80_FR_52459 80 FR 52292 - Proposed Data Collection Submitted for Public Comment and Recommendations

80 FR 52292 - Proposed Data Collection Submitted for Public Comment and Recommendations

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention

Federal Register Volume 80, Issue 167 (August 28, 2015)

Page Range52292-52294
FR Document2015-21344

The Centers for Disease Control and Prevention (CDC), as part of its continuing efforts to reduce public burden and maximize the utility of government information, invites the general public and other Federal agencies to take this opportunity to comment on proposed and/or continuing information collections, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collect project entitled Balance After Baby Intervention: Phase 2 (BABI2.) A three-year clearance is requested to conduct a randomized controlled trial of a Web site-based lifestyle program with a racially diverse population of postpartum women who had recent Gestational diabetes mellitus (GDM).

Federal Register, Volume 80 Issue 167 (Friday, August 28, 2015)
[Federal Register Volume 80, Number 167 (Friday, August 28, 2015)]
[Notices]
[Pages 52292-52294]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-21344]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60Day-15-15BEB; Docket No. CDC-2015-0071]


Proposed Data Collection Submitted for Public Comment and 
Recommendations

AGENCY: Centers for Disease Control and Prevention (CDC), Department of 
Health and Human Services (HHS).

ACTION: Notice with comment period.

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

SUMMARY: The Centers for Disease Control and Prevention (CDC), as part 
of its continuing efforts to reduce public burden and maximize the 
utility of government information, invites the general public and other 
Federal agencies to take this opportunity to comment on proposed and/or 
continuing information collections, as required by the Paperwork 
Reduction Act of 1995. This notice invites comment on a proposed 
information collect project entitled Balance After Baby Intervention: 
Phase 2 (BABI2.) A three-year clearance is requested to conduct a 
randomized controlled trial of a Web site-based lifestyle program with 
a racially diverse population of postpartum women who had recent 
Gestational diabetes mellitus (GDM).

DATES: Written comments must be received on or before October 27, 2015.

ADDRESSES: You may submit comments, identified by Docket No. CDC-2015-
0071 by any of the following methods:
    Federal eRulemaking Portal: Regulation.gov. Follow the instructions 
for submitting comments.
    Mail: Leroy A. Richardson, Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329.
    Instructions: All submissions received must include the agency name 
and Docket Number. All relevant comments received will be posted 
without change to Regulations.gov, including any personal information 
provided. For access to the docket to read background documents or 
comments received, go to Regulations.gov.

    Please note: All public comment should be submitted through the 
Federal eRulemaking portal (Regulations.gov) or by U.S. mail to the 
address listed above.


FOR FURTHER INFORMATION CONTACT: To request more information on the 
proposed project or to obtain a copy of the information collection plan 
and instruments, contact the Information Collection Review Office, 
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: omb@cdc.gov.

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. In addition, the PRA also requires 
Federal agencies to provide a 60-day notice in the Federal Register 
concerning each proposed collection of information, including each new 
proposed collection, each proposed extension of existing collection of 
information, and each reinstatement of previously approved information 
collection before submitting the collection to OMB for approval. To 
comply with this requirement, we are publishing this notice of a 
proposed data collection as described below.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; (d) ways to 
minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services 
to provide information. Burden means the total time, effort, or 
financial resources expended by persons to generate, maintain, retain, 
disclose or provide information to or for a Federal agency. This 
includes the time needed to review instructions; to develop, acquire, 
install and utilize technology and systems for the purpose of 
collecting, validating and verifying information, processing and 
maintaining information, and disclosing

[[Page 52293]]

and providing information; to train personnel and to be able to respond 
to a collection of information, to search data sources, to complete and 
review the collection of information; and to transmit or otherwise 
disclose the information.

Proposed Project

    Balance After Baby Intervention: Phase 2 (BABI2)--New--National 
Center for Chronic Disease Prevention and Health Promotion (NCCDPHP), 
Centers for Disease Control and Prevention (CDC).

