View Information Collection Request (ICR) Package

OMB Control No: 0938-1000	ICR Reference No: 200910-0938-014
Status: Historical Active	Previous ICR Reference No: 200607-0938-002
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Parts C and D Universal Audit Guide
Type of Information Collection: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/03/2010
	Date Received in OIRA: 10/30/2009
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	02/28/2013	36 Months From Approved	02/28/2010
Responses	195	0	430
Time Burden (Hours)	24,180	0	41,280
Cost Burden (Dollars)	0	0	0

Abstract: 42 CFR 422.502 describes CMS' regulatory authority to evaluate, through inspection or other means, Medicare Advantage Part C organizations. These records include books, contracts, medical records, patient care documentation and other records that pertain to any aspect of services performed, reconciliation of benefit liabilities, and determination of amounts payable. 42 CFR 423.503 states that CMS must oversee a Part D plan sponsor's continued compliance with the requirements for a Part D plan sponsor. 423.514 states that the 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 regarding areas such as cost of operations, patterns of utilization availability, accessibility, and acceptability of services. CMS developed a strategy to address our oversight and audit responsibilities within the context of limited audit/oversight resources. We intend to combine all Part C and Part D guides into one universal guide as it will promote efficiency and effectiveness and reduce financial and time burdens for both CMS and Medicare-contracting entities.

Authorizing Statute(s): Statute at Large: 18 Stat. 1857
Statute at Large: 18 Stat. 1860

Citations for New Statutory Requirements: None

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:
	74 FR 38208	07/31/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 55559	10/28/2009
Did the Agency receive public comments on this ICR? Yes

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Medicare Parts C and D Universal Audit Guide

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	195	430	-235
Annual Time Burden (Hours)	24,180	41,280	-17,100
Annual Cost Burden (Dollars)	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: Yes

Burden Reduction Due to: Miscellaneous Actions

Short Statement: The decrease in the burden estimate reflects 1) that CMS is auditing at the parent organization level, and while multiple contracts under that parent may be the subject of an audit, there are certain efficiencies built into auditing an organization once at the parent level. 2) the increased amount of information that is provided electronically instead of hard copy, which reduces printing, copying and mailing costs and time; and 3) the combining of all Part C and D guides into one universal audit instrument, which reduces duplication and creates a certain amount of efficiency in the process.

Annual Cost to Federal Government: $0

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)? No

Is this ICR related to the Pandemic Response? Uncollected

Agency Contact: Bonnie Harkless 4107865666

View ICR - OIRA Conclusion