80 FR 79045 - 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 243 (December 18, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 243 (December 18, 2015)
| Page Range | 79045-79046 | |
| FR Document | 2015-31887 |
[Federal Register Volume 80, Number 243 (Friday, December 18, 2015)] [Notices] [Pages 79045-79046] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-31887] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-855S, CMS-10142 and CMS-R-262] 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 19, 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: [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: Revision of a currently approved collection; Title of Information Collection: Medicare Enrollment Application--Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers; Use: The primary function of the CMS 855S Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) supplier enrollment application is to gather information from a supplier that tells us who it is, whether it meets certain qualifications to be a health care supplier, where it renders its services or supplies, the identity of the owners of the enrolling entity, and information necessary to establish correct claims payment. The goal of this revision of the CMS-855S is to simplify and clarify the current data collection and to remove obsolete and/or redundant questions. Grammar and spelling errors were corrected. Limited informational text has been added within the application form and instructions in conjunction with links to Web sites when detail is needed by the supplier. To clarify current data collection differentiations and to be in sync with accreditation coding, section 3D (``Products and Services Furnished by This Supplier'') has been updated. This revision does not offer any new material data collection. CMS received one comment in response to the 60-day notice. Form Number: CMS-855S (OMB Control Number: 0938-1056); Frequency: Annually; Affected Public: Private sector (, Business or other for-profits and Not-for- profit institutions); Number of Respondents: 31,915; Total Annual Responses: 31,915; Total Annual Hours: 36,842. (For policy questions regarding this collection contact Kimberly McPhillips at 410-786-5374.) 2. Type of Information Collection Request: Revision of a currently [[Page 79046]] approved collection; Title of Information Collection: Bid Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans (PDP); Use: We require that Medicare Advantage organizations and Prescription Drug Plans complete the BPT as part of the annual bidding process. During this process, organizations prepare their proposed actuarial bid pricing for the upcoming contract year and submit them to us for review and approval. The purpose of the BPT is to collect the actuarial pricing information for each plan. The BPT calculates the plan's bid, enrollee premiums, and payment rates. We publish beneficiary premium information using a variety of formats (www.medicare.gov, the Medicare & You handbook, Summary of Benefits marketing information) for the purpose of beneficiary education and enrollment. The package has been revised subsequent to the publication of the 60-day Federal Register notice (September 24, 2015; 80 FR 57619). Form Number: CMS-10142 (OMB control number 0938-0944); Frequency: Yearly; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 555; Total Annual Responses: 4,995; Total Annual Hours: 149,850. (For policy questions regarding this collection contact Rachel Shevland at 410-786-3026). 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Contract Year 2017 Plan Benefit Package (PBP) Software and Formulary Submission; Use: We require that Medicare Advantage and Prescription Drug Plan organizations submit a completed PBP and formulary as part of the annual bidding process. During this process, organizations prepare their proposed plan benefit packages for the upcoming contract year and submit them to us for review and approval. We publish beneficiary education information using a variety of formats. The specific education initiatives that utilize PBP and formulary data include web application tools on www.medicare.gov and the plan benefit insert in the Medicare & You handbook. In addition, organizations utilize the PBP data to generate their Summary of Benefits marketing information. The package has been revised subsequent to the publication of the 60-day Federal Register notice (September 24, 2015; 80 FR 57619). Form Number: CMS-R-262 (OMB control number 0938-0763); Frequency: Yearly; Affected Public: Private sector (business or other for-profits and not-for- profit institutions); Number of Respondents: 552; Total Annual Responses: 5,448; Total Annual Hours: 52,902. (For policy questions regarding this collection contact Kristy Holtje at 410-786-2209). Dated: December 15, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-31887 Filed 12-17-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 243 / Friday, December 18, 2015 / Notices 79045
Community Network (MCCN) Medical an opportunity for the public to information’’ is defined in 44 U.S.C.
