80 FR 80771 - 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 248 (December 28, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 248 (December 28, 2015)
| Page Range | 80771-80772 | |
| FR Document | 2015-32435 |
[Federal Register Volume 80, Number 248 (Monday, December 28, 2015)] [Notices] [Pages 80771-80772] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-32435] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers CMS-10079 and CMS-10564] 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 27, 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_[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 of a currently approved collection; Title of Information Collection: Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64; Use: Section 304(c) of Public Law 106-554 amended section 1886(d) (3) (E) of the Social Security Act to require CMS to collect data every three years on the occupational mix of employees for each short-term, acute care hospital participating in the Medicare program, in order to construct an occupational mix adjustment to the wage index, for application beginning October 1, 2004 (the FY 2005 wage index). The purpose of the occupational mix adjustment is to control for the effect of hospitals' employment choices on the wage index. For example, hospitals may choose to employ different combinations of registered nurses, licensed practical nurses, nursing aides, and medical assistants for the purpose of providing nursing care to their patients. The varying labor costs associated with these choices reflect hospital management decisions rather than geographic differences in the costs of labor. The FY 2016 survey will provide for the collection of hospital- specific wages and hours data for calendar year 2016 (that is, payroll periods ending between January 1, 2016 and December 31, 2016). The 2016 Medicare occupational mix survey will be applied beginning with the FY 2019 wage index. Form Number: CMS-10079 (OMB control number: 0938- 0907); Frequency: Yearly; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions), State, Local and Tribal Governments; Number of Respondents: 3,400; Total Annual Responses: 3,400; Total Annual Hours: 1,632,000. (For policy questions regarding this collection contact Noel Manlove at 410-786-5161.) 2. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: Home Health Face-to-Face Encounter Clinical Templates; Use: The Centers for Medicare & Medicare Services (CMS) is requesting the Office of Management and Budget (OMB) approval of the collection of data required to support the eligibility of Medicare home health services. Home health services are covered under the Hospital Insurance (Part A) and Supplemental Medical Insurance (Part B) benefits of the Medicare program. It consists of part-time, medically necessary skilled care [[Page 80772]] (nursing, physical therapy, occupational therapy, and speech-language therapy) that is ordered by a physician. The CMS has developed a list of clinical elements within a suggested electronic clinical template that would allow electronic health record vendors to create prompts to assist physicians when documenting the HH face-to-face encounter for Medicare purposes. Once completed by the physician, the resulting progress note or clinic note would be part of the medical record. The primary users of these new clinical templates will be physicians and/or allowed non-physician practitioners (NPPs). The templates will help users to capture the necessary information needed to complete the face- to-face encounter documentation. This will help physicians and/or allowed NPPs comply with Medicare policy requirements, thereby reducing the possibility of a home health claim not being paid because of failure to meet Medicare requirements. It should be noted that this information collection request has been revised with non-substantive changes since the publication of the 60-day (80 FR 48320) notice. Form Number: CMS-10564 (OMB control number: 0938-New); Frequency: Occasionally; Affected Public: Private sector (Business or other For- profit and Not-for-profit institutions); Number of Respondents: 2,926,420; Total Annual Responses: 2,926,420; Total Annual Hours: 1,220,317. (For policy questions regarding this collection contact Kristal Vines at 410-786-0119). Dated: December 21, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-32435 Filed 12-24-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices 80771
may provide citations to that data or collection for the proper performance of the following proposed collection(s) of
arguments in his or her prior comments, the agency’s functions; (2) the accuracy information for public comment:
memoranda, or other filings (specifying of the estimated burden; (3) ways to 1. Type of Information Collection
the relevant page and/or paragraph enhance the quality, utility, and clarity Request: Extension of a currently
numbers where the data or arguments of the information to be collected; and approved collection;
can be found) in lieu of summarizing (4) the use of automated collection Title of Information Collection:
them in the memorandum. Documents techniques or other forms of information Hospital Wage Index Occupational Mix
shown or given to Commission staff technology to minimize the information Survey and Supporting Regulations in
during ex parte meetings are deemed to collection burden. 42 CFR, Section 412.64; Use: Section
be written ex parte presentations and 304(c) of Public Law 106–554 amended
DATES: Comments on the collection(s) of
must be filed consistent with § 1.1206(b) section 1886(d) (3) (E) of the Social
information must be received by the
of the Commission’s rules. In Security Act to require CMS to collect
OMB desk officer by January 27, 2016.
