80_FR_32241 80 FR 32133 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

80 FR 32133 - 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 108 (June 5, 2015)

Page Range32133-32134
FR Document2015-13755

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 108 (Friday, June 5, 2015)
[Federal Register Volume 80, Number 108 (Friday, June 5, 2015)]
[Notices]
[Pages 32133-32134]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-13755]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10417, CMS-10550, and CMS-10551]


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 July 6, 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

[[Page 32134]]

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: Medicare Fee-for-
Service Prepayment Medical Review; Use: The information required under 
this collection is requested by Medicare contractors to determine 
proper payment or if there is a suspicion of fraud. Medicare 
contractors request the information from providers or suppliers 
submitting claims for payment from the Medicare program when data 
analysis indicates aberrant billing patterns or other information which 
may present a vulnerability to the Medicare program. Form Number: CMS-
10417 (OMB control number: 0938-0969); Frequency: Occasionally; 
Affected Public: Private Sector (Business or other for-profit and Not-
for-profit institutions); Number of Respondents: 3,211,800; Total 
Annual Responses: 3,211,800; Total Annual Hours: 1,597,950. (For policy 
questions regarding this collection contact Debbie Skinner at 410-786-
7480.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Hospital National Provider Survey; Use: Section 3104 of the Patient and 
Protection and Affordable Care Act (ACA) requires that the Secretary of 
the Department of Health and Human Services (HHS) conduct an assessment 
of the quality and efficiency impact of the use of endorsed measures in 
specific Medicare quality reporting and incentive programs. The ACA 
further specifies that the initial assessment must occur no later than 
March 1, 2012, and once every 3 years thereafter. This planned data 
collection activity was developed and tested as part of the 2015 Impact 
Report and data collection will be conducted for reporting in the 2018 
Impact Report.
    There are two modes of data collection with hospital quality 
leaders: (1) A semi-structured qualitative interview and (2) a 
standardized survey. The data from the qualitative interviews and 
standardized surveys will be analyzed to provide us with information on 
the quality and efficiency impact of measures that we use to assess 
care in the hospital inpatient and outpatient settings. The surveys 
seek to understand whether the use of performance measures has led to 
changes in provider behavior, and where undesired effects are occurring 
as a result of implementing quality and efficiency measures. The survey 
will also help identify characteristics associated with high 
performance, which if understood, could be used to leverage 
improvements in care among lower performing hospitals. The focus of the 
survey is to assess the impacts of the measures that we use in the 
context of public reporting (pay-for-reporting) and value-based 
purchasing programs. Form Number: CMS-10550 (OMB control number: 0938-
NEW); Frequency: Occasionally; Affected Public: Private Sector 
(Business or other for-profit and Not-for-profit institutions); Number 
of Respondents: 940; Total Annual Responses: 940; Total Annual Hours: 
639. (For policy questions regarding this collection contact Noni 
Bodkin at 410-786-7837.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Nursing 
Home National Provider Survey; Use: Section 3104 of the Patient and 
Protection and Affordable Care Act (ACA) requires that the Secretary of 
the Department of Health and Human Services (HHS) conduct an assessment 
of the quality and efficiency impact of the use of endorsed measures in 
specific Medicare quality reporting and incentive programs. The ACA 
further specifies that the initial assessment must occur no later than 
March 1, 2012, and once every 3 years thereafter. This planned data 
collection activity was developed and tested as part of the 2015 Impact 
Report and data collection will be conducted for reporting in the 2018 
Impact Report.
    There are two modes of data collection with nursing home quality 
leaders: (1) A semi-structured qualitative interview and (2) a 
standardized survey. The data from the qualitative interviews and 
standardized surveys will be analyzed to provide us with information on 
the quality and efficiency impact of measures that we use to assess 
care in nursing homes delivering skilled nursing care. The surveys seek 
to understand whether the use of performance measures has led to 
changes in provider behavior (both at the nursing home-level and at the 
frontline of care), and whether undesired effects are occurring as a 
result of implementing quality and efficiency measures. The survey will 
also help identify characteristics associated with high performance, 
which if understood, could be used to leverage improvements in care 
among lower performing nursing homes. The focus of the survey is to 
assess the impacts of the measures that we use in the context of public 
reporting (pay-for-reporting) and quality improvement. Form Number: 
CMS-10551 (OMB control number: 0938-NEW); Frequency: Occasionally; 
Affected Public: Private Sector (Business or other for-profit and Not-
for-profit institutions); Number of Respondents: 940; Total Annual 
Responses: 940; Total Annual Hours: 639. (For policy questions 
regarding this collection contact Noni Bodkin at 410-786-7837.)

