to the Medicare Advantage and Medicare Prescription Drug 
Benefit Programs'' (87 FR 1842). Therefore, in accordance with the 
implementing regulations of the PRA at 5 CFR 1320, we did not include 
this information collection in OMB control number 0938-1422 (CMS-10799) 
and are conducting a standard PRA clearance process to obtain public 
comment on the list of SDOH screening instruments described in the May 
2022 final rule. Form Number: CMS-10731 (OMB control number: 0938-New); 
Frequency: Occasionally; Affected Public: Private sector (business or 
other for-profits); Number of Respondents: 174; Total Annual Responses: 
174; Total Annual Hours: 167. (For policy questions regarding this 
collection contact Michelle Conway at 202-260-7752.)
    3. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Data Collection to Support Eligibility Determinations for Small 
Businesses in the Small Business

[[Page 65209]]

Health Options Program; Use: On March 23, 2010, the President signed 
into law H.R. 3590, the Patient Protection and Affordable Care Act, 
Public Law 111-148, as amended by the Health Care and Education 
Reconciliation Act of 2010, Public Law 111-152. The Patient Protection 
and Affordable Care Act (PPACA) expands access to health insurance 
coverage through improvements to the Medicaid and Children's Health 
Insurance (CHIP) programs, the establishment of Affordable Insurance 
Exchanges (Exchanges), and the coordination between Medicaid, CHIP, and 
Exchanges. Small business employers may participate in and provide 
health coverage through the Small Business Health Options Program 
(SHOP), so long as the small business employer obtains a positive 
eligibility determination from SHOP. Employers will work with SHOP-
registered agents/brokers or Issuers offering Qualified Health Plans 
(QHPs) and Qualified Dental Plans (SADPs), to enroll in SHOP coverage 
and to select coverage options to offer their employees. SHOP Exchanges 
became operational on October 1, 2013.
    HHS has developed a single, streamlined form that employers use to 
obtain a SHOP eligibility determination, which is included as an 
appendix to this Information Collection Request. 45 CFR 155.731 
provides more detail about this ``single employer application,'' which 
is used to determine employer eligibility. Since publication of the 
last package, no updates have been made in regulation concerning what 
information should be collected on the single employer application to 
determine employer eligibility under 45 CFR 155.731. When an employer 
completes the SHOP Eligibility Determination Form, the form and its 
results are retained by SHOP for future use, if needed (e.g., 
reconciliation with issuer records, SHOP employer appeals, etc.). Form 
Number: CMS-10439 (OMB control number 0938-1193); Frequency: Annually; 
Affected Public: Private Sector (business or other for-profits, not-
for-profit institutions); Number of Respondents: 2,100; Number of 
Responses: 2,100; Total Annual Hours: 336. (For questions regarding 
this collection contact Elliot Klein at 410-786-0415).

    Dated: October 25, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-23553 Filed 10-27-22; 8:45 am]
BILLING CODE 4120-01-P