81_FR_67155 81 FR 66966 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

81 FR 66966 - 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 189 (September 29, 2016)

Page Range66966-66966
FR Document2016-23537

The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS' intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, and to allow a second opportunity for public comment on the notice. Interested 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: 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 189 (Thursday, September 29, 2016)
[Federal Register Volume 81, Number 189 (Thursday, September 29, 2016)]
[Notices]
[Page 66966]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-23537]


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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: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (PRA), federal agencies are required to publish notice in 
the Federal Register concerning each proposed collection of 
information, including each proposed extension or reinstatement of an 
existing collection of information, and to allow a second opportunity 
for public comment on the notice. Interested 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: 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 on the collection(s) of information must be received by 
the OMB desk officer by October 31, 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: 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: September 26, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-23537 Filed 9-28-16; 8:45 am]
BILLING CODE 4120-01-P



                                                  66966                         Federal Register / Vol. 81, No. 189 / Thursday, September 29, 2016 / Notices

                                                  winnablebattles/Goals.html) and the                              www.whitehouse.gov/sites/default/files/                 estimated annual burden hours is 1,860.
                                                  CARB National Strategy (https://                                 docs/national_action_plan_for_                          This represents a reduction in the total
                                                  www.whitehouse.gov/sites/default/files/                          combating_antibotic-resistant_                          estimated annual burden hours from the
                                                  docs/carb_national_strategy.pdf) and                             bacteria.pdf).                                          previous approval due to a reduction in
                                                  Action Plan (https://                                              There are no costs to the respondents                 the number of respondents.
                                                                                                                   other than their time. The total
                                                                                                                  ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                Average
                                                                                                                                                                                             Number of
                                                                                                                                                                           Number of                          burden per
                                                                  Type of respondents                                                Form name                                             responses per
                                                                                                                                                                          respondents                          response
                                                                                                                                                                                             respondent         (in hrs.)

                                                  Infection preventionist .....................................   Healthcare Facility Assessment (HFA) ..........                  100                  1                45/60
                                                  Infection preventionist .....................................   Patient Information Form (PIF) ......................            100                 63                17/60



