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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 201801-0938-001 · OMB 0938-0763 · Historical Active

Forms and Documents
Document
Name
Status
Supplementary Document
2018-02-08
Supporting Statement A
2018-02-26
Supplementary Document
2018-01-04
Supplementary Document
2018-01-04
IC Document Collections
IC ID
Document
Title
Status
43667 Modified
ICR Details
0938-0763 201801-0938-001
Historical Active 201701-0938-007
HHS/CMS CM-CPC
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 02/27/2018
Retrieve Notice of Action (NOA) 01/04/2018
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
02/28/2019 36 Months From Approved 05/31/2018
5,675 0 5,185
56,450 0 50,619
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
  82 FR 44416 09/22/2017
82 FR 61762 12/29/2017
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 5,675 5,185 0 446 44 0
Annual Time Burden (Hours) 56,450 50,619 0 5,397 434 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
The increase to burden is attributable to an increase in the number of plans/PBP per organization, along with a decrease in the number of reporting organizations, as well as an increase in the number of formulary submissions and the addition of the new opioid upload. The number of reporting organizations decreased from 524 contracts to 520 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 520 organizations will submit distinct formularies.
$1,122,229
No
    No
    No
Yes
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.
01/04/2018