Applications for Medicare Part D plans: PDP Plans, MA-PD Plans, Cost Plans, PACE organizations, SAE and EGWP

ICR 201009-0938-008

OMB: 0938-0936

Federal Form Document

Forms and Documents
Document
Name
Status
Form and Instruction
Modified
Supplementary Document
2010-09-17
Supplementary Document
2010-09-17
Supplementary Document
2010-09-17
Supplementary Document
2010-09-17
Supplementary Document
2010-09-17
Supplementary Document
2010-09-17
Supporting Statement A
2010-09-17
ICR Details
0938-0936 201009-0938-008
Historical Active 200910-0938-009
HHS/CMS
Applications for Medicare Part D plans: PDP Plans, MA-PD Plans, Cost Plans, PACE organizations, SAE and EGWP
Revision of a currently approved collection   No
Regular
Approved without change 12/21/2010
Retrieve Notice of Action (NOA) 09/22/2010
This ICR is approved for 12 months as it is associated with CMS's annual "Call Letter." Since the Call Letter discusses the information to be contained in the applications and the method by which they shall be submitted to CMS, in the Call Letter CMS shall (a) provide a reference to this OMB control number whenever the Part D application requirements are discussed, (b) provide an estimate of the burden entailed, and (c) indicate that CMS has issued a 60 day Federal Register notice for this ICR inviting public comments on the burden estimates and utility associated with this collection. CMS shall ensure that enough time is provided to the public to allow for both the 60 day and 30 day public comment periods. Per the PRA, OMB approval must be secured prior to the date by which Medicare Part D plans will need to submit these applications. The timing of the Call Letter and the 60 day and 30 day Federal Register notices should therefore be carefully considered and coordinated. Consistent with the PRA, this ICR should be re-submitted along with the publication of the draft "forthcoming guidance" documents to the extent the guidance document will result in new information collection, recordkeeping, or disclosure requirements or result in changes to burden or capital costs from existing requirements.
  Inventory as of this Action Requested Previously Approved
12/31/2011 36 Months From Approved 01/31/2011
295 0 453
3,576 0 11,919
0 0 0

The Applications for Part D sponsors to offer qualified prescription drug coverage are completed by entities seeking approval to offer Part D benefits under the Medicare Prescription Drug Benefit program established by section 101 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) and is codified in section 1860D of the Social Security Act (the Act).

PL: Pub.L. 108 - 173 1860D Name of Law: Medicare Prescription Drug Benefit Program
   Statute at Large: 18 Stat. 1860 Name of Statute: null
   PL: Pub.L. 111 - 148 3310 Name of Law: Reducing Wasteful dispensing of outpatient drugs in LTC facilities
   PL: Pub.L. 111 - 148 3314 Name of Law: Including cost incurred by AIDS drug assistance programs and Indian Health services
   PL: Pub.L. 111 - 148 6005 Name of Law: Pharmacy benefit managers transparency requirements
  
None

0938-AP77 Final or interim final rulemaking 75 FR 19678 04/15/2010

  75 FR 33308 06/11/2010
75 FR 57035 09/17/2010
Yes

1
IC Title Form No. Form Name
CY 2012-Applications for Medicare Part D Plans; PDP Plans, MA-PD Plans, Cost Plans, PACE Organizations, SAE and EGWP CMS-10137 Cost, CMS-10137 PACE, CMS-10137 PDP, CMS-10137 SAE, CMS-10137 MA-PD Application for New Cost Plan ,   Application for New PACE Organization ,   Application for New PDP ,   SAE Application for PDP and MA-PD ,   Application for New MA-PD

  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 295 453 0 -158 0 0
Annual Time Burden (Hours) 3,576 11,919 0 -8,343 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Cutting Redundancy
The Part D applications have been revised, and as a result, decreased the burden due to removing redundant sections of the applications and further automation of the application submission process. Further, legislation was enacted and regulations were issued since the last revision of these documents. As a result, new attestation sections were added to the overall applications and many attestations were clarified or corrected to address current CMS policy.

$140,000
No
No
Yes
No
No
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.
09/22/2010


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