80 FR 26568 - 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 89 (May 8, 2015)

Page Range		26568-26568
FR Document		2015-11208

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.

Federal Register, Volume 80 Issue 89 (Friday, May 8, 2015)

[Federal Register Volume 80, Number 89 (Friday, May 8, 2015)]
[Notices]
[Page 26568]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-11208]



[[Page 26568]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-1696 and CMS-R-246]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

ACTION: Notice.

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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 June 8, 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: Extension of a currently 
approved collection; Title of Information Collection: Appointment of 
Representative; Use: The Appointment of Representative form is 
completed by beneficiaries, providers and suppliers, and any party 
seeking to appoint a representative to assist them with their initial 
determinations and filing appeals. This extension request proposes non-
substantive changes to the form. Form Number: CMS-1696 (OMB control 
number: 0938-0950); Frequency: Once; Affected Public: Individuals and 
Households, Private sector (Business or other for-profits); Number of 
Respondents: 4,073,960; Total Annual Responses: 407,396; Total Annual 
Hours: 101,849. (For policy questions regarding this collection contact 
Katherine Hosna at 410-786-4993.)
    Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer 
Assessment of Healthcare Providers and Systems (CAHPS) Survey; Use: The 
primary purpose of the Medicare consumer assessment of healthcare 
providers and systems (CAHPS) surveys is to provide information to 
Medicare beneficiaries to help them make more informed choices among 
health and prescription drug plans available to them. The surveys also 
provides data to help CMS and others monitor the quality and 
performance of Medicare health and prescription drug plans and identify 
areas to improve the quality of care and services provided to enrollees 
of these plans. Form Number: CMS-R-246 (OMB control number: 0938-0732); 
Frequency: Yearly; Affected Public: Individuals and households; Number 
of Respondents: 799,650; Total Annual Responses: 799,650; Total Annual 
Hours: 277,740. (For policy questions regarding this collection contact 
Sarah Gaillot at 410-786-4637.)

    Dated: May 5, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-11208 Filed 5-7-15; 8:45 am]
 BILLING CODE 4120-01-P

26568 Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices

DEPARTMENT OF HEALTH AND and CMS document identifier, to informed choices among health and
HUMAN SERVICES Paperwork@cms.hhs.gov. prescription drug plans available to
3. Call the Reports Clearance Office at them. The surveys also provides data to
Centers for Medicare & Medicaid (410) 786–1326. help CMS and others monitor the
Services FOR FURTHER INFORMATION CONTACT: quality and performance of Medicare
Reports Clearance Office at (410) 786– health and prescription drug plans and
[Document Identifiers: CMS–1696 and CMS–
1326. identify areas to improve the quality of
R–246]
SUPPLEMENTARY INFORMATION: Under the care and services provided to enrollees
Agency Information Collection Paperwork Reduction Act of 1995 (PRA) of these plans. Form Number: CMS–R–
Activities: Submission for OMB (44 U.S.C. 3501–3520), federal agencies 246 (OMB control number: 0938–0732);
Review; Comment Request must obtain approval from the Office of Frequency: Yearly; Affected Public:
Management and Budget (OMB) for each Individuals and households; Number of
ACTION: Notice. collection of information they conduct Respondents: 799,650; Total Annual
or sponsor. The term ‘‘collection of Responses: 799,650; Total Annual
SUMMARY: The Centers for Medicare & Hours: 277,740. (For policy questions
Medicaid Services (CMS) is announcing information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and regarding this collection contact Sarah
an opportunity for the public to Gaillot at 410–786–4637.)
comment on CMS’ intention to collect includes agency requests or
information from the public. Under the requirements that members of the public Dated: May 5, 2015.
Paperwork Reduction Act of 1995 submit reports, keep records, or provide William N. Parham, III,
(PRA), federal agencies are required to information to a third party. Section Director, Paperwork Reduction Staff, Office
publish notice in the Federal Register 3506(c)(2)(A) of the PRA (44 U.S.C. of Strategic Operations and Regulatory
3506(c)(2)(A)) requires federal agencies Affairs.
concerning each proposed collection of
information, including each proposed to publish a 30-day notice in the [FR Doc. 2015–11208 Filed 5–7–15; 8:45 am]

extension or reinstatement of an existing Federal Register concerning each BILLING CODE 4120–01–P

