81_FR_38302 81 FR 38189 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

81 FR 38189 - 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 113 (June 13, 2016)

Page Range38189-38190
FR Document2016-13916

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 a notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested persons are invited to send comments regarding the burden estimate or any other aspect of this collection of information, including any of the following subjects: (1) The necessity and utility of the proposed information collection for the proper performance of the agency's functions; (2) the accuracy of the estimated burden; (3) ways to enhance the quality, utility, and clarity of the information to be collected; and (4) the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Federal Register, Volume 81 Issue 113 (Monday, June 13, 2016)
[Federal Register Volume 81, Number 113 (Monday, June 13, 2016)]
[Notices]
[Pages 38189-38190]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-13916]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10066, CMS-R-193, and CMS-R-282]


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 a notice in 
the Federal Register concerning each proposed collection of 
information, including each proposed extension or reinstatement of an 
existing collection of information, and to allow a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by July 13, 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 following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. The term ``collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension or reinstatement of an existing collection of 
information, before submitting the collection to OMB for approval. To 
comply with this requirement, CMS is publishing this notice that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Detailed Notice 
of Discharge (DND) and Supporting Regulations in 42 CFR 405.1206 and 
422.622; Use: A beneficiary or enrollee who wishes to appeal a 
determination by a Medicare health plan (for a managed care enrollee) 
or hospital (for an original Medicare beneficiary) that inpatient care 
is no longer necessary may request Quality Improvement Organization 
(QIO) review of the determination. On the date the QIO receives the 
beneficiary's/enrollee's request, it must notify the plan and hospital 
that the beneficiary/enrollee has filed a request for an expedited 
determination. The plan or hospital, in turn, must deliver a DND to the 
enrollee/beneficiary. In this iteration the DND has been minimally 
changed to include language informing beneficiaries of their rights 
under the Rehabilitation Act of 1973 (section 504), by alerting the 
beneficiary to CMS's nondiscrimination practices and the availability 
of alternate forms of this notice if needed. There are no substantive 
changes to the DND form and instructions. Form Number: CMS-10066 (OMB 
control number: 0938-1019); Frequency: Occasionally; Affected Public: 
Private sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 6,137; Total Annual Responses: 
22,515; Total Annual Hours: 22,515. (For policy questions regarding 
this collection contact Janet Miller at 404-562-1799.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Important Message 
from Medicare (IM); Use: Hospitals have used the IM to inform original 
Medicare, Medicare Advantage, and other Medicare plan beneficiaries who 
are hospital inpatients about their hospital rights and discharge 
rights. In particular, the IM provides information about when a 
beneficiary will and will not be liable for charges for a continued 
stay in a hospital and offers a detailed description of the Quality 
Improvement Organization review process. Please note that this 
iteration proposes non-substantive changes to the form. Form Number: 
CMS-R-193 (OMB control number: 0938-0692). Frequency: Yearly; Affected 
Public: Private sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 6,142; Total Annual Responses: 
23,680,000; Total Annual Hours: 3,404,000. (For policy questions

[[Page 38190]]

regarding this collection contact Janet Miller at 404-562-1799.)
    3. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicare Advantage Appeals and Grievance Data Disclosure Requirements 
(42 CFR 422.111); Use: Medicare Advantage (MA) organizations and 
demonstrations are required to collect and disclose information 
pertaining to the number of disputes, and their disposition in the 
aggregate, with the categories of grievances and appeals to any 
individual eligible to elect an MA organization who requests this 
information. The CMS continues to need the same format and form for 
reporting. Form Number: CMS-R-282 (OMB control number: 0938-0778); 
Frequency: Annually and semi-annually; Affected Public: Private Sector 
(Business or other for-profit and Not-for-profit institutions); Number 
of Respondents: 741; Total Annual Responses: 55,300; Total Annual 
Hours: 5,906. (For policy questions regarding this collection contact 
Stephanie Simons at 206-615-2420.)

    Dated: June 8, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-13916 Filed 6-10-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                                               Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices                                              38189

