81_FR_8533 81 FR 8500 - Submission for OMB Review; Comment Request

81 FR 8500 - Submission for OMB Review; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families

Federal Register Volume 81, Issue 33 (February 19, 2016)

Page Range8500-8501
FR Document2016-03460

Federal Register, Volume 81 Issue 33 (Friday, February 19, 2016)
[Federal Register Volume 81, Number 33 (Friday, February 19, 2016)]
[Notices]
[Pages 8500-8501]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-03460]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families


Submission for OMB Review; Comment Request

    Title: Native Employment Works (NEW) Program Plan Guidance and 
Native Employment Works (NEW) Program Report.
    OMB No.: 0970-0174.
    Description: The Native Employment Works (NEW) program plan is the

[[Page 8501]]

application for NEW program funding. As approved by the Department of 
Health and Human Services (HHS), it documents how the grantee will 
carry out its NEW program. The NEW program plan guidance provides 
instructions for preparing a NEW program plan and explains the process 
for plan submission every third year. There are two versions of this 
plan guidance: One for tribes that include their NEW program in a 
Public Law 102-477 project, and one for tribes that do not. The primary 
difference between the guidance documents is in the instructions for 
how to submit the plan. The NEW program report provides information on 
the activities and accomplishments of grantees' NEW programs. The NEW 
program report and instructions specify the program data that NEW 
grantees report annually.
    Respondents: Federally recognized Indian Tribes and Tribal 
organizations that are NEW program grantees.

                                             Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
                                                                     Number of    Average burden
                   Instrument                        Number of     responses per     hours per     Total burden
                                                    respondents     respondent       response          hours
----------------------------------------------------------------------------------------------------------------
NEW program plan guidance for non-477 Tribes....          \1\ 15               1              29             435
NEW program plan guidance for 477 Tribes........          \2\ 11               1              29             319
NEW program report..............................          \3\ 44               1              15             660
----------------------------------------------------------------------------------------------------------------

    Estimated Total Annual Burden Hours: 1,414.

Additional Information

    Copies of the proposed collection may be obtained by writing to the 
Administration for Children and Families, Office of Planning, Research 
and Evaluation, 330 C Street SW., Washington, DC 20201. Attention 
Reports Clearance Officer. All requests should be identified by the 
title of the information collection. Email address: 
[email protected].

OMB Comment

    OMB is required to make a decision concerning the collection of 
information between 30 and 60 days after publication of this document 
in the Federal Register. Therefore, a comment is best assured of having 
its full effect if OMB receives it within 30 days of publication. 
Written comments and recommendations for the proposed information 
collection should be sent directly to the following: Office of 
Management and Budget, Paperwork Reduction Project, Email: 
[email protected], Attn: Desk Officer for the Administration 
for Children and Families.

Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2016-03460 Filed 2-18-16; 8:45 am]
BILLING CODE 4184-01-P



