Supporting Statement for Paperwork Reduction Act
0938-1073 / CMS-10295
A. Background
Two Excel spreadsheets outline the information each State must provide the appropriate Regional Office of the Centers for Medicare & Medicaid Services (CMS) each calendar quarter, in accordance with the reporting requirements in two sections of the American Recovery and Reinvestment Act of 2009 (Recovery Act, P.L. 111-5), signed by President Obama on February 17, 2009:
5001 Temporary Increase of Medicaid Federal Medical Assistance Percentage (FMAP)
5004(d) Extension of Transitional Medical Assistance (TMA)
B. Justification
Need and Legal Basis
The Secretary of Health and Human Services is required to submit annual reports to Congress with information collected from States in accordance with sections 5001 and 5004(d) of the Recovery Act.
Information Users
All State Medicaid Agencies in 50 States will complete the reports. CMS will review the information to determine if each State has met all the reporting requirements of sections 5001 and 5004(d) of the Recovery Act.
Improved Information Technology
The reporting forms are available in electronic format as Excel spreadsheets. We expect every submittal to be forwarded to our agency using the electronic format. The documents are completed in a user-friendly format.
Duplication of Similar Information
There is no duplication of similar information.
Small Businesses
This collection does not impact small businesses.
Less Frequent Collection
The Recovery Act requires that each State provide reports every calendar quarter with the information specified for collection in sections 5001 and 5004(d) of the Recovery Act.
Special Circumstances
There are no special circumstances or impediments. The two Excel spreadsheets are available in electronic format and will be provided to each State Medicaid Program by the appropriate CMS Regional Office.
Federal Register Notice/Outside Consultation
A 60-day Federal Register notice was published on January 25, 2010.
Payment/Gift To Respondent
There is no payment/gift to respondents.
Confidentiality
There is no personal identifying information collected in the document. All the information is available to the public.
Sensitive Questions
There are no questions of a sensitive nature.
Burden Estimate (Total Hours & Wages)
One Excel spreadsheet will be completed for section 5001 of the Recovery Act and another for section 5004. We estimate that it will take no longer than 3 hours (1 hour for section 5001 and 2 hours for section 5004) for a State to complete and submit the spreadsheets to CMS for each of the four quarters in each Federal fiscal year (FY). The required number of respondents is the 50 States. However, since the reporting requirements for section 5001 took effect on October 1, 2008 and for section 5004 on July 1, 2009, four quarterly reports are required for section 5001 and one quarterly report for section 5004 during Federal FY 2009. In subsequent years, four quarterly reports will be required for section 5001 and four for section 5004, until the authority for those sections of the Recovery Act sunsets. Therefore, the total burden would be 300 hours during Federal FY 2009 and 600 hours in each subsequent year.
To complete and submit the two quarterly spreadsheets, it would cost a State no more than $30 per hour. Therefore, the total cost is estimated as $9,000 for Federal FY 2009 and $18,000 for each subsequent year.
Capital Costs (Maintenance of Capital Costs)
There are no capital costs.
Cost to Federal Government
There is no additional cost to the Federal Government because existing staff resources will be used.
Program or Burden Changes
There are no program or burden changes.
Publication and Tabulation Dates
Summary reports are required to be submitted to Congress each year after States’ quarterly reports have been received and compiled.
Expiration Date
For section 5001: September 30, 2011
For section 5004(d): the sunset date for sections 1902(e)(1)(B) and 1925(f) of the Social Security Act (currently December 31, 2010)
Certification Statement
There are no exceptions to the certification statement.
C. Collection of Information Employing Statistical Methods
The use of statistical methods does not apply to this form.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Supporting Statement for Paperwork Reduction Act |
| Author | CMS |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |