80 FR 69227 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 216 (November 9, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 216 (November 9, 2015)
| Page Range | 69227-69228 | |
| FR Document | 2015-28449 |
[Federal Register Volume 80, Number 216 (Monday, November 9, 2015)] [Notices] [Pages 69227-69228] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-28449] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-10434 and CMS-R-131] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid 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 January 8, 2016. ADDRESSES: When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for ``Comment or Submission'' or ``More Search Options'' to find the information collection document(s) that are accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, you may make your request using one of following: 1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@cms.hhs.gov. 3. Call the Reports Clearance Office at (410) 786-1326. FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786- 1326. SUPPLEMENTARY INFORMATION: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see ADDRESSES). CMS-10434 Medicaid and CHIP Program (MACPro) CMS-R-131 Advance Beneficiary Notice of Noncoverage (ABN) 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: Revision of a currently approved collection; Title of Information Collection: Medicaid and CHIP Program (MACPro); Use: While currently approved by OMB under the regular PRA process, CMS is proposing to have all current and upcoming MACPro collections approved under OMB's generic process. We are also transitioning MACPro to a fully functioning electronic system such that MACPro becomes the sole system of record. MACPro will be the required means for states to amend Medicaid and CHIP state plans, waivers, and demonstrations. Templates that will be submitted for approval under MACPro include certain collections approved under our generic umbrella (CMS-10398, OMB 0938-1148), relevant collections approved as a regular stand-alone information collection requests, and upcoming collections. Form Number: CMS-10434 (OMB Control Number: 0938-1188); Frequency: Monthly, yearly, quarterly, semi-annually, once, or occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 3,360; Total Annual Hours: 89,012. (For policy questions regarding this collection contact Annette Pearson at 410-786-6858). 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Advance Beneficiary Notice of Noncoverage (ABN); Use: The Advance Beneficiary Notice (ABN) is delivered by Part B paid [[Page 69228]] physicians, providers (including institutional providers like outpatient hospitals), practitioners (such as chiropractors), and suppliers, as well as hospice providers and Religious Non-medical Health Care Institutions paid under Part A. Home health agencies providing items and services under Part A or Part B also use the ABN. Other Medicare institutional providers paid under Part A use other approved notices for this purpose. With this PRA submission, minimal formatting changes have been made to the ABN form, including the addition of language informing beneficiaries of their rights under Section 504 of the Rehabilitation Act of 1973 (section 504) by alerting the beneficiary to CMS's nondiscrimination practices and the availability of alternate forms of this notice, if needed. Additionally, minor language and grammatical changes have been made to the form's instructions to improve provider/supplier comprehension and decrease the probability of errors in completing the ABN. There are no substantive changes to the form or to the instructions. Form Number: CMS-R-131 (OMB control number: 0938-0566; Frequency: Occasionally; Affected Public: Private sector (Business or other for-profits and Not- for-profit institutions); Number of Respondents: 1,499,910; Total Annual Responses: 62,910,000; Total Annual Hours: 7,339,710. (For policy questions regarding this collection contact Evelyn Blaemire at 410-786-1803). Dated: November 4, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-28449 Filed 11-6-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 216 / Monday, November 9, 2015 / Notices 69227
were to be received by November 9, burden estimates or any other aspect of CMS–R–131 Advance Beneficiary
2015. NIOSH is extending the public this collection of information, including Notice of Noncoverage (ABN)
comment period for an additional 120 any of the following subjects: (1) The Under the PRA (44 U.S.C. 3501–
days. necessity and utility of the proposed 3520), federal agencies must obtain
DATES: NIOSH is extending the information collection for the proper approval from the Office of Management
comment period on the document performance of the agency’s functions; and Budget (OMB) for each collection of
published September 8, 2015 (80 FR (2) the accuracy of the estimated information they conduct or sponsor.
