[Federal Register Volume 89, Number 28 (Friday, February 9, 2024)]
[Notices]
[Pages 9155-9156]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-02662]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10291, CMS-10529, CMS-10722, and CMS-R-148]


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 (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, 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 April 9, 2024.

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-10291 State Collection and Reporting of Dental Provider and Benefit 
Package Information on the Insure Kids Now! Website and Hotline
CMS-10529 Quarterly Medicaid and CHIP Budget and Expenditure Reporting 
for the Medical Assistance Program, Administration and CHIP
CMS-10722 Annual State Report on CMS Value Based Purchasing 
Arrangements (VBP) Supplemental Rebate Agreements
CMS-R-148 Limitations on Provider Related Donations and Health Care 
Related Taxes, Medicaid and Supporting Regulations in 42 CFR 433.68 
through 433.74

    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: Extension without change 
of a currently approved collection; Title of Information Collection: 
State Collection and Reporting of Dental Provider and Benefit Package 
Information on the Insure Kids Now! Website and Hotline; Use: On the 
Insure Kids Now (IKN) website, the Secretary is required to post a 
current and accurate list of dentists and providers that provide dental 
services to children enrolled in the State plan (or waiver) under 
Medicaid or the State child health plan (or waiver) under CHIP. States 
collect the information pertaining to their Medicaid and CHIP dental 
benefits. Form Number: CMS-10291 (OMB control number: 0938-1065); 
Frequency: Yearly and quarterly; Affected Public: State, Local, or 
Tribal Governments; Number of Respondents: 51; Total Annual Responses: 
255; Total Annual Hours: 11,781. (For policy questions regarding this 
collection contact Andrew Snyder at 410-786-1274.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Quarterly Medicaid and CHIP Budget and Expenditure Reporting for the 
Medical Assistance Program, Administration and CHIP; Use: The Medicaid 
and CHIP Financial System is a financial reporting system that produces 
budget estimate statements for Forms CMS-37 and CMS-21B. The Medicaid 
and CHIP Budget and Expenditure System is a financial reporting system 
that produces expenditure statements for Forms CMS-64 and CMS-21. All 
forms are to be filed on a quarterly basis and need to be certified by 
the States. Form Number: CMS-10529 (OMB control number: 0938-1265); 
Frequency: Quarterly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 672; 
Total Annual Hours: 18,144. (For policy questions regarding this 
collection contact Robert Lane at 410-786-2015.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Annual State 
Report on CMS Value Based Purchasing Arrangements (VBP) Supplemental 
Rebate Agreements; Use: The reported data is being collected to 
safeguard against unnecessary utilization of such care and services and 
to assure that State payments to providers of Medicaid

[[Page 9156]]

services are consistent with efficiency, economy, and quality of care. 
CMS will collect this data to ensure that VBP programs adopted by 
States continue to meet these standards. Form Number: CMS-10722 (OMB 
control number: 0938-1385); Frequency: Yearly; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 51; Total Annual 
Responses: 51; Total Annual Hours: 306. (For policy questions regarding 
this collection contact Abraham Weinschneider at 410-786-5688.)
    4. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Limitations on Provider Related Donations and Health Care Related 
Taxes, Medicaid and Supporting Regulations in 42 CFR 433.68 through 
433.74; Use: States may elect to submit a waiver to CMS for the broad 
based and/or uniformity requirements for any health care related tax 
program which does not conform to the broad based and uniformity 
requirements. It is also the responsibility of each State to 
demonstrate that their tax program(s) do not violate the hold harmless 
provision. For a waiver to be approved and a determination that the 
hold harmless provision is not violated, States must submit written 
documentation which satisfies the regulatory requirements. Without this 
information, the amount of FFP (Federal financial participation) 
payable to a State cannot be correctly determined. Form Number: CMS-R-
148 (OMB control number: 0938-0618); Frequency: Quarterly and 
occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 50; Total Annual Responses: 40; Total Annual 
Hours: 3,200. (For policy questions regarding this collection contact 
Stuart Goldstein at 410-786-0694.)

William N. Parham, III
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-02662 Filed 2-8-24; 8:45 am]
BILLING CODE 4120-01-P