80 FR 21721 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 75 (April 20, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 75 (April 20, 2015)
| Page Range | 21721-21723 | |
| FR Document | 2015-09009 |
[Federal Register Volume 80, Number 75 (Monday, April 20, 2015)] [Notices] [Pages 21721-21723] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-09009] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-855R, CMS-10394, CMS-10371, CMS-10472 and CMS-10494] Agency Information Collection Activities: Submission for OMB Review; Comment Request ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments on the collection(s) of information must be received by the OMB desk officer by May 20, 2015. ADDRESSES: When commenting on the proposed information collections, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be received by the OMB desk officer via one of the following transmissions: OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395-5806 OR, Email: [email protected]. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following: 1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to [email protected]. 3. Call the Reports Clearance Office at (410) 786-1326. FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786- 1326. SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 (PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term ``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires federal agencies to publish a 30-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice that summarizes the following proposed collection(s) of information for public comment: 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicare Enrollment Application: Reassignment of Medicare Benefits; Use: The primary function of the CMS 855R enrollment application is to allow physicians and non-physician practitioners to reassign their Medicare benefits to a group practice and to gather information from the individual that tells us who he/she is, where he or she renders services, and information necessary to establish correct claims payment. The goal of periodically evaluating and revising the CMS-855R enrollment application is to simplify and clarify the information collection without jeopardizing our need to collect specific information. At this time, CMS is making very few minor revisions to the CMS-855R (Reassignment of Benefits) Medicare enrollment application (OMB No. 0938-1179). Two sections within the form are being reversed to maintain sync with online and paper forms. The previously approved CMS 855R section 2 collected information regarding the individual practitioner who is reassigning benefits and section 3 collected information regarding the organization/group receiving the reassigned benefits. These two sections have been reversed so that section 2 now collects information on [[Page 21722]] the regarding the organization/group receiving the reassigned benefits and section 3 now collects information on the individual practitioner who is reassigning benefits. No information or data collection within these sections was revised. The sections were merely re-sequenced and re-numbered to maintain sync between online and paper forms. With the exception of this section reversal and adding the word ``optional'' to sections 4 and 5 (primary practice location and contact person information), there are no other revisions. These revisions offer no new data collection in this revision package. The addition of the optional choice in sections 4 and 5 could potentially reduce the burden to providers who choose not to complete either or both optional sections. Form Number: CMS-855R (OMB control number 0938-1179); Frequency: Occasionally; Affected Public: State, Local, or Tribal Governments, Private sector (For-profit and Not-for-profit institutions); Number of Respondents: 379,619; Total Annual Responses: 379,619; Total Annual Hours: 94,905. (For policy questions regarding this collection contact Kim McPhillips at 410-786-7278). 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Application to Be a Qualified Entity to Receive Medicare Data for Performance Measurement; Use: Section 10332 of the Patient Protection and Affordable Care Act (ACA) requires the Secretary to make standardized extracts of Medicare claims data under parts A, B, and D available to ``qualified entities'' for the evaluation of the performance of providers of services and suppliers. The statute provides the Secretary with discretion to establish criteria to determine whether an entity is qualified to use claims data to evaluate the performance of providers of services and suppliers. We are proposing at section 42 CFR 401.703 to evaluate an organization's eligibility across three areas: Organizational and governance capabilities, addition of claims data from other sources (as required in the statute), and data privacy and security. This is the application through which organizations will provide information to CMS to determine whether they will be approved as a qualified entity. Form Number: CMS-10394 (OMB control number: 0938-1144); Frequency: Occasionally; Affected Public: Private sector-- Business or other for-profits and Not-for-profit institutions; Number of Respondents: 35; Total Annual Responses: 35; Total Annual Hours: 6,833. (For policy questions regarding this collection contact Kari Gaare at 410-786-8612). 