81 FR 27447 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 88 (May 6, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 88 (May 6, 2016)
| Page Range | 27447-27449 | |
| FR Document | 2016-10704 |
[Federal Register Volume 81, Number 88 (Friday, May 6, 2016)] [Notices] [Pages 27447-27449] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-10704] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-685, CMS-576A and CMS-10601] 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 [[Page 27448]] 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 June 6, 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 the 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 previously approved collection; Title of Information Collection: End Stage Renal Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting Regulations; Use: Section 1881(c) of the Social Security Act establishes End Stage Renal Disease (ESRD) Network contracts. The regulations found at 42 CFR 405.2110 and 405.2112 designated 18 ESRD Networks which are funded by renewable contracts. These contracts are on 3-year cycles. To better administer the program, CMS is requiring contractors to submit semi-annual cost reports. The purpose of the cost reports is to enable the ESRD Networks to report costs in a standardized manner. This will allow CMS to review, compare and project ESRD Network costs during the life of the contract. Form Number: CMS- 685 (OMB Control Number: 0938-0657); Frequency: Reporting--Semi- annually; Affected Public: Not-for-profit institutions; Number of Respondents: 18; Total Annual Responses: 36; Total Annual Hours: 144. (For policy questions regarding this collection contact Etleva Davis at 410-786-4013.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Organ Procurement Organization's (OPOs) Health Insurance Benefits Agreement and Supporting Regulations; Use: The Medicare and Medicaid Programs final conditions for coverage for Organ Procurement Organizations (OPOs) require OPOs to sign agreements with the Center for Medicare and Medicaid Services (CMS) in order to be reimbursed and perform their services. The information provided on this form serves as a basis for continuing the agreements with CMS and the OPOs for participation in the Medicare and Medicaid programs for reimbursement of service. Form Number: CMS-576A (OMB Control Number: 0938-0512); Frequency: Occasionally; Affected Public: Private Sector (Business or other for- profit and Not-for-profit institutions); Number of Respondents: 58; Total Annual Responses: 58; Total Annual Hours: 116. (For policy questions regarding this collection contact Melissa Rice at 410-786- 3270.) 3. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: CMS Innovation Partners Program Applications and Surveys; Use: The CMS Innovation Center (CMMI) has a significant role in supporting the goals set by the Secretary of Health and Human Services to move 30 percent of Medicare fee-for-service payments to alternate payment models by the end of 2016 and ultimately 50 percent by the end of 2018. A multi- pronged approach is necessary to achieve these ambitious goals and includes the testing of innovative models around design of both payment and care delivery, the Health Care Payment and Learning Action Network (HCPLAN) and value and quality based initiatives through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Merit-based Incentive Payment System (MIPS). In addition to these key strategies, CMS seeks to engage individuals from the front lines of health care, who are actively supporting delivery system transformation at local and regional levels, in order to support and accelerate adoption of alternate payment models developed through the Innovation Center. This will be accomplished through the Innovation Partners Program (IPP). The IPP will provide an opportunity for 100 selected individuals from around the country who are already leading and participating in delivery reform initiatives with local and regional networks to engage in a deeper way with CMS to enhance these efforts. During the course of one year, the IPP will immerse individuals in the strategy and innovation work of CMS through intensive webinars and small group discussions. Program participants will engage with CMS staff in the Innovation Center and Regional Offices to inform and support regional activities supporting innovation models. In collaboration with CMS and fellow program participants, they will create partnerships regionally and across the United States. An application process is necessary to select the individuals who will participate in IPP and is the first component of this data collection. Applicants shall likely include physicians, nurses and other clinical staff in leadership roles from various health care delivery, public health and community health organizations. The second data collection component is a set of surveys and the respondents shall be only those who are participating in the program. Data from these surveys will be used to design program activities and to identify opportunities for improvement to both activities and the program overall. This data collection is necessary in order to launch and implement the IPP--a key initiative in [[Page 27449]] the efforts of CMS to support the Secretary's goals. Form Number: CMS- 10601 (OMB control number: 0938-NEW); Frequency: Annually; Affected Public: Individuals and Households; Number of Respondents: 850; Total Annual Responses: 850; Total Annual Hours: 1,700. (For policy questions regarding this collection contact Fran Griffin at 212-616-2370.) Dated: May 3, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-10704 Filed 5-5-16; 8:45 am] BILLING CODE 4120-01-P
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population, pursuant to section Board of Governors of the Federal Reserve Community First Bank & Trust, both in
225.28(b)(11)(iii). System, May 3, 2016. Columbia, Tennessee.