                                                Advantage, Medicare Part D, and                         collection for the proper performance of                 1. Type of Information Collection
                                                Medicare Fee-For-Service Consumer                       the agency’s functions; (2) the accuracy               Request: Extension of a currently
                                                Assessment of Healthcare Providers and                  of the estimated burden; (3) ways to                   approved collection; Title of
                                                Systems (CAHPS) Survey; Use: The                        enhance the quality, utility, and clarity              Information Collection: Detailed Notice
                                                primary purpose of the Medicare                         of the information to be collected; and                of Discharge (DND) and Supporting
                                                consumer assessment of healthcare                       (4) the use of automated collection                    Regulations in 42 CFR 405.1206 and
                                                providers and systems (CAHPS) surveys                   techniques or other forms of information               422.622; Use: A beneficiary or enrollee
                                                is to provide information to Medicare                   technology to minimize the information                 who wishes to appeal a determination
                                                beneficiaries to help them make more                    collection burden.                                     by a Medicare health plan (for a
                                                informed choices among health and                       DATES: Comments on the collection(s) of                managed care enrollee) or hospital (for
                                                prescription drug plans available to                    information must be received by the                    an original Medicare beneficiary) that
                                                them. The surveys also provides data to                 OMB desk officer by July 13, 2016.                     inpatient care is no longer necessary
                                                help CMS and others monitor the                                                                                may request Quality Improvement
                                                                                                        ADDRESSES: When commenting on the
                                                quality and performance of Medicare                                                                            Organization (QIO) review of the
                                                health and prescription drug plans and                  proposed information collections,
                                                                                                        please reference the document identifier               determination. On the date the QIO
                                                identify areas to improve the quality of                                                                       receives the beneficiary’s/enrollee’s
                                                care and services provided to enrollees                 or OMB control number. To be assured
                                                                                                        consideration, comments and                            request, it must notify the plan and
                                                of these plans. Form Number: CMS–R–
                                                                                                        recommendations must be received by                    hospital that the beneficiary/enrollee
                                                246 (OMB control number: 0938–0732);
                                                                                                        the OMB desk officer via one of the                    has filed a request for an expedited
                                                Frequency: Yearly; Affected Public:
                                                Individuals and households; Number of                   following transmissions: OMB, Office of                determination. The plan or hospital, in
                                                Respondents: 799,650; Total Annual                      Information and Regulatory Affairs,                    turn, must deliver a DND to the
                                                Responses: 799,650; Total Annual                        Attention: CMS Desk Officer, Fax                       enrollee/beneficiary. In this iteration the
                                                Hours: 192,113 (For policy questions                    Number: (202) 395–5806 OR Email:                       DND has been minimally changed to
                                                regarding this collection contact Sarah                 OIRA_submission@omb.eop.gov.                           include language informing
                                                Gaillot at 410–786–4637).                                 To obtain copies of a supporting                     beneficiaries of their rights under the
                                                                                                        statement and any related forms for the                Rehabilitation Act of 1973 (section 504),
                                                   Dated: June 8, 2016.
                                                                                                        proposed collection(s) summarized in                   by alerting the beneficiary to CMS’s
                                                William N. Parham, III,                                 this notice, you may make your request                 nondiscrimination practices and the
                                                Director, Paperwork Reduction Staff, Office             using one of following:                                availability of alternate forms of this
                                                of Strategic Operations and Regulatory
                                                                                                          1. Access CMS’ Web site address at                   notice if needed. There are no
                                                Affairs.
                                                                                                        http://www.cms.hhs.gov/Paperwork                       substantive changes to the DND form
                                                [FR Doc. 2016–13917 Filed 6–10–16; 8:45 am]
                                                                                                        ReductionActof1995.                                    and instructions. Form Number: CMS–
                                                BILLING CODE 4120–01–P
                                                                                                          2. Email your request, including your                10066 (OMB control number: 0938–
                                                                                                        address, phone number, OMB number,                     1019); Frequency: Occasionally;
                                                DEPARTMENT OF HEALTH AND                                and CMS document identifier, to                        Affected Public: Private sector (Business
                                                HUMAN SERVICES                                          Paperwork@cms.hhs.gov.                                 or other for-profit and Not-for-profit
                                                                                                          3. Call the Reports Clearance Office at              institutions); Number of Respondents:
                                                Centers for Medicare & Medicaid                         (410) 786–1326.                                        6,137; Total Annual Responses: 22,515;
                                                Services                                                FOR FURTHER INFORMATION CONTACT:                       Total Annual Hours: 22,515. (For policy
                                                                                                        Reports Clearance Office at (410) 786–                 questions regarding this collection
                                                [Document Identifiers: CMS–10066, CMS–
                                                                                                        1326.                                                  contact Janet Miller at 404–562–1799.)
                                                R–193, and CMS–R–282]
                                                                                                        SUPPLEMENTARY INFORMATION:     Under the                 2. Type of Information Collection
                                                Agency Information Collection                           Paperwork Reduction Act of 1995 (PRA)                  Request: Extension of a currently
                                                Activities: Submission for OMB                          (44 U.S.C. 3501–3520), federal agencies                approved collection; Title of
                                                Review; Comment Request                                 must obtain approval from the Office of                Information Collection: Important
                                                                                                        Management and Budget (OMB) for each                   Message from Medicare (IM); Use:
                                                ACTION:   Notice.                                                                                              Hospitals have used the IM to inform
                                                                                                        collection of information they conduct
                                                SUMMARY:    The Centers for Medicare &                  or sponsor. The term ‘‘collection of                   original Medicare, Medicare Advantage,
                                                Medicaid Services (CMS) is announcing                   information’’ is defined in 44 U.S.C.                  and other Medicare plan beneficiaries
                                                an opportunity for the public to                        3502(3) and 5 CFR 1320.3(c) and                        who are hospital inpatients about their
                                                comment on CMS’ intention to collect                    includes agency requests or                            hospital rights and discharge rights. In
                                                information from the public. Under the                  requirements that members of the public                particular, the IM provides information
                                                Paperwork Reduction Act of 1995                         submit reports, keep records, or provide               about when a beneficiary will and will
                                                (PRA), federal agencies are required to                 information to a third party. Section                  not be liable for charges for a continued
                                                publish a notice in the Federal Register                3506(c)(2)(A) of the PRA (44 U.S.C.                    stay in a hospital and offers a detailed
                                                concerning each proposed collection of                  3506(c)(2)(A)) requires federal agencies               description of the Quality Improvement
                                                information, including each proposed                    to publish a 30-day notice in the                      Organization review process. Please
                                                extension or reinstatement of an existing               Federal Register concerning each                       note that this iteration proposes non-
                                                collection of information, and to allow                 proposed collection of information,                    substantive changes to the form. Form
                                                a second opportunity for public                         including each proposed extension or                   Number: CMS–R–193 (OMB control
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                                                comment on the notice. Interested                       reinstatement of an existing collection                number: 0938–0692). Frequency: Yearly;
                                                persons are invited to send comments                    of information, before submitting the                  Affected Public: Private sector (Business
                                                regarding the burden estimate or any                    collection to OMB for approval. To                     or other for-profit and Not-for-profit
                                                other aspect of this collection of                      comply with this requirement, CMS is                   institutions); Number of Respondents:
                                                information, including any of the                       publishing this notice that summarizes                 6,142; Total Annual Responses:
                                                following subjects: (1) The necessity and               the following proposed collection(s) of                23,680,000; Total Annual Hours:
                                                utility of the proposed information                     information for public comment:                        3,404,000. (For policy questions


