37338 Federal Register / Vol. 87, No. 119 / Wednesday, June 22, 2022 / Notices 

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–10418 Medical Loss Ratio 

Annual Reports, MLR Notices, and 

Recordkeeping Requirements 

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: Revision of a currently 

approved collection; Title: Medical Loss 

Ratio Annual Reports, MLR Notices, and 

Recordkeeping Requirements; Use: 

Under Section 2718 of the Affordable 

Care Act and implementing regulation 

at 45 CFR part 158, a health insurance 

issuer (issuer) offering group or 

individual health insurance coverage 

must submit a report to the Secretary 

concerning the amount the issuer 

spends each year on claims, quality 

improvement expenses, non-claims 

costs, Federal and State taxes and 

licensing and regulatory fees, the 

amount of earned premium, and 

beginning with the 2014 reporting year, 

the amounts related to the transitional 

reinsurance and risk adjustment 

programs established under sections 

1341 and 1343, respectively, of the 

Affordable Care Act. An issuer must 

provide an annual rebate if the amount 

it spends on certain costs compared to 

its premium revenue (excluding Federal 

and States taxes and licensing and 

regulatory fees) does not meet a certain 

ratio, referred to as the medical loss 

ratio (MLR). Each issuer is required to 

submit annually MLR data, including 

information about any rebates it must 

provide, on a form prescribed by CMS, 

for each State in which the issuer 

conducts business. Each issuer is also 

required to provide a rebate notice to 

each policyholder that is owed a rebate 

and each subscriber of policyholders 

that are owed a rebate for any given 

MLR reporting year. Additionally, each 

issuer is required to maintain for a 

period of seven years all documents, 

records and other evidence that support 

the data included in each issuer’s 

annual report to the Secretary. Based 

upon CMS’ experience in the MLR data 

collection and evaluation process, CMS 

is updating its annual burden hour 

estimates to reflect the actual numbers 

of submissions, rebates and rebate 

notices. The 2021 MLR Reporting Form 

and Instructions reflect changes for the 

2020 reporting year and beyond. For 

2021, it is expected that issuers will 

submit fewer reports and on average, 

send fewer notices and rebate checks in 

the mail to policyholders and 

subscribers, which will reduce burden 

on issuers. Form Number: CMS–10418 

(OMB Control Number: 0938–1164); 

Frequency: Annually; Affected Public: 

Private Sector, Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 484; Number 

of Responses: 1,771; Total Annual 

Hours: 226,052. (For policy questions 

regarding this collection contact Jiyun 

Lim at 301–492–4172.) 

Dated: June 15, 2022. 

William N. Parham III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–13275 Filed 6–21–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–2552–10 and 

CMS–10416] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

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 

(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 July 22, 2022. 

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, you may make your request 

using one of following: 

1. Access CMS’ website address at 

website address at: https://

www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/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 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 87, No. 119 / Wednesday, June 22, 2022 / Notices 37339 

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: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Hospital and 

Health Health Care Complex Cost 

Report; Use: CMS requires the Form 

CMS–2552–10 to determine a hospital’s 

reasonable cost incurred in furnishing 

medical services to Medicare 

beneficiaries and calculate the hospital 

reimbursement. Hospitals paid under a 

prospective payment system (PPS) may 

receive reimbursement in addition to 

the PPS for hospital-specific 

adjustments such as Medicare 

reimbursable bad debts, 

disproportionate share, uncompensated 

care, direct and indirect medical 

education costs, and organ acquisition 

costs. CMS uses the Form CMS–2552– 

10 for rate setting; payment refinement 

activities, including developing a 

hospital market basket; and Medicare 

Trust Fund projections; and to support 

program operations. Additionally, the 

Medicare Payment Advisory 

Commission (MedPAC) uses the 

hospital cost report data to calculate 

Medicare margins (a measure of the 

relationship between Medicare’s 

payments and providers’ Medicare 

costs) and analyze data to formulate 

Medicare Program recommendations to 

Congress. 

This submission seeks to reinstate the 

information collection request. The 

changes in burden and cost for the Form 

CMS–2552–10 are a result of the 

following three factors. 