Michael J. Lewandowski, 2. Ruskin A. Vest, Jr., Melba R. Vest
Board of Governors of the Federal Reserve
System, May 3, 2016. Associate Secretary of the Board. and Ruskin A. Vest, III, all of Columbia,
[FR Doc. 2016–10694 Filed 5–5–16; 8:45 am] Tennessee; Margaret Anne Vest,
Michael J. Lewandowski,
BILLING CODE 6210–01–P Boulder, Colorado; and Rachel V.
Associate Secretary of the Board. Kennedy, Culleoka, Tennessee; to
[FR Doc. 2016–10695 Filed 5–5–16; 8:45 am] acquire voting shares of Community
BILLING CODE 6210–01–P FEDERAL RESERVE SYSTEM First, Inc., and thereby indirectly
acquire voting shares of Community
Change in Bank Control Notices; First Bank & Trust, both in Columbia,
FEDERAL RESERVE SYSTEM Acquisitions of Shares of a Bank or Tennessee.
Bank Holding Company B. Federal Reserve Bank of
Formations of, Acquisitions by, and Minneapolis (Jacquelyn K. Brunmeier,
Mergers of Bank Holding Companies The notificants listed below have Assistant Vice President) 90 Hennepin
applied under the Change in Bank Avenue, Minneapolis, Minnesota
The companies listed in this notice Control Act (12 U.S.C. 1817(j)) and 55480–0291:
have applied to the Board for approval, § 225.41 of the Board’s Regulation Y (12 1. Leslie Ann Bebee, Wakefield,
pursuant to the Bank Holding Company CFR 225.41) to acquire shares of a bank Nebraska; to acquire voting shares of
Act of 1956 (12 U.S.C. 1841 et seq.) or bank holding company. The factors Citizens Bank Group, Inc., Saint James,
(BHC Act), Regulation Y (12 CFR part that are considered in acting on the Minnesota, and thereby indirectly
225), and all other applicable statutes notices are set forth in paragraph 7 of acquire voting shares of Pioneer Bank,
and regulations to become a bank the Act (12 U.S.C. 1817(j)(7)). Mapleton, Minnesota.
holding company and/or to acquire the The notices are available for 2. Mark Saliterman, Minnetonka,
assets or the ownership of, control of, or immediate inspection at the Federal Minnesota, Julianne Samuelson,
the power to vote shares of a bank or Reserve Bank indicated. The notices Chanhassen, Minnesota, Michael
bank holding company and all of the also will be available for inspection at Morton, Minnetonka, Minnesota, Lorilee
banks and nonbanking companies the offices of the Board of Governors. Wright, Shorewood, Minnesota; to
owned by the bank holding company, Interested persons may express their acquire voting shares of Vision
including the companies listed below. views in writing to the Reserve Bank Bancshares, Inc., and thereby indirectly
indicated for that notice or to the offices acquire voting shares of Vision Bank,
The applications listed below, as well of the Board of Governors. Comments both in Saint Louis Park, Minnesota.
as other related filings required by the must be received not later than May 23,
Board, are available for immediate Board of Governors of the Federal Reserve
2016. System, May 3, 2016.
inspection at the Federal Reserve Bank A. Federal Reserve Bank of Atlanta
indicated. The applications will also be Michael J. Lewandowski,
(Chapelle Davis, Assistant Vice Associate Secretary of the Board.
available for inspection at the offices of President), 1000 Peachtree Street NE.,
the Board of Governors. Interested [FR Doc. 2016–10696 Filed 5–5–16; 8:45 am]
Atlanta, Georgia 30309. Comments can
persons may express their views in also be sent electronically to BILLING CODE 6210–01–P
writing on the standards enumerated in Applications.Comments@atl.frb.org:
the BHC Act (12 U.S.C. 1842(c)). If the
1. Eslick E. Daniel, individually and
proposal also involves the acquisition of DEPARTMENT OF HEALTH AND
as Custodian under the Tennessee
a nonbanking company, the review also HUMAN SERVICES
Uniform Transfers to Minors Act
includes whether the acquisition of the (TNUTMA) for each of the Crockett
nonbanking company complies with the Centers for Medicare & Medicaid
Wilson Daniel Trust, the McClain Cherry Services
standards in section 4 of the BHC Act Daniel Trust, the Anne Eslick Jewell
(12 U.S.C. 1843). Unless otherwise Trust, the Elizabeth Wilson Jewell Trust, [Document Identifiers: CMS–685, CMS–
noted, nonbanking activities will be the John Berry Jewell V Trust and as 576A and CMS–10601]
conducted throughout the United States. Custodian for Hardin Herbert Daniel
Agency Information Collection
Unless otherwise noted, comments and the Elizabeth Daniel Jewell; and
Activities: Submission for OMB
regarding each of these applications Anne Herbert Daniel, all of
Review; Comment Request
must be received at the Reserve Bank Williamsport, Tennessee; the Daniel
indicated or the offices of the Board of Family Partnership of Williamsport, ACTION: Notice.
