81 FR 18855 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 63 (April 1, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 63 (April 1, 2016)
| Page Range | 18855-18857 | |
| FR Document | 2016-07423 |
[Federal Register Volume 81, Number 63 (Friday, April 1, 2016)] [Notices] [Pages 18855-18857] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-07423] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-10545, CMS-10309, CMS-855(A, B, I) and CMS- 10468] 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 require; 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: (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 must be received by May 31, 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: [[Page 18856]] 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-10545--Outcome and Assessment Information Set (OASIS) OASIS-C2/ICD- 10 CMS-10309--Grandfathering Provisions of the Medicare DMEPOS Competitive Bidding Program CMS-855(A, B, I)--Medicare Enrollment Application CMS-10468--Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment 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 collection; Title of Information Collection: Outcome and Assessment Information Set (OASIS) OASIS-C2/ICD-10; Use: Home health agencies (HHAs) are required to collect the outcome and assessment information data set (OASIS) to participate in the Medicare program. The OASIS item set has been revised and is now referred to as OASIS-C2. It is scheduled for implementation on January 1, 2017. The OASIS C2 is being modified to include changes pursuant to the Improving Medicare Post-Acute Care Transformation Act of 2014 (the IMPACT Act), and formatting changes throughout the document. Form Number: CMS-10545 (OMB control number: 0938-1279); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 12,198; Total Annual Responses: 17,900,000; Total Annual Hours: 15,812,511. (For policy questions regarding this collection contact Michelle Brazil at 410-786-1648). 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Grandfathering Provisions of the Medicare DMEPOS Competitive Bidding Program; Use: The grandfathering process was established in the April 10, 2007 final rule for competitive bidding for rented DME and oxygen and oxygen equipment included under the Medicare DMEPOS Competitive Bidding Program. This process only applies to suppliers that rented DME and oxygen and oxygen equipment to beneficiaries who maintain a permanent residence in a CBA before the implementation of the competitive bidding program. The competitive bidding program will require some beneficiaries to change their suppliers. In order to avoid a beneficiary being without medically necessary equipment we felt it necessary to establish this notification process. Form Number: CMS-10309 (OMB control number: 0938- 1079); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 1,125; Total Annual Responses: 39,998; Total Annual Hours: 4,535. (For policy questions regarding this collection contact Djanira Rivera at 410-786-8646). 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare Enrollment Application; Use: The primary function of the CMS-855 Medicare enrollment application is to gather information from a provider or supplier that tells us who it is, whether it meets certain qualifications to be a health care provider or supplier, where it practices or renders its services, the identity of the owners of the enrolling entity, and other information necessary to establish correct claims payments. Form Number: CMS-855(A, B, I) (OMB control number: 0938-0685); Frequency: Annually; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 1,735,800; Total Annual Responses: 86,480; Total Annual Hours: 290,193. (For policy questions regarding this collection contact Kimberly McPhillips at 410-786-5374.) 4. Type of Information Collection Request: Extension of a previously approved collection; Title of Information Collection: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment; Use: The Patient Protection and Affordable Care Act, Public Law 111-148, enacted on March 23, 2010, and the Health Care and Education Reconciliation Act, Public Law 111-152, expands access to health insurance for individuals and employees of small businesses through the establishment of new Affordable Insurance Exchanges (Exchanges), including the Small Business Health Options Program (SHOP). The Exchanges, which became operational on January 1, 2014, enhanced competition in the health insurance market, expanded access to affordable health insurance for millions of Americans, and provided consumers with a place to easily compare and shop for health insurance coverage. The reporting requirements and data collection in Medicaid, Children's Health Insurance Programs, and Exchanges: Essential Health Benefits in Alternative Benefit Plans, Eligibility Notices, Fair Hearing and Appeal Processes, and Premiums and Cost Sharing; Exchanges: Eligibility and Enrollment (CMS-2334-F) address: (1) Standards related to notices, (2) procedures for the verification of enrollment in an eligible employer- sponsored plan and eligibility for qualifying coverage in an eligible employer-sponsored plan; and (3) other eligibility and enrollment provisions to provide detail necessary for state implementation. Form Number: CMS-10468 (OMB control number: 0938-1207); Frequency: Annually; Affected Public: Individuals, Households and Private Sector; Number of Respondents: 13,200; Total Annual Responses: 13,200; Total Annual Hours: 8,899. (For [[Page 18857]] policy questions regarding this collection contact Sarah Boehm at 301- 492-4429.) Dated: March 29, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-07423 Filed 3-31-16; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 81, No. 63 / Friday, April 1, 2016 / Notices 18855
DEPARTMENT OF HEALTH AND Prevention (CDC), an Operating Division ACTION: Notice.
