81 FR 71102 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 199 (October 14, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 199 (October 14, 2016)
| Page Range | 71102-71103 | |
| FR Document | 2016-24813 |
[Federal Register Volume 81, Number 199 (Friday, October 14, 2016)] [Notices] [Pages 71102-71103] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-24813] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-2744] 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 December 13, 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 [[Page 71103]] following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see ADDRESSES). CMS-2744 End Stage Renal Disease (ESRD) Medical Information Facility Survey 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 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 previously approved collection; Title of Information Collection: End Stage Renal Disease (ESRD) Medical Information Facility Survey; Use: The ESRD Program Management and Medical Information System (PMMIS) Facility Certification/Survey Record contains provider-specific and aggregate patient population data on beneficiaries treated by that provider obtained from the Annual Facility Survey form (CMS-2744). The Facility Certification portion of the record captures certification and other information about ESRD facilities approved by Medicare to provide kidney dialysis and transplant services. The Facility Survey portion of the record captures activities performed during the calendar year as well as aggregate year-end population counts for both Medicare beneficiaries and non-Medicare patients. The survey includes the collection on hemodialysis patients dialyzing more than 4 times per week, vocational rehabilitation and staffing. The aggregate patient information is collected from each Medicare-approved provider of dialysis and kidney transplant services. The information is used to assess and evaluate the local, regional and national levels of medical and social impact of ESRD care and is used extensively by researchers and suppliers of services for trend analysis. Form Number: CMS-2744 (OMB Control Number: 0938-0447); Frequency: Yearly; Affected Public: Business or other for-profit, Not-for-profit institutions; Number of Respondents: 5,964; Total Annual Responses: 5,964; Total Annual Hours: 47,712. (For policy questions regarding this collection contact Renee Dupee at 410-786-6747) Dated: October 7, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-24813 Filed 10-13-16; 8:45 am] BILLING CODE 4120-01-P
![71102 Federal Register / Vol. 81, No. 199 / Friday, October 14, 2016 / Notices
collection of information they conduct Health Insurance Marketplace Web site concerning each proposed collection of
or sponsor. The term ‘‘collection of established by the Affordable Care Act. information (including each proposed
information’’ is defined in 44 U.S.C. The Marketplace provides coverage to extension or reinstatement of an existing
3502(3) and 5 CFR 1320.3(c) and uninsured Americans, as well as those collection of information) and to allow
includes agency requests or already enrolled in Marketplace health 60 days for public comment on the
requirements that members of the public insurance. One of the ways to purchase proposed action. Interested persons are
submit reports, keep records, or provide Marketplace insurance is through the invited to send comments regarding our
information to a third party. Section online tools on HealthCare.gov. We burden estimates or any other aspect of
3506(c)(2)(A) of the PRA (44 U.S.C. have developed a survey to be this collection of information, including
3506(c)(2)(A)) requires federal agencies administered to consumers while they any of the following subjects: (1) The
to publish a 30-day notice in the are using the Web site. This survey is necessity and utility of the proposed
Federal Register concerning each part of a continuing data collection information collection for the proper
proposed collection of information, program mandated by the ACA. It is performance of the agency’s functions;
including each proposed extension or designed to support the program goal to (2) the accuracy of the estimated
reinstatement of an existing collection provide tools and information to help burden; (3) ways to enhance the quality,
of information, before submitting the consumers to successfully find health utility, and clarity of the information to
collection to OMB for approval. To insurance that they may not otherwise be collected; and (4) the use of
comply with this requirement, CMS is qualify for or find. Monitoring usability automated collection techniques or
publishing this notice that summarizes and the user experience through this other forms of information technology to
the following proposed collection(s) of ongoing survey provides the Web site minimize the information collection
information for public comment: developers with valuable information burden.
1. Type of Information Collection for use in continuous improvement of
DATES: Comments must be received by
Request: New collection of information; the Web site. The Web site survey is
Title of Information Collection: Generic part of a larger research program to December 13, 2016.
