[Federal Register Volume 78, Number 226 (Friday, November 22, 2013)]
[Notices]
[Pages 70057-70058]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-28048]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1984-14, CMS-10198, CMS-10069 and CMS-10150]


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

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 any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) 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 December 23, 2013:

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and

[[Page 70058]]

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) 395-6974 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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

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: Revision of a currently 
approved collection; Title of Information Collection: Hospice Facility 
Cost Report; Use: In accordance with sections 1815(a), 1833(e), and 
1861(v)(1)(A) of the Social Security Act (the Act), providers of 
service in the Medicare program are required to submit annual 
information to achieve reimbursement for health care services rendered 
to Medicare beneficiaries. In addition, 42 CFR 413.20(b) specifies that 
cost reports are required from providers on an annual basis. Such cost 
reports are required to be filed with the provider's Medicare 
contractor. The functions of the Medicare contractor are described in 
section 1816 of the Act. Section 3132 of the Affordable Care Act 
requires that we collect appropriate data and information to facilitate 
hospice payment reform. Please note that the package associated with 
the 60-day notice that published on April 29, 2013 (78 FR 25089) has 
been revised. Form Number: CMS-1984-14 (OCN: 0938-0758); Frequency: 
Yearly; Affected Public: Private sector--Business or other for-profit 
and Not-for-profit institutions; Number of Respondents: 2,751; Total 
Annual Responses: 2,751; Total Annual Hours: 517,188. (For policy 
questions regarding this collection contact Gail Duncan at 410-786-
7278.)
    2. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Creditable Coverage Disclosure to CMS On-Line Form and 
Instructions; Use: Most entities that currently provide prescription 
drug benefits to any Medicare Part D eligible individual must disclose 
whether their prescription drug benefit is creditable (expected to pay 
at least as much, on average, as the standard prescription drug plan 
under Medicare). The disclosure must be provided annually and upon any 
change that affects whether the coverage is creditable prescription 
drug coverage. Form Number: CMS-10198 (OCN: 0938-1013); Frequency: 
Yearly and semi-annually; Affected Public: Private sector--Business or 
other for-profits and Not-for-profit institutions, State, Local, or 
Tribal Governments; Number of Respondents: 85,610; Total Annual 
Responses: 87,265; Total Annual Hours: 7,272. (For policy questions 
regarding this collection contact Roslyn Thomas at 410-786-9621.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Waiver 
Demonstration Application; Use: The currently approved application has 
been used for several congressionally mandated and high priority 
demonstrations. The standardized format is not controversial and will 
reduce burden on applicants and reviewers. Responses are strictly 
voluntary. The standard format will enable us to select proposals that 
meet our objectives and show the best potential for success. Form 
Number: CMS-10069 (OCN: 0938-0880); Frequency: Once; Affected Public: 
Private sector--Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 75; Total Annual Responses: 75; 
Total Annual Hours: 6,000. (For policy questions regarding this 
collection contact Steven Johnson at 410-786-3332.)
    4. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Collection of Drug Pricing and Network Pharmacy Data from 
Medicare Prescription Drug Plans (PDPs and MA-PDs) and Supporting 
Regulations; Use: Both stand-alone prescription drug plans (PDPs) and 
Medicare Advantage Prescription Drug (MA-PDs) plans are required to 
submit drug pricing and pharmacy network data to us. These data are 
made publicly available to people with Medicare through the Medicare 
Prescription Drug Plan Finder web tool on http://www.medicare.gov. Drug 
prices vary across a plans pharmacy network based on the contracts that 
each plan negotiates with each pharmacy or pharmacy chain in their 
networks. The pharmacy networks can change during the course of the 
year as new pharmacies open, close, change ownership, or plans 
negotiate new contracts with pharmacies resulting in different 
dispensing fees for prescriptions. Drug prices also change frequently 
due to the daily fluctuation of the Average Wholesale Price (AWP), thus 
plans increase or decrease their drug prices to reflect these changes.
    The purpose of the data is to enable prospective and current 
Medicare beneficiaries to compare, learn, select and enroll in a plan 
that best meets their needs. The database structure provides the 
necessary drug pricing and pharmacy network information to accurately 
communicate plan information in a comparative format. Form Number: CMS-
10150 (OCN: 0938-0951); Frequency: Yearly; Affected Public: Private 
sector--Business or other for-profit and Not-for-profit institutions; 
Number of Respondents: 680; Total Annual Responses: 17,680; Total 
Annual Hours: 70,720. (For policy questions regarding this collection 
contact Jay Dobbs at 410-786-1182.)

    Dated: November 19, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-28048 Filed 11-21-13; 8:45 am]
BILLING CODE 4120-01-P