Director, Advocate Physician Partners, comment on CMS’ intention to collect 3502(3) and 5 CFR 1320.3(c) and
Carla Smith, Executive Vice President, information from the public. Under the includes agency requests or
Healthcare Information and Paperwork Reduction Act of 1995 requirements that members of the public
Management Systems Society (HIMSS); (PRA), federal agencies are required to submit reports, keep records, or provide
Tobin Van Ostern, Vice President and publish notice in the Federal Register information to a third party. Section
Co-Founder, Young Invincibles concerning each proposed collection of 3506(c)(2)(A) of the PRA (44 U.S.C.
Advisors; and Paula Villescaz, Senior information, including each proposed 3506(c)(2)(A)) requires federal agencies
Consultant, Assembly Health extension or reinstatement of an existing to publish a 30-day notice in the
Committee. collection of information, and to allow Federal Register concerning each
a second opportunity for public proposed collection of information,
II. Provisions of This Notice including each proposed extension or
comment on the notice. Interested
In accordance with section 10(a) of persons are invited to send comments reinstatement of an existing collection
the FACA, this notice announces a regarding the burden estimate or any of information, before submitting the
meeting of the APOE. The agenda for other aspect of this collection of collection to OMB for approval. To
the January 13, 2016 meeting will information, including any of the comply with this requirement, CMS is
include the following: following subjects: (1) The necessity and publishing this notice that summarizes
• Welcome and listening session with utility of the proposed information the following proposed collection(s) of
CMS leadership collection for the proper performance of information for public comment:
• Recap of the previous (October 7, the agency’s functions; (2) the accuracy 1. Type of Information Collection
2015) meeting of the estimated burden; (3) ways to Request: Revision of a currently
• Affordable Care Act initiatives enhance the quality, utility, and clarity approved collection; Title of
• An opportunity for public comment of the information to be collected; and Information Collection: Medicare
• Meeting summary, review of (4) the use of automated collection Enrollment Application—Durable
recommendations, and next steps techniques or other forms of information Medical Equipment, Prosthetics,
technology to minimize the information Orthotics and Supplies (DMEPOS)
Individuals or organizations that wish Suppliers; Use: The primary function of
to make a 5-minute oral presentation on collection burden.
the CMS 855S Durable Medical
an agenda topic should submit a written DATES: Comments on the collection(s) of
Equipment, Prosthetics, Orthotics and
copy of the oral presentation to the DFO information must be received by the
Supplies (DMEPOS) supplier
at the address listed in the ADDRESSES OMB desk officer by January 19, 2016:
enrollment application is to gather
section of this notice by the date listed ADDRESSES: When commenting on the information from a supplier that tells us
in the DATES section of this notice. The proposed information collections, who it is, whether it meets certain
number of oral presentations may be please reference the document identifier qualifications to be a health care
limited by the time available. or OMB control number. To be assured supplier, where it renders its services or
Individuals not wishing to make an oral consideration, comments and supplies, the identity of the owners of
presentation may submit written recommendations must be received by the enrolling entity, and information
comments to the DFO at the address the OMB desk officer via one of the necessary to establish correct claims
listed in the ADDRESSES section of this following transmissions: payment.
notice by the date listed in the DATES OMB, Office of Information and The goal of this revision of the CMS–
section of this notice. Regulatory Affairs, Attention: CMS 855S is to simplify and clarify the
Authority: Sec. 222 of the Public Health Desk Officer, Fax Number: (202) 395– current data collection and to remove
Service Act (42 U.S.C. 217a) and sec. 10(a) 5806 OR, Email: OIRA_submission@ obsolete and/or redundant questions.
