Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Abstract
The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency's functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.
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<title>Federal Register, Volume 87 Issue 87 (Thursday, May 5, 2022)</title>
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[Federal Register Volume 87, Number 87 (Thursday, May 5, 2022)]
[Notices]
[Pages 26759-26760]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-09685]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10718]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate or any other aspect of this
collection of information, including the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by June 6, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a> . Find this particular
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' website address at website address at: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html</a>
FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Model Medicare
Advantage and Medicare Prescription Drug Plan Individual Enrollment
Request; Use: The enrollment form is considered a ``model'' under
Medicare regulations at Sec. Sec. 422.2262 and 423.2262, for purposes
of communication and marketing review and approval; therefore, MA and
Part D plans are able to modify the language, content, format, or order
of the enrollment form. The model enrollment form includes the minimal
amount of information to process the enrollment, located in Section 1,
and other limited information, in Section 2, that the sponsor is
required (i.e., race and ethnicity data, accessible format preference)
or chooses to provide to the beneficiary (i.e., premium payment
information). The optional data elements, which aid the MA and Part D
plans in processing the enrollment, is developed for efficiency for the
plans. Plan sponsors can obtain information at the initial point of
contact to help streamline the beneficiary's enrollment process. The
optional questions include information, specific to the plan's business
needs that serves to reduce overall burden and allow for timely
processing of an enrollment request. All data elements in Section 2 are
optional for the beneficiary to complete, but the plan will be required
to have the questions on the enrollment forms. Plan enrollment will not
be affected if the
[[Page 26760]]
beneficiary does not complete this additional information.
With the long-term goal of collecting race and ethnicity data from
all Medicare beneficiaries, CMS will focus initial efforts on
beneficiaries who newly elect or change coverage in the Medicare Part C
and D program. The detailed race and ethnicity categories collected
through the demographic pilot on the enrollment form will be compliant
with the 2011 HHS Data Collection Standards to provide granular
information for plans and CMS to understand the diversity of the
beneficiary population. The data will be used to: (1) Explore the
response rate to race and ethnicity questions as a whole and how it
intersects with beneficiary income and other demographics; (2) Conduct
focus groups, to be approved in a separate PRA package, among non-
responders to the race and ethnicity questions to understand how people
who elect to not respond to the race and ethnicity questions perceive
the addition of those questions on the form; (32) Continue to test CMS'
race and ethnicity imputation models by adding additional race and
ethnicity data to the data CMS already has; and (4) Determine the data
necessary for sufficient samples sizes to conduct analyses of
disaggregated race and ethnicity categories. As part of a broader
health equity effort, CMS has interest in identifying patterns of
differences across many key process and care outcomes by
sociodemographic characteristics, including race and ethnicity. To best
characterize these differences, self-reported and granular data are
needed. Collecting these data will support efforts to continue to
strengthen, for example, CMS OMH's stratified reporting efforts, which
currently do consider quality indicators by race and ethnicity, but at
present these data are not granular and not self-reported. In addition,
this data will allow us to validate imputation methods CMS currently
uses for race and ethnicity, to ensure that we do not rely on
methodologies that unintentionally create or exacerbate disparities. To
assess readiness for analysis of collected data (particularly with
regard to considering sample sizes, especially of small groups),
continual assessment will be required--simultaneously as enrollment
happens--because readiness will depend partly on distribution of
responses to these items by enrollees.
These categories are of great interest to CMS and will improve the
accuracy of current data sets. We acknowledge that it may take several
years of data collection to conduct other meaningful studies CMS
intends to pursue that are not listed above. In addition to the
aforementioned uses, CMS will ultimately use this information to: Track
beneficiary enrollment, including tracking patterns in enrollment by
race and ethnicity over time; to identify, monitor, and develop
effective and efficient strategies and incentives to reduce and
eliminate health and health care inequities; to validate existing race
and ethnicity imputation methods; and to ensure that clinically
appropriate and equitable care (in terms of payment, access, and
quality) is consistently provided to all beneficiaries. Form Number:
CMS-10718 (OMB control number: 0938-1378); Frequency: Yearly; Affected
Public: State, Local, or Tribal Governments, Federal Government,
Private Sector (Business or other for-profits and Not-for-profits);
Number of Respondents: 80,539,628; Number of Responses: 80,539,628;
Total Annual Hours: 8,567,975. (For questions regarding this collection
contact Deme Umo at (410) 786-8854.)
Dated: May 2, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-09685 Filed 5-4-22; 8:45 am]
BILLING CODE 4120-01-P
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