81_FR_23783 81 FR 23705 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 23705 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 81, Issue 78 (April 22, 2016)

Page Range23705-23706
FR Document2016-09425

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.

Federal Register, Volume 81 Issue 78 (Friday, April 22, 2016)
[Federal Register Volume 81, Number 78 (Friday, April 22, 2016)]
[Notices]
[Pages 23705-23706]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-09425]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1490S and CMS-10458]


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 June 21, 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-1490S Patient's Request for Medicare Payment

CMS-10458 Consumer Research Supporting Outreach for Health Insurance 
Marketplace

    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: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Patient's Request for Medicare Payment; Use: The Form CMS-1490S form 
provides beneficiaries with a relatively easy form to use when filing 
their claims. Without the collection of this information, claims for 
reimbursement relating to the provision of Part B medical services/
supplies could not be acted upon. This would result in a nationwide 
paralysis of the operation of the Federal Government's Part B Medicare 
program, and major problems for the patients/beneficiaries inflicting 
severe physical and financial hardship on beneficiaries. This form was 
explicitly developed for easy use by beneficiaries who file their own 
claims. The CMS-1490S form can be obtained from any Social Security 
office or Medicare Administrative Contractors or CMS. When the CMS-
1490S is used, the beneficiary must attach to it his/her bills from 
physicians or suppliers. The form is, therefore, designed specifically 
to aid beneficiaries who cannot get assistance from their physicians or 
suppliers for completing claim forms. The form is currently approved 
under 0938-1197; however, we are submitting for approval as a 
standalone information collection request. Once a new OMB control 
number is issued, we will remove the burden for the CMS-1490S that is 
currently approved under OMB control number 0938-1197. Form Number: 
CMS-1490 (OMB control number: 0938-NEW); Frequency: Occasionally 
Affected Public: Individuals and Households; Number of Respondents: 
167,839; Total Annual Responses: 167,839; Total Annual Hours: 83,920. 
(For policy questions regarding this collection contact Sumita Sen at 
410-786-5755.)

[[Page 23706]]

    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Consumer Research 
Supporting Outreach for Health Insurance Marketplace; Use: The Centers 
for Medicare and Medicaid Services is requesting reapproval for two 
surveys that aid in understanding levels of awareness and customer 
service needs associated with the Health Insurance Marketplace 
established by the Affordable Care Act. Because the Marketplace will 
provide coverage to the almost 50 million uninsured in the United 
States through individual and small employer programs, we have 
developed one survey to be administered to individual consumers most 
likely to use the Marketplace and another to be administered to small 
employers most likely to use the Small Business Health Options portion 
of the Marketplace. These brief surveys, designed to be conducted 
quarterly, give CMS the ability to obtain a rough indication of the 
types of outreach and marketing that will be needed to enhance 
awareness of and knowledge about the Marketplace for individual and 
business customers. CMS' biggest customer service need is likely to be 
providing sufficient education so consumers: (a) Can take advantage of 
the Marketplace and (b) know how to access CMS' customer service 
channels. The surveys will provide information on media use, concept 
awareness, and conceptual or content areas where education for customer 
service delivery can be improved. Awareness and knowledge gaps are 
likely to change over time based not only on effectiveness of CMS' 
marketing efforts, but also of those of state, local, private sector, 
and nongovernmental organizations. Form Number: CMS-10458 (OMB control 
number: 0938-1203): Frequency: Quarterly; Affected Public: Individuals 
or households, Private Sector (business or other for-profits); Number 
of Respondents: 40,200; Total Annual Responses: 40,200; Total Annual 
Hours: 2,480. (For policy questions regarding this collection contact 
Frank Funderburk at 410-786-1820.)

    Dated: April 19, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-09425 Filed 4-21-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                   Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices                                          23705

