View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-1462	ICR Reference No: 202401-0938-009
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: Reporting Requirements and Corrective Action Plans Under Section 1902(tt) of the Social Security Act (CMS-10875)
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 02/14/2024
	Date Received in OIRA: 01/30/2024
Terms of Clearance: The ICR is associated with an IFR that state Medicaid agencies report certain data elements to CMS on a regular basis as well as comply with all Federal eligibility redetermination requirements or be subject to new enforcement actions for noncompliance during the period of April 1, 2023, through June 30, 2024.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	01/31/2025	36 Months From Approved
Responses	16	0	0
Time Burden (Hours)	408	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	16	16
Annual Time Burden (Hours)	408	408
Annual Cost Burden (Dollars)	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Section 435.927 outlines state requirements to submit certain data elements on eligibility redeterminations to CMS, and at § 435.928, which requires that for states that fail to meet the requirements at § 435.927 for any fiscal quarter during the compliance period, CMS will reduce the state’s FMAP. In aggregate we estimate a one-time burden of 184 hours (8 States x 23 hr/State). Section 430.49 requires that when CMS finds that a state has failed to comply with the Federal redetermination requirements at § 435.916 as well as section 1902(tt)(1) of the Act, CMS may require a corrective action plan (CAP), and if the state fails to comply with the CAP requirement, CMS may take further enforcement action to require the state to suspend some or all procedural terminations and impose civil money penalties (CMPs). In aggregate we estimate a one-time burden of 224 hours (8 States x 28 hr).

Annual Cost to Federal Government: $20,873

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. Yes

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

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