Notice2025-20486
Agency Information Collection Activities: Submission for OMB Review; 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
November 21, 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 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.
Full Text
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<title>Federal Register, Volume 90 Issue 223 (Friday, November 21, 2025)</title>
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[Federal Register Volume 90, Number 223 (Friday, November 21, 2025)]
[Notices]
[Pages 52675-52677]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-20486]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-R-131, CMS-P-0015A, CMS-R-70 and CMS-R-72]
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 December 22, 2025.
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
[[Page 52676]]
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 (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. Title of Information Collection: Advance Beneficiary Notice of
Non-coverage; Type of Information Collection Request: Revision with
change of a currently approved collection; Use: The use of the Advance
Beneficiary Notice of Non-coverage (ABN) is to inform Medicare
beneficiaries of their liability under specific conditions. This has
been available since the ``limitation on liability'' provisions in
section 1879 of the Social Security Act (the Act) were enacted in 1972
(Pub. L. 92-603). The ABN, Form CMS-R-13 was designed to inform
Medicare beneficiaries of their potential financial liability.
ABNs are not given every time items and services are delivered.
Rather, ABNs are given only when a physician, provider, practitioner,
or supplier anticipates that Medicare will not provide payment in
specific cases. An ABN may be given, and the beneficiary may
subsequently choose not to receive the item or service. An ABN may also
be issued because of other applicable statutory requirements other than
Sec. 1862(a)(1) such as when a beneficiary wants to obtain an item
from a supplier who has not met Medicare supplier number requirements,
as listed in section 1834(j)(1) of the Act or when statutory
requirements for issuance specific to HHAs are applicable. Form Number:
CMS-R-131 (OMB control number: 0938-0566); Frequency: Yearly; Affected
Public: Private Sector, Business or other for profits, Not for profits
institutions; Number of Respondents: 1,723,755; Number of Responses:
331,715,277; Total Annual Hours: 38,701,221. (For questions regarding
this collection contact Jennifer McCormick at 410-786-2852 or
<a href="/cdn-cgi/l/email-protection#2b614e4545424d4e59056648684459464248401a6b48465805434358054c445d"><span class="__cf_email__" data-cfemail="d993bcb7b7b0bfbcabf794ba9ab6abb4b0bab2e899bab4aaf7b1b1aaf7beb6af">[email protected]</span></a>.)
2. Title of Information Collection: Revision of a currently
approved collection; Title of Information Collection: Medicare Current
Beneficiary Survey; Use: CMS is the largest single payer of health care
in the United States. The agency plays a direct or indirect role in
administering health insurance coverage for more than 150 million
people across the Medicare, Medicaid, CHIP, and Health Insurance
Marketplace populations. A critical aim for CMS is to be an effective
steward, major force, and trustworthy partner in supporting innovative
approaches to improving quality, accessibility, and affordability in
healthcare. CMS also aims to put patients first in the delivery of
their health care needs.
The Medicare Current Beneficiary Survey (MCBS) is the most
comprehensive and complete survey available on the Medicare population
and is essential in capturing information not otherwise collected
through operational or administrative data on the Medicare program. The
MCBS is a nationally-representative, longitudinal survey of Medicare
beneficiaries that is sponsored by CMS and is directed by the Office of
Enterprise Data and Analytics (OEDA). MCBS data collection is primarily
conducted by phone and is supplemented with limited video interviewing
or in-person visits. The survey captures beneficiary information
whether aged or disabled, living in the community or facility, or
serviced by managed care or fee-for-service. Data produced as part of
the MCBS are enhanced with administrative data (e.g., fee-for-service
claims, prescription drug event data, enrollment, etc.) to provide
users with more accurate and complete estimates of total health care
costs and utilization. The MCBS has been continuously fielded for more
than 30 years, encompassing over 1.2 million interviews and more than
140,000 survey participants. Respondents participate in up to 11
interviews over a four-year period. The MCBS provides a holistic view
of Medicare beneficiaries' social and medical risk factors and rich
information on the relationship between these risk factors, healthcare
utilization, and health outcomes, at a point in time and over time.
The MCBS continues to provide unique insight into the Medicare
program and helps CMS and its external stakeholders better understand
and evaluate the impact of existing programs and significant new policy
initiatives. MCBS data are used to assess potential changes to the
Medicare program. For example, MCBS data were instrumental in
supporting the initial implementation of the Medicare prescription drug
benefit and continue providing a means to evaluate prescription drug
costs and out-of-pocket burden for these drugs to Medicare
beneficiaries. Beginning in Fall 2026, this proposed revision to the
clearance will remove questionnaire items that are no longer relevant
for administration. The revisions will result in a net decrease in
respondent burden. Form Number: CMS-P-0015A (OMB control number 0938-
0568); Frequency: Occasionally; Affected Public: Business or other for-
profits and Not-for-profits Institutions; Number of Respondents:
13,568; Number of Responses: 35,015; Total Annual Hours: 32,258. (For
questions regarding this collection, contact William Long at 410-786-
7927).
3. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Information Collection Requirements in HSQ-110,
Acquisition, Protection and Disclosure of Peer review Organization
Information and Supporting Regulations; Use: The Peer Review
Improvement Act of 1982 authorizes quality improvement organizations
(QIOs), formally known as peer review organizations (PROs), to acquire
information necessary to fulfill their duties and functions and places
limits on disclosure of the information. The QIOs are required to
provide notices to the affected parties when disclosing information
about them. These requirements serve to protect the rights of the
affected parties. The information provided in these notices is used by
the patients, practitioners and providers to: obtain access to the data
maintained and collected on them by the QIOs; add additional data or
make changes to existing QIO data; and reflect in the QIO's record the
reasons for the QIO's disagreeing with an individual's or provider's
request for amendment.
[[Page 52677]]
Beneficiary and Family-Centered Care-Quality Improvement
Organization (BFCC-QIO) Contracts have been signed with QIOs for their
respective geographic areas (which includes all United States &
Territories). The second type of QIOs and Quality Innovation Network-
QIOs focus on health care quality improvement efforts.
The scope of information collection by the BFCC-QIOs includes the
number of Medicare beneficiaries with expedited appeals,
reconsideration appeals and Beneficiary Complaint cases which are then
reported into the CMS System of Record. Medicare beneficiaries or their
appointed representatives have the right to appeal the provider's
decision to discharge or end services if beneficiaries believe their
Medicare Part A Medicare services (e.g. hospital discharge, skilled
nursing home care, home health, etc.) are ending too soon. They also
have the right to file a Beneficiary Complaint case when they have
concerns about the quality of care they received. Form Number: CMS-R-70
(OMB control number: 0938-0426); Frequency: Reporting--On occasion;
Affected Public: Business or other for-profits; Number of Respondents:
50,000; Total Annual Responses: 398,388; Total Annual Hours: 521,599.
(For policy questions regarding this collection contact
<a href="/cdn-cgi/l/email-protection#a6ebc7cacfc8cf88edd4cfd5cec8c7c8e6c5cbd588ceced588c1c9d0"><span class="__cf_email__" data-cfemail="206d414c494e490e6b524953484e414e60434d530e4848530e474f56">[email protected]</span></a>).
4. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Information Collection Requirements in 42 CFR 478.18,
478.34, 478.36, 478.42, QIO Reconsiderations and Appeals; Use: The Peer
Review Improvement Act of 1982 amended Title XI of the Social Security
Act to create the Utilization and Quality Control Peer Review
Organization (PRO) program. Under this program, a PRO is designated in
each State to ensure that care provided to Medicare patients is
reasonable, medically necessary, and of a quality that meets
professionally recognized standards of care. A Federal Register notice
dated May 24, 2002, renamed the PROs as Quality Improvement
Organizations (QIOs).
Beneficiary and Family-Centered Care-Quality Improvement
Organization (BFCC-QIO) Contracts have been signed with QIOs for their
respective geographic areas (which includes all United States &
Territories). The second type of QIOs are Quality Innovation Network-
QIOs, and focus on health care quality improvement efforts.
The scope of this information collection includes that from the
BFCC-QIOs for the number of Medicare beneficiary level 2 appeals.
Medicare beneficiaries or their appointed representatives have the
right to appeal the provider's decision to discharge or end services if
beneficiaries believe that their Medicare Part A Medicare services
(e.g. hospital discharge, skilled nursing home care, home health, etc.)
are ending too soon. Medicare beneficiaries have the right to file a
reconsideration of a BFCC-QIO appeals review determination. Form
Number: CMS-R-72 (OMB control number: 0938-0443); Frequency:
Reporting--On occasion; Affected Public: Individuals or Households and
Business or other for-profit institutions; Number of Respondents:
20,129; Total Annual Responses: 60,729; Total Annual Hours: 22,014.
(For policy questions regarding this collection contact
<a href="/cdn-cgi/l/email-protection#cf82aea3a6a1a6e184bda6bca7a1aea18faca2bce1a7a7bce1a8a0b9"><span class="__cf_email__" data-cfemail="e9a48885808780c7a29b809a81878887a98a849ac781819ac78e869f">[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. 2025-20486 Filed 11-20-25; 8:45 am]
BILLING CODE 4120-01-P
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