HUMAN SERVICES (OPDIV) of the Department of Health
and Human Services (HHS) has SUMMARY: The Centers for Medicare &
Centers for Disease Control and prepared a Final EA to assess the Medicaid Services (CMS) is announcing
Prevention potential impacts associated with the an opportunity for the public to
undertaking of proposed improvements comment on CMS’ intention to collect
Notice of Availability of the Final on the HHS/CDC Fort Collins Campus
Environmental Assessment (Final EA) information from the public. Under the
(CDC Fort Collins Campus) located on Paperwork Reduction Act of 1995 (the
and a Finding of No Significant Impact the Colorado State University (CSU)
(FONSI) for HHS/CDC Fort Collins PRA), federal agencies are require; to
Foothills Campus in Fort Collins, publish notice in the Federal Register
Campus Proposed Improvements Colorado. The Final EA analyzed the
concerning each proposed collection of
AGENCY: Centers for Disease Control and effects of the Build Alternative
information (including each proposed
Prevention, Department of Health and (Proposed Action) and the No Build
extension or reinstatement of an existing
Human Services (HHS). Alternative. The Build Alternative
collection of information) and to allow
ACTION: Notice of Availability of Final consists of improvements to the CDC
Fort Collins Campus which entails the 60 days for public comment on the
Environmental Assessment and a proposed action. Interested persons are
Finding of No Significant Impact construction of a new approximately
5,600 gsf building which will house invited to send comments regarding our
(FONSI) for HHS/CDC Fort Collins burden estimates or any other aspect of
Campus Proposed Improvements. laboratory support freezer space and
communal space, upgrades to existing this collection of information, including
SUMMARY: The Centers for Disease parking areas and additional any of the following subjects: (1) The
Control and Prevention (CDC), within infrastructure improvements. The No necessity and utility of the proposed
the Department of Health and Human Build Alternative represents the information collection for the proper
Services (HHS), is issuing this notice to continued operation of the existing performance of the agency’s functions;
advise the public that HHS/CDC has facilities at the CDC Fort Collins (2) the accuracy of the estimated
prepared and approved on March 22, Campus without any new construction burden; (3) ways to enhance the quality,
2016, a Finding of No Significant Impact or infrastructure upgrades. utility, and clarity of the information to
(FONSI) based on the Final The Final EA evaluated the potential be collected; and (4) the use of
Environmental Assessment for proposed impacts to socioeconomics and automated collection techniques or
improvements on the HHS/CDC Fort environmental justice, land use, zoning, other forms of information technology to
Collins Campus. HHS/CDC prepared the public policy, community facilities and minimize the information collection
Final EA in accordance with the services, transportation, air quality, burden.
National Environmental Policy Act of noise, cultural resources, urban design
1969 (NEPA), as amended (42 U.S.C. and visual resources, natural resources, DATES:Comments must be received by
4321 et seq.), the Council on utility service, hazardous materials, May 31, 2016.
Environmental Quality (CEQ) greenhouse gases and sustainability, and ADDRESSES: When commenting, please
implementing regulations (40 CFR parts construction. HHS/CDC assessed the
1500–1508) and the HHS General reference the document identifier or
potential impacts of the Build OMB control number. To be assured
Administration Manual (GAM) Part 30 Alternative in the Final EA and as a
Environmental Procedures, dated consideration, comments and
result issued a FONSI indicating that recommendations must be submitted in
February 25, 2000. HHS/CDC has the proposed action will not have a
determined that the proposed action any one of the following ways:
significant impact on the environment.
would not have a significant impact on 1. Electronically. You may send your
the human or natural environment and Dated: March 28, 2016.
comments electronically to http://
therefore, the preparation of an Sandra Cashman,
www.regulations.gov. Follow the
Environmental Impact Statement is not Executive Secretary, Centers for Disease instructions for ‘‘Comment or
required. Control and Prevention.
Submission’’ or ‘‘More Search Options’’
DATES: The FONSI and Final EA are [FR Doc. 2016–07368 Filed 3–31–16; 8:45 am]
to find the information collection
available as of the publication date of BILLING CODE 4163–18–P
document(s) that are accepting
this notice. comments.
ADDRESSES: Copies of the FONSI and
DEPARTMENT OF HEALTH AND 2. By Regular Mail. You may mail
Final EA are available at the following
HUMAN SERVICES written comments to the following
locations:
address: CMS, Office of Strategic
• Old Town Library, 201 Peterson Centers for Medicare & Medicaid Operations and Regulatory Affairs,
Street, Fort Collins, Colorado 80524. Services
• Harmony Library, 4616 South Division of Regulations Development,
Shields, Fort Collins, Colorado 80526. Attention: Document Identifier/OMB
Copies of the FONSI and/or Final EA [Document Identifier: CMS–10545, CMS– Control Number l, Room C4–26–05,
can also be requested from: Robert 10309, CMS–855(A, B, I) and CMS–10468] 7500 Security Boulevard, Baltimore,
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Lawson, Centers for Disease Control and Maryland 21244–1850.
