81_FR_41429 81 FR 41307 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 41307 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 81, Issue 122 (June 24, 2016)

Page Range41307-41308
FR Document2016-15029

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 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 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 122 (Friday, June 24, 2016)
[Federal Register Volume 81, Number 122 (Friday, June 24, 2016)]
[Notices]
[Pages 41307-41308]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-15029]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10455 and CMS-R-290]


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 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 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 23, 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-10455 Report of a Hospital Death Associated With Restraint or 
Seclusion

CMS-R-290 Medicare Program: Procedures for Making National Coverage 
Decisions

    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

[[Page 41308]]

collection of information, before submitting the collection to OMB for 
approval. To comply with this requirement, CMS is publishing this 
notice.

Information Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Report of a 
Hospital Death Associated with Restraint or Seclusion; Use: Executive 
Order 13563, Improving Regulation and Regulatory Review, was signed on 
January 18, 2011. The order recognized the importance of a streamlined, 
effective, and efficient regulatory framework designed to promote 
economic growth, innovation, job creation, and competitiveness. Each 
agency was directed to establish an ongoing plan to reduce or eliminate 
burdensome, obsolete, or unnecessary regulations to create a more 
efficient and flexible structure.
    The regulation that was published on May, 16, 2012 (77 FR 29034) 
included a reduction in the reporting requirement related to hospital 
deaths associated with the use of restraint or seclusion, Sec.  
482.13(g). Hospitals are no longer required to report to CMS those 
deaths where there was no use of seclusion and the only restraint was 
2-point soft wrist restraints. It is estimated that this will reduce 
the volume of reports that must be submitted by 90 percent for 
hospitals. In addition, the final rule replaced the previous 
requirement for reporting via telephone to CMS, which proved to be 
cumbersome for both CMS and hospitals, with a requirement that allows 
submission of reports via telephone, facsimile or electronically, as 
determined by CMS. Finally, the amount of information that CMS needs 
for each death report in order for CMS to determine whether further on-
site investigation is needed has been reduced.
    The Child Health Act (CHA) of 2000 established in title V, part H, 
section 591 of the Public Health Service Act (PHSA) minimum 
requirements concerning the use of restraints and seclusion in 
facilities that receive support with funds appropriated to any Federal 
department or agency. In addition, the CHA enacted section 592 of the 
PHSA, which establishes minimum mandatory reporting requirements for 
deaths in such facilities associated with use of restraint or 
seclusion. Provisions implementing this statutory reporting requirement 
for hospitals participating in Medicare are found at 42 CFR 482.13(g), 
as revised in the final rule that published on May 16, 2012 (77 FR 
29034). Form Number: CMS-10455 (OMB Control Number: 0938-1210); 
Frequency: Occasionally; Affected Public: Private Sector; Number of 
Respondents: 4,900. Number of Responses: 24,500. Total Annual Hours: 
8,085. (For policy questions regarding this collection contact Karina 
Meushaw at 410-786-1000.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title: Medicare Program: Procedures for Making 
National Coverage Decisions; Use: We revised our April 27, 1999 (64 FR 
22619) notice and published a new notice on September 26, 2003 (68 FR 
55634) that described the process we use to make Medicare coverage 
decisions including decisions regarding whether new technology and 
services can be covered. We have made changes to our internal 
procedures in response to the comments we received following 
publication of the 1999 notice and experience under our new process. 
Over the past several years, we received numerous suggestions to 
further revise our process to continue to make it more open, 
responsive, and understandable to the public. We share the goal of 
increasing public participation in the development of Medicare coverage 
issues. This will assist us in obtaining the information we require to 
make a national coverage determination in a timely manner and ensuring 
that the Medicare program continues to meet the needs of its 
beneficiaries. Form Number: CMS-R-290 (OMB control number: 0938-0776); 
Frequency: Annual; Affected Public: Private Sector: Business or other 
for-profits; Number of Respondents: 200; Total Annual Responses: 200; 
Total Annual Hours: 8,000. (For policy questions regarding this 
collection contact Katherine Tillman at 410-786-9252.)

