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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:
201911-0938-008
Status:
Historical Active
Previous ICR Reference No:
201707-0938-018
Agency/Subagency:
HHS/CMS
Agency Tracking No:
CPI
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:
09/03/2020
Retrieve Notice of Action (NOA)
Date Received in OIRA:
11/21/2019
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
03/31/2021
36 Months From Approved
03/31/2021
Responses
78,812
0
179,048
Time Burden (Hours)
1,897,790
0
1,143,241
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:
0938-AT72
Final or interim final rulemaking
84 FR 62998
11/15/2019
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
84 FR 40482
08/14/2019
30-day Notice:
Federal Register Citation:
Citation Date:
84 FR 62998
11/15/2019
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
18
IC Title
Form No.
Form Name
AM (Assumptions Document)
CMS-10495
Assumptions
AM (Attestation)
CMS-10495
Attestation
AM (Data Collection and Submission)
CMS-10495, CMS-10495
Open Payments User Guide
,
General-Research-Ownership Submission Data Elements and Screen Shots
AM (Record Retention)
AM (Registration)
CMS-10495
Registration
Applicable GPO (Assumptions Document)
CMS-10495
Assumptions
Applicable GPO (Attestation)
CMS-10495
Attestation
Applicable GPO (Data Collection and Submission)
CMS-10495, CMS-10495
Open Payments User Guide
,
General-Research-Ownership Submission Data Elements Screen Shots
Applicable GPO (Record Retention)
Applicable GPO (Registration)
CMS-10495
Registration
Dispute Resolution and Correction (AM)
CMS-10495, CMS-10495
Review and Dispute Screen Shots
,
Review and Dispute Email Notifications
Dispute Resolution and Correction (Physicians)
CMS-10495, CMS-10495
Review and Dispute Screen Shots
,
Review and Dispute Email Notifications
Dispute and Resolution Correction (Teaching Hospitals)
CMS-10495, CMS-10495
Review and Dispute Screen Shots
,
Review and Dispute Email Notifications
GPO Dispute and Resolution Correction
CMS-10495, CMS-10495
Review and Dispute Screen Shots
,
Review and Dispute Email Notifications
Modifying Nature of Payment Categories
Physicians (Registration)
CMS-10495
Registration
Standardizing Data on Reported Products
Teaching Hospitals (Registration)
CMS-10495
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
78,812
179,048
0
-100,236
0
0
Annual Time Burden (Hours)
1,897,790
1,143,241
0
754,549
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
Yes
Burden Reduction Due to:
Miscellaneous Actions
Short Statement:
In this 2019 iteration, the cost estimates reflect more current salary figures and doubles all BLS wage estimates to account for fringe benefits and overhead costs. Previously we applied a 3 percent increase to account for change over time and fringe benefits. The 100% increase is necessarily a rough adjustment, both because fringe benefits and overhead costs vary significantly from employer to employer, and because methods of estimating these costs vary widely from study to study. Therefore, we believe that doubling the hourly wage to estimate total cost is a reasonably accurate estimation method. This burden estimate also includes revised figures for the estimated number of records and for the number of applicable manufacturers and applicable GPOs, teaching hospitals, and physicians to reflect current trends. The estimates also reflect the one-time burden associated with the changes made in the CY 2020 PFS rule to adjust the nature of payment categories and the addition of the device identifier. The nature of payment category changes would modify the nature of payment categories and provide more options for applicable manufacturers and GPOs to capture the nature of the payment made to the covered recipient. To accommodate this change, we project that reporting entities would need to update their system to incorporate the categories. We also expect that all entities would need to make minor, one-time adjustments to their submission processes. For the change related to device identifiers, we estimate that approximately 850 entities (approximately 53 percent of an assumed 1,600) would need to report at least one record with a device identifier and that 450 of those entities do not already collect the device identifier. We also assume that the remaining 750 entities not planning to submit a device identifier would have a small amount of burden associated with updating their submission processes. These changes in the CY 2020 PFS pertain to data collected in 2021 that will be submitted in 2022. Minor adjustments to the collection materials such as the submission-mapping document will be made for versions to be used for Program Year 2021 and beyond to reflect the changes from the CY 2020 PFS final rule.
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?
No
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:
11/21/2019