80 FR 70810 - 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 220 (November 16, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 220 (November 16, 2015)
| Page Range | 70810-70811 | |
| FR Document | 2015-29159 |
[Federal Register Volume 80, Number 220 (Monday, November 16, 2015)] [Notices] [Pages 70810-70811] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-29159] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-2567 and CMS-10143] 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 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 [[Page 70811]] technology to minimize the information collection burden. DATES: Comments on the collection(s) of information must be received by the OMB desk officer by December 16, 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: [email protected]. 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 [email protected]. 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: Extension without change of a currently approved collection; Title of Information Collection: Statement of Deficiencies and Plan of Correction Supporting Regulations; Use: Section 1864(a) of the Social Security Act requires that the Secretary use state survey agencies to conduct surveys to determine whether health care facilities meet Medicare and Clinical Laboratory Improvement Amendments participation requirements. The Form CMS-2567 is the means by which the survey findings are documented. This section of the law further requires that compliance findings resulting from these surveys be made available to the public within 90 days of such surveys. The Form CMS-2567 is the vehicle for this disclosure. The form is also used by health care facilities to document their plan of correction and by CMS, the states, facilities, purchasers, consumers, advocacy groups, and the public as a source of information about quality of care and facility compliance. The regulations at 42 CFR 488.18 require that state survey agencies document all deficiency findings on a statement of deficiencies and plan of correction, which is the CMS-2567. Sections 488.26 and 488.28 further delineate how compliance findings must be recorded and that CMS prescribed forms must be used. Form Number: CMS-2567 (OMB Control Number: 0938-0391); Frequency: Yearly and occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 64,500; Total Annual Responses: 64,500; Total Annual Hours: 128,083. (For policy questions regarding this collection contact Karen Tritz at 410-786-8021.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Monthly File of Medicaid/Medicare Dual Eligible Enrollees; Use: The monthly data file is provided to CMS by states on dually eligible Medicaid and Medicare beneficiaries, listing the individuals on the Medicaid eligibility file, their Medicare status and other information needed to establish subsidy level, such as income and institutional status. The file is used to count the exact number of individuals who should be included in the phased-down state contribution calculation that month. We merge the data with other data files and establishes Part D enrollment for those individuals on the file. The file may be used by CMS partners to obtain accurate counts of duals on a current basis. Form Number: CMS-10143 (OMB Control Number: 0938-0958); Frequency: Monthly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 51; Total Annual Responses: 612; Total Annual Hours: 6,120. (For policy questions regarding this collection contact Vasanthi Kandasamy at 410-786-0433). Dated: November 10, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-29159 Filed 11-13-15; 8:45 am] BILLING CODE 4120-01-P
![70810 Federal Register / Vol. 80, No. 220 / Monday, November 16, 2015 / Notices
Therefore, we find good cause to waive Review Act. In accordance with the Executive Order 13132 establishes
publication of a proposed notice and provisions of Executive Order 12866, certain requirements that an agency
solicitation of public comments. this notice was reviewed by the Office must meet when it promulgates a
of Management and Budget. proposed rule (and subsequent final
VI. Collection of Information The RFA requires agencies to analyze rule) that imposes substantial direct
Requirements options for regulatory relief of small requirement costs on state and local
This document does not impose entities, if a rule has a significant impact governments, preempts state law, or
information collection requirements, on a substantial number of small otherwise has Federalism implications.
that is, reporting, recordkeeping or entities. For purposes of the RFA, small Since this notice does not impose any
third-party disclosure requirements. entities include small businesses, costs on state or local governments,
Consequently, there is no need for nonprofit organizations, and small preempt state law, or have Federalism
review by the Office of Management and governmental jurisdictions. Most implications, the requirements of
Budget under the authority of the hospitals and most other providers and Executive Order 13132 are not
Paperwork Reduction Act of 1995 (44 suppliers are small entities, either by applicable.
U.S.C. 3501 et seq.). nonprofit status or by having revenues
Dated: November 6, 2015.
of less than $7.5 million to $38.5
VII. Regulatory Impact Analysis million in any 1 year (for details, see the Andrew M. Slavitt,
Small Business Administration’s Web Acting Administrator, Centers for Medicare
A. Statement of Need
site at http://www.sba.gov/sites/default/ & Medicaid Services.
Section 1813(b)(2) of the Act requires files/files/Size_Standards_Table.pdf). Dated: November 9, 2015.
the Secretary to publish, between Individuals and states are not included Sylvia M. Burwell,
September 1 and September 15 of each in the definition of a small entity. As Secretary, Department of Health and Human
year, the amounts of the inpatient discussed above, this annual notice Services.
