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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) (CMS-R-262)

ICR 201512-0938-009 · OMB 0938-0763 · Historical Active

Forms and Documents
Document
Name
Status
Supplementary Document
2015-12-18
Supporting Statement A
2016-04-06
IC Document Collections
IC ID
Document
Title
Status
43667 Modified
ICR Details
0938-0763 201512-0938-009
Historical Active 201412-0938-008
HHS/CMS
The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)
Revision of a currently approved collection   No
Regular
Approved with change 04/07/2016
Retrieve Notice of Action (NOA) 12/22/2015
As this ICR is associated with the issuance of annual guidance, this ICR must be revised accordingly each year.
  Inventory as of this Action Requested Previously Approved
04/30/2017 36 Months From Approved 02/28/2018
5,448 0 5,872
52,902 0 56,411
0 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
  80 FR 57619 09/24/2015
80 FR 79045 12/18/2015
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 5,448 5,872 0 0 -424 0
Annual Time Burden (Hours) 52,902 56,411 0 0 -3,509 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
The change to burden is attributable to a decrease in the number of formulary submissions as well as a decrease in the number of reporting organizations. Additionally, the cost to the Government increased due to changes to federal staff salaries and the costs of maintaining the functionality of the modules increasing slightly. This results in a net decrease of overall burden to industry, but an increase to burden to the individual entities. The number of reporting organizations decreased from 598 contracts to 552 contracts based on the most recent numbers extracted from HPMS. This number represents the total number of organizations that will submit at least one (1) PBP. Because an organization can submit a formulary that covers multiple contract numbers, only a subset of the 552 organizations will submit distinct formularies.
$892,272
No
No
No
No
No
Uncollected
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
  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.
12/22/2015