81 FR 38186 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 113 (June 13, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 113 (June 13, 2016)
| Page Range | 38186-38187 | |
| FR Document | 2016-13800 |
[Federal Register Volume 81, Number 113 (Monday, June 13, 2016)] [Notices] [Pages 38186-38187] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-13800] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-R-142 and CMS-588] 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 August 9, 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-R-142 Examination and Treatment for Emergency Medical Conditions and Women in Labor; CMS-588 Electronic Funds Transfer Authorization Agreement 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: Extension of a currently approved collection; Title of Information Collection: Examination and Treatment for Emergency Medical Conditions and Women in Labor; Use: In accordance with to regulation sections 488.18, 489.20 and 489.24, during Medicare surveys of hospitals and State agencies CMS will review hospital records for lists of on-call physicians, and will review and obtain the information which must be recorded on hospital medical records for individuals with emergency medical conditions and women in labor, and the emergency department reporting information Medicare participating hospitals and Medicare State survey agencies must pass on to CMS. Additionally, CMS will use the QIO Report assessing whether an individual had an emergency condition and whether the individual was stabilized to determine whether to impose a CMP or physician exclusion sanctions. Without such information, CMS will be unable to make the hospital emergency services compliance determinations that Congress expects CMS to make under sections 1154, 1866 and 1867 of the Act. Form Number: CMS-R-142 (OMB control number: 0938-0667); Frequency: Occasionally; Affected Public: Private Sector; Number of Respondents: 6,149; Total Annual Responses: 6,149; Total Annual Hours: 1. (For policy questions regarding this collection contact Renate Dombrowski at 410-786-4645.) [[Page 38187]] 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Electronic Funds Transfer Authorization Agreement; Use: The information is needed to allow providers to receive funds electronically in their bank accounts. Form Number: CMS-588 (OMB control number: 0938-0626); Frequency: On occasion; Affected Public: Business or other for-profit, Not-for-profit institutions; Number of Respondents: 45,807; Total Annual Responses: 45,807; Total Annual Hours: 22,543. (For policy questions regarding this collection contact Kimberly McPhillips at 410-786-4645.) Dated: June 7, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-13800 Filed 6-10-16; 8:45 am] BILLING CODE 4120-01-P
![38186 Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Average
Number of
Number of burden per
Type of respondent Form name responses per
respondents response
respondent (in hours)
Parent/guardian of children aged 6–12 years Screener Script Guide .................................... 667 1 10/60
Child participants aged 6–12 years ................ Seat Belt Fit Measurements .......................... 142 1 2.5
Leroy A. Richardson, OMB control number. To be assured information they conduct or sponsor.
Chief, Information Collection Review Office, consideration, comments and The term ‘‘collection of information’’ is
Office of Scientific Integrity, Office of the recommendations must be submitted in defined in 44 U.S.C. 3502(3) and 5 CFR
Associate Director for Science, Office of the any one of the following ways: 1320.3(c) and includes agency requests
Director, Centers for Disease Control and 1. Electronically. You may send your or requirements that members of the
Prevention. comments electronically to http:// public submit reports, keep records, or
[FR Doc. 2016–13849 Filed 6–10–16; 8:45 am] www.regulations.gov. Follow the provide information to a third party.
BILLING CODE 4163–18–P instructions for ‘‘Comment or Section 3506(c)(2)(A) of the PRA
Submission’’ or ‘‘More Search Options’’ requires federal agencies to publish a
to find the information collection 60-day notice in the Federal Register
DEPARTMENT OF HEALTH AND document(s) that are accepting
HUMAN SERVICES concerning each proposed collection of
comments. information, including each proposed
2. By regular mail. You may mail extension or reinstatement of an existing
Centers for Medicare & Medicaid
written comments to the following collection of information, before
Services
address: CMS, Office of Strategic submitting the collection to OMB for
[Document Identifiers: CMS–R–142 and Operations and Regulatory Affairs, approval. To comply with this
CMS–588] Division of Regulations Development, requirement, CMS is publishing this
Attention: Document Identifier/OMB notice.
Agency Information Collection Control Number lll, Room C4–26–
Activities: Proposed Collection; 05, 7500 Security Boulevard, Baltimore, 1. Type of Information Collection
Comment Request Maryland 21244–1850. Request: Extension of a currently
AGENCY: Centers for Medicare & To obtain copies of a supporting approved collection; Title of
Medicaid Services, HHS. statement and any related forms for the Information Collection: Examination
proposed collection(s) summarized in and Treatment for Emergency Medical
ACTION: Notice.
this notice, you may make your request Conditions and Women in Labor; Use:
SUMMARY: The Centers for Medicare & using one of following: In accordance with to regulation
Medicaid Services (CMS) is announcing 1. Access CMS’ Web site address at sections 488.18, 489.20 and 489.24,
an opportunity for the public to http://www.cms.hhs.gov/Paperwork during Medicare surveys of hospitals
comment on CMS’ intention to collect ReductionActof1995. and State agencies CMS will review
information from the public. Under the 2. Email your request, including your hospital records for lists of on-call
Paperwork Reduction Act of 1995 (the address, phone number, OMB number, physicians, and will review and obtain
PRA), federal agencies are require; to and CMS document identifier, to the information which must be recorded
publish notice in the Federal Register Paperwork@cms.hhs.gov. on hospital medical records for
concerning each proposed collection of 3. Call the Reports Clearance Office at individuals with emergency medical
information (including each proposed (410) 786–1326. conditions and women in labor, and the
extension or reinstatement of an existing FOR FURTHER INFORMATION CONTACT: emergency department reporting
collection of information) and to allow Reports Clearance Office at (410) 786– information Medicare participating
60 days for public comment on the 1326. hospitals and Medicare State survey
proposed action. Interested persons are SUPPLEMENTARY INFORMATION: agencies must pass on to CMS.
invited to send comments regarding our Additionally, CMS will use the QIO
burden estimates or any other aspect of Contents Report assessing whether an individual
this collection of information, including This notice sets out a summary of the had an emergency condition and
any of the following subjects: (1) The use and burden associated with the whether the individual was stabilized to
necessity and utility of the proposed following information collections. More determine whether to impose a CMP or
information collection for the proper detailed information can be found in physician exclusion sanctions. Without
performance of the agency’s functions; each collection’s supporting statement such information, CMS will be unable to
(2) the accuracy of the estimated and associated materials (see make the hospital emergency services
burden; (3) ways to enhance the quality, ADDRESSES). compliance determinations that
utility, and clarity of the information to Congress expects CMS to make under
be collected; and (4) the use of CMS–R–142 Examination and
Treatment for Emergency Medical sections 1154, 1866 and 1867 of the Act.
automated collection techniques or Form Number: CMS–R–142 (OMB
srobinson on DSK5SPTVN1PROD with NOTICES
other forms of information technology to Conditions and Women in Labor;
control number: 0938–0667); Frequency:
minimize the information collection CMS–588 Electronic Funds Transfer Occasionally; Affected Public: Private
burden. Authorization Agreement Sector; Number of Respondents: 6,149;
DATES: Comments must be received by Under the PRA (44 U.S.C. 3501– Total Annual Responses: 6,149; Total
August 9, 2016. 3520), federal agencies must obtain Annual Hours: 1. (For policy questions
ADDRESSES: When commenting, please approval from the Office of Management regarding this collection contact Renate
reference the document identifier or and Budget (OMB) for each collection of Dombrowski at 410–786–4645.)
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![Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices 38187
2. Type of Information Collection automated collection techniques or Personal Health Record (PHR) User
Request: Revision of a currently other forms of information technology to Survey
approved collection; Title of minimize the information collection CMS–R–246 Medicare Advantage,
Information Collection: Electronic burden. Medicare Part D, and Medicare Fee-
Funds Transfer Authorization DATES: Comments must be received by For-Service Consumer Assessment of
Agreement; Use: The information is August 12, 2016. Healthcare Providers and Systems
needed to allow providers to receive (CAHPS) Survey
ADDRESSES: When commenting, please
funds electronically in their bank Under the PRA (44 U.S.C. 3501–
reference the document identifier or
accounts. Form Number: CMS–588 3520), federal agencies must obtain
OMB control number. To be assured
(OMB control number: 0938–0626); approval from the Office of Management
consideration, comments and
Frequency: On occasion; Affected and Budget (OMB) for each collection of
recommendations must be submitted in
Public: Business or other for-profit, Not- information they conduct or sponsor.
any one of the following ways:
for-profit institutions; Number of 1. Electronically. You may send your The term ‘‘collection of information’’ is
Respondents: 45,807; Total Annual comments electronically to http:// defined in 44 U.S.C. 3502(3) and 5 CFR
Responses: 45,807; Total Annual Hours: www.regulations.gov. Follow the 1320.3(c) and includes agency requests
22,543. (For policy questions regarding instructions for ‘‘Comment or or requirements that members of the
this collection contact Kimberly Submission’’ or ‘‘More Search Options’’ public submit reports, keep records, or
McPhillips at 410–786–4645.) to find the information collection provide information to a third party.