53802). Electronic or written comments burden; (3) ways to enhance the quality, The term ‘‘collection of information’’ is
must be received by March 8, 2016. utility, and clarity of the information to defined in 44 U.S.C. 3502(3) and 5 CFR
be collected; and (4) the use of 1320.3(c) and includes agency requests
ADDRESSES: You may submit comments,
automated collection techniques or or requirements that members of the
identified by CDC–2015–0075 and other forms of information technology to
docket number NIOSH–288, by any of public submit reports, keep records, or
minimize the information collection provide information to a third party.
the following methods: burden.
• Federal eRulemaking Portal: Section 3506(c)(2)(A) of the PRA
www.regulations.gov—Follow the DATES: Comments must be received by requires federal agencies to publish a
instructions for submitting comments. January 8, 2016. 60-day notice in the Federal Register
• Mail: National Institute for ADDRESSES: When commenting, please concerning each proposed collection of
Occupational Safety and Health, NIOSH reference the document identifier or information, including each proposed
Docket Office, 1090 Tusculum Avenue, OMB control number. To be assured extension or reinstatement of an existing
MS C–34, Cincinnati, Ohio 45226–1998. consideration, comments and collection of information, before
FOR FURTHER INFORMATION CONTACT: recommendations must be submitted in submitting the collection to OMB for
Deborah V. Hirst, NIOSH, Division of any one of the following ways: approval. To comply with this
Applied Research and Technology, 1. Electronically. You may send your requirement, CMS is publishing this
Alice Hamilton Laboratories, 1090 comments electronically to http:// notice.
Tusculum Avenue, MS R–5, Cincinnati, www.regulations.gov. Follow the
instructions for ‘‘Comment or Information Collection
Ohio 45226, telephone (513) 841–4141
(not a toll free number), Email: Submission’’ or ‘‘More Search Options’’ 1. Type of Information Collection
hazardousdrugs@cdc.gov. to find the information collection Request: Revision of a currently
document(s) that are accepting approved collection; Title of
Dated: November 2, 2015. comments. Information Collection: Medicaid and
John Howard, 2. By regular mail. You may mail CHIP Program (MACPro); Use: While
Director, National Institute for Occupational written comments to the following currently approved by OMB under the
Safety and Health, Centers for Disease Control address: CMS, Office of Strategic regular PRA process, CMS is proposing
and Prevention. Operations and Regulatory Affairs, to have all current and upcoming
[FR Doc. 2015–28456 Filed 11–6–15; 8:45 am] Division of Regulations Development, MACPro collections approved under
BILLING CODE 4163–19–P Attention: Document Identifier/OMB OMB’s generic process. We are also
Control Number, Room C4–26–05, 7500 transitioning MACPro to a fully
Security Boulevard, Baltimore, functioning electronic system such that
DEPARTMENT OF HEALTH AND Maryland 21244–1850. MACPro becomes the sole system of
HUMAN SERVICES To obtain copies of a supporting record. MACPro will be the required
statement and any related forms for the means for states to amend Medicaid and
Centers for Medicare & Medicaid proposed collection(s) summarized in CHIP state plans, waivers, and
Services this notice, you may make your request demonstrations. Templates that will be
[Document Identifiers: CMS–10434 and using one of following: submitted for approval under MACPro
CMS–R–131] 1. Access CMS’ Web site address at include certain collections approved
http://www.cms.hhs.gov/ under our generic umbrella (CMS–
Agency Information Collection PaperworkReductionActof1995. 10398, OMB 0938–1148), relevant
Activities: Proposed Collection; 2. Email your request, including your collections approved as a regular stand-
Comment Request address, phone number, OMB number, alone information collection requests,
and CMS document identifier, to and upcoming collections. Form
AGENCY: Centers for Medicare &
Paperwork@cms.hhs.gov. Number: CMS–10434 (OMB Control
Medicaid Services.