proceedings governed by § 1.49(f) or for data every three years on the
ADDRESSES: When commenting on the occupational mix of employees for each
which the Commission has made
proposed information collections, short-term, acute care hospital
available a method of electronic filing,
please reference the document identifier participating in the Medicare program,
written ex parte presentations and
or OMB control number. To be assured in order to construct an occupational
memoranda summarizing oral ex parte
consideration, comments and mix adjustment to the wage index, for
presentations and all attachments to
recommendations must be received by application beginning October 1, 2004
those documents must be filed through
the OMB desk officer via one of the (the FY 2005 wage index). The purpose
the electronic comment filing system
following transmissions: of the occupational mix adjustment is to
available for that proceeding, and must
be filed in their native format (e.g., .doc, OMB, Office of Information and control for the effect of hospitals’
.xml, .ppt, searchable .pdf). Participants Regulatory Affairs, Attention: CMS employment choices on the wage index.
in this proceeding should familiarize Desk Officer, Fax Number: (202) 395– For example, hospitals may choose to
themselves with the Commission’s ex 5806 OR, Email: OIRA_ employ different combinations of
parte rules. omb.eop.gov. registered nurses, licensed practical
nurses, nursing aides, and medical
Federal Communications Commission. To obtain copies of a supporting assistants for the purpose of providing
Katherine M. Harris, statement and any related forms for the nursing care to their patients. The
Deputy Chief, Mobility Division, Wireless proposed collection(s) summarized in varying labor costs associated with these
Telecommunications Bureau. this notice, you may make your request choices reflect hospital management
[FR Doc. 2015–32638 Filed 12–24–15; 8:45 am] using one of following: decisions rather than geographic
BILLING CODE 6712–01–P 1. Access CMS’ Web site address at differences in the costs of labor. The FY
http://www.cms.hhs.gov/ 2016 survey will provide for the
PaperworkReductionActof1995. collection of hospital-specific wages and
DEPARTMENT OF HEALTH AND 2. Email your request, including your hours data for calendar year 2016 (that
HUMAN SERVICES address, phone number, OMB number, is, payroll periods ending between
and CMS document identifier, to January 1, 2016 and December 31,
Centers for Medicare & Medicaid Paperwork@cms.hhs.gov. 2016). The 2016 Medicare occupational
Services 3. Call the Reports Clearance Office at mix survey will be applied beginning
(410) 786–1326. with the FY 2019 wage index. Form
[Document Identifiers CMS–10079 and
CMS–10564] FOR FURTHER INFORMATION CONTACT: Number: CMS–10079 (OMB control
Reports Clearance Office at (410) 786– number: 0938–0907); Frequency: Yearly;
Agency Information Collection 1326. Affected Public: Private sector (Business
Activities: Submission for OMB or other for-profits and Not-for-profit
SUPPLEMENTARY INFORMATION: Under the institutions), State, Local and Tribal
Review; Comment Request
Paperwork Reduction Act of 1995 (PRA) Governments; Number of Respondents:
ACTION: Notice. (44 U.S.C. 3501–3520), federal agencies 3,400; Total Annual Responses: 3,400;
must obtain approval from the Office of Total Annual Hours: 1,632,000. (For
SUMMARY: The Centers for Medicare & Management and Budget (OMB) for each policy questions regarding this
Medicaid Services (CMS) is announcing collection of information they conduct collection contact Noel Manlove at 410–
an opportunity for the public to or sponsor. The term ‘‘collection of 786–5161.)
comment on CMS’ intention to collect information’’ is defined in 44 U.S.C. 2. Type of Information Collection
information from the public. Under the 3502(3) and 5 CFR 1320.3(c) and Request: New collection (Request for a
Paperwork Reduction Act of 1995 includes agency requests or new OMB control number); Title of
(PRA), federal agencies are required to requirements that members of the public Information Collection: Home Health
publish notice in the Federal Register submit reports, keep records, or provide Face-to-Face Encounter Clinical
concerning each proposed collection of information to a third party. Section Templates; Use: The Centers for
information, including each proposed 3506(c)(2)(A) of the PRA (44 U.S.C. Medicare & Medicare Services (CMS) is
extension or reinstatement of an existing 3506(c)(2)(A)) requires federal agencies requesting the Office of Management
collection of information, and to allow to publish a 30-day notice in the and Budget (OMB) approval of the
mstockstill on DSK4VPTVN1PROD with NOTICES
a second opportunity for public Federal Register concerning each collection of data required to support
comment on the notice. Interested proposed collection of information, the eligibility of Medicare home health
persons are invited to send comments including each proposed extension or services. Home health services are
regarding the burden estimate or any reinstatement of an existing collection covered under the Hospital Insurance
other aspect of this collection of of information, before submitting the (Part A) and Supplemental Medical
information, including any of the collection to OMB for approval. To Insurance (Part B) benefits of the
following subjects: (1) The necessity and comply with this requirement, CMS is Medicare program. It consists of part-
utility of the proposed information publishing this notice that summarizes time, medically necessary skilled care
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![80772 Federal Register / Vol. 80, No. 248 / Monday, December 28, 2015 / Notices
(nursing, physical therapy, occupational this information collection request has DEPARTMENT OF HEALTH AND
therapy, and speech-language therapy) been revised with non-substantive HUMAN SERVICES
that is ordered by a physician. The CMS changes since the publication of the 60-
has developed a list of clinical elements day (80 FR 48320) notice. Form Administration for Children and
within a suggested electronic clinical Number: CMS–10564 (OMB control Families
template that would allow electronic number: 0938–New); Frequency:
health record vendors to create prompts Submission for OMB Review;
Occasionally; Affected Public: Private
to assist physicians when documenting Comment Request
sector (Business or other For-profit and
the HH face-to-face encounter for Not-for-profit institutions); Number of Title: Annual Survey of Refugees
Medicare purposes. Once completed by Respondents: 2,926,420; Total Annual (Form ORR–9).