    Dated: June 2, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-13755 Filed 6-4-15; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                     Federal Register / Vol. 80, No. 108 / Friday, June 5, 2015 / Notices                                                  32133

                                                    burden estimates or any other aspect of                 CMS–10561 Essential Community                          Not-for-profit Institutions); Number of
                                                    this collection of information, including               Provider Data Collection To Support                    Respondents: 31,634; Total Annual
                                                    any of the following subjects: (1) The                  QHP Certification for PY 2017                          Responses: 31,634; Total Annual Hours:
                                                    necessity and utility of the proposed                     Under the PRA (44 U.S.C. 3501–                       53,491. (For policy questions regarding
                                                    information collection for the proper                   3520), federal agencies must obtain                    this collection contact Deborah Hunter
                                                    performance of the agency’s functions;                  approval from the Office of Management                 at (410) 786–0625).
                                                    (2) the accuracy of the estimated                       and Budget (OMB) for each collection of                   Dated: June 2, 2015.
                                                    burden; (3) ways to enhance the quality,                information they conduct or sponsor.                   William N. Parham, III,
                                                    utility, and clarity of the information to              The term ‘‘collection of information’’ is              Director, Paperwork Reduction Staff, Office
                                                    be collected; and (4) the use of                        defined in 44 U.S.C. 3502(3) and 5 CFR                 of Strategic Operations and Regulatory
                                                    automated collection techniques or                      1320.3(c) and includes agency requests                 Affairs.
                                                    other forms of information technology to                or requirements that members of the                    [FR Doc. 2015–13759 Filed 6–4–15; 8:45 am]
                                                    minimize the information collection                     public submit reports, keep records, or                BILLING CODE 4120–01–P
                                                    burden.                                                 provide information to a third party.
                                                    DATES:  Comments must be received by                    Section 3506(c)(2)(A) of the PRA
                                                    August 4, 2015.                                         requires federal agencies to publish a                 DEPARTMENT OF HEALTH AND
                                                                                                            60-day notice in the Federal Register                  HUMAN SERVICES
                                                    ADDRESSES: When commenting, please
                                                                                                            concerning each proposed collection of
                                                    reference the document identifier or                                                                           Centers for Medicare & Medicaid
                                                                                                            information, including each proposed
                                                    OMB control number. To be assured                                                                              Services
                                                                                                            extension or reinstatement of an existing
                                                    consideration, comments and
                                                                                                            collection of information, before                      [Document Identifier CMS–10417, CMS–
                                                    recommendations must be submitted in
                                                                                                            submitting the collection to OMB for                   10550, and CMS–10551]
                                                    any one of the following ways:
                                                                                                            approval. To comply with this
                                                      1. Electronically. You may send your                  requirement, CMS is publishing this                    Agency Information Collection
                                                    comments electronically to http://                      notice.                                                Activities: Submission for OMB
                                                    www.regulations.gov. Follow the                                                                                Review; Comment Request
                                                    instructions for ‘‘Comment or                           Information Collection
                                                    Submission’’ or ‘‘More Search Options’’                    1. Type of Information Collection                   ACTION:   Notice.
                                                    to find the information collection                      Request: New collection (Request for
                                                    document(s) that are accepting                          new OMB control number); Title of                      SUMMARY:    The Centers for Medicare &
                                                    comments.                                               Information Collection: Essential                      Medicaid Services (CMS) is announcing
                                                      2. By regular mail. You may mail                      Community Provider Data Collection to                  an opportunity for the public to
                                                    written comments to the following                       Support QHP Certification for PY 2017;                 comment on CMS’ intention to collect
                                                    address: CMS, Office of Strategic                       Use: For plan years beginning on or after              information from the public. Under the
                                                    Operations and Regulatory Affairs,                      January 1, 2016, Health and Human                      Paperwork Reduction Act of 1995
                                                    Division of Regulations Development,                    Services (HHS) intends to discontinue                  (PRA), federal agencies are required to