Governors not later than June 2, 2016. Tennessee; Robert E. Daniel,
individually and as Custodian under the SUMMARY: The Centers for Medicare &
A. Federal Reserve Bank of
TNUTMA for the Fletcher Ewing Daniel Medicaid Services (CMS) is announcing
Minneapolis (Jacquelyn K. Brunmeier,
Trust, and Amy Cherry Daniel, all of an opportunity for the public to
Assistant Vice President), 90 Hennepin
Thompsons Station, Tennessee; Hardin comment on CMS’ intention to collect
Avenue, Minneapolis, Minnesota
Herbert Daniel, individually and as information from the public. Under the
55480–0291:
Custodian under the TNUTMA for the Paperwork Reduction Act of 1995
asabaliauskas on DSK3SPTVN1PROD with NOTICES
1. Bank Forward Employee Stock Lola Lucas Daniel Trust and the Evalyn (PRA), federal agencies are required to
Ownership Plan and Trust, Fargo, North Rose Daniel Trust, and Mary Jacqueline publish notice in the Federal Register
Dakota; to acquire additional voting Daniel, all of Nashville, Tennessee; and concerning each proposed collection of
shares of Security State Bank Holding Elizabeth Ann Daniel Jewell and John information, including each proposed
Company, Fargo, North Dakota, and Berry Jewel IV, both of Franklin, extension or reinstatement of an existing
thereby indirectly acquire additional Tennessee; to acquire voting shares of collection of information, and to allow
voting shares of Bank Forward, Community First, Inc., and thereby a second opportunity for public
Hannaford, North Dakota. indirectly acquire voting shares of comment on the notice. Interested
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![Federal Register / Vol. 81, No. 88 / Friday, May 6, 2016 / Notices 27449
the efforts of CMS to support the email by contacting the person listed in forum, with careful framing of
Secretary’s goals. Form Number: CMS– the FOR FURTHER INFORMATION CONTACT recommendations and clear
10601 (OMB control number: 0938– section of this notice. Presentation identification of the basis of those
NEW); Frequency: Annually; Affected materials must be received at the recommendations. MEDCAC members
Public: Individuals and Households; address specified in the ADDRESSES are valued for their background,
Number of Respondents: 850; Total section of this notice. education, and expertise in a wide
Annual Responses: 850; Total Annual Deadline for All Other Attendees variety of scientific, clinical, and other
Hours: 1,700. (For policy questions Registration: Individuals may register related fields. (For more information on
regarding this collection contact Fran online at http://www.cms.gov/apps/ MCAC, see the MEDCAC Charter (http://
Griffin at 212–616–2370.) events/upcomingevents. www.cms.gov/Regulations-and-
Dated: May 3, 2016. asp?strOrderBy=1&type=3 or by phone Guidance/Guidance/FACA/Downloads/
by contacting the person listed in the medcaccharter.pdf) and the CMS
William N. Parham, III,
FOR FURTHER INFORMATION CONTACT Guidance Document, Factors CMS
Director, Paperwork Reduction Staff, Office Considers in Referring Topics to the
of Strategic Operations and Regulatory
section of this notice by 5:00 p.m. EDT,
Affairs. Wednesday, July 13, 2016. MEDCAC (http://www.cms.gov/
We will be broadcasting the meeting medicare-coverage-database/details/
[FR Doc. 2016–10704 Filed 5–5–16; 8:45 am]
live via Webcast at http://www.cms.gov/ medicare-coverage-document-
BILLING CODE 4120–01–P
live/. details.aspx?MCDId=10).)
