81_FR_85799 81 FR 85571 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

81 FR 85571 - 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 228 (November 28, 2016)

Page Range85571-85572
FR Document2016-28433

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: (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.

Federal Register, Volume 81 Issue 228 (Monday, November 28, 2016)
[Federal Register Volume 81, Number 228 (Monday, November 28, 2016)]
[Notices]
[Pages 85571-85572]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-28433]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10628]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid 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: (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 on the collection(s) of information must be received by 
the OMB desk officer by December 28, 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: OIRA_ 
[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: New collection (Request 
for a new OMB control number); Title of Information Collection: Initial 
Request for State Implemented Moratorium Form; Use: The CMS promulgated 
42 CFR 424.570 in order to comply with that statute, which requires 
that prior to implementing state Medicaid moratoria the state Medicaid 
agency must notify the Secretary in writing, including all of the 
details of the moratoria, and obtain the Secretary's concurrence with 
the imposition of the moratoria. The above regulation is promulgated 
from 1866 (j)(7) of the Social Security Act, which allows for the 
imposition of temporary moratorium. The Initial Request for State 
Medicaid Implemented Moratorium, named the ``Initial Request

[[Page 85572]]

for State Medicaid Implemented Moratorium'' was created to collect that 
data, in a uniform manner, which the states report to CMS when they 
request a moratorium. Currently, CMS is collecting this data on an ad-
hoc basis, however this process needs to be standardized so that 
moratoria decisions are being made based on the same criteria each 
time.
    The goal of the Initial Request for State Medicaid Implemented 
Moratorium form is to provide a uniform application process that all of 
the states may follow so that CMS is able to administer the Medicaid or 
Children's Health Insurance Program moratorium process in a 
standardized and repeatable manner. This form creates a standardized 
process so that moratoria decisions are being made with the same 
criteria each time. Form Number: CMS-10628 (OMB control number: 0938-
NEW); Frequency: Occasionally; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 15; Total Annual Responses: 15; 
Total Annual Hours: 75. (For policy questions regarding this collection 
contact Cheryl Cooper at 410-786-8624.)

    Dated: November 21, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-28433 Filed 11-25-16; 8:45 am]
 BILLING CODE 4120-01-P



                                                                             Federal Register / Vol. 81, No. 228 / Monday, November 28, 2016 / Notices                                            85571