                                                    Attention: Document Identifier/OMB                      the ECP write-in process for qualified                 publish notice in the Federal Register
                                                    Control Number ll, Room C4–26–05,                       health plan (QHP) issuers entering their               concerning each proposed collection of
                                                    7500 Security Boulevard, Baltimore,                     contracted Essential Community                         information, including each proposed
                                                    Maryland 21244–1850.                                    Providers (ECPs) on their ECP template                 extension or reinstatement of an existing
                                                      To obtain copies of a supporting                      as part of the QHP application. For plan               collection of information, and to allow
                                                    statement and any related forms for the                 years beginning on or after January 1,                 a second opportunity for public
                                                    proposed collection(s) summarized in                    2016, HHS intends to calculate an                      comment on the notice. Interested
                                                    this notice, you may make your request                  issuer’s satisfaction of the 30 percent                persons are invited to send comments
                                                    using one of following:                                 ECP threshold based exclusively on the                 regarding the burden estimate or any
                                                      1. Access CMS’ Web site address at                    ECPs that it lists on its ECP template                 other aspect of this collection of
                                                    http://www.cms.hhs.gov/                                 that are included on the HHS ECP list.                 information, including any of the
                                                    PaperworkReductionActof1995.                            The HHS will collect data on qualified                 following subjects: (1) The necessity and
                                                                                                            and available ECPs from providers.                     utility of the proposed information
                                                      2. Email your request, including your
                                                                                                            Providers will submit an ECP petition to               collection for the proper performance of
                                                    address, phone number, OMB number,
                                                                                                            be added to the HHS ECP list or provide                the agency’s functions; (2) the accuracy
                                                    and CMS document identifier, to
                                                                                                            required missing data fields to remain                 of the estimated burden; (3) ways to
                                                    Paperwork@cms.hhs.gov.
                                                                                                            on the list. As required by the Patient                enhance the quality, utility, and clarity
                                                      3. Call the Reports Clearance Office at                                                                      of the information to be collected; and
                                                    (410) 786–1326.                                         Protection and Affordable Care Act;
                                                                                                            HHS Notice of Benefit and Payment                      (4) the use of automated collection
                                                    FOR FURTHER INFORMATION CONTACT:                                                                               techniques or other forms of information
                                                                                                            Parameters for 2016 (CMS–9944–F), 80
                                                    Reports Clearance Office at (410) 786–                                                                         technology to minimize the information
                                                                                                            Federal Register 10750 February 27,
                                                    1326.                                                                                                          collection burden.
                                                                                                            2015, QHP issuers in the Federally-
                                                    SUPPLEMENTARY INFORMATION:                              facilitated Marketplaces (FFMs) are                    DATES: Comments on the collection(s) of
                                                                                                            required to publish information                        information must be received by the
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    Contents                                                                                                       OMB desk officer by July 6, 2015.
                                                                                                            regarding their formulary drug lists and
                                                      This notice sets out a summary of the                 provider directories on their Web site in              ADDRESSES: When commenting on the
                                                    use and burden associated with the                      an HHS-specified format, in a format                   proposed information collections,
                                                    following information collections. More                 and at times determined by HHS. Form                   please reference the document identifier
                                                    detailed information can be found in                    Number: CMS–10561 (OMB Control                         or OMB control number. To be assured
                                                    each collection’s supporting statement                  Number: 0938-New); Frequency:                          consideration, comments and
                                                    and associated materials (see                           Annually; Affected Public: Private                     recommendations must be received by
                                                    ADDRESSES).                                             sector (Business or other for-profits and              the OMB desk officer via one of the


