80 FR 76994 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 238 (December 11, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 238 (December 11, 2015)
| Page Range | 76994-76995 | |
| FR Document | 2015-31302 |
[Federal Register Volume 80, Number 238 (Friday, December 11, 2015)] [Notices] [Pages 76994-76995] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-31302] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-855O, CMS-10438 and CMS-10439] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services, HHS. 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: the necessity and utility of the proposed information collection for the proper performance of the agency's functions; the accuracy of the estimated burden; ways to enhance the quality, utility, and clarity of the information to be collected; and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by February 9, 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 [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: 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-855O Medicare Registration Application CMS-10438 Data Collection To Support Eligibility Determinations and Enrollment for Employees in the Small Business Health Options Program CMS-10439 Data Collection To Support Eligibility Determinations and Enrollment for Employers in the Small Business Health Options Program 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. 1. Type of Information Collection Request: Revision of a currently approved information collection; Title of Information Collection: Medicare Registration Application; Use: The primary function of the CMS-8550 is to gather information from a physician or other eligible professional to help CMS determine whether he or she meets certain qualifications to be enrolled in the Medicare program for the sole purpose of ordering or certifying certain Medicare items or services and/or prescribing Medicare Part D drugs for Medicare beneficiaries. The application allows a physician or other eligible professional to enroll in Medicare without being approved for billing privileges. The required information is submitted when the applicant requests enrollment in Medicare for the sole purpose of ordering and certifying certain Medicare items and services or for prescribing Medicare Part D drugs. The application is used by Medicare contractors to collect data to help ensure [[Page 76995]] that the applicant has the necessary credentials to order and certify certain Medicare items and services or to prescribe Medicare Part D drugs. This includes ensuring that the physician is not excluded debarred from the Medicare program. Form Number: CMS-855O (OMB Control Number: 0938-1135); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profits), State, Local, or Tribal Governments; Number of Respondents: 448,000; Number of Responses: 24,000; Total Annual Hours: 243,600. (For questions regarding this collection contact Kimberly McPhillips (410) 786-8438.) 2. Type of Information Collection Request: Revision of a currently approved information collection; Title of Information Collection: Data Collection to Support Eligibility Determinations and Enrollment for Employees in the Small Business Health Options Program; Use: Section 1311(b)(1)(B) of the Affordable Care Act directs that the SHOP assist qualified small employers in facilitating the enrollment of their employees in QHPs offered in the small group market. Section 1311(c)(1)(F) of the Affordable Care Act directs HHS to establish criteria for certification of health plans as QHPs and plans to utilize a uniform enrollment form for qualified employers. Further, section 1311(c)(5)(B) directs HHS to develop a Web site that assists employers in determining if they are eligible to participate in SHOP. Form Number: CMS-10438 (OMB Control Number: 0938-1194); Frequency: Annually; Affected Public: Private Sector; Number of Respondents: 60,000; Number of Responses: 60,000; Total Annual Hours: 60,000. (For questions regarding this collection contact Christelle Jang at (410) 786-8438.) 3. Type of Information Collection Request: Revision of a currently approved information collection; Title of Information Collection: Data Collection to Support Eligibility Determinations and Enrollment for Employers in the Small Business Health Options Program; Use: Section 1311(b)(1)(B) of the Affordable Care Act directs that the SHOP assist qualified small employers in facilitating the enrollment of their employees in QHPs offered in the small group market. Section 1311(c)(1)(F) of the Affordable Care Act directs HHS to establish criteria for certification of health plans as QHPs and plans to utilize a uniform enrollment form for qualified employers. Further, section 1311(c)(5)(B) directs HHS to develop a Web site that assists employers in determining if they are eligible to participate in SHOP. Form Number: CMS-10439 (OMB Control Number: 0938-1139); Frequency: Annually; Affected Public: Private Sector; Number of Respondents: 6,000; Number of Responses: 6,000; Total Annual Hours: 12,000. (For questions regarding this collection contact Christelle Jang at (410) 786-8438.) Dated: December 8, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-31302 Filed 12-10-15; 8:45 am] BILLING CODE 4120-01-P
![76994 Federal Register / Vol. 80, No. 238 / Friday, December 11, 2015 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Average
Number of
Number of burden per
Type of respondents Form name responses per
respondents response
respondent (in hrs.)