hospital deductible and hospital and announces the inpatient hospital [FR Doc. 2015–29207 Filed 11–10–15; 4:15 pm]
extended care services coinsurance deductible and the hospital and BILLING CODE 4120–01–P
applicable for services furnished in the extended care services coinsurance
following calendar year (CY). amounts for services furnished in CY
B. Overall Impact 2016 under Medicare’s Hospital DEPARTMENT OF HEALTH AND
Insurance Program (Medicare Part A). HUMAN SERVICES
We have examined the impact of this As a result, we are not preparing an
rule as required by Executive Order analysis for the RFA because the Centers for Medicare & Medicaid
12866 on Regulatory Planning and Secretary has determined that this Services
Review (September 30, 1993), Executive notice will not have a significant
Order 13563 on Improving Regulation economic impact on a substantial [Document Identifiers: CMS–2567 and CMS–
and Regulatory Review (January 18, number of small entities. 10143]
2011), the Regulatory Flexibility Act In addition, section 1102(b) of the
(RFA) (September 19, 1980, Pub. L. 96– Social Security Act requires us to Agency Information Collection
354), section 1102(b) of the Social prepare a regulatory impact analysis if Activities: Submission for OMB
Security Act, section 202 of the a rule may have a significant impact on Review; Comment Request
Unfunded Mandates Reform Act of 1995 the operations of a substantial number
(March 22, 1995; Pub. L. 104–4), of small rural hospitals. This analysis ACTION: Notice.
Executive Order 13132 on Federalism must conform to the provisions of
(August 4, 1999) and the Congressional section 604 of the RFA. For purposes of SUMMARY: The Centers for Medicare &
Review Act (5 U.S.C., Part I, Ch. 8). section 1102(b) of the Act, we define a Medicaid Services (CMS) is announcing
Executive Orders 12866 and 13563 small rural hospital as a hospital that is an opportunity for the public to
direct agencies to assess all costs and located outside of a Metropolitan comment on CMS’ intention to collect
benefits of available regulatory Statistical Area for Medicare payment information from the public. Under the
alternatives and, if regulation is regulations and has fewer than 100 Paperwork Reduction Act of 1995
necessary, to select regulatory beds. As discussed above, we are not (PRA), federal agencies are required to
approaches that maximize net benefits preparing an analysis for section 1102(b) publish notice in the Federal Register
(including potential economic, of the Act because the Secretary has concerning each proposed collection of
environmental, public health and safety determined that this notice will not information, including each proposed
effects, distributive impacts, and have a significant impact on the extension or reinstatement of an existing
equity). A regulatory impact analysis operations of a substantial number of collection of information, and to allow
(RIA) must be prepared for major small rural hospitals. a second opportunity for public
notices with economically significant Section 202 of the Unfunded comment on the notice. Interested
effects ($100 million or more in any 1 Mandates Reform Act of 1995 also persons are invited to send comments
year). As stated in section IV of this requires that agencies assess anticipated regarding the burden estimate or any
notice, we estimate that the total costs and benefits before issuing any other aspect of this collection of
increase in costs to beneficiaries rule whose mandates require spending information, including any of the
associated with this notice is about $610 in any 1 year of $100 million in 1995 following subjects: (1) The necessity and
million due to: (1) The increase in the dollars, updated annually for inflation. utility of the proposed information
tkelley on DSK3SPTVN1PROD with NOTICES
deductible and coinsurance amounts, For 2015, that threshold accounting for collection for the proper performance of
and (2) the increase in the number of inflation is approximately $144 million. the agency’s functions; (2) the accuracy
deductibles and daily coinsurance This notice does not impose mandates of the estimated burden; (3) ways to
amounts paid. As a result, this notice is that will have a consequential effect of enhance the quality, utility, and clarity
economically significant under section $144 million or more on state, local, or of the information to be collected; and
3(f)(1) of Executive Order 12866 and is tribal governments or on the private (4) the use of automated collection
a major action under the Congressional sector. techniques or other forms of information
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![Federal Register / Vol. 80, No. 220 / Monday, November 16, 2015 / Notices 70811
technology to minimize the information survey agencies to conduct surveys to this collection contact Vasanthi
collection burden. determine whether health care facilities Kandasamy at 410–786–0433).
DATES: Comments on the collection(s) of meet Medicare and Clinical Laboratory Dated: November 10, 2015.
information must be received by the Improvement Amendments William N. Parham, III,
OMB desk officer by December 16, 2015. participation requirements. The Form Director, Paperwork Reduction Staff, Office
ADDRESSES: When commenting on the CMS–2567 is the means by which the of Strategic Operations and Regulatory
proposed information collections, survey findings are documented. This Affairs.
please reference the document identifier section of the law further requires that [FR Doc. 2015–29159 Filed 11–13–15; 8:45 am]
or OMB control number. To be assured compliance findings resulting from BILLING CODE 4120–01–P
consideration, comments and these surveys be made available to the
recommendations must be received by public within 90 days of such surveys.
