Notice2026-09330
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
May 12, 2026
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 91 Issue 91 (Tuesday, May 12, 2026)</title>
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[Federal Register Volume 91, Number 91 (Tuesday, May 12, 2026)]
[Notices]
[Page 25891]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-09330]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10476 and CMS-R-282]
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 June 11, 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.
Information Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medical Loss
Ratio (MLR) for Medicare Advantage (MA) Plans and Prescription Drug
Plans (PDP); Use: Sections 1857(e)(4) and 1860D-12 of the Social
Security Act (which incorporates section 1857(e)(4) by reference), and
implementing regulations at 42 CFR part 422, subpart X, and part 423,
subpart X, set forth a requirement that Medicare Advantage (MA)
organizations and Part D Prescription Drug Plan (PDP) sponsors report
the medical loss ratio (MLR) for each MA or Part D contract to CMS for
each contract year, and that such MLRs must meet a statutory standard
of 85 percent. MA organizations and Part D sponsors are subject to
sanctions for failure to meet the 85 percent minimum MLR requirement,
including remittance of funds to CMS, a prohibition on enrolling new
members, and, ultimately, contract termination. CMS uses the submitted
information to determine whether an MA or Part D contract has satisfied
the minimum MLR requirement with respect to a contract year, and
whether the contract must remit funds to CMS and/or face additional
sanctions. Form Number: CMS-10476 (OMB control number: 0938-1232);
Frequency: Yearly; Affected Public: Business or other for profits and
Not for profits institutions; Number of Respondents: 660; Total Annual
Responses: 660; Total Annual Hours:40,356. (For policy questions
regarding this collection contact Deven Gosalia at 410-786-8264.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Advantage Appeals and Grievance Data Form; Use: Part 422 of Title 42 of
the Code of Federal Regulations (CFR) distinguishes between certain
information a Medicare Advantage (MA) organization must provide to each
enrollee (on an annual basis) and information that the MA organization
must disclose to any MA eligible individual (upon request). This
requirement can be found in Sec. 1852(c)(2)(C) of the Social Security
Act and in 42 CFR 422.111(c)(3) which states that MA organizations must
disclose information pertaining to the number of disputes, and their
disposition in the aggregate, with the categories of grievances and
appeals, to any individual eligible to elect an MA organization who
requests this information. Medicare demonstrations also are required to
conform to MA appeals regulations and thus are included in the count of
organizations. Such demonstrations, as well as MA organizations, are
collectively referred to as ``MA plans'' in this Supporting Statement.
Data collection/disclosure categories are based on the MA plan's
grievance and appeals processes as prescribed under 42 CFR part 422,
subpart M. Form Number: CMS-R-282 (OMB control number: 0938-0778);
Frequency: Semi-annually; Affected Public: Private Sector. Business or
other for profits and Not for profits institutions; Number of
Respondents: 932; Total Annual Responses: 67,432; Total Annual Hours:
6,252. (For policy questions regarding this collection contact Sabrina
Edmonston at 410-786-3209.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-09330 Filed 5-11-26; 8:45 am]
BILLING CODE 4120-01-P
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