81_FR_48566 81 FR 48424 - Agency Information Collection Activities: Proposed Collection; Comment Request

81 FR 48424 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 81, Issue 142 (July 25, 2016)

Page Range48424-48425
FR Document2016-17478

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: the necessity and utility of the proposed information collection for the proper performance of the agency's functions; the accuracy of the estimated burden; ways to enhance the quality, utility, and clarity of the information to be collected; and the use of automated collection techniques or other forms of information technology to minimize the information collection burden.

Federal Register, Volume 81 Issue 142 (Monday, July 25, 2016)
[Federal Register Volume 81, Number 142 (Monday, July 25, 2016)]
[Notices]
[Pages 48424-48425]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-17478]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-297 (CMS-L564)]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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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: the 
necessity and utility of the proposed information collection for the 
proper performance of the agency's functions; the accuracy of the 
estimated burden; ways to enhance the quality, utility, and clarity of 
the information to be collected; and the use of automated collection 
techniques or other forms of information technology to minimize the 
information collection burden.

DATES: Comments must be received by September 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-R-297 (CMS-L564) Request for Employment Information

    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

[[Page 48425]]

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.

Information Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Employment Information; Use: Section 1837(i) of the Social Security Act 
provides for a special enrollment period for individuals who delay 
enrolling in Medicare Part B because they are covered by a group health 
plan based on their own or a spouse's current employment status. 
Disabled individuals with Medicare may also delay enrollment because 
they have large group health plan coverage based on their own or a 
family member's current employment status. When these individuals apply 
for Medicare Part B, they must provide proof that the group health plan 
coverage is (or was) based on current employment status. Form Number: 
CMS-R-297 (CMS-L564) (OMB control number: 0938-0787); Frequency: Once; 
Affected Public: Private sector (Business or other for-profits and Not-
for-profit institutions); Number of Respondents: 15,000; Total Annual 
Responses: 15,000; Total Annual Hours: 5,000. (For policy questions 
regarding this collection contact Lindsay Scully at 410-786-6843.)

    Dated: July 20, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-17478 Filed 7-22-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                  48424                           Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices

                                                  www.regulations.gov, including any                          Total Annual Responses: 123,392.                   ADDRESSES:   When commenting, please
                                                  personal and/or business confidential                       Hours per Response: 0.33.                          reference the document identifier or
                                                  information provided. To confirm                            Total Burden Hours: 40,719.                        OMB control number. To be assured
                                                  receipt of your comment(s), please                          Obtaining Copies of Proposals:                     consideration, comments and
                                                  check www.regulations.gov,                               Requesters may obtain a copy of the                   recommendations must be submitted in
                                                  approximately two to three days after                    information collection documents from                 any one of the following ways:
                                                  submission to verify posting (except                     the General Services Administration,                    1. Electronically. You may send your
                                                  allow 30 days for posting of comments                    Regulatory Secretariat Division (MVCB),               comments electronically to http://
                                                  submitted by mail).                                      1800 F Street NW., Washington, DC                     www.regulations.gov. Follow the
                                                  FOR FURTHER INFORMATION CONTACT: Ms.                     20405, telephone 202–501–4755. Please                 instructions for ‘‘Comment or
                                                  Kathlyn Hopkiins, Procurement                            cite OMB Control No. 9000–0074,                       Submission’’ or ‘‘More Search Options’’
                                                  Analyst, Office of Governmentwide                        Contract Funding—Limitation of Costs/                 to find the information collection
                                                  Acquisition Policy, GSA 202–969–7226                     Funds, in all correspondence.                         document(s) that are accepting
                                                  or email kathlyn.hopkins@gsa.gov.                                                                              comments.
                                                                                                           William Clark,
                                                  SUPPLEMENTARY INFORMATION:
                                                                                                                                                                   2. By regular mail. You may mail
                                                                                                           Director, Office of Governmentwide                    written comments to the following
                                                                                                           Acquisition Policy, Office of Acquisition
                                                  A. Purpose                                                                                                     address: CMS, Office of Strategic
                                                                                                           Policy, Office of Governmentwide Policy.
                                                     Firms performing under                                                                                      Operations and Regulatory Affairs,
                                                                                                           [FR Doc. 2016–17479 Filed 7–22–16; 8:45 am]
                                                  incrementally funded, cost-                                                                                    Division of Regulations Development,
                                                                                                           BILLING CODE 6820–EP–P
                                                  reimbursement Federal contracts are                                                                            Attention: Document Identifier/OMB
                                                  required to notify the contracting officer                                                                     Control Number lll, Room C4–26–
                                                  in writing whenever they have reason to                                                                        05, 7500 Security Boulevard, Baltimore,
                                                  believe—                                                 DEPARTMENT OF HEALTH AND                              Maryland 21244–1850.
                                                     (1) The costs the contractors expect to               HUMAN SERVICES                                          To obtain copies of a supporting
                                                  incur under the contracts in the next 60                                                                       statement and any related forms for the
                                                  days, when added to all costs previously                 Centers for Medicare & Medicaid                       proposed collection(s) summarized in
                                                  incurred, will exceed 75 percent of the                  Services                                              this notice, you may make your request
                                                  estimated cost of the contracts; or (2)                                                                        using one of following:
                                                                                                           [Document Identifier: CMS–R–297 (CMS–                   1. Access CMS’ Web site address at
                                                  The total cost for the performance of the                L564)]
                                                  contracts will be greater or substantially                                                                     http://www.cms.hhs.gov/
                                                  less than estimated.                                                                                           PaperworkReductionActof1995.
                                                                                                           Agency Information Collection                           2. Email your request, including your
                                                     As a part of the notification, the                    Activities: Proposed Collection;
                                                  contractors must provide a revised                                                                             address, phone number, OMB number,
                                                                                                           Comment Request                                       and CMS document identifier, to
                                                  estimate of total cost. The frequency of
                                                  this collection of information is                        AGENCY: Centers for Medicare &                        Paperwork@cms.hhs.gov.
                                                  variable, contingent upon both funding                   Medicaid Services, HHS.                                 3. Call the Reports Clearance Office at
                                                  and spending patterns.                                   ACTION: Notice.
                                                                                                                                                                 (410) 786–1326.
                                                     A notice was published in the Federal                                                                       FOR FURTHER INFORMATION CONTACT:
                                                  Register at 81 FR 21873 on April 13,                     SUMMARY:    The Centers for Medicare &                Reports Clearance Office at (410) 786–
                                                  2016. No comments were received.                         Medicaid Services (CMS) is announcing                 1326.
                                                  However, three changes were made to                      an opportunity for the public to                      SUPPLEMENTARY INFORMATION:
                                                  the annual reporting burden estimates                    comment on CMS’ intention to collect
                                                  conveyed in the preliminary 60-day                       information from the public. Under the                Contents
                                                  notice. First, the initial estimate                      Paperwork Reduction Act of 1995 (the                    This notice sets out a summary of the
                                                  included data on certain fixed-price and                 PRA), federal agencies are required to                use and burden associated with the
                                                  cost-sharing contracts, subsequently                     publish notice in the Federal Register                following information collections. More
                                                  deemed not directly impacted by the                      concerning each proposed collection of                detailed information can be found in
                                                  FAR clauses 52.232–20 and 52.232–22;                     information (including each proposed                  each collection’s supporting statement
                                                  those data points have been removed                      extension or reinstatement of an existing             and associated materials (see
                                                  from the estimate for this collection.                   collection of information) and to allow               ADDRESSES).
                                                     Accordingly, the number of contract                   60 days for public comment on the
                                                                                                           proposed action. Interested persons are               CMS–R–297 (CMS–L564) Request for
                                                  actions has been reduced. Secondly, the
                                                                                                           invited to send comments regarding our                Employment Information
                                                  number of responses per respondent has
                                                  been reassessed at one per year in lieu                  burden estimates or any other aspect of                 Under the PRA (44 U.S.C. 3501–
                                                  of five; this is consistent with updated                 this collection of information, including             3520), federal agencies must obtain
                                                  data, based on consultation with subject                 any of the following subjects: the                    approval from the Office of Management
                                                  matter experts within the Government.                    necessity and utility of the proposed                 and Budget (OMB) for each collection of
                                                  Third, the estimated time to produce                     information collection for the proper                 information they conduct or sponsor.
                                                  each funding letter was reduced from 1⁄2                 performance of the agency’s functions;                The term ‘‘collection of information’’ is
                                                  hour to 1⁄3 hour, as office software                     the accuracy of the estimated burden;                 defined in 44 U.S.C. 3502(3) and 5 CFR
                                                                                                           ways to enhance the quality, utility, and             1320.3(c) and includes agency requests
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                                                  applications continue to improve,
                                                  making basic computations, word                          clarity of the information to be                      or requirements that members of the
                                                  processing, and communication                            collected; and the use of automated                   public submit reports, keep records, or
                                                  increasingly efficient.                                  collection techniques or other forms of               provide information to a third party.
                                                                                                           information technology to minimize the                Section 3506(c)(2)(A) of the PRA
                                                  B. Annual Reporting Burden                               information collection burden.                        requires federal agencies to publish a
                                                     Respondents: 123,392.                                 DATES: Comments must be received by                   60-day notice in the Federal Register
                                                     Responses per Respondent: 1.                          September 23, 2016.                                   concerning each proposed collection of


