[Federal Register Volume 89, Number 146 (Tuesday, July 30, 2024)]
[Notices]
[Pages 61122-61123]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-16736]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10114 and CMS-10829]


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 September 30, 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-10114 National Provider Identifier (NPI) Application and Update 
Form and Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 
162.406
CMS-10829 Improper Payment Pre-Testing and Assessment (IPPTA) Data 
Request Form

    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 Collections

    1. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
National Provider Identifier (NPI) Application and Update Form and 
Supporting Regs in 45 CFR 142.408, 45 CFR 162.408, 45 CFR 162.406; Use: 
The adoption by the Secretary of HHS of the standard unique health 
identifier for health care providers is a requirement of the Health 
Insurance Portability and Accountability Act of 1996 (HIPAA). The 
unique identifier is to be used on standard transactions and may be 
used for other lawful purposes in the health care system. The CMS Final 
Rule published on January 23, 2004, adopts the National Provider 
Identifier (NPI) as the standard unique health identifier for health 
care providers. Health care providers that are covered entities under 
HIPAA must apply for and use NPIs in standard transactions. Other 
health care providers are eligible for NPIs but are not required by 
regulation to apply for them or use them. Health care providers began 
applying for NPIs on May 23, 2005.
    The National Provider Identifier Application and Update Form is 
used by health care providers to apply for NPIs and furnish updates to 
the information they supplied on their initial applications. The form 
is also used to deactivate their NPIs if necessary. The original 
application form was approved in February 2005 and has been in use 
since May 23, 2005. The form is available on paper or can be completed 
via a web-based process. Health care providers can mail a paper 
application, complete the application via the web-based process via the 
National Plan and Provider Enumeration System (NPPES), or have a 
trusted organization submit the application on their behalf via the 
Electronic File Interchange (EFI) process. The Enumerator uses the 
NPPES to process the application and generate the NPI. NPPES is the 
Medicare contractor tasked with issuing NPIs, and maintaining and 
storing NPI data. Form Number: CMS-10114 (OMB control number: 0938-
0931); Frequency: Occasionally; Affected Public: Business or other for-
profits, Not for-profits and Federal Government; Number of Respondents: 
1,275,912; Number of

[[Page 61123]]

Responses: 1,275,912; Total Annual Hours: 298,777. (For policy 
questions regarding this collection contact Da'Vona Boyd at 410-786-
7483).
    2. Type of Information Collection Request: Revision of an approved 
information collection; Title of Information Collection: Improper 
Payment Pre-Testing and Assessment (IPPTA) Data Request Form; Use: To 
comply with the Payment Integrity Information Act of 2019 (PIIA), HHS 
finalized the IPPTA to prepare State Exchanges for the measurement of 
improper payments of advance payments of the premium tax credit (APTC), 
to test processes and procedures that support HHS's review of 
determinations of APTC made by State Exchanges, and to provide a 
mechanism for HHS and State Exchanges to share information that would 
aid in developing an efficient measurement process. The PIIA requires 
executive agencies to report on Federal programs susceptible to 
significant improper payments. The APTC program was identified as a 
Federal program susceptible to significant improper payments. Currently 
in operation are 19 State Exchanges, which do not use the Federal 
platform to perform eligibility and enrollment determinations. Each 
State Exchange was selected to participate in the IPPTA data collection 
for a period of 2 calendar years, which began in 2024 or will begin in 
2025 depending on which group the State Exchange is assigned. HHS has 
revised the approved data request form to include new instructions and 
a data mapping tool to aid State Exchanges in their understanding and 
collecting of necessary data. This collection of data and data 
documentation is intended to allow HHS to test the data elements as 
specified in the scenarios provided to each State Exchange in the pre-
testing and assessment data request form to enable HHS to comply with 
the requirements of the Payment Integrity Information Act of 2019 
(PIIA) and implementing guidance. Form Number: CMS-10829 (OMB control 
number: 0938-1439); Frequency: Annually; Affected Public: State, Local, 
and Federal Government; Number of Respondents: 11; Number of Responses: 
11; Total Annual Hours: 265. (For policy questions regarding this 
collection contact Halina DeSantis at 410-786-1000).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-16736 Filed 7-29-24; 8:45 am]
BILLING CODE 4120-01-P