3. Type of Information Collection Request: Revision of a currently approved information collection; Title of Information Collection: Cooperative Agreements to Support Establishment of State-Operated Health Insurance Exchanges; Use: All States (including the 50 States, consortia of States, and the District of Columbia herein referred to as States) had the opportunity under section 1311(b) of the Affordable Care to apply for three types of grants: (1) Planning grants; (2) Early Innovator grants for early development of information technology; and (3) Establishment grants to develop, implement and start-up Marketplaces. As of January 1st, 2015, the Secretary has disbursed over $5.4 billion under this grant program and, as of that date, there were 79 active establishment grants awarded to 28 states. As the State-Based Marketplaces (SBM) and Small Business Health Options Program (SHOP) have matured and moved from the developmental phases to full-operation, the reporting requirements for the states have been modified and streamlined to insure only information necessary to provide effective oversight of their operations by CMS is collected. Given the innovative nature of Exchanges and the statutorily- prescribed relationship between the Secretary and States in their development and operation, it is critical that the Secretary work closely with States to provide necessary guidance and technical assistance to ensure that States can meet the prescribed timelines, federal requirements, and goals of the statute and the grants awarded to them. Form Number: CMS-10371 (OMB control number: 0938-1119); Frequency: Once; Affected Public: State Government agencies, Private sector (Not-for-profit institutions); Number of Respondents: 28; Number of Responses: 48; Total Annual Hours: 31,404. (For policy questions regarding this collection, contact Dena Puskin at (301) 492-4342.) 4. Type of Information Collection Request: Revision of a previously approved information collection; Title of Information Collection: Exchange Functions: Standards for Navigators and Non-Navigator Assistance Personnel; Use: Section 1321(a)(1) of the Affordable Care Act directs and authorizes the Secretary to issue regulations setting standards for meeting the requirements under title I of the Affordable Care Act, with respect to, among other things, the establishment and operation of Exchanges. Pursuant to this authority, regulations have been finalized at 45 CFR 155.215(b)(1) to require Navigators, as well as those non-Navigator personnel to whom 45 CFR 155.215 applies, requires completion of HHS approved training for initial certification and annual recertification prior to providing application and enrollment assistance. The training will include an optional training quality survey providing Navigators and non-Navigator assistance personnel to whom 45 CFR 155.215 applies, an opportunity to provide feedback to CMS regarding the training and any improvements that can be made in the future. Form Number: CMS-10472 (OMB control number. 0938- 1220); Frequency: On Occasion; Affected Public: State, Local, or Tribal Governments, Private sector (Not-for-profit institutions), Individuals or Households; Number of Respondents: 5,610; Number of Responses: 5,610; Total Annual Hours: 37,036. (For policy questions regarding this collection, contact Heather Raeburn at 301-492-4224.) 5. Type of Information Collection Request: Revision of a previously approved information collection; Title of Information Collection: Patient Protection and Affordable Care Act; Consumer Assistance Tools and Programs of an Exchange and Certified Application Counselors; Exchange and Insurance Market Standards for 2015; Use: Section 1321(a)(1) of the Affordable Care Act directs and authorizes the Secretary to issue regulations setting standards for meeting the requirements under title I of the Affordable Care Act, with respect to, among other things, the establishment and operation of Exchanges. Pursuant to this authority, regulations establishing the certified application counselor program have been finalized at 45 CFR 155.225. In accordance with 155.225(d)(1) and (7), certified application counselors in all Exchanges are required to be initially certified and recertified on at least an annual basis and successfully complete Exchange-required training. Form Number: CMS-10494 (OMB control number: 0938-1205); Frequency: On Occasion; Affected Public: State, Local, or Tribal Governments, Private sector (Not-for-profit institutions), Individuals or Households; Number of Respondents: 35,000; Number of Responses: 190,000; Total Annual Hours: 27,110. (For policy questions regarding this collection, contact Tricia Beckmann at 301-492-4328.) [[Page 21723]] Dated: April 15, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-09009 Filed 4-17-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 75 / Monday, April 20, 2015 / Notices 21721
CMS–179 State Plan Under Title XIX DEPARTMENT OF HEALTH AND and CMS document identifier, to
of the Social Security Act (Base Plan HUMAN SERVICES Paperwork@cms.hhs.gov.
