Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)

Forms and Documents

Document Name	Status
Form CMS-10713 LAN Summit - Total Event Evaluations (CMS-10713) Form and Instruction	New
Form CMS-10702 LAN Summit - Registration Form (CMS-10702) Form and Instruction	New
Form CMS-10620 Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction	New
CMS-10575 Supporting Statement Part B.docx Supporting Statement B	2022-02-22
CMS-10575 Supporting Statement Part A.docx Supporting Statement A	2022-02-22

IC Document Collections

IC ID	Document Title	Status
256577	LAN Summit - Total Event Evaluations (CMS-10713) Form and Instruction	New
256576	LAN Summit - Registration Form (CMS-10702) Form and Instruction	New
255474	Tracking the adoption of alternative payment models (CMS-10620) Form and Instruction	New

ICR Details

OMB Control No: 0938-1297	ICR Reference No: 202202-0938-003
Status: Received in OIRA	Previous ICR Reference No: 201902-0938-001
Agency/Subagency: HHS/CMS	Agency Tracking No: CMMI
Title: Generic Clearance for the Heath Care Payment Learning and Action Network (CMS-10575)
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular	Date Submitted to OIRA: 02/25/2022

	Requested	Previously Approved
Expiration Date	36 Months From Approved	03/31/2022
Responses	23,110	23,110
Time Burden (Hours)	26,467	25,917
Cost Burden (Dollars)	0	0

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Abstract: To more effectively partner with stakeholders across the health care system and accelerate transformation through the use of alternative payment models, CMS launched the Health Care Payment Learning and Action Network (LAN) to accelerate the transition to Medicare and non-Medicare alternative payment models by collaborating with a broad array of health care delivery stakeholders, identifying best practices in their implementation, and monitoring the adoption of value-based alternative payment models across the U.S. health care system—to include the percentage of Medicare, Medicaid, and non-Medicare payments tied to (and U.S. lives covered by) alternative payment models that reward the quality of care delivered. CMS requests a generic clearance to assist in monitoring and characterizing the adoption of alternative payment models in order to meaningfully inform 1115A model decisions on the design, selection, testing, modification, and expansion of innovative payment and service delivery models in accordance with the requirements of section 1115A.

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Authorizing Statute(s): PL: Pub.L. 111 - 148 3021 Name of Law: Affordable Care Act
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
	Not associated with rulemaking

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	86 FR 69059	12/06/2021
30-day Notice:	Federal Register Citation:	Citation Date:
	87 FR 9625	02/22/2022
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 0

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ICR Summary of Burden

	Total Request	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	23,110	23,110	0	0	0	0
Annual Time Burden (Hours)	26,467	25,917	0	0	550	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

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: CMS is requesting 26,467 burden hours in this extension to its current generic clearance. The total number of burden hours previously approved (25,917) has been increased slightly because there is increased interest across the US health care system in advancing health equity with APMs and understanding beneficiary participation in APMs with an increased focus on underserved populations.

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Annual Cost to Federal Government: $500,000

Does this IC contain surveys, censuses, or employ statistical methods? Yes Part B of Supporting Statement

Does this ICR request any personally identifiable information (see OMB Circular No. A-130 for an explanation of this term)? Please consult with your agency's privacy program when making this determination.     No

Does this ICR include a form that requires a Privacy Act Statement (see 5 U.S.C. §552a(e)(3))? Please consult with your agency's privacy program when making this determination.     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? No

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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: 02/25/2022

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