Agency Information Collection Activities: Submission for OMB Review; Comment Request

Issuing agencies

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

<html>
<head>
<title>Federal Register, Volume 91 Issue 193 (Wednesday, October 7, 2026)</title>
</head>
<body><pre>
[Federal Register Volume 91, Number 193 (Wednesday, October 7, 2026)]
[Notices]
[Pages 64153-64154]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-20546]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-284 and CMS-10415]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

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 November 6, 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 Collections

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Transformed--
Medicaid Statistical Information System (T-MSIS); Use: The data 
reported in T-MSIS are used by federal, state, and local officials, as 
well as by private researchers and corporations to monitor past and 
projected future trends in the Medicaid and CHIP programs. The data 
provides the only national level information available on enrollees, 
beneficiaries, and expenditures. It also provides the only national 
level information available on Medicaid utilization. The information is 
the basis for analyses and for cost savings estimates for the 
Department's cost sharing legislative initiatives to Congress. The 
collected data are also crucial to our actuarial forecasts.
    Section 71109 of the Working Families Tax Cut legislation (WFTC) 
(Pub. L. 119-21) amended sections 1903(v) and 2107(e)(1) of the Social 
Security Act (the Act) by restricting, with limited exceptions, Federal 
Financial Participation (FFP) for medical assistance (Medicaid) and 
child or pregnancy-related health assistance (CHIP) to the following 
groups beginning October 1, 2026: (1) U.S. citizens and U.S. nationals; 
(2) Lawful Permanent Residents (LPRs); (3) Cuban/Haitian entrants; and 
(4) Compact of Free Association (COFA) migrants (collectively referred 
to as ``FFP-eligible noncitizens'').
    The statutory amendments necessitate an update to the valid value 
set for the IMMIGRATION-STATUS data element reported to CMS through T-
MSIS to accurately reflect updates to state eligibility determination 
processes and support compliance, program oversight, and proper FFP 
claiming. To support oversight of the implementation of changes to 
IMMIGRATION-STATUS, two valid values are being added to the 
ELIGIBILITY-TERMINATION-REASON data element to identify disenrollment 
reasons related to changes in immigration status or immigration 
verifications.
    The TRANSACTION-TYPE (FTX388) data element will be updated to 
include a new valid value with an effective date of October 1, 2026, 
for per-member-per-month home health service payments. These payments 
are already expected to be reported as part of state T-MSIS submissions 
but are not currently uniquely identifiable as states typically report 
these data in the ``other'' valid value. Implementation of this data 
element will support oversight of home health programs.
    We also propose three non-substantive changes that would not impact 
current state T-MSIS reporting. The purpose of these updates is to 
eliminate ambiguity and potentially reduce both CMS and state burden by 
reducing the need for technical assistance to address any questions on 
these topics.
    Form Number: CMS-R-284 (OMB control number: 0938-0345); Frequency: 
Quarterly, monthly, and once; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents:

[[Page 64154]]

54; Total Annual Responses: 648; Total Annual Hours: 15,390. (For 
policy questions regarding this collection contact Brian Johnston at 
410-786-0143.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Generic Clearance for the Collection of Qualitative 
Feedback on Agency Service Delivery; Use: This collection of 
information is necessary to enable the Agency to garner customer and 
stakeholder feedback in an efficient, timely manner, in accordance with 
our commitment to improving service delivery. The information collected 
from our customers and stakeholders will help ensure that users have an 
effective, efficient, and satisfying experience with the Agency's 
programs. This feedback will provide insights into customer or 
stakeholder perceptions, experiences and expectations, provide an early 
warning of issues with service, or focus attention on areas where 
communication, training or changes in operations might improve delivery 
of products or services. These collections will allow for ongoing, 
collaborative and actionable communications between the Agency and its 
customers and stakeholders. It will also allow feedback to contribute 
directly to the improvement of program management. Collecting voluntary 
customer feedback is the least burdensome, most effective way for the 
Agency to determine whether or not its public websites are useful to 
and used by its customers. Generic clearance is needed to ensure that 
the Agency can continuously improve its websites through regular 
surveys developed from these pre-defined questions. Surveying the 
Agency websites on a regular, ongoing basis will help ensure that users 
have an effective, efficient, and satisfying experience on any of the 
websites, maximizing the impact of the information and resulting in 
optimum benefit for the public. The surveys will ensure that this 
communication channel meets customer and partner priorities, builds the 
Agency's brands, and contributes to the Agency's health and human 
services impact goals. Form Number: CMS-10415 (OMB control number 0938-
1185); Frequency: Occasionally; Affected Public: Individuals and 
Households; Number of Respondents: 2,000,000; Number of Responses: 
2,000,000; Total Annual Hours: 60,000. (For policy questions regarding 
this collection contact Mohanraj Balasubramanian at 410-786-7808.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-20546 Filed 10-6-26; 8:45 am]
BILLING CODE 4169-69-P


</pre></body>
</html>