                                                  knowledge of beneficiaries’ experiences                 (2) the accuracy of the estimated                     approval from the Office of Management
                                                  with the care, as well as information on                burden; (3) ways to enhance the quality,              and Budget (OMB) for each collection of
                                                  any potential health consequences due                   utility, and clarity of the information to            information they conduct or sponsor.
                                                  to changes in IG medication or                          be collected; and (4) the use of                      The term ‘‘collection of information’’ is
                                                  participation in the Demonstration.                     automated collection techniques or                    defined in 44 U.S.C. 3502(3) and 5 CFR
                                                  Lastly, we will gather the physicians                   other forms of information technology to              1320.3(c) and includes agency requests
                                                  and nurses’ views of the degree to                      minimize the information collection                   or requirements that members of the
                                                  which beneficiaries believe the program                 burden.                                               public submit reports, keep records, or
                                                  is effective, including the cost                        DATES: Comments must be received by                   provide information to a third party.
                                                  effectiveness for beneficiaries who use                 June 21, 2016.                                        Section 3506(c)(2)(A) of the PRA
                                                  the services provided under the                                                                               requires federal agencies to publish a
                                                                                                          ADDRESSES: When commenting, please
                                                  Demonstration. Form Number: CMS–                                                                              60-day notice in the Federal Register
                                                                                                          reference the document identifier or
                                                  10600 (OMB control number: 0938–                                                                              concerning each proposed collection of
                                                                                                          OMB control number. To be assured
                                                  NEW); Frequency: Annually; Affected                                                                           information, including each proposed
                                                                                                          consideration, comments and
                                                  Public: Individuals and Households;                                                                           extension or reinstatement of an existing
                                                                                                          recommendations must be submitted in
                                                  State, Local or Tribal Governments;                                                                           collection of information, before
                                                                                                          any one of the following ways:
                                                  Private Sector (Business or other for-                    1. Electronically. You may send your                submitting the collection to OMB for
                                                  profit); Number of Respondents: 2,488;                  comments electronically to http://                    approval. To comply with this
                                                  Total Annual Responses: 2,488; Total                    www.regulations.gov. Follow the                       requirement, CMS is publishing this
                                                  Annual Hours: 483. (For policy                          instructions for ‘‘Comment or                         notice.
                                                  questions regarding this collection                     Submission’’ or ‘‘More Search Options’’                  1. Type of Information Collection
                                                  contact Pauline Karikari-Martin at 410–                 to find the information collection                    Request: New collection (Request for a
                                                  786–1040).                                              document(s) that are accepting                        new OMB control number); Title of
                                                     Dated: April 19, 2016.                               comments.                                             Information Collection: Patient’s
                                                  William N. Parham, III,                                   2. By regular mail. You may mail                    Request for Medicare Payment; Use: The
                                                  Director, Paperwork Reduction Staff, Office             written comments to the following                     Form CMS–1490S form provides
                                                  of Strategic Operations and Regulatory                  address: CMS, Office of Strategic                     beneficiaries with a relatively easy form
                                                  Affairs.                                                Operations and Regulatory Affairs,                    to use when filing their claims. Without
                                                  [FR Doc. 2016–09415 Filed 4–21–16; 8:45 am]             Division of Regulations Development,                  the collection of this information,
                                                  BILLING CODE 4120–01–P                                  Attention: Document Identifier/OMB                    claims for reimbursement relating to the
                                                                                                          Control Number llll, Room C4–26–                      provision of Part B medical services/
                                                                                                          05, 7500 Security Boulevard, Baltimore,               supplies could not be acted upon. This
                                                  DEPARTMENT OF HEALTH AND                                Maryland 21244–1850.                                  would result in a nationwide paralysis
                                                  HUMAN SERVICES                                            To obtain copies of a supporting                    of the operation of the Federal
                                                                                                          statement and any related forms for the               Government’s Part B Medicare program,
                                                  Centers for Medicare & Medicaid                         proposed collection(s) summarized in                  and major problems for the patients/
                                                  Services                                                this notice, you may make your request                beneficiaries inflicting severe physical
                                                  [Document Identifier: CMS–1490S and                     using one of following:                               and financial hardship on beneficiaries.
                                                  CMS–10458]                                                1. Access CMS’ Web site address at                  This form was explicitly developed for
                                                                                                          http://www.cms.hhs.gov/                               easy use by beneficiaries who file their
                                                  Agency Information Collection                           PaperworkReductionActof1995.                          own claims. The CMS–1490S form can
                                                  Activities: Proposed Collection;                          2. Email your request, including your               be obtained from any Social Security
                                                  Comment Request                                         address, phone number, OMB number,                    office or Medicare Administrative
                                                                                                          and CMS document identifier, to                       Contractors or CMS. When the CMS–
                                                  AGENCY: Centers for Medicare &                          Paperwork@cms.hhs.gov.
                                                  Medicaid Services, HHS.                                                                                       1490S is used, the beneficiary must
                                                                                                            3. Call the Reports Clearance Office at             attach to it his/her bills from physicians
                                                  ACTION: Notice.                                         (410) 786–1326.                                       or suppliers. The form is, therefore,
                                                  SUMMARY:   The Centers for Medicare &                   FOR FURTHER INFORMATION CONTACT:                      designed specifically to aid beneficiaries
                                                  Medicaid Services (CMS) is announcing                   Reports Clearance Office at (410) 786–                who cannot get assistance from their
                                                  an opportunity for the public to                        1326.                                                 physicians or suppliers for completing
                                                  comment on CMS’ intention to collect                    SUPPLEMENTARY INFORMATION:                            claim forms. The form is currently
                                                  information from the public. Under the                                                                        approved under 0938–1197; however,
                                                                                                          Contents
                                                  Paperwork Reduction Act of 1995 (the                                                                          we are submitting for approval as a
                                                  PRA), federal agencies are require; to                    This notice sets out a summary of the               standalone information collection
                                                  publish notice in the Federal Register                  use and burden associated with the                    request. Once a new OMB control
                                                  concerning each proposed collection of                  following information collections. More               number is issued, we will remove the
                                                  information (including each proposed                    detailed information can be found in                  burden for the CMS–1490S that is
                                                  extension or reinstatement of an existing               each collection’s supporting statement                currently approved under OMB control
                                                  collection of information) and to allow                 and associated materials (see                         number 0938–1197. Form Number:
                                                  60 days for public comment on the                       ADDRESSES).                                           CMS–1490 (OMB control number:
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                                                  proposed action. Interested persons are                 CMS–1490S Patient’s Request for                       0938–NEW); Frequency: Occasionally
                                                  invited to send comments regarding our                  Medicare Payment                                      Affected Public: Individuals and
                                                  burden estimates or any other aspect of                                                                       Households; Number of Respondents:
                                                  this collection of information, including               CMS–10458 Consumer Research                           167,839; Total Annual Responses:
                                                  any of the following subjects: (1) The                  Supporting Outreach for Health                        167,839; Total Annual Hours: 83,920.
                                                  necessity and utility of the proposed                   Insurance Marketplace                                 (For policy questions regarding this
                                                  information collection for the proper                     Under the PRA (44 U.S.C. 3501–                      collection contact Sumita Sen at 410–
                                                  performance of the agency’s functions;                  3520), federal agencies must obtain                   786–5755.)


