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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:
0938-1237
ICR Reference No:
201707-0938-018
Status:
Historical Active
Previous ICR Reference No:
201407-0938-004
Agency/Subagency:
HHS/CMS
Agency Tracking No:
20949
Title:
Registration, Attestation, Dispute Resolution and Correction, Assumptions Document and Data Retention Requirements for Open Payments (CMS-10495)
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:
03/21/2018
Retrieve Notice of Action (NOA)
Date Received in OIRA:
08/01/2017
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2021
36 Months From Approved
03/31/2018
Responses
179,048
0
457,454
Time Burden (Hours)
1,143,241
0
3,099,297
Cost Burden (Dollars)
0
0
0
Abstract:
Section 6002 of the Affordable Care Act added section 1128G to the Social Security Act (Act), which requires applicable manufacturers and applicable group purchasing organizations (GPOs) of covered drugs, devices, biologicals, or medical supplies to report annually to CMS certain payments or other transfers of value to physicians and teaching hospitals, as well as, certain information regarding the ownership or investment interests held by physicians or the immediate family members of physicians in such entities. Specifically, applicable manufacturers of covered drugs, devices, biologicals, and medical supplies are required to submit on an annual basis the information required in section 1128G(a)(1) of the Act about certain payments or other transfers of value made to physicians and teaching hospitals (collectively called covered recipients) during the course of the preceding calendar year. Similarly, section 1128G(a)(2) of the Act requires applicable manufacturers and applicable GPOs to disclose any ownership or investment interests in such entities held by physicians or their immediate family members, as well as information on any payments or other transfers of value provided to such physician owners or investors. Applicable manufacturers must report the required payment and other transfer of value information annually to CMS in an electronic format. The statute also provides that applicable manufacturers and applicable GPOs must report annually to CMS the required information about physician ownership and investment interests, including information on any payments or other transfers of value provided to physician owners or investors, in an electronic format by the same date. This information collection request includes the Registration, Attestation, Assumptions Document and Data Retention Requirements this program.
Authorizing Statute(s):
PL:
Pub.L. 111 - 148 6002
Name of Law: Affordable Care Act
Citations for New Statutory Requirements:
PL: Pub.L. 111 - 148 6002 Name of Law: Affordable Care Act
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:
82 FR 11921
02/27/2017
30-day Notice:
Federal Register Citation:
Citation Date:
82 FR 23005
05/19/2017
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
9
IC Title
Form No.
Form Name
AM and Applicable GPO (Assumptions Document)
CMS-10495
Assumptions
AM and Applicable GPO (Attestation)
CMS-10495
Attestation
AM and Applicable GPO (Data submission)
CMS-10495
Open Payments User Guide - Data Submission
AM and Applicable GPO (Record Retention)
AM and Applicable GPO (Registration)
CMS-10495
AM and AGPO Registration
Dispute Resolution and Correction (Physicians)
CMS-10495
Dispute Resolution and Correction
Dispute and Resolution Correction (Teaching Hospitals)
CMS-10495
Dispute Resolution and Correction
Physicians (Registration)
CMS-10495
Physician Registration
Teaching Hospitals (Registration)
CMS-10495
Teaching Hospitals Registration
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
179,048
457,454
0
0
-278,406
0
Annual Time Burden (Hours)
1,143,241
3,099,297
0
0
-1,956,056
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:
In an effort to keep all aspects of the same data collection under one OMB control number, CMS is proposing to combine OMB control number 0938-1173 and OMB control number 0938-1237 under the same OMB control number. The total number of hours (3,925,518) in the existing 0938-1173 will decrease significantly as a result of decreasing the number of respondents and the time associated with the Open Payments Portal. The existing ICR overestimated burden considerably; however, due to more reliable data provided by the Open Payments system, CPI has been able to provide more accurate data versus relying on best guest assumptions. Start-up burden has been removed from 0938-1173 (Registration, Review and Disputes) and from 0938-1237 (Open Payments Portal) as well. CMS is proposing to decrease the overall burden hours by -1,956,056 hours. The burden estimates related to registration (Applicable Manufacturer, Applicable GPO, Physician and Teaching Hospital) has decreased as the initial registration process has already been completed by the majority of Applicable Manufacturers and GPOs and physicians and hospitals interested in reviewing data. Once the initial registration is completed, no repeated registration is required. Thus registration is a one-time burden and does not recur on an annual basis; however, some registration burden is still included due to the fact that some new entities may need to register. Additionally, since the program inception, Open Payments has made a number of improvements to the system interface and user materials that streamline the registration process for users. Those improvements have significantly decreased the registration burden on users. The estimated number of such entities is much smaller than in the initial years of the program. The estimated burden of record retention, dispute resolution and correction (teaching hospitals and physicians) has been revised as it was discovered that participation in the review, dispute, and correction process by physicians and hospitals was much lower than originally estimated. Participation in this process is entirely voluntary for physicians and hospitals. The number of records disputed during the first 3 years of the program, was also much lower than originally estimated. Lastly, the burden of the review, dispute and correction process was decreased for those who participate in it by usability refinements to the system and user documentation making the process less burdensome. Estimates of burden for attestation and assumptions document for applicable manufacturers and GPOs changed due to methodology refinements based on the actual operational program data rather than best guest projections used in the previous set of estimates developed before the program’s start and also due to technical system refinements that streamlined the attestation and assumptions document submission process.
Annual Cost to Federal Government:
$0
Does this IC contain surveys, censuses, or employ statistical methods?
No
Does this ICR request any personally identifiable information (see
OMB Circular No. A-130
for an explanation of this term)? Please consult with your agency's privacy program when making this determination.
No
Does this ICR include a form that requires a Privacy Act Statement (see
5 U.S.C. §552a(e)(3)
)? Please consult with your agency's privacy program when making this determination.
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Yes
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:
Jamaa Hill 301 492-4190
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:
08/01/2017