80_FR_59972 80 FR 59781 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

80 FR 59781 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

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

Federal Register Volume 80, Issue 191 (October 2, 2015)

Page Range59781-59782
FR Document2015-25109

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including any of the following subjects: The necessity and utility of the proposed information collection for the proper performance of the agency's functions; the accuracy of the estimated burden; ways to enhance the quality, utility, and clarity of the information to be collected; and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Federal Register, Volume 80 Issue 191 (Friday, October 2, 2015)
[Federal Register Volume 80, Number 191 (Friday, October 2, 2015)]
[Notices]
[Pages 59781-59782]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-25109]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10110 and CMS-10387]


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

ACTION: Notice.

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

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (PRA), federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of 
information, including each proposed extension or reinstatement of an 
existing collection of information, and to allow a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate or any

[[Page 59782]]

other aspect of this collection of information, including any of the 
following subjects: The necessity and utility of the proposed 
information collection for the proper performance of the agency's 
functions; the accuracy of the estimated burden; ways to enhance the 
quality, utility, and clarity of the information to be collected; and 
the use of automated collection techniques or other forms of 
information technology to minimize the information collection burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by November 2, 2015.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions:
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-5806 or Email: 
OIRA_submission@omb.eop.gov.
    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: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. The term ``collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension or reinstatement of an existing collection of 
information, before submitting the collection to OMB for approval. To 
comply with this requirement, CMS is publishing this notice that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Skilled Nursing Facility (SNF) Prospective Payment System and 
Consolidated Billing; Use: We are requesting approval of a 
reinstatement of a Change of Therapy OMRA for Skilled Nursing 
Facilities (SNFs). As described in CMS-1351-F, we finalized the 
assessment effective October 1, 2011. The SNFs are required to submit 
this assessment. The COT OMRA is comprised of a subset of resident 
assessment information developed for use by SNFs to satisfy a Medicare 
payment requirement. The burden associated with this is the SNF staff 
time required to complete the COT OMRA, SNF staff time to encode the 
data, and SNF staff time spent in transmitting the data. The SNFs are 
required to complete a COT OMRA when a SNF resident was receiving a 
sufficient level of rehabilitation therapy to qualify for an Ultra 
High, Very High, High, Medium, or Low Rehabilitation category and when 
the intensity of therapy (as indicated by the total reimbursable 
therapy minutes (RTM) delivered, and other therapy qualifiers such as 
number of therapy days and disciplines providing therapy) changes to 
such a degree that it would no longer reflect the RUG-IV classification 
and payment assigned for a given SNF resident based on the most recent 
assessment used for Medicare payment. The COT OMRA is a type of 
required PPS assessment which uses the same item set as the End of 
Therapy (EOT) OMRA. Form Number: CMS-10387 (OMB Control Number: 0938-
1140); Frequency: Yearly; Affected Public: Private sector (Business or 
other For-profits and Not-for-profit institutions); Number of 
Respondents: 15,421; Total Annual Responses: 678,524; Total Annual 
Hours: 701,119. (For policy questions regarding this collection contact 
Penny Gershman at 410-786-6643).
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Manufacturer Submission of Average Sales Price (ASP) Data for Medicare 
Part B Drugs and Biologicals; Use: In accordance with Section 1847A of 
the Social Security Act (the Act), Medicare Part B covered drugs and 
biologicals not paid on a cost or prospective payment basis are paid 
based on the average sales price (ASP) of the drug or biological, 
beginning in Calendar Year (CY) 2005. The ASP data reporting 
requirements are specified in Section 1927 of the Act. The reported ASP 
data are used to establish the Medicare payment amounts. The reporting 
template was revised in CY 2011 in order to facilitate accurate 
collection of ASP data. An accompanying user guide with instructions on 
the template's use was also created and included an explanation of the 
data elements in the template. Form Number: CMS-10110 (OMB Control 
Number: 0938-0921); Frequency: Quarterly; Affected Public: Private 
sector (Business or other For-profits); Number of Respondents: 180; 
Total Annual Responses: 720; Total Annual Hours: 34,560. (For policy 
questions regarding this collection contact Amy Gruber at 410-786-
1542).

