Approved for use
through 6/94 under the condition that no later than 3/94, HCFA
briefs OMB staff on intended Federal uses of information in the new
application. OMB applauds HCFA's efforts to redesign the form so
that they are easily computerized and "user friendly." OMB is con-
cerned, however, that HCFA has claimed no program burden reduction
for these design improvements, and most important, for substantive
reductions in burden imposed by the actual data collected by HCFA.
In fact, the burden associated with this submission has risen due
to an increase in applicants. HCFA has deleted the requirement to
present extensive demographic data in the marketing chapter, for
example, but persists in collecting detailed marketing strategy
information(p. 32), MIS information, etc. Existing regulations at
42 CFR 417.107 require submission of a "detailed" marketing plan,
however, HCFA has discreti in establishing the appropriate level of
"detail." In the briefing for OMB, HCFA should be prepared to walk
OMB through the new application and explain why each information
requirement is critical to Federal oversight of the Federally
Qualified HMO program. In addition, HCFA should provide an estimate
of the burden reduction resulting from the new computerized version
of the application.
Inventory as of this Action
Requested
Previously Approved
06/30/1994
06/30/1994
65
0
0
6,500
0
0
0
0
0
THE SUBJECT FORMS WILL BE USED AS
INSTRUMENTS THROUGH WHICH ENTITIES WILL APPLY AND FURNISH
INFORMATION TO OPHCOO IN ORDER TO OBTAIN FEDERA QUALIFICATION
STATUS, COMP ELIGIBILITY, MEDICARE CONTRACT STATUS (RISK-BASED OR
COST-BASED), OR SERVICE AREA EXPANSION.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.
MEDICARE CONTRACT APPLICATION FOR FEDERALLY QUALIFIED HEALTH MAINTENANCE ORGANIZATIONS, MEDICARE CONTRACT APPLICATION: COMPETITIVE MEDICAL PLAN, QUALIFICATION APPLICATION