Dated: June 7, 2016. document(s) that are accepting Section 3506(c)(2)(A) of the PRA
William N. Parham, III, comments. requires federal agencies to publish a
Director, Paperwork Reduction Staff, Office 2. By regular mail. You may mail 60-day notice in the Federal Register
of Strategic Operations and Regulatory written comments to the following concerning each proposed collection of
Affairs. address: CMS, Office of Strategic information, including each proposed
[FR Doc. 2016–13800 Filed 6–10–16; 8:45 am] Operations and Regulatory Affairs, extension or reinstatement of an existing
BILLING CODE 4120–01–P Division of Regulations Development. collection of information, before
Attention: Document Identifier/OMB submitting the collection to OMB for
Control Number, Room C4–26–05, 7500 approval. To comply with this
DEPARTMENT OF HEALTH AND Security Boulevard, Baltimore, requirement, CMS is publishing this
HUMAN SERVICES Maryland 21244–1850. notice.
To obtain copies of a supporting 1. Type of Information Collection
Centers for Medicare & Medicaid statement and any related forms for the Request: Revision of a currently
Services proposed collection(s) summarized in approved collection; Title of
[Document Identifiers: CMS–10105, CMS– this notice, you may make your request Information Collection: National
10191, CMS–10525, CMS–10623, and CMS– using one of following: Implementation of the In-Center
R–246] 1. Access CMS’ Web site address at Hemodialysis CAHPS Survey; Use: Data
http://www.cms.hhs.gov/ collected in the national
Agency Information Collection PaperworkReductionActof1995. implementation of the In-center
Activities: Proposed Collection; 2. Email your request, including your Hemodialysis Consumer Assessment of
Comment Request address, phone number, OMB number, Healthcare Providers and Systems
AGENCY: Centers for Medicare & and CMS document identifier, to (CAHPS) Survey will be used to: (1)
Medicaid Services, HHS. Paperwork@cms.hhs.gov. Provide a source of information from
3. Call the Reports Clearance Office at which selected measures can be
ACTION: Notice.
(410) 786–1326. publicly reported to beneficiaries as a
SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT: decision aid for dialysis facility
Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786– selection, (2) aid facilities with their
an opportunity for the public to 1326. internal quality improvement efforts
comment on CMS’ intention to collect SUPPLEMENTARY INFORMATION: and external benchmarking with other
information from the public. Under the facilities, (3) provide CMS with
Paperwork Reduction Act of 1995 (the Contents information for monitoring and public
PRA), federal agencies are require; to This notice sets out a summary of the reporting purposes, and (4) support the
publish notice in the Federal Register use and burden associated with the end-stage renal disease value-based
concerning each proposed collection of following information collections. More purchasing program. Form Number:
information (including each proposed detailed information can be found in CMS–10105 (OMB control number:
extension or reinstatement of an existing each collection’s supporting statement 0938–0926). Frequency: Occasionally;
collection of information) and to allow and associated materials (see Affected Public: Individuals or
60 days for public comment on the ADDRESSES). households; Number of Respondents:
proposed action. Interested persons are CMS–10105 National Implementation of 109,328; Total Annual Responses:
invited to send comments regarding our In-Center Hemodialysis CAHPS 109,328; Total Annual Hours: 59,037.
burden estimates or any other aspect of Survey (For policy questions regarding this
this collection of information, including CMS–10191 Medicare Parts C and D collection contact Elizabeth Goldstein at
any of the following subjects: (1) The 410–786–6665.)
srobinson on DSK5SPTVN1PROD with NOTICES
Program Audit Protocols and Data
necessity and utility of the proposed Requests 2. Type of Information Collection
information collection for the proper CMS–10525 Program of all-Inclusive Request: Revision of a currently
performance of the agency’s functions; Care for the Elderly (PACE) Quality approved collection; Title of
(2) the accuracy of the estimated Data Entry in CMS Health Plan Information Collection: Medicare Parts
burden; (3) ways to enhance the quality, Monitoring System C and D Program Audit Protocols and
utility, and clarity of the information to CMS–10623 Testing Experience and Data Requests; Use: Under the Medicare
be collected; and (4) the use of Functional Tools Demonstration: Prescription Drug, Improvement, and
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Document Created: 2018-02-08 07:40:01
Document Modified: 2018-02-08 07:40:01
| 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 August 9, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 38186 |
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