Notice2025-22482
Agency Information Collection Activities: Submission for OMB Review; Comment Request
Primary source
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Published
December 11, 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 236 (Thursday, December 11, 2025)</title>
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[Federal Register Volume 90, Number 236 (Thursday, December 11, 2025)]
[Notices]
[Pages 57473-57474]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-22482]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10065/10066, CMS-10637 and CMS-10338]
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 January 12, 2026.
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 (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: Extension of a currently
approved collection; Title of Information Collection: Hospital Notices:
IM/DND; Use: This information collection applies to beneficiaries in
Original Medicare and enrollees in Medicare health plans. The purpose
of
[[Page 57474]]
the IM is to inform beneficiaries and enrollees of their rights as
hospital inpatients and how to request a discharge appeal by a Quality
Improvement Organization (QIO) and how to file a request. Consistent
with 42 CFR 405.1205 for Original Medicare and 422.620 for Medicare
health plans, hospitals must provide the initial IM within 2 calendar
days of admission. A follow-up copy of the signed IM is given no more
than 2 calendar days before discharge. The follow-up copy is not
required if the first IM is provided within 2 calendar days of
discharge. Form Number: CMS-10065/10066 (OMB control number: 0938-
1019); Frequency: Yearly; Affected Public: Private Sector, Business or
other for profits, Not for profit institutions; Number of Respondents:
25,397,156; Total Annual Responses: 25,397,156; Total Annual Hours:
4,313,823. (For policy questions regarding this collection contact:
Katherine Hosna at 410-786-4993 or <a href="/cdn-cgi/l/email-protection#a6edc7d2cec3d4cfc8c3eec9d5c8c7e6c5cbd588ceced588c1c9d0"><span class="__cf_email__" data-cfemail="7a311b0e121f0813141f321509141b3a19170954121209541d150c">[email protected]</span></a>).
2. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Marketplace Operations; Use: On June 19, 2013, HHS
published the proposed rule CMS-9957-P: Program Integrity: Exchanges,
SHOP, Premium Stabilization Programs, and Market Standards (78 FR
37302) (Program Integrity Proposed Rule). Among other things, the
Program Integrity Proposed Rule sets forth financial integrity
provisions and protections against fraud and abuse. On January 30,
2013, CMS published Eligibility Appeals and Other Provisions Related to
Eligibility and Enrollment for Exchanges under the Affordable Care Act
(CMS-2334-P) (E&E II Proposed Rule). On August 30, 2013, HHS published
the final rule CMS-9957-F: Program Integrity: Exchanges, SHOP,
Eligibility Appeals (Program Integrity Final Rule), finalizing a number
of the provisions from the Program Integrity and E&E II Proposed Rules.
The third-party disclosure requirements and data collections in the
Program Integrity Final Rule support the oversight of qualified health
plan (QHP) issuers in Federally-facilitated Exchanges (FFEs) and other
provisions. Form Number: CMS-10637 (OMB control number 0938-1353);
Frequency: Annually; Affected Public: State, Local or Tribal
Governments; Private Sector--Business or other for-profits and Not-for-
profits Institutions; Number of Respondents: 503; Number of Responses:
503; Total Annual Hours: 2,325,320. (For questions regarding this
collection, contact Nikolas Berkobien at 667-290-9903).
3. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Affordable Care Act Internal Claims and Appeals and
External Review Procedures for Non-grandfathered Group Health Plans and
Issuers and Individual Market Issuers; Use: PHS Act section 2719 and
paragraph (b)(2)(i) of the Appeals regulation provide that group health
plans and health insurance issuers offering group health insurance
coverage must comply with the internal claims and appeals processes set
forth in 29 CFR 2560.503-1 of the Department of Labor (DOL) claims
procedure regulation, and update such processes in accordance with
standards established by the Secretary of Labor in paragraph (b)(2)(ii)
of the regulation. Paragraph (b)(3)(i) requires issuers offering
coverage in the individual health insurance market to also comply with
the DOL claims procedure regulation as updated by the Secretary of
Health and Human Services (HHS) in paragraph (b)(3)(ii) of the Appeals
regulation for their internal claims and appeals processes.
The information collection requirements included in the DOL claims
procedure regulation and the Appeals regulation ensure that claimants
receive clear and adequate information regarding the plan's claims
procedures and the plan's handling of specific benefit claims. This
transparency enables claimants to understand plan procedures and
decisions, allowing them to effectively request benefits and appeal
denied claims when necessary. The information collected in connection
with the HHS-administered federal external review process is collected
by HHS and is used to provide claimants with an independent external
review, ensuring a fair and impartial assessment of denied health
benefit claims. Form Number: CMS-10338 (OMB control number: 0938-1099);
Frequency: Occasionally; Affected Public: Private Sector (Business or
other for-profit and Not-for-profit institutions); Number of
Respondents: 91,355; Total Annual Responses: 375,202; Total Annual
Hours: 861,785. (For policy questions regarding this collection contact
Daniel Kidane at <a href="/cdn-cgi/l/email-protection#cb8faaa5a2aea7e580a2afaaa5ae8ba8a6b8e5a3a3b8e5aca4bd"><span class="__cf_email__" data-cfemail="1c587d72757970325775787d72795c7f716f3274746f327b736a">[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. 2025-22482 Filed 12-10-25; 8:45 am]
BILLING CODE 4120-01-P
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