                                                    8500                          Federal Register / Vol. 81, No. 33 / Friday, February 19, 2016 / Notices

                                                    (OMB Control Number: 0938–0679);                        That regulation would also require                    any given MLR reporting year.
                                                    Frequency: Occasionally; Affected                       health insurance issuers to submit an                 Additionally, each issuer is required to
                                                    Public: Individuals or Households;                      Actuarial Memorandum (in addition to                  maintain for a period of seven years all
                                                    Number of Respondents: 462,000; Total                   the Unified Rate Review Template)                     documents, records and other evidence
                                                    Annual Responses: 462,000; Total                        when a plan within a product is subject               that support the data included in each
                                                    Annual Hours: 418,563. (For policy                      to a rate increase. Although the two                  issuer’s annual report to the Secretary.
                                                    questions regarding this collection                     required documents are submitted at the               Under Section 1342 of the Patient
                                                    contact Paula Smith at 410–786–4709.)                   risk pool level, the requirement to                   Protection and Affordable Care Act and
                                                       3. Type of Information Collection                    submit is based on increases at the plan              implementing regulation at 45 CFR part
                                                    Request: Revision of a currently                        level.                                                153, issuers of qualified health plans
                                                    approved collection; Title of                              In order to conduct a review to assess             (QHPs) must participate in a risk
                                                    Information Collection: Rate Increase                   reasonableness when a plan within a                   corridors program. A QHP issuer is
                                                    Disclosure and Review Reporting                         product has a rate increase that is                   required to pay charges to or receive
                                                    Requirements; Use: Section 1003 of the                  subject to review, health insurance                   payments from CMS based on the ratio
                                                    Affordable Care Act adds a new section                  issuers would be required to submit a                 of the issuer’s allowable costs to the
                                                    2794 of the PHS Act which directs the                   written description justifying the                    target amount. Each QHP issuer is
                                                    Secretary of the Department of Health                   increase (in addition to the Unified Rate             required to submit an annual report to
                                                    and Human Services (the Secretary), in                  Review Template and Actuarial                         CMS concerning the issuer’s allowable
                                                    conjunction with the states, to establish               Memorandum). Although the required                    costs, allowable administrative costs,
                                                    a process for the annual review of                      documents are submitted at the risk                   and the amount of premium.
                                                    ‘‘unreasonable increases in premiums                    pool level, the requirement to submit is                 The 2015 MLR Reporting Form and
                                                    for health insurance coverage.’’ The                    based on increases at the plan level.                 Instructions reflect changes for the 2015
                                                    statute provides that health insurance                  Form Number: CMS–10379 (OMB                           reporting/benefit year and beyond. In
                                                    issuers must submit to the Secretary and                Control Number: 0938–1141);                           2016, it is expected that issuers will
                                                    the applicable state justifications for                 Frequency: Yearly; Affected Public:                   submit fewer reports and send fewer
                                                    unreasonable premium increases prior                    State and Private sector (Business or                 notices to policyholders and
                                                    to the implementation of the increases.                 other for-profits and Not-for-profit                  subscribers, which will reduce burden
                                                    Section 2794 also specifies that                        institutions); Number of Respondents:                 on issuers. On the other hand, it is
                                                    beginning with plan years beginning in                  1,081; Total Annual Responses: 1,621;                 expected that issuers will send more
                                                    2014, the Secretary, in conjunction with                Total Annual Hours: 17,837. (For policy               rebate checks in the mail to individual
                                                    the states, shall monitor premium                       questions regarding this collection                   market policyholders, which will
                                                    increases of health insurance coverage                  contact Lisa Cuozzo at 410–786–1746.)                 increase burden for some issuers. It is
                                                    offered through an Exchange and                            4. Type of Information Collection                  estimated that there will be a net
                                                    outside of an Exchange.                                 Request: Extension of a currently                     reduction in total burden from 271,600
                                                       Section 2794 directs the Secretary to                approved collection; Title of                         to 235,148. Form Number: CMS–10418
                                                    ensure the public disclosure of                         Information Collection: Medical Loss                  (OMB Control Number: 0938–1164);
                                                    information and justification relating to               Ratio Annual Reports, MLR Notices, and                Frequency: Annually; Affected Public:
                                                    unreasonable rate increases. Section                    Recordkeeping Requirements; Use:                      Private Sector, Business or other for-
                                                    2794 requires that health insurance                     Under Section 2718 of the Affordable                  profits and not-for-profit institutions;
                                                    issuers submit justification for an                     Care Act and implementing regulation                  Number of Respondents: 538; Number
                                                    unreasonable rate increase to CMS and                   at 45 CFR part 158, a health insurance
                                                                                                                                                                  of Responses: 2,818; Total Annual
                                                    the relevant state prior to its                         issuer (issuer) offering group or
                                                                                                                                                                  Hours: 235,148. (For policy questions
                                                    implementation. Additionally, section                   individual health insurance coverage
                                                                                                                                                                  regarding this collection contact
                                                    2794 requires that rate increases                       must submit a report to the Secretary
                                                                                                                                                                  Christina Whitefield at 301–492–4172.)
                                                    effective in 2014 (submitted for review                 concerning the amount the issuer
                                                    in 2013) be monitored by the Secretary,                 spends each year on claims, quality                      Dated: February 16, 2016.
                                                    in conjunction with the states. To those                improvement expenses, non-claims                      William N. Parham, III,
                                                    ends, Section 154 of the CFR establishes                costs, Federal and State taxes and                    Director, Paperwork Reduction Staff, Office
                                                    various reporting requirements for                      licensing and regulatory fees, the                    of Strategic Operations and Regulatory
                                                    health insurance issuers, including a                   amount of earned premium, and                         Affairs.
                                                    Preliminary Justification for a proposed                beginning with the 2014 reporting year,               [FR Doc. 2016–03474 Filed 2–18–16; 8:45 am]
                                                    rate increase, a Final Justification for                the amounts related to the transitional               BILLING CODE 4120–01–P
                                                    any rate increase determined by a state                 reinsurance, risk adjustment, and risk
                                                    or CMS to be unreasonable, and a                        corridors. An issuer must provide an
                                                    notification requirement for                            annual rebate if the amount it spends on              DEPARTMENT OF HEALTH AND
                                                    unreasonable rate increases which the                   certain costs compared to its premium                 HUMAN SERVICES
                                                    issuer will not implement.                              revenue (excluding Federal and States
                                                       In order to obtain the information                   taxes and licensing and regulatory fees)              Administration for Children and
                                                    necessary to monitor premium increases                  does not meet a certain ratio, referred to            Families
                                                    of health insurance coverage offered                    as the medical loss ratio (MLR). Each
                                                    through an Exchange and outside of an                   issuer is required to submit annually                 Submission for OMB Review;
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                    Exchange, 45 CFR 154.215 would                          MLR data, including information about                 Comment Request
                                                    require health insurance issuers to                     any rebates it must provide, on a form                  Title: Native Employment Works
                                                    submit the Unified Rate Review                          prescribed by CMS, for each State in                  (NEW) Program Plan Guidance and
                                                    Template for all single risk pool                       which the issuer conducts business.                   Native Employment Works (NEW)
                                                    coverage products in the individual or                  Each issuer is also required to provide               Program Report.
                                                    small group (or merged) market,                         a rebate notice to each policyholder that               OMB No.: 0970–0174.
                                                    regardless of whether any plan within a                 is owed a rebate and each subscriber of                 Description: The Native Employment
                                                    product is subject to a rate increase.                  policyholders that are owed a rebate for              Works (NEW) program plan is the


