Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Issuing agencies
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 (the 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 our burden estimates or any other aspect of this collection of information, including any of the following subjects: 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.
Full Text
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<title>Federal Register, Volume 88 Issue 224 (Wednesday, November 22, 2023)</title>
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[Federal Register Volume 88, Number 224 (Wednesday, November 22, 2023)]
[Notices]
[Pages 81418-81419]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-25861]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10418]
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 (the 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 our burden estimates or any other aspect of
this collection of information, including any of the following
subjects: 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 must be received by the OMB desk officer by December
22, 2023.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</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 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: Annual MLR and
Rebate Calculation Report and MLR Rebate Notices; Use: Under section
2718 of the Affordable Care Act and implementing regulation at 45 CFR
part 158, a health insurance issuer (issuer) offering group or
individual health insurance coverage must submit a report to the
Secretary concerning the amount the issuer spends each year on claims,
quality improvement expenses, non-claims costs, Federal and State taxes
and licensing and regulatory fees, the amount of earned premium, and
beginning with the 2014 reporting year, the amounts related to the
transitional reinsurance and risk adjustment programs established under
sections 1341 and 1343, respectively, of the Affordable Care Act. An
issuer must provide an annual rebate if the amount it spends on certain
costs compared to its premium revenue (excluding Federal and States
taxes and licensing and regulatory fees) does not meet a certain ratio,
referred to as the medical loss ratio (MLR). Each issuer is required to
submit annually MLR data, including information about any rebates it
must provide, on a form prescribed by CMS, for each State in which the
issuer conducts business. Each issuer is also required to provide a
rebate notice to each policyholder that is owed a rebate and each
subscriber of policyholders that are owed a rebate for any given MLR
reporting year. Additionally, each issuer is required to maintain for a
period of seven years all documents, records and other evidence that
support the data included in each issuer's annual report to the
Secretary.
Based upon CMS' experience in the MLR data collection and
evaluation process, CMS is updating its annual burden hour estimates to
reflect the actual numbers of submissions, rebates and rebate notices.
The 2022 MLR Reporting Form and Instructions reflect changes for
the 2020 reporting year and beyond. For 2022, it is expected that
issuers will submit fewer reports and on average, send fewer notices
and rebate checks in the mail to policyholders and subscribers, which
will reduce burden on issuers. Form Number: CMS-10418 (OMB control
number: 0938-1164); Frequency: Annually; Affected Public: Private
Sector, Business or other for-profit and not-for-profit institutions;
Number of Respondents: 480; Number of Responses: 1,677; Total Annual
Hours: 170,091. For policy questions regarding this collection contact
Jiyun Lim at 667-290-9650.
[[Page 81419]]
Dated: November 17, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-25861 Filed 11-21-23; 8:45 am]
BILLING CODE 4120-01-P
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