the OMB desk officer via one of the The Form CMS–2567 is the vehicle for DEPARTMENT OF HEALTH AND
following transmissions: OMB, Office of this disclosure. The form is also used by HUMAN SERVICES
Information and Regulatory Affairs, health care facilities to document their
Attention: CMS Desk Officer, Fax plan of correction and by CMS, the Centers for Medicare & Medicaid
Number: (202) 395–5806 OR Email: states, facilities, purchasers, consumers, Services
OIRA_submission@omb.eop.gov. advocacy groups, and the public as a [CMS–8061–N]
To obtain copies of a supporting source of information about quality of
statement and any related forms for the care and facility compliance. The RIN 0938–AS38
proposed collection(s) summarized in regulations at 42 CFR 488.18 require
this notice, you may make your request Medicare Program; Medicare Part B
that state survey agencies document all Monthly Actuarial Rates, Premium
using one of following: deficiency findings on a statement of
1. Access CMS’ Web site address at Rate, and Annual Deductible
deficiencies and plan of correction, Beginning January 1, 2016
http://www.cms.hhs.gov/
which is the CMS–2567. Sections
PaperworkReductionActof1995. AGENCY: Centers for Medicare &
488.26 and 488.28 further delineate how
2. Email your request, including your Medicaid Services (CMS), HHS.
address, phone number, OMB number, compliance findings must be recorded
and CMS document identifier, to and that CMS prescribed forms must be ACTION: Notice.
Paperwork@cms.hhs.gov. used. Form Number: CMS–2567 (OMB
Control Number: 0938–0391); SUMMARY: This notice announces the
3. Call the Reports Clearance Office at monthly actuarial rates for aged (age 65
(410) 786–1326. Frequency: Yearly and occasionally;
Affected Public: Private Sector (Business and over) and disabled (under age 65)
FOR FURTHER INFORMATION CONTACT: beneficiaries enrolled in Part B of the
Reports Clearance Office at (410) 786– or other for-profit and Not-for-profit
institutions); Number of Respondents: Medicare Supplementary Medical
1326. Insurance (SMI) program beginning
64,500; Total Annual Responses:
SUPPLEMENTARY INFORMATION: Under the 64,500; Total Annual Hours: 128,083. January 1, 2016. In addition, this notice
Paperwork Reduction Act of 1995 (PRA) (For policy questions regarding this announces the monthly premium for
(44 U.S.C. 3501–3520), federal agencies collection contact Karen Tritz at 410– aged and disabled beneficiaries, the
must obtain approval from the Office of 786–8021.) deductible for 2016, the income-related
Management and Budget (OMB) for each monthly adjustment amounts to be paid
collection of information they conduct 2. Type of Information Collection by beneficiaries with modified adjusted
or sponsor. The term ‘‘collection of Request: Revision of a currently gross income above certain threshold
information’’ is defined in 44 U.S.C. approved collection; Title of amounts, and the transfer amount equal
3502(3) and 5 CFR 1320.3(c) and Information Collection: Monthly File of to the reduction in premiums payable as
includes agency requests or Medicaid/Medicare Dual Eligible a result of amendments made by the
requirements that members of the public Enrollees; Use: The monthly data file is Bipartisan Budget Act of 2015. The
submit reports, keep records, or provide provided to CMS by states on dually monthly actuarial rates for 2016 are
information to a third party. Section eligible Medicaid and Medicare $237.60 for aged enrollees and $282.60
3506(c)(2)(A) of the PRA (44 U.S.C. beneficiaries, listing the individuals on for disabled enrollees. The standard
3506(c)(2)(A)) requires federal agencies the Medicaid eligibility file, their monthly Part B premium rate for all
to publish a 30-day notice in the Medicare status and other information enrollees for 2016 is $121.80, which is
Federal Register concerning each needed to establish subsidy level, such equal to 50 percent of the monthly
proposed collection of information, as income and institutional status. The actuarial rate for aged enrollees (or
including each proposed extension or file is used to count the exact number approximately 25 percent of the
reinstatement of an existing collection of individuals who should be included expected average total cost of Part B
of information, before submitting the in the phased-down state contribution coverage for aged enrollees) plus $3.00.
collection to OMB for approval. To calculation that month. We merge the (The 2015 standard premium rate was
comply with this requirement, CMS is data with other data files and $104.90.) The Part B deductible for 2016
publishing this notice that summarizes establishes Part D enrollment for those is $166.00 for all Part B beneficiaries. If
the following proposed collection(s) of individuals on the file. The file may be a beneficiary has to pay an income-
information for public comment: used by CMS partners to obtain accurate related monthly adjustment, they will
1. Type of Information Collection counts of duals on a current basis. Form have to pay a total monthly premium of
tkelley on DSK3SPTVN1PROD with NOTICES
Request: Extension without change of a Number: CMS–10143 (OMB Control about 35, 50, 65, or 80 percent of the
currently approved collection; Title of Number: 0938–0958); Frequency: total cost of Part B coverage plus $4.20,
Information Collection: Statement of Monthly; Affected Public: State, Local, $6.00, $7.80, or $9.60. Section 1844(d)
Deficiencies and Plan of Correction or Tribal Governments; Number of of the Social Security Act, as added by
Supporting Regulations; Use: Section Respondents: 51; Total Annual section 601(b) of the Bipartisan Budget
1864(a) of the Social Security Act Responses: 612; Total Annual Hours: Act of 2015, provides for a transfer from
requires that the Secretary use state 6,120. (For policy questions regarding the general fund to the Part B account
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Document Created: 2015-12-14 14:12:49
Document Modified: 2015-12-14 14:12:49
| 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 on the collection(s) of information must be received by the OMB desk officer by December 16, 2015. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 70810 |
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