Background and Brief Description

    The CDC Division of Reproductive Health (DRH) is focused on 
understanding and preventing complications due to pregnancy and the 
development of chronic diseases in reproductive age women. Similarly, 
the CDC established the National Diabetes Prevention Program (NDPP), 
administered through the Division of Diabetes Translation (DDT), to 
make strategies for preventing type 2 diabetes broadly available to 
individuals at high risk of developing diabetes. Gestational diabetes 
mellitus (GDM) is one of the most common pregnancy complications in the 
US, affecting approximately 3-13% of pregnancies, or approximately 
200,000 cases annually. As defined by the American Diabetes Association 
(2003), GDM is glucose intolerance that first presents during pregnancy 
after the first trimester. Women with a history of GDM have a 
substantially increased risk of developing type 2 diabetes mellitus 
(T2DM) within 5 to 16 years after their index pregnancy. It has also 
been shown that many women with a history of GDM gain weight after 
pregnancy, increasing their risk for obesity, which itself is a strong 
risk factor for repeat GDM and T2DM. Because of this, as US obesity 
prevalence continues to increase, there is a concurrent rise in the 
incidence and prevalence of GDM and T2DM, resulting in a large disease 
burden on individuals, families, and society. To assist in reducing 
this national disease burden, it is critical to develop and implement 
successful interventions that reduce the annual number of newly 
diagnosed T2DM cases, especially in increased risk populations, such as 
women with a history of GDM. As part of this Healthy People 2020 
objective, the Diabetes Prevention Program (DPP) demonstrated that an 
intensive lifestyle intervention (16 face-to-face sessions over a 24-
week period) promoting physical activity, healthy eating, and weight 
reduction significantly decreased T2DM incidence by 58% in high risk 
patients. However, the DPP included predominantly older individuals 
whose ability to attend group meetings and adopt healthy lifestyle 
changes is different than younger postpartum women. For this reason, 
successful adaptations of the DPP that address barriers in postpartum 
women with recent GDM, such as limited time and resources, fatigue, and 
childcare demands, must be identified and tested.
    This BABI2 data collection request aims to address these barriers 
through the conduct of a randomized, controlled intervention trial of a 
Web site-based lifestyle program, Balance after Baby (BAB) that is 
adapted from the DPP and tailored specifically for postpartum women 
with recent GDM.
    The project aims to screen 293 (98 annualized over 3 years) women 
with a recent GDM pregnancy for enrollment into the study, followed by 
assessments at the following five post-partum time points: 6-weeks, 6-
months, 12-months, 18-months, and 24-months. Of the estimated 190 (63 
annualized) women who will meet eligibility requirements and attend the 
first study visit, approximately half will be assigned to the control 
group and will receive standard postpartum follow-up, while those 
assigned to the intervention group will have access to the BAB 
informational Web site and a lifestyle coach. For all participants, the 
BABI2 study visits will involve the completion of visit-specific 
questionnaires, laboratory testing, and the collection of physical 
measurements such as height and weight. Collected data will be used by 
CDC and BABI2 investigators to assess the impact and effectiveness of 
the BABI2 intervention as a potential public health weight loss tool 
for women at increased T2DM risk.
    For the calculation of the estimated burden hours per study visit 
detailed in the table below, a constant 5% rate of exclusion and 
attrition was applied between visits. The burden table provides a 
participant estimate, which will be evenly distributed across control 
and intervention groups for each information collection step, 
annualized over a 3-year collection period. Therefore, of the 190 women 
(63 annualized) who attend the 6-week visit, the estimated number of 
participants returning for the 6-month visit is reduced to 180 (60 
annualized), followed by 172 (57 annualized), 162 (54 annualized), and 
154 (51 annualized) for the 12-, 18-, and 24-month visits respectively. 
The average burden per questionnaire ranges from 8 minutes for the 
BABI2 Screener Questionnaire up to 36 minutes for the BABI2 6-month 
Questionnaire.