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                                                    32134                            Federal Register / Vol. 80, No. 108 / Friday, June 5, 2015 / Notices

                                                    following transmissions: OMB, Office of                 or other for-profit and Not-for-profit                 3104 of the Patient and Protection and
                                                    Information and Regulatory Affairs,                     institutions); Number of Respondents:                  Affordable Care Act (ACA) requires that
                                                    Attention: CMS Desk Officer, Fax                        3,211,800; Total Annual Responses:                     the Secretary of the Department of
                                                    Number: (202) 395–5806 OR, Email:                       3,211,800; Total Annual Hours:                         Health and Human Services (HHS)
                                                    OIRA_submission@omb.eop.gov.                            1,597,950. (For policy questions                       conduct an assessment of the quality
                                                      To obtain copies of a supporting                      regarding this collection contact Debbie               and efficiency impact of the use of
                                                    statement and any related forms for the                 Skinner at 410–786–7480.)                              endorsed measures in specific Medicare
                                                    proposed collection(s) summarized in                      2. Type of Information Collection                    quality reporting and incentive
                                                    this notice, you may make your request                  Request: New collection (Request for a
                                                                                                                                                                   programs. The ACA further specifies
                                                    using one of following:                                 new OMB control number); Title of
                                                                                                                                                                   that the initial assessment must occur
                                                      1. Access CMS’ Web site address at                    Information Collection: Hospital
                                                                                                            National Provider Survey; Use: Section                 no later than March 1, 2012, and once
                                                    http://www.cms.hhs.gov/
                                                    PaperworkReductionActof1995.                            3104 of the Patient and Protection and                 every 3 years thereafter. This planned
                                                      2. Email your request, including your                 Affordable Care Act (ACA) requires that                data collection activity was developed
                                                    address, phone number, OMB number,                      the Secretary of the Department of                     and tested as part of the 2015 Impact
                                                    and CMS document identifier, to                         Health and Human Services (HHS)                        Report and data collection will be
                                                    Paperwork@cms.hhs.gov.                                  conduct an assessment of the quality                   conducted for reporting in the 2018
                                                      3. Call the Reports Clearance Office at               and efficiency impact of the use of                    Impact Report.
                                                    (410) 786–1326.                                         endorsed measures in specific Medicare                    There are two modes of data
                                                    FOR FURTHER INFORMATION CONTACT:                        quality reporting and incentive                        collection with nursing home quality
                                                    Reports Clearance Office at (410) 786–                  programs. The ACA further specifies                    leaders: (1) A semi-structured
                                                    1326.                                                   that the initial assessment must occur                 qualitative interview and (2) a
                                                                                                            no later than March 1, 2012, and once                  standardized survey. The data from the
                                                    SUPPLEMENTARY INFORMATION:     Under the                every 3 years thereafter. This planned
                                                    Paperwork Reduction Act of 1995 (PRA)                                                                          qualitative interviews and standardized
                                                                                                            data collection activity was developed
                                                    (44 U.S.C. 3501–3520), federal agencies                                                                        surveys will be analyzed to provide us
                                                                                                            and tested as part of the 2015 Impact
                                                    must obtain approval from the Office of                 Report and data collection will be                     with information on the quality and
                                                    Management and Budget (OMB) for each                    conducted for reporting in the 2018                    efficiency impact of measures that we
                                                    collection of information they conduct                  Impact Report.                                         use to assess care in nursing homes
                                                    or sponsor. The term ‘‘collection of                      There are two modes of data                          delivering skilled nursing care. The
                                                    information’’ is defined in 44 U.S.C.                   collection with hospital quality leaders:              surveys seek to understand whether the
                                                    3502(3) and 5 CFR 1320.3(c) and                         (1) A semi-structured qualitative                      use of performance measures has led to
                                                    includes agency requests or                             interview and (2) a standardized survey.               changes in provider behavior (both at
                                                    requirements that members of the public                 The data from the qualitative interviews               the nursing home-level and at the
