Evaluation of Medicare National Competitive Bidding Program for DME

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
Form CMS-10197 Evaluation of the Medicare National Competitive Bidding Program for DME	Form and Instruction	New	Available
Form CMS-10197 Evaluation of the Medicare National Competitive Bidding Program for DME	Form and Instruction	New	Available
Form CMS-10197 Evaluation of the Medicare National Competitive Bidding Program for DME	Form and Instruction	New	Available
CMS-10197 OMB_DMEBID_Statement and Appendices 11-20-06.pdf	Supporting Statement B	Uploaded 2006-12-08	Available
dmebidcomments_responses11_22_06.doc	Supplementary Document	Uploaded 2006-12-08	Available
Comment #1-attachment.DOC	Supplementary Document	Uploaded 2006-12-08	Available
Comment #1.pdf	Supplementary Document	Uploaded 2006-12-08	Available
CMS-10197 OMB_DMEBID_Statement and Appendices 11-20-06.pdf	Supporting Statement A	Uploaded 2006-12-08	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
46620	Evaluation of the Medicare National Competitive Bidding Program for DME	Form and Instruction	New
46619	Evaluation of the Medicare National Competitive Bidding Program for DME	Form and Instruction	New
46618	Evaluation of the Medicare National Competitive Bidding Program for DME	Form and Instruction	New

ICR Details

OMB Control No: 0938-1015	ICR Reference No: 200701-0938-005
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Evaluation of Medicare National Competitive Bidding Program for DME
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 04/04/2007
	Date Received in OIRA: 01/03/2007
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	04/30/2010	36 Months From Approved
Responses	12,671	0	0
Time Burden (Hours)	6,557	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Data collection materials consisting of beneficiary and supplier surveys, and discussion group guides, are necessary to conduct the congressionally mandated evaluation of the Medicare National Competitive Bidding Program (see Medicare Modernization Act of 2003, Section 302b). Information about the outcomes of competitive bidding, including expenditures, access, quality, beneficiary consumer satisfaction, and reductions in cost-sharing will be generated from these materials and reported to the Congress.

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Authorizing Statute(s): PL: Pub.L. 108 - 173 303 Name of Law: MMA
  

Citations for New Statutory Requirements: PL: Pub.L. 108 - 173 303d Name of Law: MMA

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AN14	Final or interim final rulemaking	71 FR 25653	05/01/2006

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 34938	06/16/2006
30-day Notice:	Federal Register Citation:	Citation Date:
	71 FR 71179	12/08/2006
Did the Agency receive public comments on this ICR? Yes

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
Evaluation of the Medicare National Competitive Bidding Program for DME	CMS-10197	Surveys and Evaluation Program Handbook
Evaluation of the Medicare National Competitive Bidding Program for DME	CMS-10197	Surveys and Evaluation Program Handbook
Evaluation of the Medicare National Competitive Bidding Program for DME	CMS-10197	Surveys and Evaluation Program Handbook

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	12,671	0	12,671	0	0	0
Annual Time Burden (Hours)	6,557	0	6,557	0	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Data collection materials consisting of beneficiary and supplier surveys, and discussion group guides, are necessary to conduct the congressionally mandated evaluation of the Medicare National Competitive Bidding Program (see Medicare Modernization Act of 2003, Section 302b). Information about the outcomes of competitive bidding, including expenditures, access, quality, beneficiary consumer satisfaction, and reductions in cost-sharing will be generated from these materials and reported to the Congress.

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Annual Cost to Federal Government: $1,022,309

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 12/14/2006

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