Clearance for Evaluation of Stakeholder inform the development and ADDRESSES: When commenting, please
Training—Health Insurance enhancement of web tools for CMS reference the document identifier or
Marketplace and Market Stabilization programs such as the Health Insurance OMB control number. To be assured
Programs; Use: CMS is strongly Marketplace. Form Number: CMS– consideration, comments and
committed to providing appropriate 10597 (OMB control number: 0938- recommendations must be submitted in
education and technical outreach to New); Frequency: Weekly, Monthly, any one of the following ways:
States, issuers, self-insured group health Occasionally; Affected Public: 1. Electronically. You may send your
plans and third-party administrators Individuals or Households; Number of comments electronically to http://
(TPA) participating in the Marketplace Respondents: 14,000; Total Annual www.regulations.gov. Follow the
and/or market stabilization programs Responses: 14,000; Total Annual Hours: instructions for ‘‘Comment or
mandated by the ACA. CMS continues 933. (For policy questions regarding this Submission’’ or ‘‘More Search Options’’
to engage with stakeholders in the collection contact Frank Funderburk at to find the information collection
Marketplace to obtain input through 410–786–1820.) document(s) that are accepting
Satisfaction Surveys following comments.
Dated: October 7, 2016. 2. By regular mail. You may mail
Stakeholder Training events. The survey
William N. Parham, III, written comments to the following
results will help to determine
stakeholders’ level of satisfaction with Director, Paperwork Reduction Staff, Office address: CMS, Office of Strategic
of Strategic Operations and Regulatory Operations and Regulatory Affairs,
trainings, identify any issues with Affairs.
training and technical assistance Division of Regulations Development,
[FR Doc. 2016–24814 Filed 10–13–16; 8:45 am] Attention: Document Identifier/OMB
delivery, clarify stakeholders’ needs and
preferences, and define best practices BILLING CODE 4120–01–P Control Number ll, Room C4–26–05,
for training and technical assistance. 7500 Security Boulevard, Baltimore,
Forms being utilized for the 2017 Maryland 21244–1850.
DEPARTMENT OF HEALTH AND To obtain copies of a supporting
Stakeholder Events have already been
HUMAN SERVICES statement and any related forms for the
developed. CMS will continue to
modify, enhance and develop forms for proposed collection(s) summarized in
Centers for Medicare & Medicaid
future years based on feedback from this notice, you may make your request
Services
Stakeholders. Form Number: CMS– using one of following:
10598 (OMB control number: 0938– [Document Identifier: CMS–2744] 1. Access CMS’ Web site address at
NEW); Frequency: Occasionally; http://www.cms.hhs.gov/
Agency Information Collection PaperworkReductionActof1995.
Affected Public: Private Sector; Number
of Respondents: 32,912; Number of Activities: Proposed Collection; 2. Email your request, including your
Responses: 32,912; Total Annual Hours: Comment Request address, phone number, OMB number,
8,228. (For questions regarding this AGENCY: Centers for Medicare & and CMS document identifier, to
collection contact Sonia Henderson at Medicaid Services, HHS. Paperwork@cms.hhs.gov.
410–786–1631.) 3. Call the Reports Clearance Office at
ACTION: Notice.
2. Type of Information Collection (410) 786–1326.
Request: New collection (Request for a SUMMARY: The Centers for Medicare & FOR FURTHER INFORMATION CONTACT:
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new OMB control number; Title of Medicaid Services (CMS) is announcing Reports Clearance Office at (410) 786–
Information Collection: CMS an opportunity for the public to 1326.
Healthcare.gov Site Wide Online comment on CMS’ intention to collect SUPPLEMENTARY INFORMATION:
Survey; Use: The purpose of the survey information from the public. Under the
is to gain an understanding of user Paperwork Reduction Act of 1995 (the Contents
experience, comprehension, and PRA), federal agencies are required to This notice sets out a summary of the
satisfaction with using the Federal publish notice in the Federal Register use and burden associated with the
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![Federal Register / Vol. 81, No. 199 / Friday, October 14, 2016 / Notices 71103
following information collections. More population data on beneficiaries treated DEPARTMENT OF HEALTH AND
detailed information can be found in by that provider obtained from the HUMAN SERVICES
each collection’s supporting statement Annual Facility Survey form (CMS–
and associated materials (see 2744). The Facility Certification portion Administration for Children and
ADDRESSES). of the record captures certification and Families
other information about ESRD facilities
CMS–2744 End Stage Renal Disease approved by Medicare to provide Submission for OMB Review;
(ESRD) Medical Information Facility kidney dialysis and transplant services. Comment Request
Survey The Facility Survey portion of the
Under the PRA (44 U.S.C. 3501– record captures activities performed Title: TANF Quarterly Financial
3520), federal agencies must obtain during the calendar year as well as Report, ACF–196.
approval from the Office of Management aggregate year-end population counts OMB No.: 0970–0247.
and Budget (OMB) for each collection of for both Medicare beneficiaries and non-
Medicare patients. The survey includes Description: This information
information they conduct or sponsor.
