OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)

ICR 201001-0938-002 · OMB 0938-0763 · Historical Active

Forms and Documents
Document
Name
Status
Supplementary Document
2010-03-24
Supplementary Document
2010-01-08
Supplementary Document
2010-03-24
Supplementary Document
2010-01-06
Supporting Statement A
2010-03-24
IC Document Collections
IC ID
Document
Title
Status
43667 Modified
ICR Details
0938-0763 201001-0938-002
Historical Active 200901-0938-005
HHS/CMS
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs)
Revision of a currently approved collection   No
Regular
Approved with change 04/02/2010
Retrieve Notice of Action (NOA) 01/12/2010
This ICR is approved consistent with revised supporting statement and burden/cost estimates. As this ICR is associated with the issuance of annual guidance, this ICR is approved for one year. During this time, and in response to public comments that suggest the burden estimates may not be accurate, CMS shall either (1) add a data element/question question to accurately determine burden at the end of the PBP - (e.g., “How long did this reporting process take to complete? Please include all time spent gathering and synthesizing information, attending training sessions, and entering such information into the computer system.”) or (2) ask a purposive sample of 9 plans for an estimate of the total burden associated with this collection, with the plans varying on important dimensions such as a size of plan, scope of plan coverage (e.g. national, regional, local), and type of plan (MA vs PDP). Finally, CMS is encouraged to provide more thorough responses to public comments in future submissions with clearer explanations for why the burden estimates are changing. Previous terms of clearance remain in effect.
  Inventory as of this Action Requested Previously Approved
05/31/2011 36 Months From Approved 09/30/2010
6,878 0 4,988
18,020 0 12,113
1,171,323 0 0
CMS requires that MA and PDP organizations submit a completed formulary and PBP as part of the annual bidding process. During this process, organizations prepare their proposed plan benefit packages for the upcoming contract year and submit them to CMS for review and approval.
PL: Pub.L. 108 - 173 101 Name of Law: Prescription Drug, Improvement, and Modernization Act of2003 (MMA)
  
None
Not associated with rulemaking
  74 FR 52236 10/09/2009
75 FR 1059 01/08/2010
Yes
1
IC Title Form No. Form Name
CY2011 Plan Benefit Package (PBP) Software and Formulary Submission - CMS-R-262
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 6,878 4,988 0 0 1,890 0
Annual Time Burden (Hours) 18,020 12,113 0 0 5,907 0
Annual Cost Burden (Dollars) 1,171,323 0 0 0 1,171,323 0
No
No
$944,635
No
No
Uncollected
Uncollected
No
Uncollected
Bonnie Harkless 4107865666
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
01/12/2010