3. Call the Reports Clearance Office at Number: 0938–1188); Frequency:
ACTION: Notice. (410) 786–1326. Monthly, yearly, quarterly, semi-
SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT: annually, once, or occasionally;
Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786– Affected Public: State, Local, or Tribal
an opportunity for the public to 1326. Governments; Number of Respondents:
comment on CMS’ intention to collect SUPPLEMENTARY INFORMATION: 56; Total Annual Responses: 3,360;
information from the public. Under the Total Annual Hours: 89,012. (For policy
Paperwork Reduction Act of 1995 (the Contents questions regarding this collection
PRA), federal agencies are required to This notice sets out a summary of the contact Annette Pearson at 410–786–
publish notice in the Federal Register use and burden associated with the 6858).
srobinson on DSK5SPTVN1PROD with NOTICES
concerning each proposed collection of following information collections. More 2. Type of Information Collection
information (including each proposed detailed information can be found in Request: Extension of a currently
extension or reinstatement of an existing each collection’s supporting statement approved collection; Title of
collection of information) and to allow and associated materials (see Information Collection: Advance
60 days for public comment on the ADDRESSES). Beneficiary Notice of Noncoverage
proposed action. Interested persons are CMS–10434 Medicaid and CHIP (ABN); Use: The Advance Beneficiary
invited to send comments regarding our Program (MACPro) Notice (ABN) is delivered by Part B paid
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![69228 Federal Register / Vol. 80, No. 216 / Monday, November 9, 2015 / Notices
physicians, providers (including publish notice in the Federal Register 3506(c)(2)(A)) requires federal agencies
institutional providers like outpatient concerning each proposed collection of to publish a 30-day notice in the
hospitals), practitioners (such as information, including each proposed Federal Register concerning each
chiropractors), and suppliers, as well as extension or reinstatement of an existing proposed collection of information,
hospice providers and Religious Non- collection of information, and to allow including each proposed extension or
medical Health Care Institutions paid a second opportunity for public reinstatement of an existing collection
under Part A. Home health agencies comment on the notice. Interested of information, before submitting the
providing items and services under Part persons are invited to send comments collection to OMB for approval. To
A or Part B also use the ABN. Other regarding the burden estimate or any comply with this requirement, CMS is
Medicare institutional providers paid other aspect of this collection of publishing this notice that summarizes
under Part A use other approved notices information, including any of the the following proposed collection(s) of
for this purpose. With this PRA following subjects: (1) The necessity and information for public comment:
submission, minimal formatting changes utility of the proposed information 1. Type of Information Collection
have been made to the ABN form, collection for the proper performance of Request: Extension of a currently
including the addition of language the agency’s functions; (2) the accuracy approved collection; Title of
informing beneficiaries of their rights of the estimated burden; (3) ways to Information Collection: The Fiscal
under Section 504 of the Rehabilitation enhance the quality, utility, and clarity Soundness Reporting Requirements;
Act of 1973 (section 504) by alerting the of the information to be collected; and Use: The CMS is assigned responsibility
beneficiary to CMS’s nondiscrimination (4) the use of automated collection for overseeing all Medicare Advantage
practices and the availability of techniques or other forms of information Organizations (MAOs), Prescription
alternate forms of this notice, if needed. technology to minimize the information Drug Plan (PDP) sponsors and PACE
Additionally, minor language and collection burden. organizations on-going financial
grammatical changes have been made to DATES: Comments on the collection(s) of performance. Specifically, CMS needs
the form’s instructions to improve information must be received by the the requested collection of information
provider/supplier comprehension and OMB desk officer by December 9, 2015. to establish that contracting entities
decrease the probability of errors in ADDRESSES: When commenting on the
within those programs maintain fiscally
completing the ABN. There are no proposed information collections, sound organizations and thereby remain
substantive changes to the form or to the please reference the document identifier a going concern. All contracting
instructions. Form Number: CMS–R– or OMB control number. To be assured organizations must submit annual
131 (OMB control number: 0938–0566; consideration, comments and independently audited financial
Frequency: Occasionally; Affected statements one time per year. The
recommendations must be received by
Public: Private sector (Business or other MAOs with a negative net worth and/or
the OMB desk officer via one of the
for-profits and Not-for-profit a net loss and the amount of that loss
following transmissions: OMB, Office of
institutions); Number of Respondents: is greater than one-half of the
Information and Regulatory Affairs,
1,499,910; Total Annual Responses: organization’s total net worth must file
Attention: CMS Desk Officer, Fax
62,910,000; Total Annual Hours: three quarterly financial statements.