The term ‘‘collection of information’’ is the collection on hemodialysis patients collection is authorized under Section
defined in 44 U.S.C. 3502(3) and 5 CFR dialyzing more than 4 times per week, 411(a)(3) of the Social Security Act. This
1320.3(c) and includes agency requests vocational rehabilitation and staffing. request is for renewal of approval to use
or requirements that members of the The aggregate patient information is the Administration for Children and
public submit reports, keep records, or collected from each Medicare-approved Families’ (ACF) 196 form for periodic
provide information to a third party. provider of dialysis and kidney financial reporting under the Temporary
Section 3506(c)(2)(A) of the PRA transplant services. The information is Assistance for Needy Families (TANF)
requires federal agencies to publish a used to assess and evaluate the local, program. States participating in the
60-day notice in the Federal Register regional and national levels of medical TANF program are required by statute to
concerning each proposed collection of and social impact of ESRD care and is report financial data on a quarterly
information, including each proposed used extensively by researchers and basis. This form meets the legal
extension or reinstatement of an existing suppliers of services for trend analysis. standard and provides essential data on
collection of information, before Form Number: CMS–2744 (OMB the use of Federal funds. Failure to
submitting the collection to OMB for Control Number: 0938–0447); collect the data would seriously
approval. To comply with this Frequency: Yearly; Affected Public:
compromise ACF’s ability to monitor
requirement, CMS is publishing this Business or other for-profit, Not-for-
program expenditures, estimate funding
notice. profit institutions; Number of
Respondents: 5,964; Total Annual needs, and to prepare budget
Information Collection Responses: 5,964; Total Annual Hours: submissions required by Congress.
47,712. (For policy questions regarding Financial reporting under the TANF
1. Type of Information Collection program is governed by 45 CFR part
Request: Extension of a previously this collection contact Renee Dupee at
410–786–6747) 265.
approved collection; Title of
Information Collection: End Stage Renal Dated: October 7, 2016. Respondents: TANF Agencies.
Disease (ESRD) Medical Information William N. Parham, III,
Facility Survey; Use: The ESRD Program Director, Paperwork Reduction Staff, Office
Management and Medical Information of Strategic Operations and Regulatory
System (PMMIS) Facility Certification/ Affairs.
Survey Record contains provider- [FR Doc. 2016–24813 Filed 10–13–16; 8:45 am]
specific and aggregate patient BILLING CODE 4120–01–P
ANNUAL BURDEN ESTIMATES
Number of Average
Number of Total burden
Instrument responses per burden hours
respondents hours
respondent per response
ACF–196 .......................................................................................................... 51 4 10 2,040
Estimated Total Annual Burden document in the Federal Register. Desk Officer for the Administration for
Hours: 2,040. Therefore, a comment is best assured of Children and Families.
Additional Information: Copies of the having its full effect if OMB receives it
proposed collection may be obtained by Robert Sargis,
within 30 days of publication. Written
writing to the Administration for comments and recommendations for the Reports Clearance Officer.
Children and Families, Office of proposed information collection should [FR Doc. 2016–24824 Filed 10–13–16; 8:45 am]
Planning, Research and Evaluation, 330 be sent directly to the following: Office BILLING CODE 4184–01–P
C Street SW., Washington, DC 20201, of Management and Budget, Paperwork
Attn: ACF Reports Clearance Officer. All
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Reduction Project, Email: OIRA_
requests should be identified by the title
SUBMISSION@OMB.EOP.GOV, Attn:
of the information collection. Email
address: infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
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Document Created: 2016-10-14 00:01:07
Document Modified: 2016-10-14 00:01:07
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments must be received by December 13, 2016. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 71102 |
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