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                                                                                           Federal Register / Vol. 81, No. 142 / Monday, July 25, 2016 / Notices                                                                 48425

                                                  information, including each proposed                                        Dated: July 20, 2016.                                      Youth, and Families anticipates issuing
                                                  extension or reinstatement of an existing                                William N. Parham, III,                                       a new Program Instruction for federal
                                                  collection of information, before                                        Director, Paperwork Reduction Staff, Office                   fiscal year 2017.
                                                  submitting the collection to OMB for                                     of Strategic Operations and Regulatory                           Following the publication of the first
                                                  approval. To comply with this                                            Affairs.                                                      Federal Register notice, the Children’s
                                                  requirement, CMS is publishing this                                      [FR Doc. 2016–17478 Filed 7–22–16; 8:45 am]                   Bureau engaged in a number of outreach
                                                  notice.                                                                  BILLING CODE 4120–01–P                                        activities to seek additional input from
                                                                                                                                                                                         grantees and experts in the field on how
                                                  Information Collection                                                                                                                 best to reduce grantee burden, ensure
                                                                                                                           DEPARTMENT OF HEALTH AND                                      that the reporting process was useful to
                                                    1. Type of Information Collection                                      HUMAN SERVICES                                                grantees, and maximize the ability to
                                                  Request: Extension of a currently
                                                                                                                                                                                         evaluate the program overall. These
                                                  approved collection; Title of                                            Administration for Children and
                                                                                                                                                                                         efforts have resulted in the decision to
                                                  Information Collection: Request for                                      Families
                                                                                                                                                                                         require one annual submission, as
                                                  Employment Information; Use: Section                                                                                                   opposed to two submissions.
                                                  1837(i) of the Social Security Act                                       Submission for OMB Review;
                                                                                                                           Comment Request                                                  The annual submission will include:
                                                  provides for a special enrollment period                                                                                               (1) A self-assessment, and (2) a strategic
                                                  for individuals who delay enrolling in                                     Title: State Court Improvement                              plan. The self-assessment requires the
                                                  Medicare Part B because they are                                         Program.                                                      grantees to identify the topical work
                                                  covered by a group health plan based on                                    OMB No.: 0970–0307.                                         areas of the last year, identify strengths,
                                                  their own or a spouse’s current                                            Description: The Court Improvement
                                                                                                                                                                                         challenges and need for technical
                                                  employment status. Disabled                                              Program (CIP) is a mandatory formula
                                                                                                                                                                                         assistance. The self-assessment has been
                                                  individuals with Medicare may also                                       grant funded under section 438 of the
                                                                                                                                                                                         designed with user/grantee input with
                                                  delay enrollment because they have                                       Social Security Act, and most recently
                                                                                                                                                                                         the intention of minimizing burden and
                                                  large group health plan coverage based                                   reauthorized under the Child and
                                                                                                                                                                                         maximizing usefulness of the process
                                                                                                                           Family Services Improvement and
                                                  on their own or a family member’s                                                                                                      and product to the grantee. The strategic
                                                                                                                           Innovation Act of 2012 (Pub. L. 112–34).
                                                  current employment status. When these                                                                                                  plan identifies projects and activities
                                                                                                                           The purpose of the CIP is to facilitate
                                                  individuals apply for Medicare Part B,                                                                                                 and intended results for the coming
                                                                                                                           the handling of child welfare cases in
                                                  they must provide proof that the group                                   the courts. All 50 states, Puerto Rico,                       year. The strategic plan was also
                                                  health plan coverage is (or was) based                                   and the District of Columbia receive                          developed with grantee input.
                                                  on current employment status. Form                                       grants under the program. The program                            A full application will be due once
                                                  Number: CMS–R–297 (CMS–L564)                                             requires two submissions annually from                        every five years. The full application
                                                  (OMB control number: 0938–0787);                                         grantees that constitute information                          will require a five year strategic plan,
                                                  Frequency: Once; Affected Public:                                        collections under the Paperwork                               letters of commitment from the highest
                                                  Private sector (Business or other for-                                   Reduction Act.                                                court of appeal and state title IV–E/IV–
                                                  profits and Not-for-profit institutions);                                  The purpose of this notice is to                            B agency, a budget narrative, and a list
                                                  Number of Respondents: 15,000; Total                                     request an extension of the Office of                         of all statewide task force members.
                                                  Annual Responses: 15,000; Total                                          Management and Budget Control                                    Taken together, the changes reduce
                                                  Annual Hours: 5,000. (For policy                                         Number 0907–0307 permitting                                   the overall burden hours from years past
                                                  questions regarding this collection                                      continued use of the information                              and those anticipated in the previous
                                                  contact Lindsay Scully at 410–786–                                       collections required by ACF–CB–PI–12–                         Federal Register notice by
                                                  6843.)                                                                   02. The burden estimates are provided                         approximately 50%.
                                                                                                                           below. The Administration on Children,                           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               2,080
                                                  Updated Strategic Plan ....................................................................................                     52                 1                12                 624
                                                  Self-Assessment ..............................................................................................                  52                 1                36               1,772