Pages, Attachments, Supplements to 3. Call the Reports Clearance Office at
Attachments) Centers for Medicare & Medicaid (410) 786–1326.
Services FOR FURTHER INFORMATION CONTACT:
Under the PRA (44 U.S.C. 3501– Reports Clearance Office at (410) 786–
[Document Identifier: CMS–855R, CMS–
3520), federal agencies must obtain 10394, CMS–10371, CMS–10472 and CMS– 1326.
approval from the Office of Management 10494] SUPPLEMENTARY INFORMATION: Under the
and Budget (OMB) for each collection of Paperwork Reduction Act of 1995 (PRA)
information they conduct or sponsor. Agency Information Collection
(44 U.S.C. 3501–3520), federal agencies
The term ‘‘collection of information’’ is Activities: Submission for OMB must obtain approval from the Office of
defined in 44 U.S.C. 3502(3) and 5 CFR Review; Comment Request Management and Budget (OMB) for each
1320.3(c) and includes agency requests collection of information they conduct
ACTION: Notice.
or requirements that members of the or sponsor. The term ‘‘collection of
public submit reports, keep records, or SUMMARY: The Centers for Medicare & information’’ is defined in 44 U.S.C.
provide information to a third party. Medicaid Services (CMS) is announcing 3502(3) and 5 CFR 1320.3(c) and
Section 3506(c)(2)(A) of the PRA an opportunity for the public to includes agency requests or
requires federal agencies to publish a comment on CMS’ intention to collect requirements that members of the public
60-day notice in the Federal Register information from the public. Under the submit reports, keep records, or provide
concerning each proposed collection of Paperwork Reduction Act of 1995 information to a third party. Section
information, including each proposed (PRA), federal agencies are required to 3506(c)(2)(A) of the PRA (44 U.S.C.
extension or reinstatement of an existing publish notice in the Federal Register 3506(c)(2)(A)) requires federal agencies
collection of information, before concerning each proposed collection of to publish a 30-day notice in the
submitting the collection to OMB for information, including each proposed Federal Register concerning each
approval. To comply with this extension or reinstatement of an existing proposed collection of information,
requirement, CMS is publishing this collection of information, and to allow including each proposed extension or
a second opportunity for public reinstatement of an existing collection
notice.
comment on the notice. Interested of information, before submitting the
Information Collection persons are invited to send comments collection to OMB for approval. To
regarding the burden estimate or any comply with this requirement, CMS is
1. Type of Information Collection other aspect of this collection of publishing this notice that summarizes
Request: Extension of a currently information, including any of the the following proposed collection(s) of
approved collection; Title of following subjects: (1) The necessity and information for public comment:
Information Collection: Medicaid State utility of the proposed information 1. Type of Information Collection
Plan Base Plan Pages; Use: State collection for the proper performance of Request: Revision of a currently
Medicaid agencies complete the plan the agency’s functions; (2) the accuracy approved collection; Title of
pages while we review the information of the estimated burden; (3) ways to Information Collection: Medicare
to determine if the state has met all of enhance the quality, utility, and clarity Enrollment Application: Reassignment
the requirements of the provisions the of the information to be collected; and of Medicare Benefits; Use: The primary
states choose to implement. If the (4) the use of automated collection function of the CMS 855R enrollment
requirements are met, we will approve techniques or other forms of information application is to allow physicians and
the amendments to the state’s Medicaid technology to minimize the information non-physician practitioners to reassign
plan giving the state the authority to collection burden. their Medicare benefits to a group
