Terms of
Clearance: This collection is approved under the following terms of
clearance: Upon publishing a new 60-day and 30-day Federal Register
Notice, CMS will provide the public and OMB with a supplemental
document that crosswalks all changes (technical and substantive)
made to the revised ICR. The document should include an explanation
of each change from the previous approval, the reason why the
change is necessary and the citation or reference to the statute,
regulation or guidance document that support the need for the
change. The crosswalk should also address an increase or decrease
in burden for each change.
Inventory as of this Action
Requested
Previously Approved
01/31/2011
36 Months From Approved
01/31/2011
241
0
220
5,858
0
5,580
0
0
0
Health plans must meet regulatory
requirements to enter into a contract with CMS; in order to provide
health benefits to Medicare beneficiaries. The revised MA
applications are the collection receptacles required.
It is expected that multiple
applications from individual respondents will result in minimal
additional cost to the government. CMS encouraged plans to submit a
Notices of Intent (NOI). The NOIs allows organizations to provide
CMS an early estimate of the applications they intend to submit.
NOIs will be received and entered into our Health Plan Management
System (HPMS). As a result, the total burden will be increased
slightly to provide a more accurate depiction of the number of
applications CMS expects to receive. Finally, for 2009 contracts
awarded in September 2009; will renew annually; unless otherwise
notified by CMS. Organizations holding 2008 contracts will not need
to re-apply in 2009 and may continue providing services to
beneficiaries unless otherwise notified by CMS.
$270,187
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Harkless
4107865666
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.