of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a) omb.eop.gov. Grammar and spelling errors were
and 41 CFR 102–3). corrected. Limited informational text
To obtain copies of a supporting
Dated: December 10, 2015. statement and any related forms for the has been added within the application
Andrew M. Slavitt, proposed collection(s) summarized in form and instructions in conjunction
Acting Administrator, Centers for Medicare this notice, you may make your request with links to Web sites when detail is
& Medicaid Services. using one of following: needed by the supplier. To clarify
[FR Doc. 2015–31861 Filed 12–17–15; 8:45 am] 1. Access CMS’ Web site address at current data collection differentiations
http://www.cms.hhs.gov/ and to be in sync with accreditation
BILLING CODE 4120–01–P
PaperworkReductionActof1995. coding, section 3D (‘‘Products and
2. Email your request, including your Services Furnished by This Supplier’’)
DEPARTMENT OF HEALTH AND address, phone number, OMB number, has been updated. This revision does
HUMAN SERVICES and CMS document identifier, to not offer any new material data
Paperwork@cms.hhs.gov. collection. CMS received one comment
Centers for Medicare & Medicaid 3. Call the Reports Clearance Office at in response to the 60-day notice. Form
Services (410) 786–1326. Number: CMS–855S (OMB Control
Number: 0938–1056); Frequency:
[Document Identifiers: CMS–855S, CMS– FOR FURTHER INFORMATION CONTACT:
Annually; Affected Public: Private
10142 and CMS–R–262] Reports Clearance Office at (410) 786– sector (, Business or other for-profits
1326.
mstockstill on DSK4VPTVN1PROD with NOTICES
Agency Information Collection and Not-for-profit institutions); Number
SUPPLEMENTARY INFORMATION: Under the of Respondents: 31,915; Total Annual
Activities: Submission for OMB
Paperwork Reduction Act of 1995 (PRA) Responses: 31,915; Total Annual Hours:
Review; Comment Request
(44 U.S.C. 3501–3520), federal agencies 36,842. (For policy questions regarding
ACTION: Notice. must obtain approval from the Office of this collection contact Kimberly
Management and Budget (OMB) for each McPhillips at 410–786–5374.)
SUMMARY: The Centers for Medicare & collection of information they conduct 2. Type of Information Collection
Medicaid Services (CMS) is announcing or sponsor. The term ‘‘collection of Request: Revision of a currently
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![79046 Federal Register / Vol. 80, No. 243 / Friday, December 18, 2015 / Notices
approved collection; Title of a variety of formats. The specific ACF oversees more than 60 programs
Information Collection: Bid Pricing Tool education initiatives that utilize PBP that affect the normal day to day
(BPT) for Medicare Advantage (MA) and formulary data include web operations of families, children,
Plans and Prescription Drug Plans application tools on www.medicare.gov individuals and communities in the
(PDP); Use: We require that Medicare and the plan benefit insert in the United States. Many of these programs
Advantage organizations and Medicare & You handbook. In addition, encourage grantees or state
Prescription Drug Plans complete the organizations utilize the PBP data to administrators to develop emergency
BPT as part of the annual bidding generate their Summary of Benefits preparedness plans, but do not have
process. During this process, marketing information. The package has statutory authority to require these
organizations prepare their proposed been revised subsequent to the plans be in place. ACF facilitates the
actuarial bid pricing for the upcoming publication of the 60-day Federal inclusion of emergency preparedness
contract year and submit them to us for Register notice (September 24, 2015; 80 planning and training efforts for ACF
review and approval. The purpose of the FR 57619). Form Number: CMS–R–262 programs.
BPT is to collect the actuarial pricing (OMB control number 0938–0763);
information for each plan. The BPT Presidential Policy Directive–8 (PPD–
Frequency: Yearly; Affected Public: 8) provides federal guidance and
calculates the plan’s bid, enrollee Private sector (business or other for-
premiums, and payment rates. We planning procedures under established
profits and not-for-profit institutions);
publish beneficiary premium phases—protection, preparedness,
Number of Respondents: 552; Total
information using a variety of formats response, recovery, and mitigation. The
Annual Responses: 5,448; Total Annual
(www.medicare.gov, the Medicare & You Disaster Information Collection Forms
Hours: 52,902. (For policy questions
handbook, Summary of Benefits addressed in this clearance process
regarding this collection contact Kristy
marketing information) for the purpose provide assessment of ACF programs in
Holtje at 410–786–2209).
of beneficiary education and disaster response, and recovery.
