80 FR 61212 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 196 (October 9, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 196 (October 9, 2015)
| Page Range | 61212-61213 | |
| FR Document | 2015-25809 |
[Federal Register Volume 80, Number 196 (Friday, October 9, 2015)] [Notices] [Pages 61212-61213] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-25809] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-10079] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services, Department of Health and Human Services. ACTION: Notice. ----------------------------------------------------------------------- SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by December 8, 2015. ADDRESSES: When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for ``Comment or Submission'' or ``More Search Options'' to find the information collection document(s) that are accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic [[Page 61213]] Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number __, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following: 1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@cms.hhs.gov. 3. Call the Reports Clearance Office at (410) 786-1326. FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786- 1326. SUPPLEMENTARY INFORMATION: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see ADDRESSES). CMS-10079 Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64 Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term ``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA requires federal agencies to publish a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice. Information Collection 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64; Use: Section 304(c) of Public Law 106-554 amended section 1886(d) (3) (E) of the Social Security Act to require CMS to collect data every three years on the occupational mix of employees for each short-term, acute care hospital participating in the Medicare program, in order to construct an occupational mix adjustment to the wage index, for application beginning October 1, 2004 (the FY 2005 wage index). The purpose of the occupational mix adjustment is to control for the effect of hospitals' employment choices on the wage index. For example, hospitals may choose to employ different combinations of registered nurses, licensed practical nurses, nursing aides, and medical assistants for the purpose of providing nursing care to their patients. The varying labor costs associated with these choices reflect hospital management decisions rather than geographic differences in the costs of labor. The FY 2016 survey will provide for the collection of hospital-specific wages and hours data for calendar year 2016 (that is, payroll periods ending between January 1, 2016 and December 31, 2016). The 2016 Medicare occupational mix survey will be applied beginning with the FY 2019 wage index. Form Number: CMS-10079 (OMB control number: 0938-0907); Frequency: Yearly; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions), State, Local and Tribal Governments; Number of Respondents: 3,400; Total Annual Responses: 3,400; Total Annual Hours: 1,632,000. (For policy questions regarding this collection contact Noel Manlove at 410-786- 5161. Dated: October 6, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-25809 Filed 10-8-15; 8:45 am] BILLING CODE 4120-01-P
![61212 Federal Register / Vol. 80, No. 196 / Friday, October 9, 2015 / Notices
CDC requests OMB approval to revise intake interview will be administered to role Quitlines play in promoting tobacco
information collection for the NQDW as any caller who contacts a quitline on use cessation, measure the number of
follows. behalf of another person. The short tobacco users being served by state
The ASQ will become an additional version of the intake interview consists quitlines, determine reach of Quitlines
respondent providing data to the NQDW of a subset of four questions. The to high-risk populations (e.g., racial and
using the NQDW Intake Questionnaire, estimated burden per response for these ethnic minorities and the medically
NQDW (ASQ) Seven-Month Follow-up callers is one minute. underserved), measure the number
Questionnaire, and NQDW Quitline The Seven-Month Follow-up using each state quitline who quit,
Services Survey. This increases the Questionnaire will be discontinued for determine whether some combinations
number of participating Quitlines from all callers except those who receive of services contribute to higher quit
53 to 54. services through the ASQ. rates than others, and improve the
Five questions will be added to the Individual-level data (intake and 7- timeliness, access to, and quality of data
NQDW Intake Questionnaire to collect month follow-up) are submitted to CDC
collected by quitlines.
information about pregnancy, insurance electronically through a secure FTP
status, type of health insurance, mental server or via U.S. mail. The burden table OMB approval is requested for three
health, and language of service. The for the NQDW includes allocations for years. During this period there is a net
estimated burden per response for a the caller intake and follow-up reduction in total estimated annualized
complete intake interview is 10 interviews, and an allocation for burden hours due to adjustments in the
minutes. The complete intake interview quitlines to prepare and submit the de- estimated number of Quitline callers.
is only administered to callers who identified aggregate files. There are no costs to respondents other
request information or assistance for The information collected in the than their time. The total estimated
themselves. A short version of the NQDW will be used to determine the annualized burden hours are 80,708.
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per
Type of respondents Form name responses per
respondents response
respondent (in hrs.)