    Dated: June 21, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-15029 Filed 6-23-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                Federal Register / Vol. 81, No. 122 / Friday, June 24, 2016 / Notices                                           41307

                                                requirements that members of the public                 40,200; Total Annual Responses:                          1. Electronically. You may send your
                                                submit reports, keep records, or provide                40,200; Total Annual Hours: 2,480. (For                comments electronically to http://
                                                information to a third party. Section                   policy questions regarding this                        www.regulations.gov. Follow the
                                                3506(c)(2)(A) of the PRA (44 U.S.C.                     collection contact Frank Funderburk at                 instructions for ‘‘Comment or
                                                3506(c)(2)(A)) requires federal agencies                410–786–1820.)                                         Submission’’ or ‘‘More Search Options’’
                                                to publish a 30-day notice in the                          Dated: June 21, 2016.                               to find the information collection
                                                Federal Register concerning each                        William N. Parham, III,
                                                                                                                                                               document(s) that are accepting
                                                proposed collection of information,                                                                            comments.
                                                                                                        Director, Paperwork Reduction Staff, Office
                                                including each proposed extension or                                                                             2. By regular mail. You may mail
                                                                                                        of Strategic Operations and Regulatory
                                                reinstatement of an existing collection                 Affairs.                                               written comments to the following
                                                of information, before submitting the                                                                          address: CMS, Office of Strategic
                                                                                                        [FR Doc. 2016–15021 Filed 6–23–16; 8:45 am]
                                                collection to OMB for approval. To                                                                             Operations and Regulatory Affairs,
                                                                                                        BILLING CODE 4120–01–P
                                                comply with this requirement, CMS is                                                                           Division of Regulations Development,
                                                publishing this notice that summarizes                                                                         Attention: Document Identifier/OMB
                                                the following proposed collection(s) of                 DEPARTMENT OF HEALTH AND                               Control Number llll, Room C4–26–
                                                information for public comment:                         HUMAN SERVICES                                         05, 7500 Security Boulevard, Baltimore,
                                                   1. Type of Information Collection                                                                           Maryland 21244–1850.
                                                Request: Extension of a currently                       Centers for Medicare & Medicaid                          To obtain copies of a supporting
                                                approved collection; Title of                           Services                                               statement and any related forms for the
                                                Information Collection: Consumer                                                                               proposed collection(s) summarized in
                                                Research Supporting Outreach for                                                                               this notice, you may make your request
                                                                                                        [Document Identifier: CMS–10455 and CMS–
                                                Health Insurance Marketplace; Use: The                  R–290]
                                                                                                                                                               using one of following:
                                                Centers for Medicare and Medicaid                                                                                1. Access CMS’ Web site address at
                                                Services is requesting reapproval for                   Agency Information Collection                          http://www.cms.hhs.gov/
                                                two surveys that aid in understanding                   Activities: Proposed Collection;                       PaperworkReductionActof1995.
                                                                                                        Comment Request                                          2. Email your request, including your
                                                levels of awareness and customer
                                                                                                                                                               address, phone number, OMB number,
                                                service needs associated with the Health
                                                                                                        AGENCY: Centers for Medicare &                         and CMS document identifier, to
                                                Insurance Marketplace established by
                                                                                                        Medicaid Services, HHS.                                Paperwork@cms.hhs.gov.
                                                the Affordable Care Act. Because the                                                                             3. Call the Reports Clearance Office at
                                                Marketplace will provide coverage to                    ACTION: Notice.
                                                                                                                                                               (410) 786–1326.
                                                the almost 50 million uninsured in the                  SUMMARY:   The Centers for Medicare &                  FOR FURTHER INFORMATION CONTACT:
                                                United States through individual and                    Medicaid Services (CMS) is announcing
                                                small employer programs, we have                                                                               Reports Clearance Office at (410) 786–