                                                            Estimated Annualized Burden Hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                             Number of    Average burden
              Type of respondents                               Form name                    Number of     responses per   per response    Total burden
                                                                                            respondents     respondent       (in hrs.)       (in hrs.)
--------------------------------------------------------------------------------------------------------------------------------------------------------
Women with a recent history GDM................  BABI2 Screener Questionnaire...........              98               1            8/60              13
Women with a recent history GDM................  BABI2 6-Week Questionnaire.............              63               1           35/60              37
Women with a recent history GDM................  BABI2 6-Month Questionnaire............              60               1           36/60              36
Women with a recent history GDM................  BABI2 12-Month Questionnaire...........              57               1           32/60              31
Women with a recent history GDM................  BABI2 18-Month Questionnaire...........              54               1           32/60              29
Women with a recent history GDM................  BABI2 24-Month Questionnaire...........              51               1           33/60              28
                                                                                         ---------------------------------------------------------------
    Total......................................  .......................................  ..............  ..............  ..............             174
--------------------------------------------------------------------------------------------------------------------------------------------------------


[[Page 52294]]


Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific 
Integrity, Office of the Associate Director for Science, Office of the 
Director, Centers for Disease Control and Prevention.
[FR Doc. 2015-21344 Filed 8-27-15; 8:45 am]
BILLING CODE 4163-18-P



                                             52292                                  Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Notices

                                             respondents through an online survey,                                   and awareness of the National CLAS                                            as the basis to provide regional and
                                             paper form or telephone administration.                                 Standards.                                                                    national estimates. Participation in the
                                             Information that will be collected                                        The target universe of the CLAS                                             CLAS survey is voluntary. There will be
                                             includes demographic information,                                       survey includes non-federally employed                                        no financial incentive to participate.
                                             specialty, number of years the physician                                physicians who were classified by the                                           The CLAS survey will be a self-
                                             has provided direct patient care,                                       American Medical Association or the                                           administered online questionnaire, with
                                             training related to cultural competency                                 American Osteopathic Association as                                           paper form and telephone
                                             and the National CLAS Standards,                                        providing ‘‘office-based, patient care.’’                                     administration as follow-up alternatives
                                             provision of CLAS to patients,                                          The target universe excludes physicians                                       for non-respondents. A three-year
                                             organizational characteristics that                                     in the specialties of anesthesiology,                                         approval will be requested.
                                             helped or prevented provision of CLAS,                                  radiology, and pathology. The survey                                            There is no cost to the respondents
                                                                                                                     sample of 2,400 physicians will be used                                       other than their time.
                                                                                                                    ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                               Average
                                                                                                                                                                                                 Number of
                                                                                                                                                                      Number of                                              burden per              Total burden
                                                        Type of respondent                                                Form name                                                            responses per
                                                                                                                                                                     respondents                                              response                  hours
                                                                                                                                                                                                 respondent                   (in hours)

                                             Office-based physicians ....................             NAMCS CLAS Survey .....................                                         800                           1                    30/60                400

                                                  Total ...........................................   ...........................................................   ........................   ........................   ........................            400



