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.

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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 (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 VerDate Sep<11>2014 18:51 Sep 28, 2016 Jkt 238001 PO 00000 Frm 00048 Fmt 4703 Sfmt 9990 E:\FR\FM\29SEN1.SGM 29SEN1


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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