implement the flexibilities. For a state to DATES: Comments on the collection(s) of practice and to gather information from
receive Medicaid Title XIX funding, information must be received by the the individual that tells us who he/she
there must be an approved Title XIX OMB desk officer by May 20, 2015. is, where he or she renders services, and
state plan. Form Number: CMS–179 ADDRESSES: When commenting on the information necessary to establish
proposed information collections, correct claims payment. The goal of
(OMB control number 0938–0193);
please reference the document identifier periodically evaluating and revising the
Frequency: Occasionally; Affected
or OMB control number. To be assured CMS–855R enrollment application is to
Public: State, Local, and Tribal
consideration, comments and simplify and clarify the information
Governments; Number of Respondents: collection without jeopardizing our
56; Total Annual Responses: 1,120; recommendations must be received by
the OMB desk officer via one of the need to collect specific information. At
Total Annual Hours: 22,400. (For policy this time, CMS is making very few
following transmissions: OMB, Office of
questions regarding this collection minor revisions to the CMS–855R
Information and Regulatory Affairs,
contact Annette Pearson at 410–786– (Reassignment of Benefits) Medicare
Attention: CMS Desk Officer, Fax
6958.) enrollment application (OMB No. 0938–
Number: (202) 395–5806 OR, Email:
Dated: April 15, 2015. OIRA_submission@omb.eop.gov. 1179). Two sections within the form are
William N. Parham, III, To obtain copies of a supporting being reversed to maintain sync with
statement and any related forms for the online and paper forms. The previously
Director, Paperwork Reduction Staff, Office
mstockstill on DSK4VPTVN1PROD with NOTICES
proposed collection(s) summarized in approved CMS 855R section 2 collected
of Strategic Operations and Regulatory
Affairs. this notice, you may make your request information regarding the individual
using one of following: practitioner who is reassigning benefits
[FR Doc. 2015–09008 Filed 4–17–15; 8:45 am]
1. Access CMS’ Web site address at and section 3 collected information
BILLING CODE 4120–01–P
http://www.cms.hhs.gov/Paperwork regarding the organization/group
ReductionActof1995. receiving the reassigned benefits. These
2. Email your request, including your two sections have been reversed so that
address, phone number, OMB number, section 2 now collects information on
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![Federal Register / Vol. 80, No. 75 / Monday, April 20, 2015 / Notices 21723
Dated: April 15, 2015. Deadline for Transmittal of Note: The full text of this priority is
William N. Parham, III, Applications: June 19, 2015. included in the notice of final priorities for
the Rehabilitation Research and Training
Director, Paperwork Reduction Staff, Office Full Text of Announcement Centers, published in the Federal Register on
of Strategic Operations and Regulatory
I. Funding Opportunity Description February 1, 2008 (73 FR 6132) and in the
Affairs.
application package for this competition.
[FR Doc. 2015–09009 Filed 4–17–15; 8:45 am] Purpose of Program: The purpose of
BILLING CODE 4120–01–P the Disability and Rehabilitation Priority 2—RRTC on Employer
Research Projects and Centers Program Practices Leading to Successful
is to plan and conduct research, Employment Outcomes for Individuals
DEPARTMENT OF HEALTH AND demonstration projects, training, and with Disabilities.
HUMAN SERVICES related activities, including Note: The full text of this priority is
international activities to develop included in the notice of final priority
Administration for Community Living methods, procedures, and rehabilitation published elsewhere in this issue of the
technology. The Program’s activities are Federal Register and in the application
Applications for New Awards; National package for this competition.
designed to maximize the full inclusion
Institute on Disability, Independent
and integration into society, Program Authority: 29 U.S.C. 762(g) and
Living, and Rehabilitation Research—
employment, independent living, family 764(b)(2).