                                             Leroy A. Richardson,                                                    postpartum women who had recent                                               or sponsor. In addition, the PRA also
                                             Chief, Information Collection Review Office,                            Gestational diabetes mellitus (GDM).                                          requires Federal agencies to provide a
                                             Office of Scientific Integrity, Office of the                           DATES: Written comments must be                                               60-day notice in the Federal Register
                                             Associate Director for Science, Office of the                           received on or before October 27, 2015.                                       concerning each proposed collection of
                                             Director, Centers for Disease Control and                                                                                                             information, including each new
                                                                                                                     ADDRESSES: You may submit comments,
                                             Prevention.
                                                                                                                     identified by Docket No. CDC–2015–                                            proposed collection, each proposed
                                             [FR Doc. 2015–21343 Filed 8–27–15; 8:45 am]                                                                                                           extension of existing collection of
                                                                                                                     0071 by any of the following methods:
                                             BILLING CODE 4163–18–P
                                                                                                                       Federal eRulemaking Portal:                                                 information, and each reinstatement of
                                                                                                                     Regulation.gov. Follow the instructions                                       previously approved information
                                                                                                                     for submitting comments.                                                      collection before submitting the
                                             DEPARTMENT OF HEALTH AND                                                  Mail: Leroy A. Richardson,                                                  collection to OMB for approval. To
                                             HUMAN SERVICES                                                          Information Collection Review Office,                                         comply with this requirement, we are
                                             Centers for Disease Control and                                         Centers for Disease Control and                                               publishing this notice of a proposed
                                             Prevention                                                              Prevention, 1600 Clifton Road NE., MS–                                        data collection as described below.
                                                                                                                     D74, Atlanta, Georgia 30329.                                                     Comments are invited on: (a) Whether
                                             [60Day–15–15BEB; Docket No. CDC–2015–                                     Instructions: All submissions received                                      the proposed collection of information
                                             0071]                                                                   must include the agency name and                                              is necessary for the proper performance
                                                                                                                     Docket Number. All relevant comments
                                                                                                                                                                                                   of the functions of the agency, including
                                             Proposed Data Collection Submitted                                      received will be posted without change
                                                                                                                                                                                                   whether the information shall have
                                             for Public Comment and                                                  to Regulations.gov, including any
                                                                                                                                                                                                   practical utility; (b) the accuracy of the
                                             Recommendations                                                         personal information provided. For
                                                                                                                                                                                                   agency’s estimate of the burden of the
                                                                                                                     access to the docket to read background
                                             AGENCY: Centers for Disease Control and                                                                                                               proposed collection of information; (c)
                                                                                                                     documents or comments received, go to
                                             Prevention (CDC), Department of Health                                                                                                                ways to enhance the quality, utility, and
                                                                                                                     Regulations.gov.
                                             and Human Services (HHS).                                                                                                                             clarity of the information to be
                                                                                                                       Please note: All public comment should be                                   collected; (d) ways to minimize the
                                             ACTION: Notice with comment period.                                     submitted through the Federal eRulemaking                                     burden of the collection of information
                                                                                                                     portal (Regulations.gov) or by U.S. mail to the
                                             SUMMARY:   The Centers for Disease                                      address listed above.
                                                                                                                                                                                                   on respondents, including through the
                                             Control and Prevention (CDC), as part of                                                                                                              use of automated collection techniques
                                             its continuing efforts to reduce public                                 FOR FURTHER INFORMATION CONTACT:    To                                        or other forms of information
                                             burden and maximize the utility of                                      request more information on the                                               technology; and (e) estimates of capital
                                             government information, invites the                                     proposed project or to obtain a copy of                                       or start-up costs and costs of operation,
                                             general public and other Federal                                        the information collection plan and                                           maintenance, and purchase of services
                                             agencies to take this opportunity to                                    instruments, contact the Information                                          to provide information. Burden means
                                             comment on proposed and/or                                              Collection Review Office, Centers for                                         the total time, effort, or financial
                                             continuing information collections, as                                  Disease Control and Prevention, 1600                                          resources expended by persons to
                                             required by the Paperwork Reduction                                     Clifton Road NE., MS–D74, Atlanta,                                            generate, maintain, retain, disclose or
                                             Act of 1995. This notice invites                                        Georgia 30329; phone: 404–639–7570;                                           provide information to or for a Federal
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                                             comment on a proposed information                                       Email: omb@cdc.gov.                                                           agency. This includes the time needed
                                             collect project entitled Balance After                                  SUPPLEMENTARY INFORMATION: Under the                                          to review instructions; to develop,
                                             Baby Intervention: Phase 2 (BABI2.) A                                   Paperwork Reduction Act of 1995 (PRA)                                         acquire, install and utilize technology
                                             three-year clearance is requested to                                    (44 U.S.C. 3501–3520), Federal agencies                                       and systems for the purpose of
                                             conduct a randomized controlled trial of                                must obtain approval from the Office of                                       collecting, validating and verifying
                                             a Web site-based lifestyle program with                                 Management and Budget (OMB) for each                                          information, processing and
                                             a racially diverse population of                                        collection of information they conduct                                        maintaining information, and disclosing


