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[Federal Register Volume 79, Number 244 (Friday, December 19, 2014)]
[Notices]
[Pages 75816-75817]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-29741]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10241, CMS-R-305 and CMS-224-14]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 (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 February 17, 2015.

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-10241 Survey of Retail Prices: Payment and Utilization Rates, and 
Performance Rankings
CMS-R-305 External Quality Review (EQR) of Medicaid Managed Care 
Organizations (MCOs) and Supporting Regulations
CMS-224-14 Federally Qualified Health Center Cost Report Form

    Under the Paperwork Reduction Act (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: Survey of Retail 
Prices: Payment and Utilization Rates, and Performance Rankings; Use: 
This study is divided into two parts. Part I focuses on the retail 
community pharmacy consumer prices. It also includes reporting by the 
states of payment and utilization rates for the 50 most widely 
prescribed drugs, and comparing state drug payment rates with the 
national retail survey prices. (Effective July 1, 2013, CMS has 
suspended Part I of the survey, pending funding decisions.) Part II 
focuses on the retail community pharmacy ingredient costs. This segment 
surveys the average acquisition costs of all covered outpatient drugs 
purchased by retail community pharmacies. The prices will be updated on 
at least a monthly basis. Form Number: CMS-10241 (OMB control number 
0938-1041); Frequency: Yearly and Occasionally; Affected Public: 
Private sector--Business or other for-profits and State, Local, or 
Tribal Governments; Number of Respondents: 30,051; Total Annual 
Responses: 30,051; Total Annual Hours: 15,765. (For policy questions 
regarding this collection contact: Lisa Ferrandi at 410-786-5445).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: External Quality 
Review (EQR) of Medicaid Managed Care Organizations (MCOs) and 
Supporting Regulations; Use: State agencies must provide to the EQR 
organization (EQRO) information obtained through methods consistent 
with the protocols specified by CMS. This information is used by the 
EQRO to determine the quality of care furnished by an MCO. Since the 
EQR results are made available to the general public, this allows 
Medicaid/CHIP enrollees and potential enrollees to make informed 
choices regarding the selection of their providers. It also allows 
advocacy organizations, researchers, and other interested parties 
access to information on the quality of

[[Page 75817]]

care provided to Medicaid beneficiaries enrolled in Medicaid/CHIP MCOs. 
States use the information during their oversight of these 
organizations. Form Number: CMS-R-305 (OMB control number 0938-0786); 
Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 43; Total Annual Responses: 76; 
Total Annual Hours: 451,288. (For policy questions regarding this 
collection contact Barbara Dailey at 410-786-9012).
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Federally Qualified Health Center Cost Report Form; Use: Providers of 
services participating in the Medicare program are required under 
sections 1815(a) and 1861(v)(1)(A) of the 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 413.20 and 413.24 require adequate cost data and 
cost reports from providers on an annual basis. The form CMS-224-14 
cost report is needed to determine a provider's reasonable costs 
incurred in furnishing medical services to Medicare beneficiaries and 
reimbursement due to or from a provider. Form Number: CMS-224-14 (OMB 
control number 0938-New); Frequency: Yearly; Affected Public: Private 
sector--For-profit and Not-for-profit institutions; Number of 
Respondents: 1,296; Total Annual Responses: 1,296; Total Annual Hours: 
75,168. (For policy questions regarding this collection contact Julie 
Stankivic at 410-786-5725).

    Dated: December 16, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-29741 Filed 12-18-14; 8:45 am]
BILLING CODE 4120-01-P
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