Supporting Statement for Paperwork Reduction Act
0938-1073/CMS-10295
Background
The Excel spreadsheet outlines the information each State must provide to the appropriate Regional Office of the Centers for Medicare & Medicaid Services (CMS) each calendar quarter, in accordance with the reporting requirements of the American Recovery and Reinvestment Act of 2009 (Recovery Act, P.L. 111-5), signed by President Obama on February 17, 2009:
5004(d) Extension of Transitional Medical Assistance (TMA)
A. 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 section5004(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 of the reporting requirements for section 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 section 5004(d) of the Recovery Act.
Special Circumstances
There are no special circumstances or impediments. The Excel spreadsheet is available in electronic format and will be provided to each State Medicaid Program by the appropriate CMS Regional Office.
Federal Register Notice/Outside Consultation
The 60-day Federal Register notice published on March 15, 2013 (78 FR 16507). No comments were received.
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)
The Excel spreadsheet will be completed for section 5004. We estimate that it will take no longer than 2 hours for a State to complete and submit the spreadsheet to CMS for each of the four quarters in each Federal fiscal year (FY). The required number of respondents is the 50 States. In subsequent years, four quarterly reports will be required for section 5004, until the authority under the Recovery Act sunsets. Therefore, the total burden would be 400 hours during Federal FY 2012 and each subsequent year.
To complete and submit the quarterly spreadsheets, it would cost a State no more than $30 per hour. Therefore, the total cost is estimated as $12,000 for Federal FY 2009 and 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
The reduction in burden is due to the FMAP increase reporting expiring and therefore, is no longer needed to be collected from the States.
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 5004(d): the sunset date for sections 1902(e)(1)(B) and 1925(f) of the Social Security Act (currently December 31, 2014)
Certification Statement
There are no exceptions to the certification statement.
B. 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 | 2021-01-29 |