Individuals in households ................................ Special Studies .............................................. 3,500 1 3
Leroy A. Richardson, recommendations must be submitted in CMS–855O Medicare Registration
Chief, Information Collection Review Office, any one of the following ways: Application
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the 1. Electronically. You may send your CMS–10438 Data Collection To
Director, Centers for Disease Control and comments electronically to http:// Support Eligibility Determinations and
Prevention. www.regulations.gov. Follow the Enrollment for Employees in the Small
[FR Doc. 2015–31226 Filed 12–10–15; 8:45 am] instructions for ‘‘Comment or Business Health Options Program
BILLING CODE 4163–18–P Submission’’ or ‘‘More Search Options’’ CMS–10439 Data Collection To
to find the information collection Support Eligibility Determinations and
document(s) that are accepting Enrollment for Employers in the Small
DEPARTMENT OF HEALTH AND comments. Business Health Options Program
HUMAN SERVICES 2. By regular mail. You may mail Under the PRA (44 U.S.C. 3501–
Centers for Medicare & Medicaid written comments to the following 3520), federal agencies must obtain
Services address: CMS, Office of Strategic approval from the Office of Management
Operations and Regulatory Affairs, and Budget (OMB) for each collection of
[Document Identifier: CMS–855O, CMS– Division of Regulations Development, information they conduct or sponsor.
10438 and CMS–10439] The term ‘‘collection of information’’ is
Attention: Document Identifier/OMB
Agency Information Collection Control Number ll, Room C4–26–05, defined in 44 U.S.C. 3502(3) and 5 CFR
Activities: Proposed Collection; 7500 Security Boulevard, Baltimore, 1320.3(c) and includes agency requests
Comment Request Maryland 21244–1850. or requirements that members of the
public submit reports, keep records, or
AGENCY: Centers for Medicare & To obtain copies of a supporting provide information to a third party.
Medicaid Services, HHS. statement and any related forms for the Section 3506(c)(2)(A) of the PRA
ACTION: Notice. proposed collection(s) summarized in requires federal agencies to publish a
this notice, you may make your request 60-day notice in the Federal Register
SUMMARY: The Centers for Medicare & using one of following: concerning each proposed collection of
Medicaid Services (CMS) is announcing information, including each proposed
1. Access CMS’ Web site address at
an opportunity for the public to extension or reinstatement of an existing
http://www.cms.hhs.gov/
comment on CMS’ intention to collect collection of information, before
information from the public. Under the PaperworkReductionActof1995.
submitting the collection to OMB for
Paperwork Reduction Act of 1995 (the 2. Email your request, including your approval. To comply with this
PRA), federal agencies are required to address, phone number, OMB number, requirement, CMS is publishing this
publish notice in the Federal Register and CMS document identifier, to notice.
concerning each proposed collection of Paperwork@cms.hhs.gov. 1. Type of Information Collection
information (including each proposed 3. Call the Reports Clearance Office at Request: Revision of a currently
extension or reinstatement of an existing (410) 786–1326. approved information collection; Title
collection of information) and to allow of Information Collection: Medicare
60 days for public comment on the FOR FURTHER INFORMATION CONTACT: Registration Application; Use: The
proposed action. Interested persons are Reports Clearance Office at (410) 786– primary function of the CMS–8550 is to
invited to send comments regarding our 1326. gather information from a physician or
burden estimates or any other aspect of other eligible professional to help CMS
this collection of information, including SUPPLEMENTARY INFORMATION:
determine whether he or she meets
any of the following subjects: the Contents certain qualifications to be enrolled in
necessity and utility of the proposed the Medicare program for the sole
information collection for the proper This notice sets out a summary of the purpose of ordering or certifying certain
performance of the agency’s functions; use and burden associated with the Medicare items or services and/or
the accuracy of the estimated burden; following information collections. More prescribing Medicare Part D drugs for
ways to enhance the quality, utility, and detailed information can be found in Medicare beneficiaries. The application
clarity of the information to be each collection’s supporting statement allows a physician or other eligible
collected; and the use of automated and associated materials (see professional to enroll in Medicare
collection techniques or other forms of ADDRESSES). without being approved for billing
information technology to minimize the privileges. The required information is
jstallworth on DSK7TPTVN1PROD with NOTICES
information collection burden. submitted when the applicant requests
DATES: Comments must be received by enrollment in Medicare for the sole
February 9, 2016. purpose of ordering and certifying
ADDRESSES: When commenting, please certain Medicare items and services or
reference the document identifier or for prescribing Medicare Part D drugs.