Number: (202) 395–5806 OR, Email:
7,339,710. (For policy questions Currently, there are approximately 71
OIRA_submission@omb.eop.gov.
regarding this collection contact Evelyn To obtain copies of a supporting MAOs filing quarterly financial
Blaemire at 410–786–1803). statements. Part D organizations must
statement and any related forms for the
also file 3 quarterly financial statements.
Dated: November 4, 2015. proposed collection(s) summarized in
The PACE organizations are required to
William N. Parham, III, this notice, you may make your request
file 4 quarterly financial statements for
Director, Paperwork Reduction Staff, Office using one of following:
1. Access CMS’ Web site address at the first three years in the program as
of Strategic Operations and Regulatory
http://www.cms.hhs.gov/ well as PACE organizations with a
Affairs.
PaperworkReductionActof1995. negative net worth and/or a net loss and
[FR Doc. 2015–28449 Filed 11–6–15; 8:45 am]
2. Email your request, including your the amount of that loss is greater than
BILLING CODE 4120–01–P
address, phone number, OMB number, one-half of the organization’s total net
and CMS document identifier, to worth. Form Number: CMS–906 (OMB
Paperwork@cms.hhs.gov. control number: 0938–0469); Frequency:
DEPARTMENT OF HEALTH AND
3. Call the Reports Clearance Office at Annually; Affected Public: Business or
HUMAN SERVICES
(410) 786–1326. other for-profits; Number of
Centers for Medicare & Medicaid Respondents: 815; Total Annual
FOR FURTHER INFORMATION CONTACT:
Services Responses: 1,518; Total Annual Hours:
Reports Clearance Office at (410) 786–
506. (For policy questions regarding this
[Document Identifier: CMS–906 and CMS– 1326.
collection contact Geralyn Glenn at
1771] SUPPLEMENTARY INFORMATION: Under the 410–786–0973.)
Paperwork Reduction Act of 1995 (PRA) 2. Type of Information Collection
Agency Information Collection (44 U.S.C. 3501–3520), federal agencies Request: Reinstatement without change
Activities: Submission for OMB must obtain approval from the Office of of a previously approved collection;
Review; Comment Request Management and Budget (OMB) for each Title of Information Collection:
ACTION: Notice. collection of information they conduct Emergency and Foreign Hospital
or sponsor. The term ‘‘collection of Services; Use: Section 1866 of the Social
srobinson on DSK5SPTVN1PROD with NOTICES
SUMMARY: The Centers for Medicare & information’’ is defined in 44 U.S.C. Security Act states that any provider of
Medicaid Services (CMS) is announcing 3502(3) and 5 CFR 1320.3(c) and services shall be qualified to participate
an opportunity for the public to includes agency requests or in the Medicare program and shall be
comment on CMS’ intention to collect requirements that members of the public eligible for payments under Medicare if
information from the public. Under the submit reports, keep records, or provide it files an agreement with the Secretary
Paperwork Reduction Act of 1995 information to a third party. Section to meet the conditions outlined in this
(PRA), federal agencies are required to 3506(c)(2)(A) of the PRA (44 U.S.C. section of the Act. Section 1814 (d)(1) of
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Document Created: 2015-12-14 15:04:58
Document Modified: 2015-12-14 15:04:58
| 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 January 8, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 69227 |
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