    Dated: September 29, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-25109 Filed 10-1-15; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                 Federal Register / Vol. 80, No. 191 / Friday, October 2, 2015 / Notices                                                59781

                                                  DEPARTMENT OF HEALTH AND                                  To obtain copies of a supporting                    sound organizations and thereby remain
                                                  HUMAN SERVICES                                          statement and any related forms for the               a going concern. All contracting
                                                                                                          proposed collection(s) summarized in                  organizations must submit annual
                                                  Centers for Medicare & Medicaid                         this notice, you may make your request                independently audited financial
                                                  Services                                                using one of following:                               statements one time per year. The
                                                  [Document Identifiers: CMS–906]                           1. Access CMS’ Web site address at                  MAOs with a negative net worth and/or
                                                                                                          http://www.cms.hhs.gov/                               a net loss and the amount of that loss
                                                  Agency Information Collection                           PaperworkReductionActof1995.                          is greater than one-half of the
                                                  Activities: Proposed Collection;                          2. Email your request, including your               organization’s total net worth must file
                                                  Comment Request                                         address, phone number, OMB number,                    three quarterly financial statements.
                                                                                                          and CMS document identifier, to                       Currently, there are approximately 71
                                                  AGENCY: Centers for Medicare &                          Paperwork@cms.hhs.gov.                                MAOs filing quarterly financial
                                                  Medicaid Services.                                        3. Call the Reports Clearance Office at             statements. Part D organizations must
                                                  ACTION: Notice.                                         (410) 786–1326.                                       also 3 quarterly financial statements.
                                                                                                          FOR FURTHER INFORMATION CONTACT:                      The PACE organizations are required to
                                                  SUMMARY:   The Centers for Medicare &
                                                                                                          Reports Clearance Office at (410) 786–                file 4 quarterly financial statements for
                                                  Medicaid Services (CMS) is announcing
                                                                                                          1326.                                                 the first three years in the program as
                                                  an opportunity for the public to
                                                                                                                                                                well as PACE organizations with a
                                                  comment on CMS’ intention to collect                    SUPPLEMENTARY INFORMATION:                            negative net worth and/or a net loss and
                                                  information from the public. Under the
                                                                                                          Contents                                              the amount of that loss is greater than
                                                  Paperwork Reduction Act of 1995 (the
                                                                                                                                                                one-half of the organization’s total net
                                                  PRA), federal agencies are required to                    This notice sets out a summary of the               worth. Form Number: CMS–906 (OMB
                                                  publish notice in the Federal Register                  use and burden associated with the                    control number: 0938–0469); Frequency:
                                                  concerning each proposed collection of                  following information collections. More               Annually; Affected Public: Business or
                                                  information (including each proposed                    detailed information can be found in                  other for-profits; Number of
                                                  extension or reinstatement of an existing               each collection’s supporting statement                Respondents: 815; Total Annual
                                                  collection of information) and to allow                 and associated materials (see                         Responses: 1,518; Total Annual Hours:
                                                  60 days for public comment on the                       ADDRESSES).                                           506. (For policy questions regarding this
                                                  proposed action. Interested persons are
                                                  invited to send comments regarding our                  CMS–906 The Fiscal Soundness                          collection contact Geralyn Glenn at
                                                  burden estimates or any other aspect of                 Reporting Requirements                                410–786–0973.)
                                                  this collection of information, including                 Under the PRA (44 U.S.C. 3501–                         Dated: September 29, 2015.
                                                  any of the following subjects: (1) The                  3520), federal agencies must obtain                   William N. Parham, III,
                                                  necessity and utility of the proposed                   approval from the Office of Management                Director, Paperwork Reduction Staff, Office