collection of information, and to allow proposed collection of information,
a second opportunity for public including each proposed extension or
reinstatement of an existing collection DEPARTMENT OF HEALTH AND
comment on the notice. Interested
of information, before submitting the HUMAN SERVICES
persons are invited to send comments
regarding the burden estimate or any collection to OMB for approval. To
comply with this requirement, CMS is Health Resources and Services
other aspect of this collection of Administration
information, including any of the publishing this notice that summarizes
following subjects: (1) The necessity and the following proposed collection(s) of
Advisory Commission on Childhood
utility of the proposed information information for public comment:
1. Type of Information Collection Vaccines; Notice of Meeting
collection for the proper performance of
Request: Extension of a currently In accordance with section 10(a)(2) of
the agency’s functions; (2) the accuracy
approved collection; Title of the Federal Advisory Committee Act
of the estimated burden; (3) ways to
Information Collection: Appointment of (Pub. L. 92–463), notice is hereby given
enhance the quality, utility, and clarity
Representative; Use: The Appointment of the following meeting:
of the information to be collected; and
of Representative form is completed by Name: Advisory Commission on
(4) the use of automated collection
beneficiaries, providers and suppliers, Childhood Vaccines (ACCV).
techniques or other forms of information
and any party seeking to appoint a Date and Time: June 4, 2015, 10:00 a.m. to
technology to minimize the information
representative to assist them with their 4:30 p.m. EDT.
collection burden.
initial determinations and filing Place: Audio Conference Call and Adobe
DATES: Comments on the collection(s) of appeals. This extension request Connect Pro.
information must be received by the proposes non-substantive changes to the The ACCV will meet on Thursday, June 4,
OMB desk officer by June 8, 2015: form. Form Number: CMS–1696 (OMB 2015, from 10:00 a.m. to 4:30 p.m. (EDT). The
public can join the meeting by:
ADDRESSES: When commenting on the control number: 0938–0950); Frequency: 1. (Audio Portion) Calling the conference
proposed information collections, Once; Affected Public: Individuals and Phone Number 877–917–4913 and providing
please reference the document identifier Households, Private sector (Business or the following information:
or OMB control number. To be assured other for-profits); Number of Leaders Name: Dr. A. Melissa Houston.
consideration, comments and Respondents: 4,073,960; Total Annual Password: ACCV.
recommendations must be received by Responses: 407,396; Total Annual 2. (Visual Portion) Connecting to the ACCV
the OMB desk officer via one of the Hours: 101,849. (For policy questions Adobe Connect Pro Meeting using the
following transmissions: OMB, Office of regarding this collection contact following URL: https://
hrsa.connectsolutions.com/accv/ (copy and
Information and Regulatory Affairs, Katherine Hosna at 410–786–4993.) paste the link into your browser if it does not
Attention: CMS Desk Officer, Fax Type of Information Collection work directly, and enter as a guest).
Number: (202) 395–5806 OR Email: Request: Revision of a currently Participants should call and connect 15
OIRA_submission@omb.eop.gov. approved collection; Title of minutes prior to the meeting in order for
To obtain copies of a supporting Information Collection: Medicare logistics to be set up. If you have never
statement and any related forms for the Advantage, Medicare Part D, and attended an Adobe Connect meeting, please
asabaliauskas on DSK5VPTVN1PROD with NOTICES

proposed collection(s) summarized in Medicare Fee-For-Service Consumer test your connection using the following
this notice, you may make your request Assessment of Healthcare Providers and URL: https://hrsa.connectsolutions.com/
using one of following: Systems (CAHPS) Survey; Use: The common/help/en/support/meeting_test.htm
and get a quick overview by following URL:
1. Access CMS’ Web site address at primary purpose of the Medicare http://www.adobe.com/go/connectpro_
http://www.cms.hhs.gov/ consumer assessment of healthcare overview.
PaperworkReductionActof1995. providers and systems (CAHPS) surveys Call (301) 443–6634 or send an email to
2. Email your request, including your is to provide information to Medicare aherzog@hrsa.gov if you are having trouble
address, phone number, OMB number, beneficiaries to help them make more connecting to the meeting site.

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Document Created: 2018-02-21 10:24:09
Document Modified: 2018-02-21 10:24:09

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 June 8, 2015:
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		80 FR 26568

80 FR 26568 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 80, Issue 89 (May 8, 2015)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services