Quitline callers who contact the quitline for NQDW Intake Questionnaire (English-com- 478,638 1 10/60
help for themselves. plete).
ASQ Intake Questionnaire (Chinese, Korean, 803 1 10/60
or Vietnamese-complete).
ASQ Seven-Month Follow-up Questionnaire 659 1 7/60
Caller who contacts the Quitline on behalf of NQDW Intake Questionnaire (English-sub- 26,007 1 1/60
someone else. set).
ASQ Intake Questionnaire (Chinese, Korean, 116 1 1/60
or Vietnamese-subset).
Tobacco Control Manager or their Designee/ Submission of NQDW Intake Questionnaire 54 4 1
Quitline Service Provider. Electronic Data File to CDC.
Submission of NQDW (ASQ) Seven-Month 1 1 1
Follow-up Electronic Data File to CDC.
NQDW Quitline Services Survey ................... 54 4 20/60
Leroy A. Richardson, SUMMARY: The Centers for Medicare & be collected; and (4) the use of
Chief, Information Collection Review Office, Medicaid Services (CMS) is announcing automated collection techniques or
Office of Scientific Integrity, Office of the an opportunity for the public to other forms of information technology to
Associate Director for Science, Office of the comment on CMS’ intention to collect minimize the information collection
Director, Centers for Disease Control and burden.
Prevention.
information from the public. Under the
Paperwork Reduction Act of 1995 (the DATES: Comments must be received by
[FR Doc. 2015–25734 Filed 10–8–15; 8:45 am]
PRA), federal agencies are required to December 8, 2015.
BILLING CODE 4163–18–P
publish notice in the Federal Register ADDRESSES: When commenting, please
concerning each proposed collection of reference the document identifier or
DEPARTMENT OF HEALTH AND information (including each proposed OMB control number. To be assured
HUMAN SERVICES extension or reinstatement of an existing consideration, comments and
collection of information) and to allow recommendations must be submitted in
Centers for Medicare & Medicaid 60 days for public comment on the any one of the following ways:
Services proposed action. Interested persons are 1. Electronically. You may send your
[Document Identifiers: CMS–10079] invited to send comments regarding our comments electronically to http://
burden estimates or any other aspect of www.regulations.gov. Follow the
Agency Information Collection this collection of information, including instructions for ‘‘Comment or
tkelley on DSK3SPTVN1PROD with NOTICES
Activities: Proposed Collection; any of the following subjects: (1) The Submission’’ or ‘‘More Search Options’’
Comment Request necessity and utility of the proposed to find the information collection
information collection for the proper document(s) that are accepting
AGENCY: Centers for Medicare &
Medicaid Services, Department of performance of the agency’s functions; comments.
Health and Human Services. (2) the accuracy of the estimated 2. By regular mail. You may mail
burden; (3) ways to enhance the quality, written comments to the following
ACTION: Notice.
utility, and clarity of the information to address: CMS, Office of Strategic
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![Federal Register / Vol. 80, No. 196 / Friday, October 9, 2015 / Notices 61213
Operations and Regulatory Affairs, collection of information, before Dated: October 6, 2015.
Division of Regulations Development, submitting the collection to OMB for William N. Parham, III,
Attention: Document Identifier/OMB approval. To comply with this Director, Paperwork Reduction Staff, Office
Control Number ll, Room C4–26–05, requirement, CMS is publishing this of Strategic Operations and Regulatory
7500 Security Boulevard, Baltimore, notice. Affairs.
Maryland 21244–1850. Information Collection [FR Doc. 2015–25809 Filed 10–8–15; 8:45 am]
To obtain copies of a supporting BILLING CODE 4120–01–P
statement and any related forms for the 1. Type of Information Collection
proposed collection(s) summarized in Request: Extension of a currently
this notice, you may make your request approved collection; Title of
Information Collection: Hospital Wage DEPARTMENT OF HEALTH AND
using one of following: HUMAN SERVICES
1. Access CMS’ Web site address at Index Occupational Mix Survey and
http://www.cms.hhs.gov/ Supporting Regulations in 42 CFR,
Administration for Children and
PaperworkReductionActof1995. Section 412.64; Use: Section 304(c) of
Families
2. Email your request, including your Public Law 106–554 amended section
address, phone number, OMB number, 1886(d) (3) (E) of the Social Security Act Submission for OMB Review;
and CMS document identifier, to to require CMS to collect data every Comment Request
Paperwork@cms.hhs.gov. three years on the occupational mix of
3. Call the Reports Clearance Office at employees for each short-term, acute Title: Title IV–E Plan for Foster Care,
(410) 786–1326. care hospital participating in the Adoption Assistance, and, Optional,
Medicare program, in order to construct Guardianship Assistance Programs.
