80_FR_76527 80 FR 76292 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

80 FR 76292 - 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 235 (December 8, 2015)

Page Range76292-76293
FR Document2015-30892

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 technology to minimize the information collection burden.

Federal Register, Volume 80 Issue 235 (Tuesday, December 8, 2015)
[Federal Register Volume 80, Number 235 (Tuesday, December 8, 2015)]
[Notices]
[Pages 76292-76293]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-30892]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10583]


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 
technology to minimize the information collection burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by January 7, 2016:

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

[[Page 76293]]

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: New collection (Request 
for a new OMB control number); Title of Information Collection: Data 
Collection for Medicare Beneficiaries Receiving Beta Amyloid Positron 
Emission Tomography (PET) for Dementia and Neurodegenerative Disease 
Use: In the Decision Memorandum #CAG-00431N issued on September 27, 
2013, CMS determined there is sufficient evidence that the use of beta 
amyloid PET is promising in 2 scenarios: (1) To exclude Alzheimer's 
Disease (AD) in narrowly defined and clinically difficult differential 
diagnoses; and (2) to enrich clinical trials seeking better treatments 
or prevention strategies for AD. CMS will cover one beta amyloid PET 
scan per patient through Coverage with Evidence Development under 
section 1862(a)(1)(E) of the Social Security Act, in clinical studies 
that meet specific criteria established by CMS. Clinical studies must 
be approved by CMS, involve subjects from appropriate populations, and 
be comparative and longitudinal. Radiopharmaceuticals used in the scan 
must be FDA approved. Approved studies must address defined research 
questions established by CMS. Clinical studies in this National 
Coverage Determination (NCD) must adhere to the designated timeframe 
and meet standards establish by CMS in the NCD. Consistent with section 
1142 of the Social Security Act, the Agency for Healthcare and Quality 
(AHRQ) supports clinical research studies that CMS determines meet 
specifically identified requirements and research questions.
    To qualify for payment, providers must prescribe beta amyloid PET 
for beneficiaries with a set of clinical criteria specific to each 
cancer. Data elements will be transmitted to CMS for evaluation of the 
short and long-term benefits of beta amyloid PET to beneficiaries and 
for use in future clinical decision making. Form Number: CMS-10583 (OMB 
control number: 0938-NEW); Frequency: Annually; Affected Public: 
Private sector (Business or other for-profit); Number of Respondents: 
300; Total Annual Responses: 3,700; Total Annual Hours: 6,475. (For 
policy questions regarding this collection contact Stuart Caplan at 
410-786-8564).

    Dated: December 3, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-30892 Filed 12-7-15; 8:45 am]
 BILLING CODE 4120-01-P



                                             76292                                Federal Register / Vol. 80, No. 235 / Tuesday, December 8, 2015 / Notices

                                             previous year to determine whether the                                   battery were similarly affected.                                               long been used by government,
                                             results consistent. In addition to                                       Persistent differences will be examined                                        academic, and private researchers to
                                             comparing the unweighted and                                             to determine whether there is any other                                        evaluate both general health and
                                             weighted frequencies, the input and                                      interviewer effect such as results                                             specific issues, such as smoking,
                                             output specifications are reviewed, and                                  comparing newly hired and experienced                                          diabetes, health care coverage, and
                                             the flowcharts are compared to the skip                                  interviewers and newly added primary                                           access to health care. It is a leading
                                             instructions and universes for each                                      sampling units compared to continuing                                          source of data for the Congressionally-
                                             question. If a difference is found, steps                                primary sampling units. In addition,                                           mandated ‘‘Health US’’ and related
                                             are taken to determine whether the                                       national estimates on the key set of                                           publications, as well as the single most
                                             change is legitimate or whether there is                                 indicators that are released in a                                              important source of statistics to track
                                             a factor other than the programming of                                   quarterly report as part of the Early                                          progress toward the National Health
                                             the questionnaire such as the location or                                Release program will be monitored by                                           Promotion and Disease Prevention
                                             context of the question in the                                           NHIS analysts.                                                                 Objectives, ‘‘Healthy People 2020.’’
                                             questionnaire. If a difference persists,                                   In accordance with the 1995 initiative                                          Burden hours have seen a net increase
                                             the paradata are reviewed to determine                                   to increase the integration of surveys                                         of 1,367 hours compared to 2015 due to
                                             whether there are changes in the mean                                    within the DHHS, respondents to the                                            the removal of the screener
                                             or median time spent on that question,                                   NHIS serve as the sampling frame for                                           questionnaire and the addition of the
                                             whether interviewers had a high rate of                                  the Medical Expenditure Panel Survey                                           questionnaire redesign activities. There
                                             backing up to return to that question,                                   conducted by the Agency for Healthcare                                         is no cost to the respondents other than
                                             and whether other questions in that                                      Research and Quality. The NHIS has                                             their time.