                                                  information collection for the proper                   and Budget (OMB) for each collection of               of Strategic Operations and Regulatory
                                                  performance of the agency’s functions;                  information they conduct or sponsor.                  Affairs.
                                                  (2) the accuracy of the estimated                       The term ‘‘collection of information’’ is             [FR Doc. 2015–25108 Filed 10–1–15; 8:45 am]
                                                  burden; (3) ways to enhance the quality,                defined in 44 U.S.C. 3502(3) and 5 CFR                BILLING CODE 4120–01–P
                                                  utility, and clarity of the information to              1320.3(c) and includes agency requests
                                                  be collected; and (4) the use of                        or requirements that members of the
                                                  automated collection techniques or                      public submit reports, keep records, or               DEPARTMENT OF HEALTH AND
                                                  other forms of information technology to                provide information to a third party.                 HUMAN SERVICES
                                                  minimize the information collection                     Section 3506(c)(2)(A) of the PRA
                                                  burden.                                                                                                       Centers for Medicare & Medicaid
                                                                                                          requires federal agencies to publish a                Services
                                                  DATES: Comments must be received by                     60-day notice in the Federal Register
                                                  December 1, 2015.                                       concerning each proposed collection of                [Document Identifiers: CMS–10110 and
                                                  ADDRESSES: When commenting, please                      information, including each proposed                  CMS–10387]
                                                  reference the document identifier or                    extension or reinstatement of an existing
                                                                                                                                                                Agency Information Collection
                                                  OMB control number. To be assured                       collection of information, before
                                                                                                                                                                Activities: Submission for OMB
                                                  consideration, comments and                             submitting the collection to OMB for
                                                                                                                                                                Review; Comment Request
                                                  recommendations must be submitted in                    approval. To comply with this
                                                  any one of the following ways:                          requirement, CMS is publishing this                   ACTION:   Notice.
                                                    1. Electronically. You may send your                  notice.
                                                  comments electronically to http://                                                                            SUMMARY:   The Centers for Medicare &
                                                                                                          Information Collection                                Medicaid Services (CMS) is announcing
                                                  www.regulations.gov. Follow the
                                                  instructions for ‘‘Comment or                             1. Type of Information Collection                   an opportunity for the public to
                                                  Submission’’ or ‘‘More Search Options’’                 Request: Extension of a currently                     comment on CMS’ intention to collect
                                                  to find the information collection                      approved collection; Title of                         information from the public. Under the
                                                  document(s) that are accepting                          Information Collection: The Fiscal                    Paperwork Reduction Act of 1995
                                                  comments.                                               Soundness Reporting Requirements;                     (PRA), federal agencies are required to
                                                    2. By regular mail. You may mail                      Use: The CMS is assigned responsibility               publish notice in the Federal Register
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                                                  written comments to the following                       for overseeing all Medicare Advantage                 concerning each proposed collection of
                                                  address: CMS, Office of Strategic                       Organizations (MAOs), Prescription                    information, including each proposed
                                                  Operations and Regulatory Affairs,                      Drug Plan (PDP) sponsors and PACE                     extension or reinstatement of an existing
                                                  Division of Regulations Development,                    organizations on-going financial                      collection of information, and to allow
                                                  Attention: Document Identifier/OMB                      performance. Specifically, CMS needs                  a second opportunity for public
                                                  Control Number lll, Room C4–26–                         the requested collection of information               comment on the notice. Interested
                                                  05, 7500 Security Boulevard, Baltimore,                 to establish that contracting entities                persons are invited to send comments
                                                  Maryland 21244–1850.                                    within those programs maintain fiscally               regarding the burden estimate or any


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                                                  59782                          Federal Register / Vol. 80, No. 191 / Friday, October 2, 2015 / Notices