                                                                                                        an opportunity for the public to                       1326.
                                                developed one survey to be                              comment on CMS’ intention to collect
                                                administered to individual consumers                                                                           SUPPLEMENTARY INFORMATION:
                                                                                                        information from the public. Under the
                                                most likely to use the Marketplace and                  Paperwork Reduction Act of 1995 (the                   Contents
                                                another to be administered to small                     PRA), federal agencies are required to
                                                employers most likely to use the Small                                                                           This notice sets out a summary of the
                                                                                                        publish notice in the Federal Register                 use and burden associated with the
                                                Business Health Options portion of the                  concerning each proposed collection of
                                                Marketplace. These brief surveys,                                                                              following information collections. More
                                                                                                        information (including each proposed                   detailed information can be found in
                                                designed to be conducted quarterly, give                extension or reinstatement of an existing
                                                CMS the ability to obtain a rough                                                                              each collection’s supporting statement
                                                                                                        collection of information) and to allow                and associated materials (see
                                                indication of the types of outreach and                 60 days for public comment on the
                                                marketing that will be needed to                                                                               ADDRESSES).
                                                                                                        proposed action. Interested persons are
                                                enhance awareness of and knowledge                      invited to send comments regarding our                 CMS–10455 Report of a Hospital
                                                about the Marketplace for individual                    burden estimates or any other aspect of                Death Associated With Restraint or
                                                and business customers. CMS’ biggest                    this collection of information, including              Seclusion
                                                customer service need is likely to be                   any of the following subjects: (1) The
                                                providing sufficient education so                                                                              CMS–R–290 Medicare Program:
                                                                                                        necessity and utility of the proposed                  Procedures for Making National
                                                consumers: (a) Can take advantage of the                information collection for the proper
                                                Marketplace and (b) know how to access                                                                         Coverage Decisions
                                                                                                        performance of the agency’s functions;
                                                CMS’ customer service channels. The                     (2) the accuracy of the estimated                        Under the PRA (44 U.S.C. 3501–
                                                surveys will provide information on                     burden; (3) ways to enhance the quality,               3520), federal agencies must obtain
                                                media use, concept awareness, and                       utility, and clarity of the information to             approval from the Office of Management
                                                conceptual or content areas where                       be collected; and (4) the use of                       and Budget (OMB) for each collection of
                                                education for customer service delivery                 automated collection techniques or                     information they conduct or sponsor.
                                                can be improved. Awareness and                          other forms of information technology to               The term ‘‘collection of information’’ is
                                                knowledge gaps are likely to change                     minimize the information collection                    defined in 44 U.S.C. 3502(3) and 5 CFR
                                                over time based not only on                             burden.                                                1320.3(c) and includes agency requests
                                                effectiveness of CMS’ marketing efforts,                                                                       or requirements that members of the
                                                but also of those of state, local, private              DATES: Comments must be received by                    public submit reports, keep records, or
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                                                sector, and nongovernmental                             August 23, 2016.                                       provide information to a third party.
                                                organizations. Form Number: CMS–                        ADDRESSES: When commenting, please                     Section 3506(c)(2)(A) of the PRA
                                                10458 (OMB control number: 0938–                        reference the document identifier or                   requires federal agencies to publish a
                                                1203): Frequency: Quarterly; Affected                   OMB control number. To be assured                      60-day notice in the Federal Register
                                                Public: Individuals or households,                      consideration, comments and                            concerning each proposed collection of
                                                Private Sector (business or other for-                  recommendations must be submitted in                   information, including each proposed
                                                profits); Number of Respondents:                        any one of the following ways:                         extension or reinstatement of an existing


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                                                41308                           Federal Register / Vol. 81, No. 122 / Friday, June 24, 2016 / Notices