the physician, the resulting progress Responses: 2,926,420; Total Annual OMB No.: 0970–0033.
note or clinic note would be part of the Hours: 1,220,317. (For policy questions Description: The Annual Survey of
medical record. The primary users of regarding this collection contact Kristal Refugees collects information on the
these new clinical templates will be Vines at 410–786–0119). social and economic characteristics of a
physicians and/or allowed non- random sample of refugees, Amerasians,
physician practitioners (NPPs). The Dated: December 21, 2015. and entrants who arrived in the United
templates will help users to capture the William N. Parham, III, States in the five years prior to the date
necessary information needed to Director, Paperwork Reduction Staff, Office of the survey. The survey focuses on
complete the face-to-face encounter of Strategic Operations and Regulatory employment and other training, labor
documentation. This will help Affairs. participation, and welfare utilization
physicians and/or allowed NPPs comply [FR Doc. 2015–32435 Filed 12–24–15; 8:45 am] rates. From the responses, the Office of
with Medicare policy requirements, BILLING CODE 4120–01–P Refugee Resettlement reports on the
thereby reducing the possibility of a economic adjustment of refugees to the
home health claim not being paid American economy.
because of failure to meet Medicare Respondents: Refugees, Amerasians
requirements. It should be noted that and entrants
ANNUAL BURDEN ESTIMATES
Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response
ORR–9 Annual Survey of Refugees ............................................................... 2,000 1 0.62 1240
Request for Participation Letter ....................................................................... 2,000 1 0.05 100
Estimated Total Annual Burden Desk Officer for the Administration for Head Start Eligibility Verification form
Hours: 1,340. Children and Families. to reflect changes in the eligibility final
Additional Information: Copies of the rule published on February 10, 2015 (80
Robert Sargis,
proposed collection may be obtained by FR 7368). OHS initially developed the
Reports Clearance Officer.
writing to the Administration for form to help programs determine
[FR Doc. 2015–32604 Filed 12–24–15; 8:45 am] eligibility. However, Head Start
Children and Families, Office of BILLING CODE 4184–01–P programs are not required to use this
Planning, Research and Evaluation, 330
specific form. Programs may either
C Street SW., Washington, DC 20201. adopt the form or design a new form to
Attention Reports Clearance Officer. All DEPARTMENT OF HEALTH AND
meet the eligibility requirements.
requests should be identified by the title HUMAN SERVICES
The Office of Head Start published a
of the information collection. Email
Administration for Children and final rule on eligibility under the
address: infocollection@acf.hhs.gov.
Families authority granted to the Secretary of
OMB Comment: OMB is required to Health and Human Services under the
make a decision concerning the Submission for OMB Review; Head Start Act (Act) at sections 644(c),
collection of information between 30 Comment Request 645(a)(1)(A), and 645A(c). The final rule
and 60 days after publication of this clarifies Head Start’s eligibility
Title: Head Start Eligibility
document in the Federal Register. Verification. procedures and enrollment
Therefore, a comment is best assured of OMB No.: 0970–0374. requirements, and reinforces Head
having its full effect if OMB receives it Description: The Office of Head Start Start’s overall mission to support low-
within 30 days of publication. Written (OHS) within the Administration for income families and early learning. A
comments and recommendations for the Children and Families, United States program must maintain records as
proposed information collection should Department of Health and Human specified in sections 1305.4(d)(2),
be sent directly to the following: Office Services, proposes to renew, with 1305.4(l), and 1305.4(h) through (j) of
mstockstill on DSK4VPTVN1PROD with NOTICES
of Management and Budget, Paperwork changes, its authority for record keeping the final rule.
Reduction Project, Email: OIRA_ requirements associated with Head Start Respondents: Head Start and Early
SUBMISSION@OMB.EOP.GOV, Attn: eligibility verification. OHS revised the Head Start program grant recipients.
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Document Created: 2018-03-02 09:24:10
Document Modified: 2018-03-02 09:24:10
| 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 27, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 80771 |
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