The proposed information collection, the MIPCD Minimum Data Set (MDS), is intended to collect data for program performance monitoring and evaluation. The MDS is a secondary data collection that assembles information already collected by grantees in the course of tracking beneficiary participation and outcomes and performing their own evaluation activities. Data collected through the MDS will be used to report on program implementation and evaluation to CMS and the Congress.Form Number:CMS-10444 (OCN: 0938-New);Frequency:Quarterly;Affected Public:State, Local, or Tribal Governments;Number of Respondents:10;Total Annual Responses:40;Total Annual Hours:3,467. (For policy questions regarding this collection contact Sherrie Fried at 410-786-6619. For all other issues call 410-786-1326.)
2.Type of Information Collection Request:Extension without change of a currently approved collection.Title of Information Collection:Medicaid Statistical Information System (MSIS).Use:The Balanced Budget Act of 1997 mandated that states report their Medicaid data via MSIS. MSIS is used by states and other jurisdictions to report fundamental statistical data on the operation of their Medicaid program. Data provided on eligibles, beneficiaries, payments and services are vital to those studying and assessing Medicaid policies and costs. Medicaid statistical data are routinely requested by CMS, Department agencies, the Congress and their research offices, state Medicaid agencies, research organizations, social service interest groups, universities and colleges, and the health care industry. The data provides the only national level information available on enrollees, beneficiaries, and expenditures. It also provides the only national level information available on Medicaid utilization. This information is the basis for analyses and for cost savings estimates for the Department's cost sharing legislative initiatives to the Congress. The data is also crucial to CMS and HHS actuarial forecasts.Form Number:CMS-R-284 (OCN 0938-0345).Frequency:Quarterly.Affected Public:State, Local, or Tribal Governments.Number of Respondents:51.Total Annual Responses:204.Total Annual Hours:2,040. (For policy questions regarding this collection contact Kay Spence at 410-786-1617. For all other issues call 410-786-1326.)
To be assured consideration, comments and recommendations for the proposed information collections must be received by the OMB desk officer at the address below, no later than 5 p.m. on November 19, 2012.OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395-6974, Email:OIRA_submission@omb.eop.gov.