                                                  Leroy A. Richardson,                                             of automated collection techniques or                   to publish a 30-day notice in the
                                                  Chief, Information Collection Review Office,                     other forms of information technology to                Federal Register concerning each
                                                  Office of Scientific Integrity, Office of the                    minimize the information collection                     proposed collection of information,
                                                  Associate Director for Science, Office of the                    burden.                                                 including each proposed extension or
                                                  Director, Centers for Disease Control and                                                                                reinstatement of an existing collection
                                                  Prevention.                                                      DATES: Comments on the collection(s) of
                                                                                                                   information must be received by the                     of information, before submitting the
                                                  [FR Doc. 2016–23506 Filed 9–28–16; 8:45 am]
                                                                                                                   OMB desk officer by October 31, 2016.                   collection to OMB for approval. To
                                                  BILLING CODE 4163–18–P                                                                                                   comply with this requirement, CMS is
                                                                                                                   ADDRESSES: When commenting on the
                                                                                                                   proposed information collections,                       publishing this notice that summarizes
                                                                                                                   please reference the document identifier                the following proposed collection(s) of
                                                  DEPARTMENT OF HEALTH AND
                                                                                                                   or OMB control number. To be assured                    information for public comment:
                                                  HUMAN SERVICES
                                                                                                                   consideration, comments and                               1. Type of Information Collection
                                                  Centers for Medicare & Medicaid                                  recommendations must be received by                     Request: Extension of a currently
                                                  Services                                                         the OMB desk officer via one of the                     approved collection; Title of
                                                                                                                   following transmissions: OMB, Office of                 Information Collection: Request for
                                                  [Document Identifier: CMS–R–297 (CMS–                            Information and Regulatory Affairs,                     Employment Information; Use: Section
                                                  L564)]                                                           Attention: CMS Desk Officer, Fax                        1837(i) of the Social Security Act
                                                                                                                   Number: (202) 395–5806 OR, Email:                       provides for a special enrollment period
                                                  Agency Information Collection
                                                                                                                   OIRA_submission@omb.eop.gov.                            for individuals who delay enrolling in
                                                  Activities: Submission for OMB                                     To obtain copies of a supporting
                                                  Review; Comment Request                                                                                                  Medicare Part B because they are
                                                                                                                   statement and any related forms for the                 covered by a group health plan based on
                                                  AGENCY: Centers for Medicare &                                   proposed collection(s) summarized in                    their own or a spouse’s current
                                                  Medicaid Services, Department of                                 this notice, you may make your request                  employment status. Disabled
                                                  Health and Human Services.                                       using one of following:                                 individuals with Medicare may also
                                                                                                                     1. Access CMS’ Web site address at                    delay enrollment because they have
                                                  ACTION: Notice.
                                                                                                                   http://www.cms.hhs.gov/                                 large group health plan coverage based
                                                  SUMMARY:    The Centers for Medicare &                           PaperworkReductionActof1995.                            on their own or a family member’s
                                                  Medicaid Services (CMS) is announcing                              2. Email your request, including your
                                                                                                                                                                           current employment status. When these
                                                  an opportunity for the public to                                 address, phone number, OMB number,
                                                                                                                                                                           individuals apply for Medicare Part B,
                                                  comment on CMS’ intention to collect                             and CMS document identifier, to
                                                                                                                                                                           they must provide proof that the group
                                                  information from the public. Under the                           Paperwork@cms.hhs.gov.
                                                                                                                     3. Call the Reports Clearance Office at               health plan coverage is (or was) based
                                                  Paperwork Reduction Act of 1995                                                                                          on current employment status. Form
                                                  (PRA), federal agencies are required to                          (410) 786–1326.
                                                                                                                                                                           Number: CMS–R–297 (CMS–L564)
                                                  publish notice in the Federal Register                           FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                           (OMB control number: 0938–0787);
                                                  concerning each proposed collection of                           Reports Clearance Office at (410) 786–
                                                                                                                                                                           Frequency: Once; Affected Public:
                                                  information, including each proposed                             1326.
                                                                                                                                                                           Private sector (Business or other for-
                                                  extension or reinstatement of an existing                        SUPPLEMENTARY INFORMATION: Under the                    profits and Not-for-profit institutions);
                                                  collection of information, and to allow                          Paperwork Reduction Act of 1995 (PRA)                   Number of Respondents: 15,000; Total
                                                  a second opportunity for public                                  (44 U.S.C. 3501–3520), federal agencies                 Annual Responses: 15,000; Total
                                                  comment on the notice. Interested                                must obtain approval from the Office of                 Annual Hours: 5,000. (For policy
                                                  persons are invited to send comments                             Management and Budget (OMB) for each                    questions regarding this collection
                                                  regarding the burden estimate or any                             collection of information they conduct                  contact Lindsay Scully at 410–786–
                                                  other aspect of this collection of                               or sponsor. The term ‘‘collection of                    6843.)
                                                  information, including any of the                                information’’ is defined in 44 U.S.C.
mstockstill on DSK3G9T082PROD with NOTICES




                                                                                                                                                                              Dated: September 26, 2016.
                                                  following subjects: The necessity and                            3502(3) and 5 CFR 1320.3(c) and
                                                  utility of the proposed information                              includes agency requests or                             William N. Parham, III,
                                                  collection for the proper performance of                         requirements that members of the public                 Director, Paperwork Reduction Staff, Office
                                                  the agency’s functions; the accuracy of                          submit reports, keep records, or provide                of Strategic Operations and Regulatory
                                                  the estimated burden; ways to enhance                            information to a third party. Section                   Affairs.
                                                  the quality, utility, and clarity of the                         3506(c)(2)(A) of the PRA (44 U.S.C.                     [FR Doc. 2016–23537 Filed 9–28–16; 8:45 am]
                                                  information to be collected; and the use                         3506(c)(2)(A)) requires federal agencies                BILLING CODE 4120–01–P




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Document Created: 2016-09-29 04:14:48
Document Modified: 2016-09-29 04:14:48
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 October 31, 2016.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 66966 

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