80_FR_34763 80 FR 34647 - Agency Information Collection Activities: Proposed Collection; Comment Request

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 Range34647-34648
FR Document2015-14774

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]


-----------------------------------------------------------------------

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.

-----------------------------------------------------------------------

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 Paperwork@cms.hhs.gov.
    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



                                                                                           Federal Register / Vol. 80, No. 116 / Wednesday, June 17, 2015 / Notices                                                                                                 34647

                                                                                                                 ESTIMATED ANNUALIZED BURDEN HOURS—Continued
                                                                                                                                                                                                                                         Average
                                                                                                                                                                                                           Number of
                                                                                                                                                                                Number of                                              burden per              Total burden
                                                                 Type of respondent                                    Form name/CFR reference                                                           responses per
                                                                                                                                                                               respondents                                              response                  hours
                                                                                                                                                                                                           respondent                   (in hours)

                                                    Importer/Filer .....................................        CDC PGA Message Set for Import-                                            30,000                             1                   15/60               7,500
                                                                                                                  ing Cats and Dogs.
                                                    Importer .............................................      71.52(d) Turtle Importation Permits                                                5                           1                  30/60                   3
                                                                                                                  (no form, just written request).
                                                    Importer .............................................      71.56(a)(2) African Rodents—Re-                                                   20                          1                           1              20
                                                                                                                  quest for exemption ( no form,
                                                                                                                  written request only).
                                                    Importer/Filer .....................................        CDC PGA Message Set for Import-                                                  60                            1                  15/60                  15
                                                                                                                  ing African Rodents.
                                                    Importers ...........................................       71.55 Dead bodies (death certifi-                                                  5                          1                          1                5
                                                                                                                  cates submitted).
                                                    Filer ...................................................   71.56(a)(iii) Appeal (no form, written                                              2                          1                         1                2
                                                                                                                  request only).
                                                    Filer/Importer .....................................        Statement or documentation of Non-                                          2,000                             1                     5/60                167
                                                                                                                  infectiousness (Documented, no
                                                                                                                  form; authority under 71.32(b)).
                                                    Importer/Filer .....................................        CDC PGA Message Set for Import-                                             2,000                              1                  15/60                 500
                                                                                                                  ing African Rodent and All Family
                                                                                                                  Viverridae Products.

                                                          Total ...........................................     ...........................................................   ........................   ........................   ........................        307,613



                                                    Leroy A. Richardson,                                                       any of the following subjects: (1) The                                        this notice, you may make your request
                                                    Chief, Information Collection Review Office,                               necessity and utility of the proposed                                         using one of following:
                                                    Office of Scientific Integrity, Office of the                              information collection for the proper                                           1. Access CMS’ Web site address at
                                                    Associate Director for Science, Office of the                              performance of the agency’s functions;                                        http://www.cms.hhs.gov/
                                                    Director, Centers for Disease Control and                                  (2) the accuracy of the estimated                                             PaperworkReductionActof1995.
                                                    Prevention.                                                                                                                                                2. Email your request, including your
                                                                                                                               burden; (3) ways to enhance the quality,
                                                    [FR Doc. 2015–14787 Filed 6–16–15; 8:45 am]                                utility, and clarity of the information to                                    address, phone number, OMB number,
                                                    BILLING CODE 4163–18–P                                                     be collected; and (4) the use of                                              and CMS document identifier, to
                                                                                                                               automated collection techniques or                                            Paperwork@cms.hhs.gov.
                                                                                                                               other forms of information technology to                                        3. Call the Reports Clearance Office at
                                                    DEPARTMENT OF HEALTH AND                                                   minimize the information collection                                           (410) 786–1326.
                                                    HUMAN SERVICES                                                             burden.                                                                       FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                                                             Reports Clearance Office at (410) 786–
                                                    Centers for Medicare & Medicaid                                            DATES:  Comments must be received by                                          1326.
                                                    Services                                                                   August 17, 2015:
                                                                                                                                                                                                             SUPPLEMENTARY INFORMATION:
                                                    [Document Identifier: CMS–10565]                                           ADDRESSES: When commenting, please
                                                                                                                               reference the document identifier or                                          Contents
                                                    Agency Information Collection                                              OMB control number. To be assured                                               This notice sets out a summary of the
                                                    Activities: Proposed Collection;                                           consideration, comments and                                                   use and burden associated with the
                                                    Comment Request                                                            recommendations must be submitted in                                          following information collections. More
                                                    AGENCY: Centers for Medicare &                                             any one of the following ways:                                                detailed information can be found in
                                                    Medicaid Services, HHS.                                                      1. Electronically. You may send your                                        each collection’s supporting statement
                                                                                                                               comments electronically to http://                                            and associated materials (see
                                                    ACTION: Notice.
                                                                                                                               www.regulations.gov. Follow the                                               ADDRESSES).
                                                    SUMMARY:   The Centers for Medicare &                                      instructions for ‘‘Comment or
                                                    Medicaid Services (CMS) is announcing                                      Submission’’ or ‘‘More Search Options’’                                       CMS–10565 Off-Cycle Submission of
                                                    an opportunity for the public to                                           to find the information collection                                            Summaries of Model of Care Changes
                                                    comment on CMS’ intention to collect                                       document(s) that are accepting                                                  Under the PRA (44 U.S.C. 3501–
                                                    information from the public. Under the                                     comments.                                                                     3520), federal agencies must obtain
                                                    Paperwork Reduction Act of 1995 (the                                         2. By regular mail. You may mail                                            approval from the Office of Management
                                                    PRA), federal agencies are required to                                     written comments to the following                                             and Budget (OMB) for each collection of
                                                    publish notice in the Federal Register                                     address: CMS, Office of Strategic                                             information they conduct or sponsor.
                                                    concerning each proposed collection of                                     Operations and Regulatory Affairs,                                            The term ‘‘collection of information’’ is
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    information (including each proposed                                       Division of Regulations Development,                                          defined in 44 U.S.C. 3502(3) and 5 CFR
                                                    extension or reinstatement of an existing                                  Attention: Document Identifier/OMB                                            1320.3(c) and includes agency requests
                                                    collection of information) and to allow                                    Control Number ll, Room C4–26–05,                                             or requirements that members of the
                                                    60 days for public comment on the                                          7500 Security Boulevard, Baltimore,                                           public submit reports, keep records, or
                                                    proposed action. Interested persons are                                    Maryland 21244–1850.                                                          provide information to a third party.
                                                    invited to send comments regarding our                                       To obtain copies of a supporting                                            Section 3506(c)(2)(A) of the PRA
                                                    burden estimates or any other aspect of                                    statement and any related forms for the                                       requires federal agencies to publish a
                                                    this collection of information, including                                  proposed collection(s) summarized in                                          60-day notice in the Federal Register


                                               VerDate Sep<11>2014         18:47 Jun 16, 2015         Jkt 235001      PO 00000        Frm 00042         Fmt 4703       Sfmt 4703       E:\FR\FM\17JNN1.SGM              17JNN1


                                                    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


                                               VerDate Sep<11>2014   18:47 Jun 16, 2015   Jkt 235001   PO 00000   Frm 00043   Fmt 4703   Sfmt 4703   E:\FR\FM\17JNN1.SGM   17JNN1



Document Created: 2015-12-15 14:23:27
Document Modified: 2015-12-15 14:23:27
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 must be received by August 17, 2015:
ContactReports Clearance Office at (410) 786- 1326.
FR Citation80 FR 34647 

2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR