View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0763	ICR Reference No: 201701-0938-007
Status: Historical Active	Previous ICR Reference No: 201512-0938-009
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: The Plan Benefit Package (PBP) and Formulary Submission for Advantage (MA) Plans and Prescription Drug Plans (PDPs) (CMS-R-262)
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: 05/08/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 02/17/2017
Terms of Clearance: 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
Expiration Date	05/31/2018	36 Months From Approved	05/31/2017
Responses	5,185	0	5,448
Time Burden (Hours)	50,619	0	52,902
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	5,185	5,448	-263
Annual Time Burden (Hours)	50,619	52,902	-2,283
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 minimal 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. The number of reporting organizations decreased from 552 contracts to 524 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 524 organizations will submit distinct formularies. Changes due to internal decisions made were made to the screenshots for the Formulary, PBP and the MTMP and are reflected in the list of changes.