80 FR 34647 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 80, Issue 116 (June 17, 2015)

Page Range		34647-34648
FR Document		2015-14774

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 (the 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 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates 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 116 (Wednesday, June 17, 2015)

[Federal Register Volume 80, Number 116 (Wednesday, June 17, 2015)]
[Notices]
[Pages 34647-34648]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-14774]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10565]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 (the 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 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates 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 must be received by August 17, 2015:

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number __, Room C4-26-05, 7500 Security Boulevard, Baltimore, 
Maryland 21244-1850.
    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: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10565 Off-Cycle Submission of Summaries of Model of Care Changes

    Under the 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 requires federal agencies 
to publish a 60-day notice in the Federal Register

[[Page 34648]]

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.

Information Collection

    1. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Off-
cycle Submission of Summaries of Model of Care Changes; Use: All 
Medicare Advantage (MA) Special Needs Plans (SNPs) must be approved by 
the National Committee for Quality Assurance (NCQA). The SNPs must 
submit Models of Care (MOC) as a component of the Medicare Advantage 
application process. Approval is based on NCQA's evaluation of SNPs 
using MOC scoring guidelines. Based on their scores, SNPs receive an 
approval for a period of 1-, 2-, or 3-years. We are developing an MOC 
off-cycle revision process so that SNPs can revise the MOC to modify 
its processes and strategies for providing care during their MOC 
approval period. We will require that SNPs submit summaries of their 
MOC revisions to CMS for NCQA evaluation when a SNP makes significant 
changes to its MOC as described in the annual Announcement of Medicare 
Capitation Rates and Medicare Advantage and Part D Payment Policies and 
Final Call letter for CY 2015 and CY2016. The NCQA will review the 
summary of changes to verify that the revisions are consistent with the 
acceptable, high quality standards as included in the original approved 
MOC. Form Number: CMS-10565 (OMB control number 0938-New); Frequency: 
Occasionally; Affected Public: Private sector (Business or other for-
profits and Not-for-profit institutions); Number of Respondents: 313; 
Total Annual Responses: 62; Total Annual Hours: 252. (For policy 
questions regarding this collection contact Susan Radke at 410-786-
4450).

    Dated: June 11, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-14774 Filed 6-16-15; 8:45 am]
BILLING CODE 4120-01-P

34648 Federal Register / Vol. 80, No. 116 / Wednesday, June 17, 2015 / Notices

concerning each proposed collection of 10565 (OMB control number 0938- Report in accordance with 45 CFR part
information, including each proposed New); Frequency: Occasionally; 92 and 45 CFR part 74. This proposed
extension or reinstatement of an existing Affected Public: Private sector (Business data collection would collect financial
collection of information, before or other for-profits and Not-for-profit status data (i.e., amounts of
submitting the collection to OMB for institutions); Number of Respondents: expenditures and obligations) broken
approval. To comply with this 313; Total Annual Responses: 62; Total down by the four program components:
requirement, CMS is publishing this Annual Hours: 252. (For policy refugee cash assistance, refugee medical
notice. questions regarding this collection assistance, health screening, and
Information Collection contact Susan Radke at 410–786–4450). services for unaccompanied refugee
Dated: June 11, 2015. minors as well as by program
1. Type of Information Collection administration. This breakdown of
Request: New collection (Request for a William N. Parham, III,
Director, Paperwork Reduction Staff, Office
financial status data on expenditures
new OMB control number); Title of and obligations allows ORR to track
Information Collection: Off-cycle of Strategic Operations and Regulatory
Affairs. program expenditures in greater detail
Submission of Summaries of Model of to anticipate any funding issues and to
Care Changes; Use: All Medicare [FR Doc. 2015–14774 Filed 6–16–15; 8:45 am]
meet the requirements of ORR
Advantage (MA) Special Needs Plans BILLING CODE 4120–01–P
regulations at 45 CFR 400.211 to collect
(SNPs) must be approved by the these data for use in estimating annual
National Committee for Quality costs of the refugee resettlement
Assurance (NCQA). The SNPs must DEPARTMENT OF HEALTH AND
HUMAN SERVICES program. ORR must implement the
submit Models of Care (MOC) as a methodology at 45 CFR 400.211 each
component of the Medicare Advantage
Administration for Children and year after receipt of its annual
application process. Approval is based
Families appropriation to ensure that the
on NCQA’s evaluation of SNPs using
appropriated funds will be adequate for
MOC scoring guidelines. Based on their Submission for OMB Review; assistance to entering refugees. The
scores, SNPs receive an approval for a Comment Request estimating methodology prescribed in
period of 1-, 2-, or 3-years. We are
Title: Office of Refugee Resettlement the ORR regulations requires the use of
developing an MOC off-cycle revision
Cash and Medical Assistance Program actual past costs by program
process so that SNPs can revise the
Quarterly Report on Expenditures and component. In the event that the
MOC to modify its processes and
Obligations. methodology indicates that
strategies for providing care during their
MOC approval period. We will require OMB No.: 0970–0407. appropriated funds are inadequate, ORR
that SNPs submit summaries of their Description: The Office of Refugee must take steps to reduce federal
MOC revisions to CMS for NCQA Resettlement (ORR) reimburses, to the expenses, such as by limiting the
evaluation when a SNP makes extent of available appropriations, number of months of eligibility for
significant changes to its MOC as certain non-federal costs for the Refugee Cash Assistance and Refugee
described in the annual Announcement provision of cash and medical Medical Assistance. This proposed
of Medicare Capitation Rates and assistance to refugees and other eligible single-page report on expenditures and
Medicare Advantage and Part D persons, along with allowable expenses obligations will allow ORR to collect the
Payment Policies and Final Call letter for the administration of the refugee necessary data to ensure that funds are
for CY 2015 and CY2016. The NCQA resettlement program at the State level. adequate for the projected need and
will review the summary of changes to States, Wilson/Fish projects (alternative thereby meet the requirements of both
verify that the revisions are consistent projects for the administration of the the Refugee Act and ORR regulations.
with the acceptable, high quality refugee resettlement program), and State Respondents: State Governments,
standards as included in the original Replacement Designees currently Wilson/Fish Alternative Projects, State
approved MOC. Form Number: CMS– submit the ORR–2 Financial Status Replacement Designees.

ANNUAL BURDEN ESTIMATES
Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response

Office of Refugee Resettlement Cash and Medical Assistance Program
Quarterly Report on Expenditures and Obligations ..................................... 58 4 1.50 348

Estimated Total Annual Burden of the information collection. Email recommendations for the proposed
Hours: 348. address: infocollection@acf.hhs.gov. information collection should be sent
directly to the following: Office of
Additional Information OMB Comment
Management and Budget, Paperwork
asabaliauskas on DSK5VPTVN1PROD with NOTICES

Copies of the proposed collection may OMB is required to make a decision Reduction Project, Fax: 202–395–7285,
be obtained by writing to the concerning the collection of information Email: OIRA_SUBMISSION@
Administration for Children and between 30 and 60 days after OMB.EOP.GOV. Attn: Desk Officer for
Families, Office of Planning, Research publication of this document in the
and Evaluation, 370 L’Enfant Federal Register. Therefore, a comment
Promenade SW., Washington, DC 20447, is best assured of having its full effect
Attn: ACF Reports Clearance Officer. All if OMB receives it within 30 days of
requests should be identified by the title publication. Written comments and

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Document Created: 2015-12-15 14:23:27
Document Modified: 2015-12-15 14:23:27

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 must be received by August 17, 2015:
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		80 FR 34647

80 FR 34647 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 80, Issue 116 (June 17, 2015)

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