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                                                                                         Federal Register / Vol. 81, No. 33 / Friday, February 19, 2016 / Notices                                                          8501

                                                    application for NEW program funding.                                There are two versions of this plan                          accomplishments of grantees’ NEW
                                                    As approved by the Department of                                    guidance: One for tribes that include                        programs. The NEW program report and
                                                    Health and Human Services (HHS), it                                 their NEW program in a Public Law                            instructions specify the program data
                                                    documents how the grantee will carry                                102–477 project, and one for tribes that                     that NEW grantees report annually.
                                                    out its NEW program. The NEW                                        do not. The primary difference between                         Respondents: Federally recognized
                                                    program plan guidance provides                                      the guidance documents is in the
                                                                                                                                                                                     Indian Tribes and Tribal organizations
                                                    instructions for preparing a NEW                                    instructions for how to submit the plan.
                                                                                                                                                                                     that are NEW program grantees.
                                                    program plan and explains the process                               The NEW program report provides
                                                    for plan submission every third year.                               information on the activities and

                                                                                                                                 ANNUAL BURDEN ESTIMATES
                                                                                                                                                                                     Number of          Average
                                                                                                                                                                  Number of                                          Total burden
                                                                                                 Instrument                                                                        responses per      burden hours
                                                                                                                                                                 respondents                                            hours
                                                                                                                                                                                     respondent       per response

                                                    NEW program plan guidance for non-477 Tribes ...........................................                                1 15                1               29            435
                                                    NEW program plan guidance for 477 Tribes ...................................................                            2 11                1               29            319
                                                    NEW program report .......................................................................................              3 44                1               15            660



