Notice2025-17203
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
September 8, 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 171 (Monday, September 8, 2025)</title>
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[Federal Register Volume 90, Number 171 (Monday, September 8, 2025)]
[Notices]
[Pages 43189-43190]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-17203]
[[Page 43189]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10410, CMS-R-74, and CMS-R-199]
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 November 7, 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.
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-10410--Medicaid Program; Eligibility Changes under the Affordable
Care Act of 2010
CMS-R-74--Income and Eligibility Verification System
CMS-R-199--Medicaid Report on Payables and Receivables
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: Extension of a currently
approved collection; Title of Information Collection: Medicaid Program;
Eligibility Changes under the Affordable Care Act of 2010; Use: The
State Medicaid and CHIP agencies will collect all information needed to
determine and redetermine eligibility for Medicaid and will transmit
information, as appropriate, to other insurance affordability programs.
The information collection requirements will assist the public to
understand information about health insurance affordability programs
and will assist CMS in ensuring the seamless, coordinated, and
simplified system of Medicaid and CHIP application, eligibility
determination, verification, enrollment, and renewal. Form Number: CMS-
10410 (OMB control number: 0938-1147); Frequency: Occasionally;
Affected Public: Individuals or households, and State, Local, and
Tribal Governments; Number of Respondents: 25,500,096; Total Annual
Responses: 76,500,218; Total Annual Hours: 21,266,302. (For policy
questions regarding this collection contact: Abby Kahn at 410-786-
4321.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Income and
Eligibility Verification System; Use: Section 1137 of the Social
Security Act requires that States verify the income and eligibility
information contained on the applicant's application and in the
applicant's case file through data matches with the agencies and
entities identified in Section 1137 of the Act. The State Medicaid/CHIP
agency will report the existence of a system to collect all information
needed to determine and redetermine eligibility for Medicaid and CHIP.
The State Medicaid/CHIP agency will attest to using the PARIS system in
determining eligibility in Medicaid or CHIP benefit programs. Form
Number: CMS-R-74 (OMB control number: 0938-0467); Frequency:
Occasionally; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 55; Total Annual Responses: 3,241; Total Annual
Hours: 1,082. (For policy questions regarding this collection contact:
Abby Kahn at 410-786-4321.)
3. Type of Information Collection Request: Reinstatement without
change of a currently approved collection; Title of Information
Collection: Medicaid Report on Payables and Receivables; Use: Section
1903(b)(d)(1) of the Social Security Act requires the Secretary to
estimate the amount each State should be paid at the beginning of each
quarter. This amount is to be based on a report filed by the State.
Section 1903(b)(d)(2)(A) of the Act authorizes the Secretary to pay the
amount estimated, reduced or increased to the extent of any overpayment
or underpayment for any prior quarter. Collection of Medicaid data and
the calculation of the Medicaid Incurred But Not Reported (IBNR)
estimate are pertinent to CMS' financial audit. The Medicaid Report on
Payables and Receivables will provide the information needed to
calculate the Medicaid IBNR. Form CMS-R-199
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collects accounting data from the States on payables and receivables.
Form Number: CMS-R-199 (OMB control number: 0938-0697); Frequency:
Yearly; Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 1,792.
(For policy questions regarding this collection contact: Kimaada Battle
at (410) 786-8042.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-17203 Filed 9-5-25; 8:45 am]
BILLING CODE 4120-01-P
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