OMB control number. To be assured The application is used by Medicare
consideration, comments and contractors to collect data to help ensure
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![Federal Register / Vol. 80, No. 238 / Friday, December 11, 2015 / Notices 76995
that the applicant has the necessary determining if they are eligible to hereby given of the meeting of the
credentials to order and certify certain participate in SHOP. Form Number: National Science Advisory Board for
Medicare items and services or to CMS–10439 (OMB Control Number: Biosecurity (NSABB).
prescribe Medicare Part D drugs. This 0938–1139); Frequency: Annually; Name of Committee: National Science
includes ensuring that the physician is Affected Public: Private Sector; Number Advisory Board for Biosecurity.
not excluded debarred from the of Respondents: 6,000; Number of Date: January 7–8, 2016.
Medicare program. Form Number: Responses: 6,000; Total Annual Hours: Time: January 7, 2016, 8:30 a.m.–5:30 p.m.
CMS–855O (OMB Control Number: 12,000. (For questions regarding this Eastern; January 8, 2016, 8:30 a.m. to
0938–1135); Frequency: Occasionally; collection contact Christelle Jang at adjournment.
Affected Public: Private Sector (Business (410) 786–8438.) Agenda: Presentations and discussions
or other for-profits), State, Local, or regarding: (1) Preliminary findings of the
Dated: December 8, 2015. NSABB Working Group on Evaluating the
Tribal Governments; Number of William N. Parham, III, Risks and Benefits of Gain-of-Function (GOF)
Respondents: 448,000; Number of Studies; (2) the results of the risk-benefit
Director, Paperwork Reduction Staff, Office
Responses: 24,000; Total Annual Hours: of Strategic Operations and Regulatory assessment of GOF studies involving
243,600. (For questions regarding this Affairs. pathogens with pandemic potential; (3)
collection contact Kimberly McPhillips [FR Doc. 2015–31302 Filed 12–10–15; 8:45 am] ethical and policy issues relevant to the
(410) 786–8438.) conduct and oversight of GOF studies; and
BILLING CODE 4120–01–P
2. Type of Information Collection (4) other business of the Board.
Request: Revision of a currently Place: National Institutes of Health, Bldg.
approved information collection; Title 31, C Wing, 6th Floor, Conference Room 6,
DEPARTMENT OF HEALTH AND 9000 Rockville Pike, Bethesda, MD 20892.
of Information Collection: Data HUMAN SERVICES
Collection to Support Eligibility Contact Person: Christopher Viggiani,
Ph.D., Executive Director, NSABB, NIH
Determinations and Enrollment for National Institutes of Health Office of Science Policy, 6705 Rockledge
Employees in the Small Business Health Drive, Suite 750, Bethesda, Maryland 20892,
Options Program; Use: Section Office of the Director; Notice of Charter (301) 496–9838, viggianic@od.nih.gov.
