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Federal forms, ICRs, and supporting documents

Information Collection Request

Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516 (a)

ICR 201105-0938-008 · OMB 0938-1054 · Historical Active

Forms and Documents
Document
Name
Status
Form
 Modified
Supplementary Document
2011-08-10
Supplementary Document
2011-05-12
Supplementary Document
2008-09-26
Supplementary Document
2008-09-26
Supplementary Document
2008-09-26
Supplementary Document
2008-09-26
Supplementary Document
2008-09-26
Supplementary Document
2008-09-26
Supporting Statement A
2011-12-09
IC Document Collections
IC ID
Document
Title
Status
186859 Modified
ICR Details
0938-1054 201105-0938-008
Historical Active 200810-0938-009
HHS/CMS
Part C Medicare Advantage Reporting Requirements and Supporting Regulations in 42 CFR 422.516 (a)
Revision of a currently approved collection   No
Regular
Approved with change 12/20/2011
Retrieve Notice of Action (NOA) 05/23/2011
CMS continues to agree to include the technical specifications document in the ICR package and to make it available to the public during the public comment periods. ICR packages that do not contain this information and were not made available for public comment will be considered incomplete. CMS also understands that all burden-impacting changes--even technical changes like procedure and diagnosis codes that are revised annually--are subject to the PRA and require an opportunity for public comment before they are implemented. This includes changes that would require respondents to change their workflow processes or computer programs in order to accommodate those changes.
  Inventory as of this Action Requested Previously Approved
12/31/2014 36 Months From Approved 12/31/2011
8,445 0 12,709
208,920 0 286,944
0 0 0
The collection forces MA organizations to develop, compile, evaluate, and report to CMS, to its enrollees, and to the general public, as required by CMS' regulatory authority, which establishes reporting requirements (to ensure effective monitoring) for Part C Medicare Advantage.
PL: Pub.L. 110 - 275 164 Name of Law: MIPPA
  
None
Not associated with rulemaking
  75 FR 79000 12/17/2010
76 FR 19775 04/08/2011
Yes
  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 8,445 12,709 0 -4,264 0 0
Annual Time Burden (Hours) 208,920 286,944 0 -78,024 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
There is a decrease in cost and hour burden. One measure was added and another was enhanced, but these costs are more than offset by the suspension of two measures and the decrease in reporting frequency of some measures.
$300,000
No
No
No
No
No
Uncollected
William Parham 4107864669
  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.
05/23/2011