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

                                             Adult Family Member ......................................              Family Questionnaire .....................................                              45,000                               1           23/60
                                             Sample Adult ...................................................        Sample Adult Questionnaire ..........................                                   36,000                               1           15/60
                                             Adult Family Member ......................................              Sample Child Questionnaire ..........................                                   14,000                               1           10/60
                                             Adult Family Member ......................................              Supplements ..................................................                          45,000                               1           20/60
                                             Adult Family Member ......................................              Special Projects .............................................                          15,000                               1           20/60
                                             Adult Family Member ......................................              Reinterview Questions ...................................                                5,000                               1            5/60

                                                   Total .........................................................   .........................................................................   ........................   ........................         49,000



                                             Leroy A. Richardson,                                                     extension or reinstatement of an existing                                      Attention: CMS Desk Officer, Fax
                                             Chief, Information Collection Review Office,                             collection of information, and to allow                                        Number: (202) 395–5806 OR, Email:
                                             Office of Scientific Integrity, Office of the                            a second opportunity for public                                                OIRA_submission@omb.eop.gov.
                                             Associate Director for Science, Office of the                            comment on the notice. Interested                                                To obtain copies of a supporting
                                             Director, Centers for Disease Control and                                persons are invited to send comments                                           statement and any related forms for the
                                             Prevention.
                                                                                                                      regarding the burden estimate or any                                           proposed collection(s) summarized in
                                             [FR Doc. 2015–30854 Filed 12–7–15; 8:45 am]
                                                                                                                      other aspect of this collection of                                             this notice, you may make your request
                                             BILLING CODE 4163–18–P                                                   information, including any of the                                              using one of following:
                                                                                                                      following subjects: (1) The necessity and                                        1. Access CMS’ Web site address at
                                                                                                                      utility of the proposed information                                            http://www.cms.hhs.gov/
                                             DEPARTMENT OF HEALTH AND
                                                                                                                      collection for the proper performance of                                       PaperworkReductionActof1995.
                                             HUMAN SERVICES
                                                                                                                      the agency’s functions; (2) the accuracy                                         2. Email your request, including your
                                             Centers for Medicare & Medicaid                                          of the estimated burden; (3) ways to                                           address, phone number, OMB number,
                                             Services                                                                 enhance the quality, utility, and clarity                                      and CMS document identifier, to
                                                                                                                      of the information to be collected; and                                        Paperwork@cms.hhs.gov.
                                             [Document Identifiers: CMS–10583]                                        (4) the use of automated collection                                              3. Call the Reports Clearance Office at
                                                                                                                      techniques or other forms of information                                       (410) 786–1326.
                                             Agency Information Collection
                                                                                                                      technology to minimize the information                                         FOR FURTHER INFORMATION CONTACT:
                                             Activities: Submission for OMB
                                                                                                                      collection burden.                                                             Reports Clearance Office at (410) 786–
                                             Review; Comment Request
                                                                                                                      DATES:Comments on the collection(s) of                                         1326.
                                             ACTION:      Notice.                                                     information must be received by the                                            SUPPLEMENTARY INFORMATION:     Under the
                                             SUMMARY:  The Centers for Medicare &                                     OMB desk officer by January 7, 2016:                                           Paperwork Reduction Act of 1995 (PRA)
                                             Medicaid Services (CMS) is announcing                                    ADDRESSES:   When commenting on the                                            (44 U.S.C. 3501–3520), federal agencies
                                             an opportunity for the public to                                         proposed information collections,                                              must obtain approval from the Office of
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                                             comment on CMS’ intention to collect                                     please reference the document identifier                                       Management and Budget (OMB) for each
                                             information from the public. Under the                                   or OMB control number. To be assured                                           collection of information they conduct
                                             Paperwork Reduction Act of 1995                                          consideration, comments and                                                    or sponsor. The term ‘‘collection of
                                             (PRA), federal agencies are required to                                  recommendations must be received by                                            information’’ is defined in 44 U.S.C.
                                             publish notice in the Federal Register                                   the OMB desk officer via one of the                                            3502(3) and 5 CFR 1320.3(c) and
                                             concerning each proposed collection of                                   following transmissions: OMB, Office of                                        includes agency requests or
                                             information, including each proposed                                     Information and Regulatory Affairs,                                            requirements that members of the public


