[Federal Register Volume 89, Number 152 (Wednesday, August 7, 2024)]
[Notices]
[Pages 64465-64466]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-17468]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10874 and CMS-R-285]


Agency Information Collection Activities: Submission for OMB 
Review; 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 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 6, 2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    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 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: New collection (Request 
for a new OMB control number); Title of Information Collection: Part D 
Drug Management Program (DMP); Use: Section 1860D-4(c)(5)(A) of the 
Social Security Act requires that Part D sponsors have a DMP for 
beneficiaries at risk of abuse or misuse of frequently abused drugs 
(FADs). The information in this collection of information request is 
necessary for sponsor conformance with DMP requirements at Sec.  
423.153(f), including communicating with prescribers and pharmacies, 
informing beneficiaries that they have been identified as a PARB or 
ARB, and informing beneficiaries and CMS whether a beneficiary's access 
to FADs will be restricted to a selected prescriber and/or network 
pharmacy(ies) and/or through a beneficiary-specific point-of-sale claim 
edit. Part D sponsors will use the standardized and model documents to 
communicate with providers, enrollees, and other sponsors. 
Specifically, Part D sponsors may use the Model Part D Drug Management 
Program Prescriber Inquiry Letter to inform providers that their 
patient's pattern of use or history of use of FADs is potentially 
unsafe and has prompted a case management review under the plan's DMP. 
Part D sponsors must use the standardized Initial Notice and Second 
Notice, or Alternate Second Notice, to inform enrollees, following 
identification by CMS's OMS and subsequent case management, whether the 
beneficiaries have been identified as being potentially at risk or at 
risk for abuse or misuse of FADs. Part D sponsors may use the Model 
Part D Drug Management Program Sponsor Information Transfer Memorandum 
to communicate to a gaining sponsor the enrollee's history of misuse or 
abuse of FADs; Form Number: CMS-10874 (OMB control number: 0938-1465); 
Frequency: Yearly and once; Affected Public: Private sector; Number of 
Respondents: 319; Number of Responses: 62,248; Total Annual Hours: 
152,585. (For policy questions regarding this

[[Page 64466]]

collection contact Valerie Yingling at 667-290-8657.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicare Request for Retirement Benefit Information; Use: Medicare 
Premium Part A is a voluntary program that is financed from premium 
payments by enrollees together with contributions from funds 
appropriated by the Federal Government. Form CMS-R-285, ``Medicare 
Request for Retirement Benefit Information,'' is used to obtain 
information regarding whether a beneficiary currently purchasing 
Medicare Premium Part A coverage is receiving retirement payments based 
on State or local government employment, how long the claimant worked 
for the State or local government employer, and whether the former 
employer or pension plan is subsidizing the individual's Part A 
premium.
    Form CMS-R-285 provides the necessary information regarding the 
prior state or local government employment to process the individual's 
request for premium Part A reduction based on their employment by a 
state or local government. The form is completed by the state or local 
government employer on behalf of the individual seeking the Medicare 
premium reduction. The SSA, CMS' agent for processing Medicare 
enrollments and premium amount determinations, will use this 
information to help determine whether a beneficiary meets the 
requirements for reduction of the Part A premium. The form is owned by 
CMS but not completed by CMS staff. Form Number: CMS-R-285 (OMB control 
number: 0938-0769); Frequency: Once; Affected Public: State, Local, or 
Tribal Governments; Number of Respondents: 500; Total Annual Responses: 
500; Total Annual Hours: 125. (For policy questions regarding this 
collection contact Candace Carter at 410-786-8446.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-17468 Filed 8-6-24; 8:45 am]
BILLING CODE 4120-01-P