                                                     Estimated Total Annual Burden                                      DEPARTMENT OF HEALTH AND                                     anyone else’s Social Security number, or
                                                    Hours: 1,414.                                                       HUMAN SERVICES                                               confidential business information, such
                                                                                                                                                                                     as a manufacturing process. Please note
                                                    Additional Information                                              Food and Drug Administration                                 that if you include your name, contact
                                                      Copies of the proposed collection may                                                                                          information, or other information that
                                                                                                                        [Docket No. FDA–2014–D–0310]
                                                    be obtained by writing to the                                                                                                    identifies you in the body of your
                                                                                                                        Guidance for Industry on                                     comments, that information will be
                                                    Administration for Children and
                                                                                                                        Immunogenicity-Related                                       posted on http://www.regulations.gov.
                                                    Families, Office of Planning, Research                                                                                             • If you want to submit a comment
                                                    and Evaluation, 330 C Street SW.,                                   Considerations for Low Molecular
                                                                                                                        Weight Heparin; Availability                                 with confidential information that you
                                                    Washington, DC 20201. Attention                                                                                                  do not wish to be made available to the
                                                    Reports Clearance Officer. All requests                             AGENCY:       Food and Drug Administration,                  public, submit the comment as a
                                                    should be identified by the title of the                            HHS.                                                         written/paper submission and in the
                                                    information collection. Email address:                              ACTION:      Notice.                                         manner detailed (see ‘‘Written/Paper
                                                    infocollection@acf.hhs.gov.                                                                                                      Submissions’’ and ‘‘Instructions’’).
                                                                                                                        SUMMARY:    The Food and Drug
                                                    OMB Comment                                                                                                                      Written/Paper Submissions
                                                                                                                        Administration (FDA) is announcing the
                                                       OMB is required to make a decision                               availability of a guidance for industry                         Submit written/paper submissions as
                                                                                                                        entitled ‘‘Immunogenicity-Related                            follows:
                                                    concerning the collection of information
                                                                                                                        Considerations for Low Molecular                                • Mail/Hand delivery/Courier (for
                                                    between 30 and 60 days after                                                                                                     written/paper submissions): Division of
                                                    publication of this document in the                                 Weight Heparin.’’ This guidance
                                                                                                                        discusses how applicants for low                             Dockets Management (HFA–305), Food
                                                    Federal Register. Therefore, a comment                                                                                           and Drug Administration, 5630 Fishers
                                                    is best assured of having its full effect                           molecular weight heparin (LMWH)
                                                                                                                        products should provide information on                       Lane, Rm. 1061, Rockville, MD 20852.
                                                    if OMB receives it within 30 days of
                                                                                                                        impurities and their potential impact on                        • For written/paper comments
                                                    publication. Written comments and                                                                                                submitted to the Division of Dockets
                                                                                                                        immunogenicity.
                                                    recommendations for the proposed                                                                                                 Management, FDA will post your
                                                                                                                        DATES: Submit either electronic or                           comment, as well as any attachments,
                                                    information collection should be sent
                                                    directly to the following: Office of                                written comments on Agency guidances                         except for information submitted,
                                                                                                                        at any time.                                                 marked and identified, as confidential,
                                                    Management and Budget, Paperwork
                                                    Reduction Project, Email: OIRA_                                     ADDRESSES: You may submit comments                           if submitted as detailed in
                                                    SUBMISSION@OMB.EOP.GOV, Attn:                                       as follows:                                                  ‘‘Instructions.’’
                                                    Desk Officer for the Administration for                                                                                             Instructions: All submissions received
                                                                                                                        Electronic Submissions
                                                    Children and Families.                                                                                                           must include the Docket No. FDA–
                                                                                                                          Submit electronic comments in the                          2014–D–0310 for ‘‘Immunogenicity-
                                                    Robert Sargis,                                                      following way:                                               Related Considerations for Low
                                                    Reports Clearance Officer.                                            • Federal eRulemaking Portal: http://                      Molecular Weight Heparin.’’ Received
                                                    [FR Doc. 2016–03460 Filed 2–18–16; 8:45 am]
                                                                                                                        www.regulations.gov. Follow the                              comments will be placed in the docket
                                                                                                                        instructions for submitting comments.                        and, except for those submitted as
                                                    BILLING CODE 4184–01–P
                                                                                                                        Comments submitted electronically,                           ‘‘Confidential Submissions,’’ publicly
                                                                                                                        including attachments, to http://                            viewable at http://www.regulations.gov
asabaliauskas on DSK5VPTVN1PROD with NOTICES




                                                                                                                        www.regulations.gov will be posted to                        or at the Division of Dockets
                                                                                                                        the docket unchanged. Because your                           Management between 9 a.m. and 4 p.m.,
                                                                                                                        comment will be made public, you are                         Monday through Friday.
                                                                                                                        solely responsible for ensuring that your                       • Confidential Submissions—To
                                                                                                                        comment does not include any                                 submit a comment with confidential
                                                                                                                        confidential information that you or a                       information that you do not wish to be
                                                                                                                        third party may not wish to be posted,                       made publicly available, submit your
                                                                                                                        such as medical information, your or                         comments only as a written/paper


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Document Created: 2018-02-02 14:31:48
Document Modified: 2018-02-02 14:31:48
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
FR Citation81 FR 8500 

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