                                                  other aspect of this collection of                      comply with this requirement, CMS is                  Calendar Year (CY) 2005. The ASP data
                                                  information, including any of the                       publishing this notice that summarizes                reporting requirements are specified in
                                                  following subjects: The necessity and                   the following proposed collection(s) of               Section 1927 of the Act. The reported
                                                  utility of the proposed information                     information for public comment:                       ASP data are used to establish the
                                                  collection for the proper performance of                   1. Type of Information Collection                  Medicare payment amounts. The
                                                  the agency’s functions; the accuracy of                 Request: Reinstatement of a previously                reporting template was revised in CY
                                                  the estimated burden; ways to enhance                   approved collection; Title of                         2011 in order to facilitate accurate
                                                  the quality, utility, and clarity of the                Information Collection: Skilled Nursing               collection of ASP data. An
                                                  information to be collected; and the use                Facility (SNF) Prospective Payment                    accompanying user guide with
                                                  of automated collection techniques or                   System and Consolidated Billing; Use:                 instructions on the template’s use was
                                                  other forms of information technology to                We are requesting approval of a                       also created and included an
                                                  minimize the information collection                     reinstatement of a Change of Therapy                  explanation of the data elements in the
                                                  burden.                                                 OMRA for Skilled Nursing Facilities                   template. Form Number: CMS–10110
                                                                                                          (SNFs). As described in CMS–1351–F,                   (OMB Control Number: 0938–0921);
                                                  DATES:  Comments on the collection(s) of                we finalized the assessment effective
                                                  information must be received by the                                                                           Frequency: Quarterly; Affected Public:
                                                                                                          October 1, 2011. The SNFs are required                Private sector (Business or other For-
                                                  OMB desk officer by November 2, 2015.                   to submit this assessment. The COT                    profits); Number of Respondents: 180;
                                                  ADDRESSES: When commenting on the                       OMRA is comprised of a subset of                      Total Annual Responses: 720; Total
                                                  proposed information collections,                       resident assessment information                       Annual Hours: 34,560. (For policy
                                                  please reference the document identifier                developed for use by SNFs to satisfy a                questions regarding this collection
                                                  or OMB control number. To be assured                    Medicare payment requirement. The                     contact Amy Gruber at 410–786–1542).
                                                  consideration, comments and                             burden associated with this is the SNF
                                                  recommendations must be received by                                                                              Dated: September 29, 2015.
                                                                                                          staff time required to complete the COT
                                                  the OMB desk officer via one of the                     OMRA, SNF staff time to encode the                    William N. Parham, III,
                                                  following transmissions:                                data, and SNF staff time spent in                     Director, Paperwork Reduction Staff, Office
                                                    OMB, Office of Information and                        transmitting the data. The SNFs are                   of Strategic Operations and Regulatory
                                                  Regulatory Affairs, Attention: CMS Desk                 required to complete a COT OMRA                       Affairs.
                                                  Officer, Fax Number: (202) 395–5806 or                  when a SNF resident was receiving a                   [FR Doc. 2015–25109 Filed 10–1–15; 8:45 am]
                                                  Email: OIRA_submission@omb.eop.gov.                     sufficient level of rehabilitation therapy            BILLING CODE 4120–01–P
                                                    To obtain copies of a supporting                      to qualify for an Ultra High, Very High,
                                                  statement and any related forms for the                 High, Medium, or Low Rehabilitation
                                                  proposed collection(s) summarized in                    category and when the intensity of                    DEPARTMENT OF HEALTH AND
                                                  this notice, you may make your request                  therapy (as indicated by the total                    HUMAN SERVICES
                                                  using one of following:                                 reimbursable therapy minutes (RTM)
                                                                                                                                                                Centers for Medicare & Medicaid
                                                    1. Access CMS’ Web site address at                    delivered, and other therapy qualifiers