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                                                38190                                    Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices

                                                regarding this collection contact Janet                                  DEPARTMENT OF HEALTH AND                                      Bureau engaged in a number of outreach
                                                Miller at 404–562–1799.)                                                 HUMAN SERVICES                                                activities to seek additional input from
                                                  3. Type of Information Collection                                                                                                    grantees and experts in the field on how
                                                                                                                         Administration for Children and                               best to reduce grantee burden, ensure
                                                Request: Extension without change of a
                                                                                                                         Families                                                      that the reporting process was useful to
                                                currently approved collection; Title of
                                                Information Collection: Medicare                                         [OMB No.: 0970–0307]                                          grantees, and maximize the ability to
                                                                                                                                                                                       evaluate the program overall. These
                                                Advantage Appeals and Grievance Data
                                                                                                                         Submission for OMB Review;                                    efforts have resulted in the decision to
                                                Disclosure Requirements (42 CFR
                                                                                                                         Comment Request; State Court                                  require one annual submission, as
                                                422.111); Use: Medicare Advantage
                                                                                                                         Improvement Program                                           opposed to two submissions.
                                                (MA) organizations and demonstrations
                                                are required to collect and disclose                                        The Court Improvement Program                                 The annual submission will include:
                                                information pertaining to the number of                                  (CIP) is a mandatory formula grant                            (1) A self-assessment, and (2) a strategic
                                                disputes, and their disposition in the                                   funded under section 438 of the Social                        plan. The self-assessment requires the
                                                aggregate, with the categories of                                        Security Act, and most recently                               grantees to identify the topical work
                                                grievances and appeals to any                                            reauthorized under the Child and                              areas of the last year, identify strengths,
                                                individual eligible to elect an MA                                       Family Services Improvement and                               challenges and need for technical
                                                organization who requests this                                           Innovation Act of 2012 (Pub. L. 112–34).                      assistance. The self-assessment has been
                                                                                                                         The purpose of the CIP is to facilitate                       designed with user/grantee input with
                                                information. The CMS continues to
                                                                                                                         the handling of child welfare cases in                        the intention of minimizing burden and
                                                need the same format and form for
                                                                                                                         the courts. All 50 states, Puerto Rico,                       maximizing usefulness of the process
                                                reporting. Form Number: CMS–R–282
                                                                                                                         and the District of Columbia receive                          and product to the grantee. The strategic
                                                (OMB control number: 0938–0778);                                         grants under the program. The program                         plan identifies projects and activities
                                                Frequency: Annually and semi-                                            requires two submissions annually from                        and intended results for the coming
                                                annually; Affected Public: Private Sector                                grantees that constitute information                          year. The strategic plan was also
                                                (Business or other for-profit and Not-for-                               collections under the Paperwork                               developed with grantee input. A full
                                                profit institutions); Number of                                          Reduction Act.                                                application will be due once every five
                                                Respondents: 741; Total Annual                                              The purpose of this notice is to                           years. The full application will require
                                                Responses: 55,300; Total Annual Hours:                                   request an extension of the Office of                         a five year strategic plan, letters of
                                                5,906. (For policy questions regarding                                   Management and Budget Control                                 commitment from the highest court of
                                                this collection contact Stephanie                                        Number 0907–0307 permitting                                   appeal and state title IV–E/IV–B agency,
                                                Simons at 206–615–2420.)                                                 continued use of the information                              a budget narrative, and a list of all
                                                   Dated: June 8, 2016.                                                  collections required by ACF–CB–PI–12–                         statewide task force members.
                                                                                                                         02. The burden estimates are provided
                                                William N. Parham, III,
                                                                                                                         below. The Administration on Children,                           Taken together, the changes reduce
                                                Director, Paperwork Reduction Staff, Office                              Youth, and Families anticipates issuing                       the overall burden hours from years past
                                                of Strategic Operations and Regulatory                                   a new Program Instruction for federal                         and those anticipated in the previous
                                                Affairs.                                                                 fiscal year 2017.                                             Federal Register notice by
                                                [FR Doc. 2016–13916 Filed 6–10–16; 8:45 am]                                 Following the publication of the first                     approximately 50%.
                                                BILLING CODE 4120–01–P                                                   Federal Register notice, the Children’s                          Respondents: Highest State Court.

