Medicaid Program; Review and Approval Process for Section 1115 Demonstrations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10341.Supporting Statement Part A.docx	Supporting Statement A	Uploaded 2011-02-16	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
196284	Reporting Requirements (?431.428(b))		New
196283	Reporting Requirements (431.428(a))		New
196282	Evaluation Requirements (431.424(e))		New
196281	Evaluation Requirements (431.424(d))		New
196280	Evaluation Requirements (431.424(c))		New
196279	Monitoring and Compliance (431.420(b))		New
196278	Application Procedures (431.412(c))		New
196277	State Public Notice Process (431.408(b))		New
196276	Application Procedures (431.412(a-b))		New
196275	State Public Notice Process (431.408(a))		New

ICR Details

OMB Control No: 0938-1162	ICR Reference No: 201102-0938-008
Status: Historical Inactive	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicaid Program; Review and Approval Process for Section 1115 Demonstrations
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: Comment filed on proposed rule	Conclusion Date: 02/23/2011
	Date Received in OIRA: 02/16/2011
Terms of Clearance: Approval contingent on the contents of the forthcoming final rule.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		36 Months From Approved
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: Section 10201(i) of the Affordable Care Act (ACA) added provisions under Section 1115 of the Social Security Act to require the Secretary to publish no later than 180 days after the enactment of this act, regulations that establish application requirements for demonstration projects. Under section 10201(i) of ACA the Secretary must establish a process for public notice and comment at the State level, and at the federal level after an application for a demonstration project is received by the Secretary. In addition, the Secretary must implement reporting requirements for States, establish a process for the periodic evaluation of demonstration projects and report annually to Congress on the implementation of previously approved demonstration projects. This collection would address the provisions required under Sections 10201(i) of the Affordable Care Act.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 10201 Name of Law: Amendments to the Social Security Act and title II of this Act.
  

Citations for New Statutory Requirements: PL: Pub.L. 111 - 148 10201 Name of Law: Amendments to the Social Security Act and title II of this Act.

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AQ46	Proposed rulemaking	75 FR 56946	09/17/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
Monitoring and Compliance (431.420(b))
Evaluation Requirements (431.424(c))
State Public Notice Process (431.408(b))
Evaluation Requirements (431.424(d))
Evaluation Requirements (431.424(e))
Reporting Requirements (431.428(a))
Reporting Requirements (?431.428(b))
State Public Notice Process (431.408(a))
Application Procedures (431.412(a-b))
Application Procedures (431.412(c))

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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: This is a new information collection request.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

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]? Yes

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

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: 02/16/2011

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