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                                                  23706                            Federal Register / Vol. 81, No. 78 / Friday, April 22, 2016 / Notices

                                                     2. Type of Information Collection                    DEPARTMENT OF HEALTH AND                              II. Notice of Approval of ASHI as an
                                                  Request: Extension of a currently                       HUMAN SERVICES                                        Accreditation Organization
                                                  approved collection; Title of
                                                  Information Collection: Consumer                        Centers for Medicare & Medicaid                          In this notice, we approve ASHI as an
                                                  Research Supporting Outreach for                        Services                                              organization that may accredit
                                                  Health Insurance Marketplace; Use: The                                                                        laboratories for purposes of establishing
                                                                                                          [CMS–3330–N]
                                                  Centers for Medicare and Medicaid                                                                             its compliance with CLIA requirements
                                                                                                          Announcement of the Re-Approval of                    for the subspecialty of General
                                                  Services is requesting reapproval for
                                                                                                          the American Society of                               Immunology, the specialty of
                                                  two surveys that aid in understanding
                                                                                                          Histocompatibility and                                Histocompatibility, and the subspecialty
                                                  levels of awareness and customer
                                                                                                          Immunogenetics (ASHI) as an                           of ABO/Rh typing. We have examined
                                                  service needs associated with the Health
                                                                                                          Accreditation Organization Under the                  the initial ASHI application and all
                                                  Insurance Marketplace established by
                                                                                                          Clinical Laboratory Improvement                       subsequent submissions to determine its
                                                  the Affordable Care Act. Because the
                                                                                                          Amendments of 1988                                    accreditation program’s equivalency
                                                  Marketplace will provide coverage to                                                                          with the requirements for approval of an
                                                  the almost 50 million uninsured in the                  AGENCY: Centers for Medicare &                        accreditation organization under
                                                  United States through individual and                    Medicaid Services (CMS), HHS.
                                                                                                                                                                subpart E of part 493. We have
                                                  small employer programs, we have                        ACTION: Notice.                                       determined that ASHI meets or exceeds
                                                  developed one survey to be                                                                                    the applicable CLIA requirements. We
                                                  administered to individual consumers                    SUMMARY:    This notice announces the
                                                                                                          application of the American Society for               have also determined that ASHI will
                                                  most likely to use the Marketplace and                                                                        ensure that its accredited laboratories
                                                                                                          Histocompatibility and Immunogenetics
                                                  another to be administered to small                                                                           will meet or exceed the applicable
                                                                                                          (ASHI) for approval as an accreditation
                                                  employers most likely to use the Small                  organization for clinical laboratories                requirements in subparts H, I, J, K, M,
                                                  Business Health Options portion of the                  under the Clinical Laboratory                         Q, and the applicable sections of R.
                                                  Marketplace. These brief surveys,                       Improvement Amendments of 1988                        Therefore, we grant ASHI approval as an
                                                  designed to be conducted quarterly, give                (CLIA) program for the following                      accreditation organization under
                                                  CMS the ability to obtain a rough                       specialty and subspecialty areas:                     subpart E of part 493, for the period
                                                  indication of the types of outreach and                 General Immunology;                                   stated in the DATES section of this notice
                                                  marketing that will be needed to                        Histocompatibility; and ABO/Rh typing.                for the subspecialty of General
                                                  enhance awareness of and knowledge                      We have determined that the ASHI                      Immunology, the specialty of
                                                  about the Marketplace for individual                    accreditation meets or exceeds the                    Histocompatibility, and the subspecialty
                                                  and business customers. CMS’ biggest                    applicable CLIA requirements. We are                  of ABO/Rh typing. As a result of this
