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[Federal Register Volume 79, Number 225 (Friday, November 21, 2014)]
[Notices]
[Pages 69480-69481]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-27640]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10291, CMS-10114, and CMS-10392]

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

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 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 on the collection(s) of information must be received by 
the OMB desk officer by December 22, 2014.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 or Email: 
OIRA_submission@omb.eop.gov.
    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: 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: Revision of a currently 
approved collection; Title of Information Collection: State Collection 
and Reporting of Dental Provider and Benefit Package Information on the 
Insure Kids Now! Web site and Hotline; Use: On the Insure Kids Now 
(IKN) Web site, the Secretary is required to post a current and 
accurate list of dentists and providers that provide dental services to 
children enrolled in the state plan (or waiver) under Medicaid or the 
state child health plan (or waiver) under CHIP. States collect the 
information pertaining to their Medicaid and CHIP dental benefits. Form 
Number: CMS-10291 (OMB control number: 0938-1065); Frequency: Yearly 
and quarterly; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 51; Total Annual Responses: 255; Total Annual 
Hours: 10,838. (For policy questions regarding this collection contact 
Laurie Norris at 410-786-6543.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: National Provider 
Identifier (NPI) Application and Update Form and Supporting Regulations 
in 45 CFR 142.408, 45 CFR 162.406, 45 CFR 162.408; Use: The National 
Provider Identifier (NPI) Application and Update Form is used by health 
care providers to apply for NPIs and furnish updates to the information 
they supplied on their initial applications. The form is also used to 
deactivate their NPIs if necessary. The NPI Application/Update form has 
been revised to provide additional guidance on how to accurately 
complete the form. The NPI Application/Update form has been revised to 
provide additional guidance on how to accurately complete the form. 
This collection includes clarification on information that is required 
on applications/changes. Minor changes on the application/update form 
include adding a `Subpart' check box in the Other Name section and a 
revision within the PRA Disclosure Statement. This collection also 
includes changes to the instructions. Form Number: CMS-10114 (OMB 
control number: 0938-0931); Frequency: Reporting--On occasion; Affected 
Public: Business or other for-profit, not-for-profit institutions, and 
Federal government; Number of Respondents: 608,880; Total Annual 
Responses: 608,880; Total Annual Hours: 112,660. (For policy questions 
regarding this collection contact Kimberly McPhillips at 410-786-5374.)
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Consumer Operated 
and Oriented (CO-OP) Program; Use: The Consumer Operated and Oriented 
Plan (CO-OP) program was established by Section 1322 of the Affordable 
Care Act. This program provides for loans to establish at least one 
consumer-operated, qualified nonprofit health insurance issuer in each 
State. Issuers supported by the CO-OP program will offer at least one 
qualified health plan at the silver level of benefits and one at the 
gold level of benefits in the individual market State Health Benefit 
Exchanges (Exchanges). At least two-thirds of policies or contracts 
offered by a CO-OP will be open to individuals and small employers. 
Profits generated by the nonprofit CO-OPs will be used to lower 
premiums, improve benefits, improve the quality of health care 
delivered to their members, expand enrollment, or

[[Page 69481]]

otherwise contribute to the stability of coverage offered by the CO-OP. 
By increasing competition in the health insurance market and operating 
with a strong consumer focus, the CO-OP program will provide consumers 
more choices, greater plan accountability, increased competition to 
lower prices, and better models of care, benefiting all consumers, not 
just CO-OP members.
    The CO-OP program will provide nonprofits with loans to fund start-
up costs and State reserve requirements, in the form of Start-up Loans 
and Solvency Loans. An applicant may apply for (1) Joint Start-up and 
Solvency Loans; or (3) only a Solvency Loan. Planning Loans are 
intended to help loan recipients determine the feasibility of operating 
a CO-OP in a target market. Start-up Loans are intended to assist loan 
recipients with the many start-up costs associated with establishing a 
new health insurance issuer. Solvency Loans are intended to assist loan 
recipients with meeting the solvency requirements of States in which 
the applicant seeks to be licensed to issue qualified health plans. 
Form Number: CMS-10392 (OMB control number: 0938-1139); Frequency: 
Occasionally; Affected Public: Private sector--not-for-profit 
institutions; Number of Respondents: 23; Total Annual Responses: 583; 
Total Annual Hours: 11,621. (For policy questions regarding this 
collection contact Deepti Loharikar (301-492-4126.)

    Dated: November 18, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-27640 Filed 11-20-14; 8:45 am]
BILLING CODE 4120-01-P
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