                                                   Estimated Total Annual Burden                                           information collection. Email address:                        information collection should be sent
                                                  Hours: 4,476.                                                            infocollection@acf.hhs.gov.                                   directly to the following: Office of
                                                                                                                                                                                         Management and Budget, Paperwork
                                                  Additional Information                                                   OMB Comment
                                                                                                                                                                                         Reduction Project, Email: OIRA_
                                                    Copies of the proposed collection may                                     OMB is required to make a decision                         SUBMISSION@OMB.EOP.GOV, Attn:
                                                  be obtained by writing to the                                            concerning the collection of information                      Desk Officer for the Administration for
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                                                  Administration for Children and                                          between 30 and 60 days after                                  Children and Families.
                                                  Families, Office of Planning, Research                                   publication of this document in the                           Robert Sargis,
                                                  and Evaluation, 330 C Street SW.,                                        Federal Register. Therefore, a comment
                                                                                                                                                                                         Reports Clearance Officer.
                                                  Washington, DC 20201. Attention                                          is best assured of having its full effect
                                                                                                                                                                                         [FR Doc. 2016–17403 Filed 7–22–16; 8:45 am]
                                                  Reports Clearance Officer. All requests                                  if OMB receives it within 30 days of
                                                                                                                                                                                         BILLING CODE 4184–01–P
                                                  should be identified by the title of the                                 publication. Written comments and
                                                                                                                           recommendations for the proposed


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Document Created: 2016-07-23 02:00:45
Document Modified: 2016-07-23 02:00:45
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 September 23, 2016.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 48424 

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