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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0938-0936
ICR Reference No:
200611-0938-011
Status:
Historical Active
Previous ICR Reference No:
200606-0938-014
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Applications for Medicare Part D plans: PDP Plans, MA-PD Plans, Cost Plans, PACE organizations, SAE and EPOG
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Emergency
Approval Requested By:
12/15/2006
OIRA Conclusion Action:
Approved with change
Conclusion Date:
01/05/2007
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/22/2006
Terms of Clearance:
Approved consistent with memo dated 1/3/2007. CMS will update, when appropriate, changes to the burden and number of responses for Medicare Part D record keeping requirements.
Inventory as of this Action
Requested
Previously Approved
Expiration Date
07/31/2007
6 Months From Approved
11/30/2009
Responses
216
0
101
Time Burden (Hours)
5,316
0
3,828
Cost Burden (Dollars)
0
0
0
Abstract:
The Applications for Part D sponsors to offer qualified prescription drug coverage are completed by entities seeking approval to offer Part D benefits under the Medicare Prescription Drug Benefit program established by section 101 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and is codified in section 1860D of the Social Security Act (the Act).
Emergency Justfication:
For the 2008 contract year, CMS is taking several steps to reduce the person-hours necessary to complete the Part D solicitations. These steps include automating the majority of the Part D and Employer Group Waiver Plan solicitations within CMS Health Plan Management System (HPMS), incorporating the Pharmacy Access Submission document into the underlying Part D solicitation, and streamlining key information that was previously requested by attachments into attestations. As a result of these steps, CMS must have the final language for the solicitation completed by early December. This will provide CMS with the opportunity to ensure the appropriate systems testing has been completed and applicants are educated and trained to completing the solicitations within HPMS.
Authorizing Statute(s):
None
Citations for New Statutory Requirements:
PL: Pub.L. 108 - 173 1860D
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
71 FR 66954
11/17/2006
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EPOG
CMS-10137, CMS-10137, CMS-10137, CMS-10137 EPOG, CMS-10137, CMS-10137, CMS-10137 EPOG, CMS-10137 EPOG, CMS-10137 EPOG, CMS-10137, CMS-10137, CMS-10137, CMS-10137
Application for New PDP
,
SAE Application
,
Application for New Cost Plan
,
Application for EPOG
,
Application for New Employer
,
Application for New MA-PD
,
Application for New EPOG PDP
,
Application for Existing PDP
,
Application for EPOG Cost Plans
,
SAE Application
,
Application for New PDP
,
Application for New MA-PD
,
Application for New Cost Plan
ICR Summary of Burden
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
216
101
115
0
0
0
Annual Time Burden (Hours)
5,316
3,828
1,488
0
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
No
Burden Increase Due to:
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
The Part D Applications are being automated through CMS Health Plan Management System (HPMS), which will reduce the hour burden for each applicant. However, CMS expects the number of applicants to increase from what was expected last year because the statute allows local preferred provider organizations to apply to participate in the Part D benefit program for the first time in 2008. The increase in the number of applicants is the reason that the annual hour burden actually increased from last year.
Annual Cost to Federal Government:
$100,800
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Saleda Perryman
Common Form ICR:
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:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(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;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
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.
Certification Date:
11/16/2006
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