Dated: December 15, 2015.
enrollment. The package has been ACF/Office of Human Services
revised subsequent to the publication of William N. Parham, III,
Emergency Preparedness and Response
the 60-day Federal Register notice Director, Paperwork Reduction Staff, Office (OHSEPR) has a requirement under
(September 24, 2015; 80 FR 57619). of Strategic Operations and Regulatory
PPD–8, the National Response
Affairs.
Form Number: CMS–10142 (OMB Framework, and the National Disaster
control number 0938–0944); Frequency: [FR Doc. 2015–31887 Filed 12–17–15; 8:45 am]
Recovery Framework to report disaster
Yearly; Affected Public: Private sector BILLING CODE 4120–01–P
impacts to ACF-supported human
(Business or other for-profits and Not- services programs to the HHS
for-profit institutions); Number of Secretary’s Operation Center (SOC) and
Respondents: 555; Total Annual DEPARTMENT OF HEALTH AND
interagency partners. ACF/OHSEPR
Responses: 4,995; Total Annual Hours: HUMAN SERVICES
works in partnership with the Assistant
149,850. (For policy questions regarding Secretary for Preparedness and
Administration for Children and
this collection contact Rachel Shevland Response (ASPR), and the Federal
Families
at 410–786–3026). Emergency Management Agency
3. Type of Information Collection Submission for OMB Review; (FEMA) to report assessments of disaster
Request: Revision of a currently Comment Request impacted ACF programs and the status
approved collection; Title of of continuity of services and recovery.
Information Collection: Contract Year Title: Disaster Information Collection
2017 Plan Benefit Package (PBP) Form. Respondents: State administrators,
Software and Formulary Submission; OMB No.: 0970—NEW. and/or ACF grantees.
Use: We require that Medicare Description: This is a request by the Annual Burden Estimates: The
Advantage and Prescription Drug Plan Administration for Children and burden cap for the Disaster Information
organizations submit a completed PBP Families (ACF) for a generic clearance Collection Form is estimated based on a
and formulary as part of the annual for the Disaster Information Collection single disaster per year. The estimate is
bidding process. During this process, Form. An approval for a generic for approximately 10 state
organizations prepare their proposed clearance is being requested because administrators, or grantees to go through
plan benefit packages for the upcoming each of the thirteen program offices all of the applicable questions with the
contract year and submit them to us for within ACF has a slightly different need Regional and Central Office staff. Some
review and approval. We publish for information about program impact ACF programs have more questions and
beneficiary education information using information collection during a disaster. may have more respondents.
Number of
Number of
Instrument responses per Burden hours per response Total burden hours
respondents respondent
Disaster Information Collection Form .................... 10 15 0.08 hours (5 minutes) ....... 1.25 hours (75 minutes).
An estimate of the number of disasters they had minimal effects on ACF DC 20447, Attn: ACF Reports Clearance
mstockstill on DSK4VPTVN1PROD with NOTICES
that would warrant data collection is programs. Officer. All requests should be
difficult to calculate due to the Additional Information: Copies of the identified by the title of the information
unpredictable nature of disasters. For proposed collection may be obtained by collection. Email address:
example, in 2012, there were 95 writing to the Administration for infocollection@acf.hhs.gov.
disasters nationwide but OHSEPR did Children and Families, Office of OMB Comment: OMB is required to
not collect data on all of them because Planning, Research and Evaluation, 370 make a decision concerning the
L’Enfant Promenade SW., Washington, collection of information between 30
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Document Created: 2015-12-18 01:39:02
Document Modified: 2015-12-18 01:39:02
| 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 January 19, 2016: | |
| Contact | Reports Clearance Office at (410) 786-1326. | |
| FR Citation | 80 FR 79045 |
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