Crosswalk

PRA Crosswalk_10156.pdf

Retiree Drug Subsidy (RDS) Application and Instructions (CMS-10156)

Crosswalk

OMB: 0938-0957

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Form
1 CMS-10156
2 CMS-10156

Change
Grammatical changes
Updated Mean Hourly Wage,
Fringe Benefit, and, Adjusted
Hourly Wage amounts

Current Location
All pages
Section 12: Burden Estimates
(Hours & Wages); sub-section
'Wages'

3 CMS-10156

Updated number of entities,
wage amounts, and
recalculation

Section 12: Burden Estimates
(Hours & Wages); sub-section
'Burden Estimates'

4 CMS-10156

Updated cost to Federal
government and subsequent
calculation
Updated total burden

Section 14: Cost to Federal
Government

5 CMS-10156
6 CMS-10156
7 CMS-10156 Application Instructions
8 CMS-10156 Application Instructions

9 CMS-10156 Application Instructions
10 CMS-10156 Application Instructions

11 CMS-10156 Application Instructions

12 CMS-10156 RDS Application
13 CMS-10156 RDS Application
14 CMS-10156 RDS Application

15 CMS-10156 RDS Application
16 CMS-10156 RDS Application
17 CMS-10156 RDS Application
18 CMS-10156 RDS Application
19 CMS-10156 RDS Application
20 CMS-10156 RDS Application
21 CMS-10156 RDS Application
22 CMS-10156 RDS Application
23 CMS-10156 RDS Application

24 CMS-10156 RDS Application

25 CMS-10156 RDS Application
26 CMS-10156 RDS Application
27 CMS-10156 RDS Application
28 CMS-10156 RDS Application
29 CMS-10156 RDS Application
30 CMS-10156 RDS Application

31 CMS-10156 RDS Application

32 CMS-10156 RDS Application

Modified the RDS enrollment
table for 2016 - 2022
Grammatical changes
Updated item numbers

Section 15: Program and Burden
Changes
Section 15: Program and Burden
Changes
All pages
All sections

Reason
Clarity and readability
Updated data from U.S. Bureau of Labor
Statistics’ May 2023 National
Occupational Employment and Wage
Estimates
Updated data from RDS Plan Sponsor
activity and Updated data from U.S.
Bureau of Labor Statistics’ May 2023
National
Occupational Employment and Wage
Estimates
Updated data from 2024 OPM information

Burden Impact
No
Yes

Change in RDS Plan Sponsor enrollment

Yes

Updated to include current data for plans
that have completed Reconciliation
Clarity and readability
Updating item numbers to match modified
item numbers in CMS-10156 RDS
Application
Updated Designee privilege
E. Designee Invitation
Privilege labels changed due to application
names
updates
Added Item 4
Part II - B. Benefit Option(s)
Method by which Plan Sponsors submit
Provided Under This Plan
retiree data is now collected as part of the
Benefit Option screen.
Retiree Data Electronic Data
Part VI
This information is now collected in Part II Interchange (EDI) Method has
B. Benefit Option(s) Provided Under This
been removed.
Plan
Renumbering of data elements All sections
Changes to the RDS application added,
removed, and/or reorganized fields
Fax Number removed
Part I - A. Plan Sponsor Account Fax Number is no longer collected
Registration
Re-enter Email Address
Part I - B. Authorized
User is no longer required to re-enter the
removed
Representative Invitation
Authorized Representative's email
address
E-mail Address removed
Part I - C. Authorized
Email Address is being collected in the
Representative Information
previous application step
Fax Number removed
Part I - C. Authorized
Fax Number is no longer collected
Representative Information
Re-enter Email Address added Part I - D. Account Manager
Retyping the user's email address is now
Information
required for this step
Fax Number removed
Part I - D. Account Manager
Fax Number is no longer collected
Information
Re-enter Email Address
Part I - E. Designee Invitation
User is no longer required to re-enter the
removed
Designee's email address
Middle Initial removed
Part I - E. Designee Invitation
User is no longer required to enter the
Designee's middle initial
E-mail Address removed
Part I - F. Designee Information Email Address is being collected in the
previous application step
Fax Number removed
Part I - F. Designee Information Fax Number is no longer collected
Retiree List Submission Method Part II - B. Benefit Option(s)
Application updates
replaced Benefit Administrator Provided Under This Plan
Company Name
Vendor ID or VDSA Plan
Part II - B. Benefit Option(s)
Application updates
Number or MIR Reporter ID
Provided Under This Plan
added
Middle Initial removed
Part II - C. Actuary Invitation
User is no longer required to enter the
Actuary's middle initial
Re-enter Email Address
Part II - C. Actuary Invitation
User is no longer required to re-enter the
removed
Actuary's email address
Actuary's Company Name
Part II - D. Actuary Information
Actuary's Company Name is no longer
removed
collected
E-mail Address removed
Part II - D. Actuary Information
Email Address is being collected in the
previous application step
Fax Number removed
Part II - D. Actuary Information
Fax Number is no longer collected
All banking information collected Part IV
This information has been historically
has been added
collected but did not appear in detail in
form CMS-10156 RDS Application
Section removed
Part VI - A. Retiree Data
This information is now being collected in
Electronic Data Interchange
Part II - B. Benefit Option(s) Provided
(EDI) Method
Under This Plan #4
There is no longer A and B
Part VI - B. Retiree List
Added field names for clarification; this
under this section; added
data is and has been collected as part of a
additional clarifying field
Retiree List
information that is collected with
a Retiree List

Yes

Yes

Yes
No
No

No
No

No

No
No
No

No
No
No
No
No
No
No
No
No

No

No
No
No
No
No
No

No

No


File Typeapplication/pdf
AuthorGoldsman, Britney (CMS/CM)
File Modified2024-06-28
File Created2024-06-28

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