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[Federal Register Volume 77, Number 171 (Tuesday, September 4, 2012)]
[Notices]
[Pages 53890-53891]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-21671]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-906]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send

[[Page 53891]]

comments regarding this burden estimate 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.
    1. Type of Information Collection Request: Revision of a currently 
approved collection;
    Title of Information Collection: The Fiscal Soundness Reporting 
Requirements; Use: The Centers for Medicare and Medicaid Services (CMS) 
is assigned responsibility for overseeing the on-going financial 
performance for all Medicare Advantage Organizations (MAO), 
Prescription Drug Plan (PDP) sponsors and Program of All-Inclusive Care 
for the Elderly (PACE) organizations. Specifically, CMS needs the 
requested collection of information to establish that contracting 
entities within those programs maintain fiscally sound organizations. 
The revised fiscal soundness reporting form combines MAO, PDP, 1876 
Cost Plans, Demonstration Plans and PACE organizations. Entities 
contracting in these programs currently submit all documentation being 
requested. Specifically, all contracting organizations must submit 
annual independently audited financial statements one time per year. 
The MAOs with a net loss, a negative net worth or both must file three 
quarterly statements. Currently there are approximately 44 MAOs filing 
quarterly financial statements. The PDPs must also file three unaudited 
quarterly financial statements. The PACE organizations are required to 
file 3 quarterly financial statements for the first three years in the 
program. Additionally, PACE organizations with a net loss, a negative 
net worth or both must file statements as well.
    The information collection request is being revised to include one 
additional data element for PACE organizations only, Total Subordinated 
Liabilities. The addition of the new data element will actually reduce 
the time to analyze the financial standing of PACE organizations 
because we will no longer have to contact the PACE organizations to 
establish whether or not the organization's total liabilities 
calculation includes subordinated debt. Form Number: CMS-906 (OCN: 
0938-0469); Frequency: Annually, Quarterly; Affected Public: Private 
Sector: Business or other for-profits and Not-for-profit institutions; 
Number of Respondents: 648; Total Annual Responses: 1,281; Total Annual 
Hours: 428. (For policy questions regarding this collection contact Joe 
Esposito at 410-786-1129. For all other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov, or call 
the Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by November 5, 2012:
    1. Electronically. You may submit 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) 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: CMS-R-284 (OCN 0938-
0345), Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.

    Dated: August 29, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-21671 Filed 8-31-12; 8:45 am]
BILLING CODE 4120-01-P
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