Notice2025-14479
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
July 31, 2025
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
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 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates 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.
Full Text
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<title>Federal Register, Volume 90 Issue 145 (Thursday, July 31, 2025)</title>
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[Federal Register Volume 90, Number 145 (Thursday, July 31, 2025)]
[Notices]
[Pages 36058-36060]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-14479]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10287, CMS-10137 and CMS-10824]
Agency Information Collection Activities: Proposed Collection;
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 60 days for public comment on
the proposed action. Interested persons are invited to send comments
regarding our burden estimates 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 must be received by September 29, 2025.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number. To be assured consideration, comments and
recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number: __, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
[[Page 36059]]
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 N. Parham at (410) 786-4669.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the use and burden associated
with the following information collections. More detailed information
can be found in each collection's supporting statement and associated
materials (see ADDRESSES).
CMS-10287 Medicare Quality of Care Complaint Form
CMS-10137 Solicitation for Applications for Medicare Prescription Drug
Plan 2027 Contracts
CMS-10824 Annual Notice of Change and Evidence of Coverage for
Applicable Integrated Plans in States that Require Integrated Materials
Under the 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 60-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.
Information Collections
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Quality
of Care Complaint Form; Use: This is a reinstatement with changes.
Since 1986, Quality Improvement Organizations (QIO) have been
responsible for conducting appropriate reviews of written complaints
submitted by beneficiaries about the quality of care they have
received. In order to receive these written complaints, each QIO has
developed its own unique form on which beneficiaries can submit their
complaints. CMS has initiated several efforts aimed at increasing the
standardization of all QIO activities, and the development of a single,
standardized Medicare Quality of Care Complaint Form beneficiaries can
use to submit complaints is a key step towards attaining this increased
standardization. The form was updated to remove lengthy instructions,
provide clarification and ensure demographic data collection aligns
with statistical Policy Directive 15. Form Number: CMS-10287 (OMB
control number: 0938-1102); Frequency: Occasionally; Affected Public:
Individuals and Households; Number of Respondents: 3,369; Total Annual
Responses: 3,369; Total Annual Hours: 562. (For policy questions
regarding this collection contact Kellie Leveille at 929-548-5297.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Solicitation for
Applications for Medicare Prescription Drug Plan 2027 Contracts; Use:
Coverage for the prescription drug benefit is provided through
contracted prescription drug plans (PDPs) or through Medicare Advantage
(MA) plans that offer integrated prescription drug and health care
coverage (MA-PD plans). Cost Plans that are regulated under Section
1876 of the Social Security Act, and Employer Group Waiver Plans (EGWP)
may also provide a Part D benefit. Organizations wishing to provide
services under the Prescription Drug Benefit Program must complete an
application, negotiate rates, and receive final approval from CMS.
Existing Part D Sponsors may also expand their contracted service area
by completing the Service Area Expansion (SAE) application.
Collection of this information is mandated in Part D of the
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
(MMA) in Subpart 3. The application requirements are codified in
Subpart K of 42 CFR 423 entitled ``Application Procedures and Contracts
with PDP Sponsors.''
The information will be collected under the solicitation of
proposals from PDP, MA-PD, Cost Plan, Program of All-Inclusive Care for
the Elderly (PACE), and EGWP applicants. The collected information will
be used by CMS to: (1) ensure that applicants meet CMS requirements for
offering Part D plans (including network adequacy, contracting
requirements, and compliance program requirements, as described in the
application), (2) support the determination of contract awards Form
Number: CMS-10137 (OMB control number: 0938-0936); Frequency: Yearly;
Affected Public: Private Sector, Business or other for profits, Not for
profits institutions; Number of Respondents: 785; Total Annual
Responses: 402; Total Annual Hours: 1,723. (For policy questions
regarding this collection contact April Forsythe at 410-786-8493 or
<a href="/cdn-cgi/l/email-protection#71300103181d5f371e03020805191431121c025f1919025f161e07"><span class="__cf_email__" data-cfemail="ce8fbebca7a2e088a1bcbdb7baa6ab8eada3bde0a6a6bde0a9a1b8">[email protected]</span></a>.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Annual Notice of
Change and Evidence of Coverage for Applicable Integrated Plans in
States that Require Integrated Materials; Use: CMS requires MA
organizations and Part D sponsors to use the standardized documents
being submitted for OMB approval to satisfy disclosure requirements
mandated by section 1851(d)(3)(A) of the Act and Sec. 422.111 for MA
organizations and section 1860D-1(c) of the Act and Sec. 423.128(a)(3)
for Part D sponsors. The regulatory provisions at Sec. Sec. 422.111(b)
and 423.128(b) require MA organizations and Part D sponsors to disclose
plan information, including: service area, benefits, access, grievance
and appeals procedures, and quality improvement/assurance requirements.
MA organizations and sponsors may send the ANOC separately from the EOC
but must send the ANOC for enrollee receipt by September 30. The
required due date for the EOC is 15 days prior to the start of the AEP.
This information collection maintains standardized EOC and ANOC
models for Dual Eligible Special Needs Plan (D-SNP) applicable
integrated plans (AIPs), as defined at Sec. 422.561, in certain States
that chose to require that plans issue an integrated EOC and ANOC that
covers the Medicare and Medicaid benefits. The models reflect revisions
to the D-SNP models under CMS-10260 to include information on Medicaid
benefits that State Medicaid agencies can customize. Form Number: CMS-
10824 (OMB control number: 0938-1444); Frequency: Yearly; Affected
Public: Private Sector, Business or other for profits; Number of
Respondents: 109; Total Annual Responses: 109; Total Annual Hours:
1,308. (For policy questions regarding this collection
[[Page 36060]]
contact Julie Jones at 312-353-9850 or <a href="/cdn-cgi/l/email-protection#7a300f16131f543015141f093a19170954121209541d150c"><span class="__cf_email__" data-cfemail="d09aa5bcb9b5fe9abfbeb5a390b3bda3feb8b8a3feb7bfa6">[email protected]</span></a>.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-14479 Filed 7-30-25; 8:45 am]
BILLING CODE 4120-01-P
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