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                                                                                   Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Notices                                                                                               52293

                                             and providing information; to train                                    itself is a strong risk factor for repeat                                     at the following five post-partum time
                                             personnel and to be able to respond to                                 GDM and T2DM. Because of this, as US                                          points: 6-weeks, 6-months, 12-months,
                                             a collection of information, to search                                 obesity prevalence continues to                                               18-months, and 24-months. Of the
                                             data sources, to complete and review                                   increase, there is a concurrent rise in the                                   estimated 190 (63 annualized) women
                                             the collection of information; and to                                  incidence and prevalence of GDM and                                           who will meet eligibility requirements
                                             transmit or otherwise disclose the                                     T2DM, resulting in a large disease                                            and attend the first study visit,
                                             information.                                                           burden on individuals, families, and                                          approximately half will be assigned to
                                                                                                                    society. To assist in reducing this                                           the control group and will receive
                                             Proposed Project
                                                                                                                    national disease burden, it is critical to                                    standard postpartum follow-up, while
                                               Balance After Baby Intervention:                                     develop and implement successful                                              those assigned to the intervention group
                                             Phase 2 (BABI2)—New—National                                           interventions that reduce the annual                                          will have access to the BAB
                                             Center for Chronic Disease Prevention                                  number of newly diagnosed T2DM                                                informational Web site and a lifestyle
                                             and Health Promotion (NCCDPHP),                                        cases, especially in increased risk                                           coach. For all participants, the BABI2
                                             Centers for Disease Control and                                        populations, such as women with a                                             study visits will involve the completion
                                             Prevention (CDC).                                                      history of GDM. As part of this Healthy                                       of visit-specific questionnaires,
                                                                                                                    People 2020 objective, the Diabetes                                           laboratory testing, and the collection of
                                             Background and Brief Description                                       Prevention Program (DPP) demonstrated                                         physical measurements such as height
                                                The CDC Division of Reproductive                                    that an intensive lifestyle intervention                                      and weight. Collected data will be used
                                             Health (DRH) is focused on                                             (16 face-to-face sessions over a 24-week                                      by CDC and BABI2 investigators to
                                             understanding and preventing                                           period) promoting physical activity,                                          assess the impact and effectiveness of
                                             complications due to pregnancy and the                                 healthy eating, and weight reduction                                          the BABI2 intervention as a potential
                                             development of chronic diseases in                                     significantly decreased T2DM incidence                                        public health weight loss tool for
                                             reproductive age women. Similarly, the                                 by 58% in high risk patients. However,                                        women at increased T2DM risk.
                                             CDC established the National Diabetes                                  the DPP included predominantly older                                             For the calculation of the estimated
                                             Prevention Program (NDPP),                                             individuals whose ability to attend                                           burden hours per study visit detailed in
                                             administered through the Division of                                   group meetings and adopt healthy                                              the table below, a constant 5% rate of
                                             Diabetes Translation (DDT), to make                                    lifestyle changes is different than                                           exclusion and attrition was applied
                                             strategies for preventing type 2 diabetes                              younger postpartum women. For this                                            between visits. The burden table
                                             broadly available to individuals at high                               reason, successful adaptations of the                                         provides a participant estimate, which
                                             risk of developing diabetes. Gestational                               DPP that address barriers in postpartum                                       will be evenly distributed across control
                                             diabetes mellitus (GDM) is one of the                                  women with recent GDM, such as                                                and intervention groups for each
                                             most common pregnancy complications                                    limited time and resources, fatigue, and                                      information collection step, annualized
                                             in the US, affecting approximately 3–                                  childcare demands, must be identified                                         over a 3-year collection period.
                                             13% of pregnancies, or approximately                                   and tested.                                                                   Therefore, of the 190 women (63
                                             200,000 cases annually. As defined by                                     This BABI2 data collection request                                         annualized) who attend the 6-week
                                             the American Diabetes Association                                      aims to address these barriers through                                        visit, the estimated number of
                                             (2003), GDM is glucose intolerance that                                the conduct of a randomized, controlled                                       participants returning for the 6-month
                                             first presents during pregnancy after the                              intervention trial of a Web site-based                                        visit is reduced to 180 (60 annualized),
                                             first trimester. Women with a history of                               lifestyle program, Balance after Baby                                         followed by 172 (57 annualized), 162
                                             GDM have a substantially increased risk                                (BAB) that is adapted from the DPP and                                        (54 annualized), and 154 (51
                                             of developing type 2 diabetes mellitus                                 tailored specifically for postpartum                                          annualized) for the 12-, 18-, and 24-
                                             (T2DM) within 5 to 16 years after their                                women with recent GDM.                                                        month visits respectively. The average
                                             index pregnancy. It has also been shown                                   The project aims to screen 293 (98                                         burden per questionnaire ranges from 8
                                             that many women with a history of                                      annualized over 3 years) women with a                                         minutes for the BABI2 Screener
                                             GDM gain weight after pregnancy,                                       recent GDM pregnancy for enrollment                                           Questionnaire up to 36 minutes for the
                                             increasing their risk for obesity, which                               into the study, followed by assessments                                       BABI2 6-month Questionnaire.