Deadline for Submitting a Request for II. Meeting Topic and Format
DEPARTMENT OF HEALTH AND Special Accommodations: Persons
attending the meeting who are hearing This notice announces the
HUMAN SERVICES Wednesday, July 20, 2016, public
or visually impaired, or have a
condition that requires special meeting of the Committee. During this
Centers for Medicare & Medicaid
assistance or accommodations, are meeting, the Committee will discuss
Services
asked to contact the Executive Secretary recommendations regarding treatment
[CMS–3332–N] as specified in the FOR FURTHER strategies for patients with lower
INFORMATION CONTACT section of this extremity chronic venous disease.
Medicare Program; Meeting of the notice no later than 5:00 p.m., EDT Background information about this
Medicare Evidence Development and Friday, July 1, 2016. topic, including panel materials, is
Coverage Advisory Committee—July available at http://www.cms.gov/
ADDRESSES:
20, 2016 medicare-coverage-database/indexes/
Meeting Location: The meeting will be
medcac-meetings-index.
AGENCY: Centers for Medicare & held in the main auditorium of the
aspx?bc=BAAAAAAAAAAA&. We will
Medicaid Services (CMS), HHS. Centers for Medicare & Medicaid
no longer be providing paper copies of
ACTION: Notice of meeting. Services, 7500 Security Boulevard,
the handouts for the meeting. Electronic
Baltimore, MD 21244.
copies of all the meeting materials will
SUMMARY: This notice announces that a Submission of Presentations and
be on the CMS Web site no later than
public meeting of the Medicare Comments: Presentation materials and
2 business days before the meeting. We
Evidence Development & Coverage written comments that will be presented
encourage the participation of
Advisory Committee (MEDCAC) at the meeting must be submitted via organizations with expertise in
(‘‘Committee’’) will be held on email to MedCACpresentations@ treatment strategies for patients with
Wednesday, July 20, 2016. This meeting cms.hhs.gov or by regular mail to the lower extremity chronic venous disease.
will specifically focus on obtaining the contact listed in the FOR FURTHER This meeting is open to the public. The
MEDCAC’s recommendations regarding INFORMATION CONTACT section of this
Committee will hear oral presentations
treatment strategies for patients with notice by the date specified in the DATES from the public for approximately 45
lower extremity chronic venous disease. section of this notice. minutes. Time allotted for each
This meeting is open to the public in FOR FURTHER INFORMATION CONTACT: presentation may be limited. If the
accordance with the Federal Advisory Maria Ellis, Executive Secretary for number of registrants requesting to
Committee Act (5 U.S.C. App. 2, section MEDCAC, Centers for Medicare & speak is greater than can be reasonably
10(a)). Medicaid Services, Center for Clinical accommodated during the scheduled
DATES: Standards and Quality, Coverage and open public hearing session, we may
Meeting Date: The public meeting will Analysis Group, S3–02–01, 7500 conduct a lottery to determine the
be held on Wednesday, July 20, 2016 Security Boulevard, Baltimore, MD speakers for the scheduled open public
from 7:30 a.m. until 4:30 p.m., Eastern 21244 or contact Ms. Ellis by phone hearing session. The contact person will
Daylight Time (EDT). (410–786–0309) or via email at notify interested persons regarding their
Deadline for Submission of Written Maria.Ellis@cms.hhs.gov. request to speak by June 20, 2016. Your
Comments: Written comments must be SUPPLEMENTARY INFORMATION: comments should focus on issues
received at the address specified in the specific to the list of topics that we have
ADDRESSES section of this notice by 5:00 I. Background proposed to the Committee. The list of
p.m., EDT, Monday, June 13, 2016. Once MEDCAC, formerly known as the research topics to be discussed at the
submitted, all comments are final. Medicare Coverage Advisory Committee meeting will be available on the
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Deadlines for Speaker Registration (MCAC), is advisory in nature, with all following Web site prior to the meeting:
and Presentation Materials: The final coverage decisions resting with http://www.cms.gov/medicare-coverage-
deadline to register to be a speaker and CMS. MEDCAC is used to supplement database/indexes/medcac-meetings-
to submit PowerPoint presentation CMS’ internal expertise. Accordingly, index.aspx?bc=BAAAAAAAAAAA&.
materials and writings that will be used the advice rendered by the MEDCAC is We require that you declare at the
in support of an oral presentation is 5:00 most useful when it results from a meeting whether you have any financial
p.m., EDT on Monday, June 13, 2016. process of full scientific inquiry and involvement with manufacturers (or
Speakers may register by phone or via thoughtful discussion, in an open their competitors) of any items or
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Document Created: 2016-05-06 00:29:56
Document Modified: 2016-05-06 00:29:56
| 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 June 6, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 27447 |
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