                                                                                                          such as number of therapy days and                    Services
                                                  http://www.cms.hhs.gov/
                                                  PaperworkReductionActof1995.                            disciplines providing therapy) changes                [CMS–1657–N]
                                                    2. Email your request, including your                 to such a degree that it would no longer
                                                  address, phone number, OMB number,                      reflect the RUG–IV classification and                 Medicare, Medicaid, and Children’s
                                                  and CMS document identifier, to                         payment assigned for a given SNF                      Health Insurance Programs;
                                                  Paperwork@cms.hhs.gov.                                  resident based on the most recent                     Announcement of the Advisory Panel
                                                    3. Call the Reports Clearance Office at               assessment used for Medicare payment.                 on Clinical Diagnostic Laboratory
                                                  (410) 786–1326.                                         The COT OMRA is a type of required                    Tests Meeting on October 19, 2015
                                                  FOR FURTHER INFORMATION CONTACT:                        PPS assessment which uses the same
                                                                                                          item set as the End of Therapy (EOT)                  AGENCY: Centers for Medicare &
                                                  Reports Clearance Office at (410) 786–                                                                        Medicaid Services (CMS), HHS.
                                                  1326.                                                   OMRA. Form Number: CMS–10387
                                                                                                          (OMB Control Number: 0938–1140);                      ACTION: Notice.
                                                  SUPPLEMENTARY INFORMATION:     Under the                Frequency: Yearly; Affected Public:
                                                  Paperwork Reduction Act of 1995 (PRA)                   Private sector (Business or other For-                SUMMARY:   This notice announces the
                                                  (44 U.S.C. 3501–3520), federal agencies                 profits and Not-for-profit institutions);             next meeting date of the Advisory Panel
                                                  must obtain approval from the Office of                 Number of Respondents: 15,421; Total                  on Clinical Diagnostic Laboratory Tests
                                                  Management and Budget (OMB) for each                    Annual Responses: 678,524; Total                      (the Panel) on Monday, October 19,
                                                  collection of information they conduct                  Annual Hours: 701,119. (For policy                    2015. The purpose of the Panel is to
                                                  or sponsor. The term ‘‘collection of                    questions regarding this collection                   advise the Secretary of the Department
                                                  information’’ is defined in 44 U.S.C.                   contact Penny Gershman at 410–786–                    of Health and Human Services (DHHS)
                                                  3502(3) and 5 CFR 1320.3(c) and                         6643).                                                (the Secretary) and the Administrator of
                                                  includes agency requests or                                2. Type of Information Collection                  the Centers for Medicare & Medicaid
                                                  requirements that members of the public                 Request: Reinstatement of a previously                Services (CMS) (the Administrator) on
                                                  submit reports, keep records, or provide                approved collection; Title of                         issues related to clinical diagnostic
                                                  information to a third party. Section                   Information Collection: Manufacturer                  laboratory tests.
                                                  3506(c)(2)(A) of the PRA (44 U.S.C.                     Submission of Average Sales Price                     DATES: Meeting Date: The meeting of the
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                                                  3506(c)(2)(A)) requires federal agencies                (ASP) Data for Medicare Part B Drugs                  Panel is scheduled to take place at
                                                  to publish a 30-day notice in the                       and Biologicals; Use: In accordance with              CMS’s headquarters in Baltimore, MD
                                                  Federal Register concerning each                        Section 1847A of the Social Security                  on Monday, October 19, 2015. beginning
                                                  proposed collection of information,                     Act (the Act), Medicare Part B covered                at 9:00 a.m., Eastern Daylight Time
                                                  including each proposed extension or                    drugs and biologicals not paid on a cost              (EDT). The Panel will address issues
                                                  reinstatement of an existing collection                 or prospective payment basis are paid                 relating to the CY 2016 clinical
                                                  of information, before submitting the                   based on the average sales price (ASP)                laboratory fee schedule (CLFS)
                                                  collection to OMB for approval. To                      of the drug or biological, beginning in               preliminary determinations of new and


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Document Created: 2015-12-15 08:45:02
Document Modified: 2015-12-15 08:45:02
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on the collection(s) of information must be received by the OMB desk officer by November 2, 2015.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation80 FR 59781 

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