                                                collection of information, before                       2012 (77 FR 29034). Form Number:                       ACTION:   Notice.
                                                submitting the collection to OMB for                    CMS–10455 (OMB Control Number:
                                                approval. To comply with this                           0938–1210); Frequency: Occasionally;                   SUMMARY:    Statement of Organizations,
                                                requirement, CMS is publishing this                     Affected Public: Private Sector; Number                Functions, and Delegations of
                                                notice.                                                 of Respondents: 4,900. Number of                       Authority. The Administration for
                                                                                                        Responses: 24,500. Total Annual Hours:                 Children and Families (ACF) has
                                                Information Collection                                                                                         reorganized the Office of Planning,
                                                                                                        8,085. (For policy questions regarding
                                                   1. Type of Information Collection                    this collection contact Karina Meushaw                 Research and Evaluation (OPRE). This
                                                Request: Extension of a currently                       at 410–786–1000.)                                      reorganization creates a new Division of
                                                approved collection; Title of                              2. Type of Information Collection                   Data and Improvement. It will transfer
                                                Information Collection: Report of a                     Request: Extension of a currently                      the state systems assessment function
                                                Hospital Death Associated with                          approved collection; Title: Medicare                   and the project management and
                                                Restraint or Seclusion; Use: Executive                  Program: Procedures for Making                         oversight for Public Assistance
                                                Order 13563, Improving Regulation and                   National Coverage Decisions; Use: We                   Reporting Information System (PARIS)
                                                Regulatory Review, was signed on                        revised our April 27, 1999 (64 FR                      from the Office of Administration,
                                                January 18, 2011. The order recognized                  22619) notice and published a new                      Office of Financial Services, to the new
                                                the importance of a streamlined,                        notice on September 26, 2003 (68 FR                    Division of Data and Improvement.
                                                effective, and efficient regulatory                     55634) that described the process we                   FOR FURTHER INFORMATION CONTACT:
                                                framework designed to promote                           use to make Medicare coverage                          Naomi Goldstein, Deputy Assistant
                                                economic growth, innovation, job                        decisions including decisions regarding                Secretary for Planning, Research and
                                                creation, and competitiveness. Each                     whether new technology and services                    Evaluation, 330 C Street SW.,
                                                agency was directed to establish an                     can be covered. We have made changes                   Washington, DC 20201, 202–401–9220.
                                                ongoing plan to reduce or eliminate                     to our internal procedures in response                    This notice amends Part K of the
                                                burdensome, obsolete, or unnecessary                    to the comments we received following                  Statement of Organization, Functions,
                                                regulations to create a more efficient                  publication of the 1999 notice and                     and Delegations of Authority of the
                                                and flexible structure.                                 experience under our new process. Over                 Department of Health and Human
                                                   The regulation that was published on                 the past several years, we received                    Services (HHS), Administration for
                                                May, 16, 2012 (77 FR 29034) included                    numerous suggestions to further revise                 Children and Families (ACF), as
                                                a reduction in the reporting requirement                our process to continue to make it more                follows: Chapter KM, OPRE, as last
                                                related to hospital deaths associated                   open, responsive, and understandable to                amended 77 FR 47077–47078, August 7,
                                                with the use of restraint or seclusion,                 the public. We share the goal of                       2012.
                                                § 482.13(g). Hospitals are no longer                    increasing public participation in the                    I. Under Chapter KM, OPRE, delete in
                                                required to report to CMS those deaths                  development of Medicare coverage                       its entirety and replace with the
                                                where there was no use of seclusion and                                                                        following:
                                                                                                        issues. This will assist us in obtaining
                                                the only restraint was 2-point soft wrist
                                                                                                        the information we require to make a                      KM.00 MISSION. OPRE is the principal
                                                restraints. It is estimated that this will                                                                     advisor to the Assistant Secretary for
                                                                                                        national coverage determination in a
                                                reduce the volume of reports that must                                                                         Children and Families on improving the
                                                                                                        timely manner and ensuring that the
                                                be submitted by 90 percent for                                                                                 effectiveness and efficiency of programs
                                                                                                        Medicare program continues to meet the