• The number of respondents 

decreased by 13 (from 6,088 in 2018 to 

6,075 in 2022), which is the net result 

of new hospitals certified to participate 

in the Medicare program and existing 

hospitals terminated from the Medicare 

program; 

• The hourly rates and associated 

administrative/overhead costs increased 

based on data from the BLS 2021 

Occupation Outlook Handbook (for 

categories 43–3031, bookkeeping, 

accounting and auditing clerks, and 13– 

2011, accounting and audit 

professionals) that resulted in an 

increased cost per provider from 

$31,411.36 in 2018 to $34,367.18 in 

2022; and, 

• The per-respondent burden 

increased by 1 hour (from 673 hours in 

2018 to 674 hours in 2022), the result 

of adding the Worksheet S–10, Part II, 

for hospitals to report the hospital 

uncompensated and indigent care data 

for the hospital CCN, and adding the 

Worksheet D–6, Parts I, II, and III, for 

hospitals to report the acquisition cost 

of allogeneic hematopoietic stem cells 

for transplant. 

Form Number: CMS–2552–10 (OMB 

control number: 0938–0050); Frequency: 

Occasionally; Affected Public: Private 

Sector; Business or other for-profit and 

not-for-profit institutions; Number of 

Respondents: 6,075; Total Annual 

Responses: 6,075; Total Annual Hours: 

4,094,550. (For policy questions 

regarding this collection contact Gail 

Duncan at 410–786–7278.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Blueprint for 

Approval of State-based Exchange; Use: 

The Patient Protection and Affordable 

Care Act (ACA) and its implementing 

regulations provide states with 

flexibility in the design and operation of 

Exchanges to ensure states are 

implementing Exchanges that best meet 

the needs of their consumers. States can 

choose to establish and operate a Statebased Exchange (SBE) or a State-based 

Exchange on the Federal Platform (SBE– 

FP). To ensure a state can operate a 

successful and compliant SBE or SBE– 

FP, it is critical that states provide CMS 

with a complete and thorough Exchange 

Blueprint Application, Declaration of 

Intent Letter, and attest to demonstrate 

operational readiness. The information 

collected from states will be used by 

CMS, IRS, SSA and reviewed by other 

Federal agencies to determine if a state 

can implement a complete and fully 

operational Exchange. Form Number: 

CMS–10416 (OMB control number: 

0938–1172); Frequency: Annually; 

Affected Public: State, Local, or Tribal 

governments; Number of Respondents: 

4; Total Annual Responses: 21; Total 

Annual Hours: 126. (For policy 

questions regarding this collection 

contact Shilpa Gogna at 301–492–4257.) 

Dated: June 15, 2022. 

William N. Parham III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–13278 Filed 6–21–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

National Institute of General Medical 

Sciences; Notice of Closed Meeting 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meeting. 

The meeting will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: National Institute of 

General Medical Sciences Special Emphasis 

Panel; NIGMS Review of Centers of 

Biomedical Research Excellence (COBRE) 

Phase 1 Applications. 

Date: July 13–14, 2022. 

Time: 10:00 a.m. to 3:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institute of General 

Medical Sciences, Natcher Building, 45 

Center Drive, Bethesda, MD 20892 (Virtual 

Meeting). 

Contact Person: Nina Sidorova, Ph.D., 

Scientific Review Officer, Office of Scientific 

Review, National Institute of General Medical 

Sciences, National Institutes of Health, 45 

Center Drive, Room 3An.22, Bethesda, MD 

20892–6200, 301–594–3663, sidorova@

nigms.nih.gov. 

(Catalogue of Federal Domestic Assistance 

Program Nos. 93.375, Minority Biomedical 

Research Support; 93.821, Cell Biology and 

Biophysics Research; 93.859, Pharmacology, 

Physiology, and Biological Chemistry 

Research; 93.862, Genetics and 

Developmental Biology Research; 93.88, 

Minority Access to Research Careers; 93.96, 

Special Minority Initiatives; 93.859, 

Biomedical Research and Research Training, 

National Institutes of Health, HHS) 

Dated: June 15, 2022. 

Miguelina Perez, 

Program Analyst, Office of Federal Advisory 

Committee Policy. 

[FR Doc. 2022–13302 Filed 6–21–22; 8:45 am] 

BILLING CODE 4140–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Center for Scientific Review; Notice of 

Closed Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meetings. 

The meetings will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 


khammond on DSKJM1Z7X2PROD with NOTICES