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                                                                         Federal Register / Vol. 80, No. 235 / Tuesday, December 8, 2015 / Notices                                           76293

                                             submit reports, keep records, or provide                or other for-profit); Number of                         1. Electronically. You may send your
                                             information to a third party. Section                   Respondents: 300; Total Annual                        comments electronically to http://
                                             3506(c)(2)(A) of the PRA (44 U.S.C.                     Responses: 3,700; Total Annual Hours:                 www.regulations.gov. Follow the
                                             3506(c)(2)(A)) requires federal agencies                6,475. (For policy questions regarding                instructions for ‘‘Comment or
                                             to publish a 30-day notice in the                       this collection contact Stuart Caplan at              Submission’’ or ‘‘More Search Options’’
                                             Federal Register concerning each                        410–786–8564).                                        to find the information collection
                                             proposed collection of information,                        Dated: December 3, 2015.                           document(s) that are accepting
                                             including each proposed extension or                                                                          comments.
                                                                                                     William N. Parham, III,
                                             reinstatement of an existing collection                                                                         2. By regular mail. You may mail
                                                                                                     Director, Paperwork Reduction Staff, Office
                                             of information, before submitting the                                                                         written comments to the following
                                                                                                     of Strategic Operations and Regulatory
                                             collection to OMB for approval. To                      Affairs.                                              address: CMS, Office of Strategic
                                             comply with this requirement, CMS is                                                                          Operations and Regulatory Affairs,
                                                                                                     [FR Doc. 2015–30892 Filed 12–7–15; 8:45 am]
                                             publishing this notice that summarizes                                                                        Division of Regulations Development,
                                                                                                     BILLING CODE 4120–01–P
                                             the following proposed collection(s) of                                                                       Attention: Document Identifier/OMB
                                             information for public comment:                                                                               Control Number ll, Room C4–26–05,
                                                1. Type of Information Collection                                                                          7500 Security Boulevard, Baltimore,
                                             Request: New collection (Request for a                  DEPARTMENT OF HEALTH AND
                                                                                                     HUMAN SERVICES                                        Maryland 21244–1850.
                                             new OMB control number); Title of                                                                               To obtain copies of a supporting
                                             Information Collection: Data Collection                 Centers for Medicare & Medicaid                       statement and any related forms for the
                                             for Medicare Beneficiaries Receiving                    Services                                              proposed collection(s) summarized in
                                             Beta Amyloid Positron Emission                                                                                this notice, you may make your request
                                             Tomography (PET) for Dementia and                       [Document Identifiers: CMS–R–193 and                  using one of following:
                                             Neurodegenerative Disease Use: In the                   CMS–R–244]
                                                                                                                                                             1. Access CMS’ Web site address at
                                             Decision Memorandum #CAG–00431N                                                                               http://www.cms.hhs.gov/
                                             issued on September 27, 2013, CMS                       Agency Information Collection
                                                                                                     Activities: Proposed Collection;                      PaperworkReductionActof1995.
                                             determined there is sufficient evidence                                                                         2. Email your request, including your
                                             that the use of beta amyloid PET is                     Comment Request
                                                                                                                                                           address, phone number, OMB number,
                                             promising in 2 scenarios: (1) To exclude                AGENCY: Centers for Medicare &                        and CMS document identifier, to
                                             Alzheimer’s Disease (AD) in narrowly                    Medicaid Services.                                    Paperwork@cms.hhs.gov.
                                             defined and clinically difficult                        ACTION: Notice.                                         3. Call the Reports Clearance Office at
                                             differential diagnoses; and (2) to enrich                                                                     (410) 786–1326.
                                             clinical trials seeking better treatments               SUMMARY:   The Centers for Medicare &                 FOR FURTHER INFORMATION CONTACT:
                                             or prevention strategies for AD. CMS                    Medicaid Services (CMS) is announcing                 Reports Clearance Office at (410) 786–
                                             will cover one beta amyloid PET scan                    an opportunity for the public to                      1326.
                                             per patient through Coverage with                       comment on CMS’ intention to collect
                                             Evidence Development under section                      information from the public. Under the                SUPPLEMENTARY INFORMATION:
                                             1862(a)(1)(E) of the Social Security Act,               Paperwork Reduction Act of 1995 (the                  Contents