                                                                                                                   ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                              Average
                                                                                                                                                                                                Number of
                                                                                                                                                                     Number of                                              burden per              Total burden
                                                       Type of respondents                                               Form name                                                            responses per
                                                                                                                                                                    respondents                                              response                 (in hrs.)
                                                                                                                                                                                                respondent                    (in hrs.)

                                             Women     with   a   recent    history    GDM      ...   BABI2     Screener Questionnaire .......                                        98                           1                    8/60                  13
                                             Women     with   a   recent    history    GDM      ...   BABI2     6-Week Questionnaire ..........                                       63                           1                   35/60                  37
                                             Women     with   a   recent    history    GDM      ...   BABI2     6-Month Questionnaire .........                                       60                           1                   36/60                  36
                                             Women     with   a   recent    history    GDM      ...   BABI2     12-Month Questionnaire .......                                        57                           1                   32/60                  31
                                             Women     with   a   recent    history    GDM      ...   BABI2     18-Month Questionnaire .......                                        54                           1                   32/60                  29
                                             Women     with   a   recent    history    GDM      ...   BABI2     24-Month Questionnaire .......                                        51                           1                   33/60                  28

                                                  Total ...........................................   ..........................................................   ........................   ........................   ........................            174
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                                             52294                         Federal Register / Vol. 80, No. 167 / Friday, August 28, 2015 / Notices

