View Information Collection Request (ICR) Package
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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:
0938-0978
ICR Reference No:
201311-0938-015
Status:
Historical Active
Previous ICR Reference No:
201008-0938-009
Agency/Subagency:
HHS/CMS
Agency Tracking No:
20954
Title:
Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers
Type of Information Collection:
Revision of a currently approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
02/14/2014
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/14/2013
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
02/28/2017
36 Months From Approved
02/28/2014
Responses
2,402,582
0
248,018
Time Burden (Hours)
5,205,128
0
754,788
Cost Burden (Dollars)
0
0
0
Abstract:
This information is necessary to assist with coordination of prescription drug benefits provided to the Medicare beneficary at the pharmacy.
Authorizing Statute(s):
PL:
Pub.L. 108 - 173 101
Name of Law: Part D- Voluntary Prescription Drug Benefit Program
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:
78 FR 40482
07/05/2013
30-day Notice:
Federal Register Citation:
Citation Date:
78 FR 67150
11/08/2013
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
Coordination of Benefits between Part D Plans and Other Prescription Coverage Providers (CMS-10171)
CMS-10171
SPAP Plan to Wrap-Around Part D for CY 2014
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
2,402,582
248,018
0
0
2,154,564
0
Annual Time Burden (Hours)
5,205,128
754,788
0
0
4,450,340
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 previous package included a separate guidance document concerning TrOOP balance transfers. That document can be found in the Medicare Prescription Drug Benefit Manual section 50.8.1 which is included in this PRA package. This is a revision of an approved collection. Differences in the burden estimates (57,116 respondents (2013) vs 57,227 respondents (2010), 2,492,582 responses (2013) vs 248,018 responses (2010), and 5,205,128 hr (2013) vs 754,788 hr (2010)) are due to a number of factors. CMS implemented several improvements in the processes used to identify claims supplemental to Part D and, thus, significantly increased the number of N transactions created to report these claims payments to Part D plan sponsors. Therefore, plan sponsors receive and process a higher number of these transactions than were previously estimated. Additionally, CMS, in conjunction with the industry and NCPDP, made a number of improvements to the ATBT process, including revising the scheduling of the transactions to increase the number of transactions occurring in the month immediately following the enrollment change and to incorporate three series of end-of-year transactions for all beneficiaries who changed plans during the contract year. This resulted in an increase in the overall volume of ATBT transactions from our previous estimates. The implementation of enhancements to the eligibility query, including the addition of several new fields in the query response has improved the utility of the transaction for pharmacies and created an increase in the overall number of queries. Therefore, based on our current experience, the previous burden estimates associated with these queries was understated.
Annual Cost to Federal Government:
$9,000,000
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]?
No
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
No
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:
Mitch Bryman 410 786-5258 Mitch.Bryman@cms.hhs.gov
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:
11/14/2013
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