                                             in clinical studies that meet specific                  PRA), federal agencies are required to
                                             criteria established by CMS. Clinical                   publish notice in the Federal Register                  This notice sets out a summary of the
                                             studies must be approved by CMS,                        concerning each proposed collection of                use and burden associated with the
                                             involve subjects from appropriate                       information (including each proposed                  following information collections. More
                                             populations, and be comparative and                     extension or reinstatement of an existing             detailed information can be found in
                                             longitudinal. Radiopharmaceuticals                      collection of information) and to allow               each collection’s supporting statement
                                             used in the scan must be FDA approved.                  60 days for public comment on the                     and associated materials (see
                                             Approved studies must address defined                                                                         ADDRESSES).
                                                                                                     proposed action. Interested persons are
                                             research questions established by CMS.                  invited to send comments regarding our                CMS–R–193 Important Message from
                                             Clinical studies in this National                       burden estimates or any other aspect of                 Medicare (IM)
                                             Coverage Determination (NCD) must                                                                             CMS–R–244 Programs for All-
                                                                                                     this collection of information, including
                                             adhere to the designated timeframe and                                                                          inclusive Care of the Elderly (PACE)
                                                                                                     any of the following subjects: (1) The
                                             meet standards establish by CMS in the                                                                          and Supporting Regulations
                                                                                                     necessity and utility of the proposed
                                             NCD. Consistent with section 1142 of                                                                            Under the PRA (44 U.S.C. 3501–
                                                                                                     information collection for the proper
                                             the Social Security Act, the Agency for                                                                       3520), federal agencies must obtain
                                                                                                     performance of the agency’s functions;
                                             Healthcare and Quality (AHRQ)                                                                                 approval from the Office of Management
                                                                                                     (2) the accuracy of the estimated
                                             supports clinical research studies that                                                                       and Budget (OMB) for each collection of
                                                                                                     burden; (3) ways to enhance the quality,
                                             CMS determines meet specifically                                                                              information they conduct or sponsor.
                                                                                                     utility, and clarity of the information to
                                             identified requirements and research                                                                          The term ‘‘collection of information’’ is
                                                                                                     be collected; and (4) the use of
                                             questions.                                                                                                    defined in 44 U.S.C. 3502(3) and 5 CFR
                                                                                                     automated collection techniques or
                                                To qualify for payment, providers                                                                          1320.3(c) and includes agency requests
                                                                                                     other forms of information technology to
                                             must prescribe beta amyloid PET for                                                                           or requirements that members of the
                                                                                                     minimize the information collection
                                             beneficiaries with a set of clinical                                                                          public submit reports, keep records, or
                                                                                                     burden.
                                             criteria specific to each cancer. Data                                                                        provide information to a third party.
                                             elements will be transmitted to CMS for                 DATES: Comments must be received by                   Section 3506(c)(2)(A) of the PRA
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                                             evaluation of the short and long-term                   February 8, 2016.                                     requires federal agencies to publish a
                                             benefits of beta amyloid PET to                         ADDRESSES: When commenting, please                    60-day notice in the Federal Register
                                             beneficiaries and for use in future                     reference the document identifier or                  concerning each proposed collection of
                                             clinical decision making. Form Number:                  OMB control number. To be assured                     information, including each proposed
                                             CMS–10583 (OMB control number:                          consideration, comments and                           extension or reinstatement of an existing
                                             0938–NEW); Frequency: Annually;                         recommendations must be submitted in                  collection of information, before
                                             Affected Public: Private sector (Business               any one of the following ways:                        submitting the collection to OMB for


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Document Created: 2015-12-14 13:27:01
Document Modified: 2015-12-14 13:27:01
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 January 7, 2016:
ContactReports Clearance Office at (410) 786- 1326.
FR Citation80 FR 76292 

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