FOR FURTHER INFORMATION CONTACT:
an occupational mix adjustment to the
Reports Clearance Office at (410) 786– OMB No.: 0970–0433.
wage index, for application beginning
1326. October 1, 2004 (the FY 2005 wage Description: A title IV–E plan is
SUPPLEMENTARY INFORMATION: index). The purpose of the occupational required by section 471, part IV–E of the
mix adjustment is to control for the Social Security Act (the Act) for each
Contents
effect of hospitals’ employment choices public child welfare agency requesting
This notice sets out a summary of the on the wage index. For example, Federal funding for foster care, adoption
use and burden associated with the hospitals may choose to employ assistance and guardianship assistance
following information collections. More different combinations of registered under the Act. Section 479B of the Act
detailed information can be found in nurses, licensed practical nurses, provides for an Indian tribe, tribal
each collection’s supporting statement nursing aides, and medical assistants for organization or tribal consortium (Tribe)
and associated materials (see the purpose of providing nursing care to to operate a title IV–E program in the
ADDRESSES). their patients. The varying labor costs same manner as a State with minimal
associated with these choices reflect exceptions. The Tribe must have an
CMS–10079 Hospital Wage Index
hospital management decisions rather approved title IV–E Plan. The title IV–
Occupational Mix Survey and
than geographic differences in the costs E plan provides assurances the
Supporting Regulations in 42 CFR,
of labor. The FY 2016 survey will programs will be administered in
Section 412.64
provide for the collection of hospital- conformity with the specific
Under the PRA (44 U.S.C. 3501– specific wages and hours data for requirements stipulated in title IV–E.
3520), federal agencies must obtain calendar year 2016 (that is, payroll
The plan must include all applicable
approval from the Office of Management periods ending between January 1, 2016
and Budget (OMB) for each collection of State or Tribal statutory, regulatory, or
and December 31, 2016). The 2016
information they conduct or sponsor. policy references and citations for each
Medicare occupational mix survey will
The term ‘‘collection of information’’ is requirement as well as supporting
be applied beginning with the FY 2019
defined in 44 U.S.C. 3502(3) and 5 CFR documentation. A title IV–E agency may
wage index. Form Number: CMS–10079
1320.3(c) and includes agency requests (OMB control number: 0938–0907); use the pre-print format prepared by the
or requirements that members of the Frequency: Yearly; Affected Public: Children’s Bureau of the Administration
public submit reports, keep records, or Private sector (Business or other for- for Children and Families or a different
provide information to a third party. profits and Not-for-profit institutions), format, on the condition that the format
Section 3506(c)(2)(A) of the PRA State, Local and Tribal Governments; used includes all of the title IV–E plan
requires federal agencies to publish a Number of Respondents: 3,400; Total requirements of the law.
60-day notice in the Federal Register Annual Responses: 3,400; Total Annual Respondents: Title IV–E agencies
concerning each proposed collection of Hours: 1,632,000. (For policy questions administering or supervising the
information, including each proposed regarding this collection contact Noel administration of the title IV–E
extension or reinstatement of an existing Manlove at 410–786–5161. programs.
ANNUAL BURDEN ESTIMATES
Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response
tkelley on DSK3SPTVN1PROD with NOTICES
Title IV–E Plan ........................................................................................... 17 1 16 272
Estimated Total Annual Burden Additional Information Administration for Children and
Hours: 272. Families, Office of Planning, Research
Copies of the proposed collection may
and Evaluation, 370 L’Enfant
be obtained by writing to the
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Document Created: 2015-12-15 08:33:18
Document Modified: 2015-12-15 08:33:18
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by December 8, 2015. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 61212 |
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