                                             Leroy A. Richardson,                                    SUPPLEMENTARY INFORMATION:                              • Jacqueline Phillips* (February
                                             Chief, Information Collection Review Office,                                                                  2016)
                                             Office of Scientific Integrity, Office of the           I. Background                                           • Johnathan Pregler, M.D.
                                             Associate Director for Science, Office of the              The Secretary of the Department of                   • Traci Rabine* (January 2016)
                                             Director, Centers for Disease Control and               Health and Human Services (the                          • Michael Rabovsky, M.D.
                                             Prevention.                                             Secretary) is required by section                       • Wendy Resnick, F.H.F.M.A.
                                             [FR Doc. 2015–21344 Filed 8–27–15; 8:45 am]             1833(t)(9)(A) of the Social Security Act                • Michael K. Schroyer, R.N.
                                             BILLING CODE 4163–18–P                                  (the Act), and section 222 of the Public                • Marianna V. Spanaki-Varelas M.D.,
                                                                                                     Health Service Act (PHS Act) to consult               Ph.D., M.B.A.* (February 2016)
                                                                                                     with an expert outside advisory panel                   • Norman Thomson, III, M.D.
                                             DEPARTMENT OF HEALTH AND                                regarding the clinical integrity of the                 • Gale Walker* (January 2016)
                                             HUMAN SERVICES                                                                                                  • Kris Zimmer
                                                                                                     Ambulatory Payment Classification
                                                                                                                                                             Panel members serve on a voluntary
                                                                                                     (APC) groups and relative payment
                                             Centers for Medicare & Medicaid                                                                               basis, without compensation, according
                                                                                                     weights that are components of the
                                             Services                                                                                                      to an advance written agreement;
                                                                                                     Medicare Hospital Outpatient
                                                                                                                                                           however, for the meetings, CMS
                                             [CMS–1643–N]                                            Prospective Payment System (OPPS),
                                                                                                                                                           reimburses travel, meals, lodging, and
                                                                                                     and the appropriate supervision level
                                             Medicare Program; Solicitation of                                                                             related expenses in accordance with
                                                                                                     for hospital therapeutic outpatient
                                             Nominations to the Advisory Panel on                                                                          standard Government travel regulations.
                                                                                                     services. The Advisory Panel on
                                             Hospital Outpatient Payment                                                                                   CMS has a special interest in ensuring,
                                                                                                     Hospital Outpatient Payment (HOP, the
                                                                                                                                                           while taking into account the nominee
                                             AGENCY: Centers for Medicare &                          Panel) is governed by the provisions of
                                                                                                                                                           pool, that the Panel is diverse in all
                                             Medicaid Services (CMS), HHS.                           the Federal Advisory Committee Act
                                                                                                                                                           respects of the following: Geography;
                                             ACTION: Notice.
                                                                                                     (FACA) (Pub. L. 92–463), as amended (5
                                                                                                                                                           rural or urban practice; race, ethnicity,
                                                                                                     U.S.C. Appendix 2), which sets forth
                                                                                                                                                           sex, and disability; medical or technical
                                             SUMMARY:    This notice solicits                        standards for the formation and use of
                                                                                                                                                           specialty; and type of hospital, hospital
                                             nominations for up to seven new                         advisory panels. The Panel may
                                                                                                                                                           health system, or other Medicare
                                             members to the Advisory Panel on                        consider data collected or developed by
                                                                                                                                                           provider subject to the OPPS.
                                             Hospital Outpatient Payment (HOP, the                   entities and organizations (other than                  Based upon either self-nominations or
                                             Panel). There will be vacancies on the                  the Department of Health and Human                    nominations submitted by providers or
