```

[Federal Register Volume 79, Number 75 (Friday, April 18, 2014)]
[Notices]
[Pages 21932-21933]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-08898]

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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10510, CMS-10169 and CMS-287-05]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid 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 (the 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 any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.

DATES: Comments must be received by June 17, 2014.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). 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 
http://www.regulations.gov. 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, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

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-10510 Basic Health Program Report for Health Insurance Exchange 
Premium
CMS-10169 Durable Medical Equipment, Prosthetics, Orthotics and 
Supplies (DMEPOS) Competitive Bidding Program
CMS-287-05 Home Office Cost Statement Form

    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 Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Basic Health 
Program Report for Health Insurance Exchange Premium; Use: The Basic 
Health Program (BHP) is federally

[[Page 21933]]

funded by determining the amount of payments that the federal 
government would have made through the premium tax credit (PTC) and 
cost sharing reductions (CSR) for people enrolled in BHP had they 
instead been enrolled in an Exchange. To calculate the amounts for each 
state, we need the reference premiums for the second lowest cost silver 
plans (SLCSP) in each geographic area in a state, as SLCSPs are a basic 
unit in the calculation of PTC and CSRs under the Exchanges. To 
estimate what PTC and CSRs would have been paid, the reference premiums 
for these SLCSPs are critical components in the BHP payment 
methodology. Similarly, we also need to collect reference premiums for 
the lowest cost bronze plans to appropriately account for CSR 
calculations for American Indians and Alaskan Natives. Reference 
premiums are foundational inputs into the BHP payment methodology. We 
have the necessary information to determine these reference premiums 
for states whose Exchanges are operated by the Federally Facilitated 
Exchange (FFE) or are operated in partnership with the FFE. 
Consequently, this collection only pertains to the 17 states that are 
operating State Based Exchanges. Form Number: CMS-10510 (OCN: 0938-
1218); Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 17; Total Annual Responses: 17; 
Total Annual Hours: 68. (For policy questions regarding this collection 
contact Jessica Schubel at 410-786-3032.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Durable Medical 
Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive 
Bidding Program; Use: Section 302 of the MMA amended section 1847 of 
the Social Security Act (the Act) to require the implementation of the 
DMEPOS competitive bidding program. The Act provided the program 
requirements for the submission of bids in establishing payment rates 
and the awarding of contracts; provided the requirements for mergers 
and acquisitions; and a requirement for the Secretary to re-compete 
contracts not less often than once every 3 years. The MMA also requires 
the Secretary to recompete contracts not less often than once every 3 
years. The Round 1 Rebid contract period for all product categories 
except mail-order diabetic supplies expired on December 31, 2013. 
(Round 1 Rebid contracts for mail-order diabetic testing supplies ended 
on December 31, 2012.) The competition for the Round 1 Recompete began 
in August of 2012. The Round 1 Recompete contracts and prices became 
effective on January 1, 2014 and will expire on December 31, 2016. 
Round 2 and National Mail-Order contracts and prices will expire on 
June 30, 2016.
    The most recent approval for this information collection request 
(ICR) was issued by OMB on June 10, 2013. That ICR included the 
estimated burden to collect the information in bidding Forms A and B 
for the Round 1 Recompete. We are now seeking approval to collect the 
information in Forms A and B for competitions that will occur before 
2017. For these upcoming competitions CMS will publish a slightly 
modified version of the RFB instructions and accompanying Forms A and B 
so that suppliers will be better able to identify and understand the 
requirements of the program. We decided to modify the Request for Bids 
(RFB) instructions and forms based on our experience from the last 
round of competition. The end result is expected to produce more 
complete and accurate information to evaluate suppliers. No new 
collection requirements have been added to the modified RFB 
instructions or Form A or B. Finally, we are retaining without change 
the Change of Ownership (CHOW) Purchaser Form and the CHOW Contract 
Supplier Notification Form, the Subcontracting Disclosure Form, and 
Forms C, and D and their associated burden under this ICR. We intend to 
continue use of these Forms on an ongoing basis. Form Number: CMS-10169 
(OCN: 0938-1016); Frequency: Occasionally; Affected Public: Private 
Sector--Business or other for-profits and Individuals or Households; 
Number of Respondents: 49,625; Total Annual Responses: 39,380; Total 
Annual Hours: 235,024. (For policy questions regarding this collection 
contact Michael Keane at 410-786-4495.)
    3. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Home Office Cost Statement Form; Use: Providers of services 
participating in the Medicare program are required under sections 
1815(a) and 1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) 
to submit annual information to achieve settlement of costs for health 
care services rendered to Medicare beneficiaries. In addition, 
regulations at 42 CFR 413.17, 413.20 and 413.24 require adequate cost 
data and cost reports from providers on an annual basis. The home 
office cost statement form is filed annually by chain organizations to 
report costs directly related to services furnished to individual 
providers that are related to patient care plus an appropriate share of 
indirect costs. Form Number: CMS-287-05 (OCN: 0938-0202); Frequency: 
Yearly; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 1,686; Total Annual 
Responses: 1,686; Total Annual Hours: 785,676. (For policy questions 
regarding this collection contact Yaakov Feinstein at 410-786-5834.)

    Dated: April 15, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-08898 Filed 4-17-14; 8:45 am]
BILLING CODE 4120-01-P
```