Rehabilitation Research and Training
support, and economic and social self- Applicable Regulations: (a) The
Centers
sufficiency of individuals with Department of Health and Human
AGENCY: Administration for Community disabilities, especially individuals with Services General Administrative
Living, Department of Health and the most severe disabilities, and to Regulations in 45 CFR part 75; (b) Audit
Human Services. improve the effectiveness of services Requirements for Federal Awards in 45
ACTION: Notice. authorized under the Rehabilitation Act CFR part 75 Subpart F; (c) 45 CFR part
of 1973, as amended (Rehabilitation 75 Non-procurement Debarment and
Overview Information: National Act). Suspension; (d) 45 CFR part 75
Institute on Disability, Independent Rehabilitation Research and Training Requirement for Drug-Free Workplace
Living, and Rehabilitation Research Centers (Financial Assistance); (e) The
(NIDILRR)—Rehabilitation Research and regulations for this program in 34 CFR
Training Centers (RRTC)—Employer The purpose of the RRTCs, which are part 350; (f) The notice of final priorities
Practices Leading to Successful funded through the Disability and for the RRTC Program published in the
Employment Outcomes for Individuals Rehabilitation Research Projects and Federal Register on February 1, 2008
with Disabilities. Centers Program, is to achieve the goals (73 FR 6132); and (g) The notice of final
Notice inviting applications for new of, and improve the effectiveness of, priority for this program, published
awards for fiscal year (FY) 2015. services authorized under the elsewhere in this issue of the Federal
Rehabilitation Act through well- Register.
Catalog of Federal Domestic Assistance designed research, training, technical
(CFDA) Number: 84.133B–1.
assistance, and dissemination activities II. Award Information
DATES: Applications Available: April 20, in important topical areas as specified Type of Award: Discretionary grants.
2015. by NIDILRR. These activities are Estimated Available Funds: $875,000.
Note: On July 22, 2014, President Obama designed to benefit rehabilitation Contingent upon the availability of
signed the Workforce Innovation service providers, individuals with funds and the quality of applications,
Opportunity Act (WIOA). WIOA was disabilities, family members, we may make additional awards in FY
effective immediately. One provision of policymakers and other research 2015 and any subsequent year from the
WIOA transferred the National Institute on stakeholders. Additional information on
Disability and Rehabilitation Research
list of unfunded applicants from this
the RRTC program can be found at: competition.
(NIDRR) from the Department of Education to
the Administration for Community Living
http://www2.ed.gov/programs/rrtc/ Maximum Award: $875,000.
(ACL) in the Department of Health and index.html#types. We will reject any application that
Human Services. In addition, NIDRR’s name Priorities: There are two priorities for proposes a budget exceeding the
was changed to the Institute on Disability, the grant competition announced in this Maximum Amount for a single budget
Independent Living, and Rehabilitation notice. The General RRTC Requirements period of 12 months. The Administrator
Research (NIDILRR). For FY 2015, all priority is from the notice of final of the Administration for Community
NIDILRR priority notices will be published as priorities for the Rehabilitation Research Living may change the maximum
ACL notices, and ACL will make all NIDILRR and Training Centers, published in the amount through a notice published in
awards. During this transition period, Federal Register on February 1, 2008 the Federal Register.
however, NIDILRR will continue to review (73 FR 6132). Priority two is from the
grant applications using Department of
Estimated Number of Awards: 1.
notice of final priority for this program, The Department is not bound by any
Education tools. NIDILRR will post
previously-approved application kits to published elsewhere in this issue of the estimates in this notice.
grants.gov, and NIDILRR applications Federal Register. Project Period: 60 months.
submitted to grants.gov will be forwarded to Absolute Priorities: For FY 2015 and We will reject any application that
the Department of Education’s G–5 system any subsequent year in which we make proposes a project period exceeding 60
for peer review. We are using Department of awards from the list of unfunded months. The Administrator of the
mstockstill on DSK4VPTVN1PROD with NOTICES
Education application kits and peer review applicants from this competition, these Administration for Community Living
systems during this transition year in order priorities are absolute priorities. Under may change the project period through
to provide for a smooth and orderly process 45 CFR part 75 we consider only a notice published in the Federal
for our applicants. applications that meet these program Register.
Date of Pre-Application Meeting: May 11,
priorities.
2015.
These priorities are: III. Eligibility Information
Deadline for Notice of Intent to Priority 1—General RRTC 1. Eligible Applicants: States; public
Apply: May 26, 2015. Requirements. or private agencies, including for-profit
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Document Created: 2018-02-21 10:13:00
Document Modified: 2018-02-21 10:13:00
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on the collection(s) of information must be received by the OMB desk officer by May 20, 2015. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 21721 |
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