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[Federal Register Volume 89, Number 8 (Thursday, January 11, 2024)]
[Notices]
[Page 1920]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-00474]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10718]

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 February 12, 2024.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. 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: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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:
    1. Type of Information Collection Request: Revision with change to 
the currently approved collection; Title of Information Collection: 
Model Medicare Advantage and Medicare Prescription Drug Plan Individual 
Enrollment Request Form; Use: The enrollment form is considered a 
``model'' under Medicare regulations at Sec. Sec.  422.2262 and 
423.2262, for purposes of communication and marketing review and 
approval; therefore, MA and Part D plans are able to modify the 
language, content, format, or order of the enrollment form. The model 
enrollment form includes the minimal amount of information to process 
the enrollment, located in Section 1 of the MA/PDP enrollment form, and 
other limited information, in Section 2, that the sponsor is required 
(i.e., race and ethnicity data, accessible format preference) or 
chooses (i.e., premium payment information) to provide to the 
beneficiary.
    CMS expects MA and PDP organizations to ensure the enrollment form 
complies with CMS' instructions regarding content and format. New and 
current enrollees that utilize the enrollment form to elect an MA or 
Part D plan must acknowledge the requirement to: (1) maintain Medicare 
Part A and B to stay in MA, or Part A or B to stay in Part D; (2) 
reside in the plan's service area; (3) make a valid request during a 
valid election period; (4) follow plan rules; (5) consent to the 
disclosure and exchange of information between the plan and CMS; and 
(6) enroll in only one Medicare health plan and that enrollment in the 
MA or Part D plan automatically disenrolls them from any other Medicare 
health plan and prescription drug plan.
    CMS will use this information to: track beneficiary enrollment, 
including tracking patterns in enrollment by race and ethnicity, sexual 
orientation, and gender identity over time; to identify, monitor, and 
develop effective and efficient strategies and incentives to reduce and 
eliminate health and health care inequities; to validate existing race 
and ethnicity imputation methods; and to ensure that clinically 
appropriate and equitable care (in terms of payment, access and 
quality) is consistently provided to all Medicare beneficiaries. Form 
Number: CMS-10718 (OMB control number: 0938-0832); Frequency: 
Occasionally; Affected Public: Individuals and Households, Private 
sector--(Business or other for-profits and Not-for-profit 
institutions); Number of Respondents: 19,815,897; Total Annual 
Responses: 39,632,597; Total Annual Hours: 10,557,541. (For policy 
questions regarding this collection contact AnhViet Nguyen at 410-786-
4548).

    Dated: January 8, 2024.
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-00474 Filed 1-10-24; 8:45 am]
BILLING CODE 4120-01-P
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