1311(b)(1)(B) of the Affordable Care Act Renewal
directs that the SHOP assist qualified Under authority 42 U.S.C. 217a,
In accordance with Title 41 of the Section 222 of the Public Health Service
small employers in facilitating the
U.S. Code of Federal Regulations, Act, as amended, the Department of
enrollment of their employees in QHPs
Section 102–3.65(a), notice is hereby Health and Human Services established
offered in the small group market.
given that the Charter for the PUBMED the National Science Advisory Board for
Section 1311(c)(1)(F) of the Affordable
CENTRAL NATIONAL ADVISORY Biosecurity (NSABB) to provide advice
Care Act directs HHS to establish
COMMITTEE (PUBMED) was renewed regarding federal oversight of dual use
criteria for certification of health plans
for an additional two-year period on research—defined as legitimate
as QHPs and plans to utilize a uniform
December 8, 2015. biological research that generates
enrollment form for qualified It is determined that the PUBMED is
employers. Further, section information and technologies that could
in the public interest in connection with be misused to pose a biological threat to
1311(c)(5)(B) directs HHS to develop a the performance of duties imposed on
Web site that assists employers in public health and/or national security.
the National Institutes of Health by law, The NSABB is currently charged with
determining if they are eligible to and that these duties can best be
participate in SHOP. Form Number: providing formal recommendations to
performed through the advice and the United States Government on a
CMS–10438 (OMB Control Number: counsel of this group.
0938–1194); Frequency: Annually; conceptual approach for the evaluation
Inquiries may be directed to Jennifer of proposed gain-of-function studies.
Affected Public: Private Sector; Number Spaeth, Director, Office of Federal
of Respondents: 60,000; Number of The meeting will be open to the
Advisory Committee Policy, Office of public and will also be webcast as space
Responses: 60,000; Total Annual Hours: the Director, National Institutes of
60,000. (For questions regarding this will be limited. Persons planning to
Health, 6701 Democracy Boulevard, attend or view via the webcast may pre-
collection contact Christelle Jang at Suite 1000, Bethesda, Maryland 20892
(410) 786–8438.) register online using the link provided
(Mail Code 4875), Telephone (301) 496– below or by calling Palladian Partners,
3. Type of Information Collection 2123, or spaethj@od.nih.gov.
Request: Revision of a currently Inc. (Contact: Ida Donner at 301–650–
approved information collection; Title Dated: December 8, 2015. 8660). Online and telephone registration
of Information Collection: Data Michelle Trout, will close at 12:00 p.m. Eastern on
Collection to Support Eligibility Program Analyst, Office of Federal Advisory January 4, 2016. After that time,
Determinations and Enrollment for Committee Policy. attendees may register onsite on the day
Employers in the Small Business Health [FR Doc. 2015–31239 Filed 12–10–15; 8:45 am] of the meeting. Individuals who plan to
Options Program; Use: Section BILLING CODE 4140–01–P attend and need special assistance, such
1311(b)(1)(B) of the Affordable Care Act as sign language interpretation or other
directs that the SHOP assist qualified reasonable accommodations, should
small employers in facilitating the DEPARTMENT OF HEALTH AND indicate these requirements upon
enrollment of their employees in QHPs HUMAN SERVICES registration on or prior to January 4.
offered in the small group market. Meeting materials: The meeting
Section 1311(c)(1)(F) of the Affordable National Institutes of Health agenda and links to the online
jstallworth on DSK7TPTVN1PROD with NOTICES
Care Act directs HHS to establish registration and webcast will be
Office of the Director, Office of Science
criteria for certification of health plans available at: http://osp.od.nih.gov/
Policy, Office of Biotechnology
as QHPs and plans to utilize a uniform office-biotechnology-activities/
Activities; Notice of Meeting
enrollment form for qualified biosecurity/nsabb/nsabb-meetings-and-
employers. Further, section Pursuant to section 10(a) of the conferences. Preliminary findings of the
1311(c)(5)(B) directs HHS to develop a Federal Advisory Committee Act, as NSABB working group as well as the
Web site that assists employers in amended (5 U.S.C. App.), notice is results of the risk-benefit assessment,
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Document Created: 2018-03-02 09:12:48
Document Modified: 2018-03-02 09:12:48
| 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 February 9, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 76994 |
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