Agency Information Collection
Prevention, Asset Management Services To obtain copies of a supporting
Activities: Proposed Collection;
Office, MS K80, 1600 Clifton Road, statement and any related forms for the
Comment Request
Atlanta, GA 30329, 770–488–2447. proposed collection(s) summarized in
SUPPLEMENTARY INFORMATION: The AGENCY: Centers for Medicare & this notice, you may make your request
Centers for Disease Control and Medicaid Services, HHS. using one of following:
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policy questions regarding this DEPARTMENT OF HEALTH AND (URM) program. The ORR–3 (Placement
collection contact Sarah Boehm at 301– HUMAN SERVICES Report) is submitted to ORR by the State
492–4429.) agency at the minor’s initial placement
Administration for Children and in the resettlement State within 30 days
Dated: March 29, 2016.
Families of the placement, and whenever there is
William N. Parham, III, a change in the minor’s status, including
Director, Paperwork Reduction Staff, Office Proposed Information Collection termination from the program, within 60
of Strategic Operations and Regulatory Activity; Comment Request days of the change or closure of the
Affairs. case. The ORR–4 (Progress Report) is
Proposed Projects
[FR Doc. 2016–07423 Filed 3–31–16; 8:45 am] submitted every 12 months beginning
Title: ORR–3 Placement Report and
BILLING CODE 4120–01–P with 12 months from the date of the
ORR–4 Progress Report for
initial placement to record outcomes of
Unaccompanied Refugee Minors (URM)
the child’s progress toward the goals
Program.
OMB No.: 0970–0034. listed in the child’s case plan. ORR–4 is
Description: As required by section also submitted along with the initial
412(d) of the Immigration and ORR–3 report for 17 years old or above
Nationality Act, the Administration for youth related to independent living
Children and Families (ACF), Office of and/or educational plans. The ORR
Refugee Resettlement (ORR), is regulations per 45 CFR 400.120 describe
requesting the information from report specific URM program reporting
Form ORR–3 and ORR–4 to administer requirements.
the Unaccompanied Refugee Minors Respondents: State governments.
ANNUAL BURDEN ESTIMATES
Number of Number of responses Average burden hours
Instrument Total burden hours
respondents per respondent per response
ORR–3 ................................... 15 Estimated responses 178 ...... 0.25 (15 min) ......................... Estimated 667.5.
ORR–4 ................................... 15 Estimated responses 127 ...... 1.25 (1 hour and 15 min) ....... Estimated 2,381.25.
Estimated Total Annual Burden respondents, including through the use grantees submit to the U.S. Department
Hours: 3,048.75. of automated collection techniques or of Health and Human Services (HHS) for
In compliance with the requirements other forms of information technology. each fiscal year in which they leverage
of Section 506(c)(2)(A) of the Paperwork Consideration will be given to countable resources. Participation in the
Reduction Act of 1995, the comments and suggestions submitted leveraging incentive program is
Administration for Children and within 60 days of this publication. voluntary and is described at 45 CFR
Families is soliciting public comment 96.87. The LIHEAP leveraging report
Robert Sargis,
on the specific aspects of the obtains information on the resources
Reports Clearance Officer. leveraged by LIHEAP grantees each
information collection described above.
Copies of the proposed collection of [FR Doc. 2016–07361 Filed 3–31–16; 8:45 am] federal fiscal year, e.g., as cash,
information can be obtained and BILLING CODE 4184–01–P discounts, waivers, and in-kind; the
comments may be forwarded by writing benefits provided to low-income
to the Administration for Children and households by these resources, for
Families, Office of Planning, Research DEPARTMENT OF HEALTH AND example, as fuel and payments for fuel,
and Evaluation, 330 C Street SW., HUMAN SERVICES as home heating and cooling equipment,
Washington DC 20201. Attn: ACF Administration for Children and and as weatherization materials and
Reports Clearance Officer. Email Families installation; and the fair market value of
address: infocollection@acf.hhs.gov. All these resources/benefits.
requests should be identified by the title Proposed Information Collection HHS needs this information in order
of the information collection. Activity; Comment Request to carry out federal statutory
The Department specifically requests requirements for administering the
comments on: (a) Whether the proposed Proposed Projects LIHEAP leveraging incentive program,
collection of information is necessary Title: Low Income Home Energy to determine accountability and
for the proper performance of the Assistance Program (LIHEAP) valuation of grantees’ leveraged non-
functions of the agency, including Leveraging Report. federal home energy resources, and to
whether the information shall have OMB No.: 0970–0121. determine grantees’ shares of leveraging
practical utility; (b) the accuracy of the Description: The LIHEAP leveraging incentive funds. HHS proposes to
agency’s estimate of the burden of the incentive program rewards LIHEAP request a three-year clearance by OMB
asabaliauskas on DSK3SPTVN1PROD with NOTICES
proposed collection of information; (c) grantees that have leveraged non-federal for the LIHEAP leveraging report
the quality, utility, and clarity of the home energy resources for low-income information collection which has
information to be collected; and (d) households. The LIHEAP leveraging received OMB approval in the past.
ways to minimize the burden of the report is the application for leveraging Respondents: State, Local or Tribal
collection of information on incentive funds that the LIHEAP Governments.
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Document Created: 2016-04-06 00:08:06
Document Modified: 2016-04-06 00:08:06
| 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 May 31, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 18855 |
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