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Federal forms, ICRs, and supporting documents

Information Collection Request

Medicare Part D Reporting Requirements under 42 CFR section 423.505

ICR 201211-0938-008 · OMB 0938-0992 · Historical Active

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Justification for No Material/Nonsubstantive Change
2012-11-26
Supplementary Document
2012-11-26
Supplementary Document
2012-11-26
Supporting Statement A
2012-11-26
IC Document Collections
IC ID
Document
Title
Status
8853 Modified
ICR Details
0938-0992 201211-0938-008
Historical Active 201208-0938-010
HHS/CMS
Medicare Part D Reporting Requirements under 42 CFR section 423.505
Revision of a currently approved collection   No
Regular
Approved without change 03/20/2013
Retrieve Notice of Action (NOA) 11/26/2012
  Inventory as of this Action Requested Previously Approved
03/31/2016 10/31/2015 10/31/2015
11,269 0 48,152
14,774 0 76,240
690,389 0 3,563,695
MMA provides CMS the statutory authority to require all Part D Sponsors (MA-PDs and PDPs) to report data related to their operational costs and services. These data will be analyzed for oversight and monitoring purposes, as well as potentially initiating other groups within the agency to perform functions such as fraud/waste/abuse investigations, audit activities, and compliance. Title I, Part 423, ?423.514 describes CMS' regulatory authority to establish reporting requirements for Part D sponsors. It is noted that each Part D plan sponsor must have an effective procedure to develop, compile, evaluate, and report to CMS, to its enrollees, and to the general public, at the times and in the manner that CMS requires, statistics in the following areas: (1) The cost of its operations. (2) The patterns of utilization of its services. (3) The availability, accessibility, and acceptability of its services. (4) Information demonstrating that the Part D plan sponsor has a fiscally sound operation. (5) Other matters that CMS may require. Subsection 423.505 of the MMA regulation establishes as a contract provision that Part D Sponsors must comply with the reporting requirements for submitting drug claims and related information to CMS.
Statute at Large: 1 Stat. 423 Name of Statute: null
  
None
Not associated with rulemaking
  77 FR 23264 04/18/2012
77 FR 42316 07/18/2012
No
1
IC Title Form No. Form Name
Medicare Part D Reporting Requirements (CMS-10185) CMS-10185 Medicare Part D Reporting Requirements
  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 11,269 48,152 0 0 -36,883 0
Annual Time Burden (Hours) 14,774 76,240 0 0 -61,466 0
Annual Cost Burden (Dollars) 690,389 3,563,695 0 0 -2,873,306 0
No
No
$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.
11/26/2012