                                                  customer service need is likely to be                   announcing the approval and grant                     determination, any laboratory that is
                                                  providing sufficient education so                       ASHI deeming authority for a period of                accredited by ASHI during the time
                                                  consumers: (a) Can take advantage of the                6 years.                                              period stated in the DATES section of this
                                                  Marketplace and (b) know how to access                  DATES: Effective Date: This notice is                 notice will be deemed to meet the CLIA
                                                  CMS’ customer service channels. The                     effective from April 22, 2016 to April                requirements for the listed
                                                  surveys will provide information on                     21, 2022.                                             subspecialties and specialties, and
                                                  media use, concept awareness, and                       FOR FURTHER INFORMATION CONTACT:                      therefore, will generally not be subject
                                                  conceptual or content areas where                       Penelope Meyers, (410) 786–3366.                      to routine inspections by a state survey
                                                  education for customer service delivery                 SUPPLEMENTARY INFORMATION:                            agency to determine its compliance with
                                                  can be improved. Awareness and                          I. Background and Legislative                         CLIA requirements. The accredited
                                                  knowledge gaps are likely to change                     Authority                                             laboratory, however, is subject to
                                                  over time based not only on                                                                                   validation and complaint investigation
                                                                                                             On October 31, 1988, the Congress                  surveys performed by CMS, or its
                                                  effectiveness of CMS’ marketing efforts,
                                                                                                          enacted the Clinical Laboratory                       agent(s).
                                                  but also of those of state, local, private
                                                                                                          Improvement Amendments of 1988
                                                  sector, and nongovernmental                             (CLIA) (Pub. L. 100–578). CLIA                        III. Evaluation of ASHI Commission
                                                  organizations. Form Number: CMS–                        amended section 353 of the Public                     Request for Approval as an
                                                  10458 (OMB control number: 0938–                        Health Service Act. We issued a final                 Accreditation Organization Under
                                                  1203): Frequency: Quarterly; Affected                   rule implementing the accreditation                   CLIA
                                                  Public: Individuals or households,                      provisions of CLIA on July 31, 1992 (57
                                                  Private Sector (business or other for-                  FR 33992). Under those provisions, we                   The following describes the process
                                                  profits); Number of Respondents:                        may grant deeming authority to an                     used to determine that ASHI
                                                  40,200; Total Annual Responses:                         accreditation organization if its                     accreditation program meets the
                                                  40,200; Total Annual Hours: 2,480. (For                 requirements for laboratories accredited              necessary requirements to be approved
                                                  policy questions regarding this                         under its program are equal to or more                by us and that, as such, we may approve
                                                  collection contact Frank Funderburk at                  stringent than the applicable CLIA                    ASHI as an accreditation program with
                                                  410–786–1820.)                                          program requirements in 42 CFR part                   deeming authority under the CLIA
                                                                                                          493 (Laboratory Requirements). Subpart                program. ASHI formally applied to us
                                                     Dated: April 19, 2016.
                                                                                                                                                                for approval as an accreditation
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                                                                                                          E of part 493 (Accreditation by a Private,
                                                  William N. Parham, III,                                 Nonprofit Accreditation Organization or               organization under CLIA for the
                                                  Director, Paperwork Reduction Staff, Office             Exemption Under an Approved State                     subspecialty of General Immunology,
                                                  of Strategic Operations and Regulatory                  Laboratory Program) specifies the                     the specialty of Histocompatibility, and
                                                  Affairs.                                                requirements an accreditation                         the subspecialty of ABO/Rh typing. In
                                                  [FR Doc. 2016–09425 Filed 4–21–16; 8:45 am]             organization must meet to be approved                 reviewing these materials, we reached
                                                  BILLING CODE 4120–01–P                                  by us as an accreditation organization                the following determinations for each
                                                                                                          under CLIA.                                           applicable part of the CLIA regulations:


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Document Created: 2017-08-22 23:36:55
Document Modified: 2017-08-22 23:36:55
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 must be received by June 21, 2016.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 23705 

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