CMS will update
the burden and number of responses in accordance with any annual
changes that occur during the MA contract period.
Inventory as of this Action
Requested
Previously Approved
11/30/2008
36 Months From Approved
11/30/2006
110
0
90
3,400
0
2,770
0
0
0
Health plans must meet certain
regulatory requirements to enter into a contract with CMS to
provide health benefits to Medicare beneficiaries. These
applications are the collection forms to obtain the information
from a health plan that will allow CMS staff to determine
compliance with the regulations.
The burden change for this
package is due to the response to questions from potential 2007
applications related to CMS-10136. Revisions were made to that
application type after the emergency approval was granted.
$1,273,440
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Danielle Harris 410
786-1819
No
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.