                                                    submit reports, keep records, or provide                and standardized surveys will be                       frontline of care), and whether
                                                    information to a third party. Section                   analyzed to provide us with information                undesired effects are occurring as a
                                                    3506(c)(2)(A) of the PRA (44 U.S.C.                     on the quality and efficiency impact of                result of implementing quality and
                                                    3506(c)(2)(A)) requires federal agencies                measures that we use to assess care in                 efficiency measures. The survey will
                                                    to publish a 30-day notice in the                       the hospital inpatient and outpatient                  also help identify characteristics
                                                    Federal Register concerning each                        settings. The surveys seek to understand               associated with high performance,
                                                    proposed collection of information,                     whether the use of performance
                                                    including each proposed extension or                                                                           which if understood, could be used to
                                                                                                            measures has led to changes in provider                leverage improvements in care among
                                                    reinstatement of an existing collection                 behavior, and where undesired effects
                                                    of information, before submitting the                                                                          lower performing nursing homes. The
                                                                                                            are occurring as a result of
                                                    collection to OMB for approval. To                                                                             focus of the survey is to assess the
                                                                                                            implementing quality and efficiency
                                                    comply with this requirement, CMS is                    measures. The survey will also help                    impacts of the measures that we use in
                                                    publishing this notice that summarizes                  identify characteristics associated with               the context of public reporting (pay-for-
                                                    the following proposed collection(s) of                 high performance, which if understood,                 reporting) and quality improvement.
                                                    information for public comment:                         could be used to leverage improvements                 Form Number: CMS–10551 (OMB
                                                      1. Type of Information Collection                     in care among lower performing                         control number: 0938–NEW);
                                                    Request: Extension of a currently                       hospitals. The focus of the survey is to               Frequency: Occasionally; Affected
                                                    approved collection; Title of                           assess the impacts of the measures that                Public: Private Sector (Business or other
                                                    Information Collection: Medicare Fee-                   we use in the context of public reporting              for-profit and Not-for-profit
                                                    for-Service Prepayment Medical                          (pay-for-reporting) and value-based                    institutions); Number of Respondents:
                                                    Review; Use: The information required                   purchasing programs. Form Number:                      940; Total Annual Responses: 940; Total
                                                    under this collection is requested by                   CMS–10550 (OMB control number:                         Annual Hours: 639. (For policy
                                                    Medicare contractors to determine                       0938–NEW); Frequency: Occasionally;                    questions regarding this collection
                                                    proper payment or if there is a suspicion               Affected Public: Private Sector (Business              contact Noni Bodkin at 410–786–7837.)
                                                    of fraud. Medicare contractors request                  or other for-profit and Not-for-profit
                                                    the information from providers or                                                                                 Dated: June 2, 2015.
                                                                                                            institutions); Number of Respondents:
                                                    suppliers submitting claims for payment                 940; Total Annual Responses: 940; Total                William N. Parham, III,
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    from the Medicare program when data                     Annual Hours: 639. (For policy                         Director, Paperwork Reduction Staff, Office
                                                    analysis indicates aberrant billing                     questions regarding this collection                    of Strategic Operations and Regulatory
                                                    patterns or other information which                     contact Noni Bodkin at 410–786–7837.)                  Affairs.
                                                    may present a vulnerability to the                        3. Type of Information Collection                    [FR Doc. 2015–13755 Filed 6–4–15; 8:45 am]
                                                    Medicare program. Form Number:                          Request: New collection (Request for a                 BILLING CODE 4120–01–P
                                                    CMS–10417 (OMB control number:                          new OMB control number); Title of
                                                    0938–0969); Frequency: Occasionally;                    Information Collection: Nursing Home
                                                    Affected Public: Private Sector (Business               National Provider Survey; Use: Section


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Document Created: 2015-12-15 15:20:24
Document Modified: 2015-12-15 15:20:24
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on the collection(s) of information must be received by the OMB desk officer by July 6, 2015.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation80 FR 32133 

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