                                                                                                                                  ANNUAL BURDEN ESTIMATES
                                                                                                                                                                                      Number of           Average
                                                                                                                                                                     Number of                                         Total burden
                                                                                                Instrument                                                                          responses per       burden hours
                                                                                                                                                                    respondents                                           hours
                                                                                                                                                                                      respondent        per response

                                                Full Application ................................................................................................              52                 1               40           2080
                                                Updated Strategic Plan ....................................................................................                    52                 1               12            624
                                                Self-Assessment ..............................................................................................                 52                 1               36           1772



                                                  Estimated Total Annual Burden                                          having its full effect if OMB receives it                     DEPARTMENT OF HEALTH AND
                                                Hours: 4476.                                                             within 30 days of publication. Written                        HUMAN SERVICES
                                                  Additional Information: Copies of the                                  comments and recommendations for the
                                                proposed collection may be obtained by                                   proposed information collection should                        Health Resources and Services
                                                writing to the Administration for                                        be sent directly to the following: Office                     Administration
                                                Children and Families, Office of                                         of Management and Budget, Paperwork
                                                Planning, Research and Evaluation, 330                                                                                                 Agency Information Collection
                                                                                                                         Reduction Project, Email: OIRA_                               Activities: Submission to OMB for
                                                C Street SW., Washington, DC 20201.                                      SUBMISSION@OMB.EOP.GOV, Attn:
                                                Attention Reports Clearance Officer. All                                                                                               Review and Approval; Public Comment
                                                                                                                         Desk Officer for the Administration for                       Request
                                                requests should be identified by the title                               Children and Families.
                                                of the information collection. Email
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                                                                                                                                                                                       AGENCY: Health Resources and Services
                                                address: infocollection@acf.hhs.gov.                                     Robert Sargis,                                                Administration, HHS.
                                                  OMB Comment: OMB is required to                                        Reports Clearance Officer.                                    ACTION: Notice.
                                                make a decision concerning the                                           [FR Doc. 2016–13928 Filed 6–10–16; 8:45 am]
                                                collection of information between 30                                                                                                   SUMMARY:  In compliance with Section
                                                                                                                         BILLING CODE 4184–01–P
                                                and 60 days after publication of this                                                                                                  3507(a)(1)(D) of the Paperwork
                                                document in the Federal Register.                                                                                                      Reduction Act of 1995, the Health
                                                Therefore, a comment is best assured of                                                                                                Resources and Services Administration


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Document Created: 2018-02-08 07:40:07
Document Modified: 2018-02-08 07:40:07
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 on the collection(s) of information must be received by the OMB desk officer by July 13, 2016.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 38189 

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