                                             Panel for four-year terms that begin                    Services) as part of their deliberations.             interested organizations, the Secretary,
                                             during Calendar Year 2016.                                 The Charter provides that the Panel                or her designee, appoints new members
                                                The purpose of the Panel is to advise                shall meet up to 3 times annually. We                 to the Panel from among those
                                             the Secretary of the Department of                      consider the technical advice provided                candidates determined to have the
                                             Health and Human Services (Secretary)                   by the Panel as we prepare the proposed               required expertise. New appointments
                                             and the Administrator of the Centers for                and final rules to update the OPPS for                are made in a manner that ensures a
                                             Medicare & Medicaid Services on the                     the following Calendar Year (CY).                     balanced membership under the FACA
                                             clinical integrity of the Ambulatory                       The Panel shall consist of a chair and             guidelines. For 2016, we anticipate
                                             Payment Classification groups and their                 up to 15 members who are full-time                    doing one solicitation for nominees. Our
                                             associated weights, and supervision of                  employees of hospitals, hospital                      appointment schedule will assure that
                                             hospital outpatient therapeutic services.               systems, or other Medicare providers                  we have the full complement of
                                                The Secretary re-chartered the Panel                 that are subject to the OPPS. For                     members for each Panel meeting.
                                             in 2014 for a 2-year period effective                   supervision deliberations, the Panel                  Current members’ terms expire at
                                             through November 6, 2016.                               shall also include members that                       different times throughout the year;
                                             DATES: Submission of Nominations: We                    represent the interests of Critical Access            therefore, we will add new members
                                             will consider nominations if they are                   Hospitals (CAHs), who advise the                      throughout the year as terms expire.
                                             received no later than 5 p.m. Eastern                   Centers for Medicare & Medicaid
                                             Standard Time (E.S.T) October 27, 2015.                 Services (CMS) only regarding the level               II. Criteria for Nominees
                                             ADDRESSES: Please submit nominations                    of supervision for hospital outpatient                   The Panel must be fairly balanced in
                                             electronically to the following email                   therapeutic services. (For purposes of                its membership in terms of the points of
                                             address: APCPanel@cms.hhs.gov.                          the Panel, consultants or independent                 view represented and the functions to
                                                Web site: For additional information                 contractors are not considered to be full-            be performed. Each panel member must
                                             on the Panel and updates to the Panel’s                 time employees in these organizations.)               be employed full-time by a hospital,
                                             activities, we refer readers to our Web                    The current Panel members are as                   hospital system, or other Medicare
                                             site at the following address: http://                  follows:                                              provider subject to payment under the
                                             www.cms.gov/Regulations-and-                               (Note: The asterisk [*] indicates the              OPPS (except for the CAH members,
                                             Guidance/Guidance/FACA/Advisory                         Panel members whose terms end during                  since CAHs are not paid under the
                                             PanelonAmbulatoryPayment                                CY 2016, along with the month that the                OPPS). All members must have
                                             ClassificationGroups.html.                              term ends.)                                           technical expertise to enable them to
                                             FOR FURTHER INFORMATION CONTACT:                           • E.L. Hambrick, M.D., J.D., Chair, a              participate fully in the Panel’s work.
                                                Persons wishing to nominate                          CMS Medical Officer.                                  Such expertise encompasses hospital
                                             individuals to serve on the Panel or to                    • Karen Borman, M.D., F.A.C.S.*                    payment systems; hospital medical care
Lhorne on DSK5TPTVN1PROD with NOTICES




                                             obtain further information may contact                  (July 2016)                                           delivery systems; provider billing
                                             Carol Schwartz at the following email                      • Dawn L. Francis, M.D., M.H.S.                    systems; APC groups; Current
                                             address: APCPanel@cms.hhs.gov or call                      • Ruth Lande                                       Procedural Terminology codes; and
                                             (410) 786–3985.                                            • Jim Nelson, M.B.A., C.P.A.,                      alpha-numeric Health Care Common
                                                News Media: Representatives should                   F.H.F.M.A.* (January 2016)                            Procedure Coding System codes; and
                                             contact the CMS Press Office at (202)                      • Leah Osbahr, M.A., M.P.H.*                       the use of, and payment for, drugs,
                                             690–6145.                                               (January 2016)                                        medical devices, and other services in


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Document Created: 2015-12-15 11:05:08
Document Modified: 2015-12-15 11:05:08
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 with comment period.
DatesWritten comments must be received on or before October 27, 2015.
ContactTo request more information on the proposed project or to obtain a copy of the information collection plan and instruments, contact the Information Collection Review Office, Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS- D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected]
FR Citation80 FR 52292 

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