                                                hospitals. In addition, the final rule                                                                         designed to make measurable improvements
                                                                                                        needs of its beneficiaries. Form Number:
                                                replaced the previous requirement for                                                                          in the economic and social well-being of
                                                                                                        CMS–R–290 (OMB control number:
                                                reporting via telephone to CMS, which                                                                          children and families. OPRE provides
                                                                                                        0938–0776); Frequency: Annual;                         guidance, analysis, technical assistance, and
                                                proved to be cumbersome for both CMS
                                                                                                        Affected Public: Private Sector: Business              oversight to ACF programs and across
                                                and hospitals, with a requirement that
                                                allows submission of reports via                        or other for-profits; Number of                        programs in the agency on: Strategic
                                                telephone, facsimile or electronically, as              Respondents: 200; Total Annual                         planning aimed at measurable results;
                                                                                                        Responses: 200; Total Annual Hours:                    performance measurement and management;
                                                determined by CMS. Finally, the                                                                                research and evaluation methodologies;
                                                amount of information that CMS needs                    8,000. (For policy questions regarding
                                                                                                        this collection contact Katherine                      demonstration testing and model
                                                for each death report in order for CMS                                                                         development; statistical policy and program
                                                to determine whether further on-site                    Tillman at 410–786–9252.)
                                                                                                                                                               analysis; synthesis and dissemination of
                                                investigation is needed has been                           Dated: June 21, 2016.                               research, evaluation, and demonstration
                                                reduced.                                                William N. Parham, III,                                findings; data quality, usefulness, and
                                                   The Child Health Act (CHA) of 2000                   Director, Paperwork Reduction Staff, Office            sharing; privacy; and application of emerging
                                                established in title V, part H, section                 of Strategic Operations and Regulatory                 technologies to improve the effectiveness of
                                                591 of the Public Health Service Act                    Affairs.                                               programs and service delivery.
                                                (PHSA) minimum requirements                                                                                       OPRE, through the Division of Economic
                                                                                                        [FR Doc. 2016–15029 Filed 6–23–16; 8:45 am]
                                                                                                                                                               Independence, the Division of Child and
                                                concerning the use of restraints and                    BILLING CODE 4120–01–P                                 Family Development, the Division of Family
                                                seclusion in facilities that receive                                                                           Strengthening, and the Division of Data and
                                                support with funds appropriated to any                                                                         Improvement, oversees and manages the
                                                Federal department or agency. In                        DEPARTMENT OF HEALTH AND                               research and evaluation programs under
                                                addition, the CHA enacted section 592                   HUMAN SERVICES                                         sections 413, 429, 511, 1110, and 2008 of the
                                                of the PHSA, which establishes                                                                                 Social Security Act and section 649 of the
                                                minimum mandatory reporting                             Administration for Children and                        Head Start Act, as well as other research,
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                                                requirements for deaths in such                         Families                                               evaluation, data, and improvement activities
                                                facilities associated with use of restraint                                                                    authorized by Congress and related to ACF
                                                                                                        Statement of Organization, Functions,                  programs and the populations they serve.
                                                or seclusion. Provisions implementing                                                                          These activities include: Priority setting and
                                                                                                        and Delegations of Authority
                                                this statutory reporting requirement for                                                                       analysis; managing and coordinating major
                                                hospitals participating in Medicare are                 AGENCY: Office of Planning, Research                   cross-cutting, leading-edge studies and
                                                found at 42 CFR 482.13(g), as revised in                and Evaluation, Administration for                     special initiatives; and collaborating with
                                                the final rule that published on May 16,                Children and Families, HHS.                            federal partners, states, communities,



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Document Created: 2016-06-24 00:52:57
Document Modified: 2016-06-24 00:52:57
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 August 23, 2016.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 41307 

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