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View ICR - OIRA Conclusion

OMB Control No: 0938-0763	ICR Reference No: 202503-0938-003
Status: Active	Previous ICR Reference No: 202401-0938-014
Agency/Subagency: HHS/CMS	Agency Tracking No: CM-CPC
Title: CMS Plan Benefit Package (PBP) and Formulary CY 2026 (CMS-R-262) - IRA
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: 06/10/2025
	Date Received in OIRA: 03/28/2025
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2027	36 Months From Approved	03/31/2027
Responses	8,337	0	8,770
Time Burden (Hours)	46,026	0	55,782
Cost Burden (Dollars)	0	0	0

Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
CY2026 Plan Benefit Package (PBP) Software and Formulary Submission	CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262, CMS-R-262	, , , , , , , , ,

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Agency Discretion
Annual Number of Responses	8,337	8,770	-433
Annual Time Burden (Hours)	46,026	55,782	-9,756
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 decrease to burden is attributable to a decrease in the number of reporting organizations from 825 to 785, as well as a decrease in the number of formulary submissions from 519 to 484 and estimated reduction in burden hours for completing the formulary submissions.

Annual Cost to Federal Government: $2,258,092

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: Stephan McKenzie 410 786-1943 stephan.mckenzie@cms.hhs.gov

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