                                                  CMS–10490 Program Integrity and                         Respondents: 39; Number of Responses:                 following transmissions: OMB, Office of
                                                  Additional State Information                            39,475; Total Annual Hours: 2,296,860.                Information and Regulatory Affairs,
                                                  Collections                                             (For policy questions regarding this                  Attention: CMS Desk Officer, Fax
                                                    Under the PRA (44 U.S.C. 3501–                        collection, contact Lisa Eggleston at                 Number: (202) 395–5806 OR, Email:
                                                  3520), federal agencies must obtain                     410–786–8990)                                         OIRA_ submission@omb.eop.gov.
                                                  approval from the Office of Management                     Dated: November 21, 2016.                            To obtain copies of a supporting
                                                  and Budget (OMB) for each collection of                                                                       statement and any related forms for the
                                                                                                          William N. Parham, III,
                                                  information they conduct or sponsor.                                                                          proposed collection(s) summarized in
                                                                                                          Director, Paperwork Reduction Staff, Office
                                                  The term ‘‘collection of information’’ is                                                                     this notice, you may make your request
                                                                                                          of Strategic Operations and Regulatory
                                                  defined in 44 U.S.C. 3502(3) and 5 CFR                  Affairs.                                              using one of following:
                                                                                                                                                                  1. Access CMS’ Web site address at
                                                  1320.3(c) and includes agency requests                  [FR Doc. 2016–28434 Filed 11–25–16; 8:45 am]
                                                                                                                                                                http://www.cms.hhs.gov/
                                                  or requirements that members of the                     BILLING CODE 4120–01–P
                                                                                                                                                                PaperworkReductionActof1995.
                                                  public submit reports, keep records, or
                                                                                                                                                                  2. Email your request, including your
                                                  provide information to a third party.
                                                                                                                                                                address, phone number, OMB number,
                                                  Section 3506(c)(2)(A) of the PRA                        DEPARTMENT OF HEALTH AND
                                                                                                                                                                and CMS document identifier, to
                                                  requires federal agencies to publish a                  HUMAN SERVICES
                                                                                                                                                                Paperwork@cms.hhs.gov.
                                                  60-day notice in the Federal Register                                                                           3. Call the Reports Clearance Office at
                                                  concerning each proposed collection of                  Centers for Medicare & Medicaid
                                                                                                          Services                                              (410) 786–1326.
                                                  information, including each proposed
                                                                                                                                                                FOR FURTHER INFORMATION CONTACT:
                                                  extension or reinstatement of an existing               [Document Identifiers: CMS–10628]
                                                  collection of information, before                                                                             Reports Clearance Office at (410) 786–
                                                  submitting the collection to OMB for                                                                          1326.
                                                                                                          Agency Information Collection
                                                  approval. To comply with this                           Activities: Submission for OMB                        SUPPLEMENTARY INFORMATION:      Under the
                                                  requirement, CMS is publishing this                     Review; Comment Request                               Paperwork Reduction Act of 1995 (PRA)
                                                  notice.                                                                                                       (44 U.S.C. 3501–3520), federal agencies
                                                                                                          AGENCY: Centers for Medicare &                        must obtain approval from the Office of
                                                  Information Collection                                  Medicaid Services.                                    Management and Budget (OMB) for each
                                                     1. Type of Information Collection                    ACTION: Notice.                                       collection of information they conduct
                                                  Request: Revision of a currently                                                                              or sponsor. The term ‘‘collection of
                                                  approved collection; Title of                           SUMMARY:    The Centers for Medicare &                information’’ is defined in 44 U.S.C.
                                                  Information Collection: Program                         Medicaid Services (CMS) is announcing                 3502(3) and 5 CFR 1320.3(c) and
                                                  Integrity and Additional State                          an opportunity for the public to                      includes agency requests or
                                                  Information Collections; Use: On June                   comment on CMS’ intention to collect                  requirements that members of the public
                                                  19, 2013, HHS published the proposed                    information from the public. Under the                submit reports, keep records, or provide
                                                  rule CMS–9957–P: Program Integrity:                     Paperwork Reduction Act of 1995                       information to a third party. Section
                                                  Exchanges, SHOP, Premium                                (PRA), federal agencies are required to               3506(c)(2)(A) of the PRA (44 U.S.C.
                                                  Stabilization Programs, and Market                      publish notice in the Federal Register                3506(c)(2)(A)) requires federal agencies
                                                  Standards (78 FR 37302) (Program                        concerning each proposed collection of                to publish a 30-day notice in the
                                                  Integrity Proposed Rule). Among other                   information, including each proposed                  Federal Register concerning each
                                                  things, the Program Integrity Proposed                  extension or reinstatement of an existing             proposed collection of information,
                                                  Rule sets forth financial integrity                     collection of information, and to allow               including each proposed extension or
                                                  provisions and protections against fraud                a second opportunity for public                       reinstatement of an existing collection
                                                  and abuse. On January 30, 2013, CMS                     comment on the notice. Interested                     of information, before submitting the
                                                  published Eligibility Appeals and Other                 persons are invited to send comments                  collection to OMB for approval. To
                                                  Provisions Related to Eligibility and                   regarding the burden estimate or any                  comply with this requirement, CMS is
                                                  Enrollment for Exchanges under the                      other aspect of this collection of                    publishing this notice that summarizes
                                                  Affordable Care Act (CMS–2334–P)                        information, including any of the                     the following proposed collection(s) of
                                                  (E&E II Proposed Rule). On August 30,                   following subjects: (1) The necessity and             information for public comment:
                                                  2013, HHS published the final rule                      utility of the proposed information                      1. Type of Information Collection
                                                  CMS–9957–F: Program Integrity:                          collection for the proper performance of              Request: New collection (Request for a
                                                  Exchanges, SHOP, Eligibility Appeals                    the agency’s functions; (2) the accuracy              new OMB control number); Title of
                                                  (Program Integrity final rule), finalizing              of the estimated burden; (3) ways to                  Information Collection: Initial Request
                                                  a number of the provisions from the                     enhance the quality, utility, and clarity             for State Implemented Moratorium
                                                  Program Integrity and E&E II Proposed                   of the information to be collected; and               Form; Use: The CMS promulgated 42
                                                  Rules. The third party disclosure                       (4) the use of automated collection                   CFR 424.570 in order to comply with
                                                  requirements and data collections in the                techniques or other forms of information              that statute, which requires that prior to
                                                  Program Integrity final rule support the                technology to minimize the information                implementing state Medicaid moratoria
                                                  oversight of qualified health plan (QHP)                collection burden.                                    the state Medicaid agency must notify
                                                  issuers in Federally-facilitated                        DATES: Comments on the collection(s) of               the Secretary in writing, including all of
                                                  Exchanges (FFEs) and other provisions.                  information must be received by the                   the details of the moratoria, and obtain
                                                  The data collections will assist HHS in                 OMB desk officer by December 28, 2016.                the Secretary’s concurrence with the
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                                                  adjudicating eligibility appeals of                     ADDRESSES: When commenting on the                     imposition of the moratoria. The above
                                                  Exchange eligibility determinations, in                 proposed information collections,                     regulation is promulgated from 1866
                                                  accordance with Federal standards.                      please reference the document identifier              (j)(7) of the Social Security Act, which
                                                  Form Number: CMS–10490 (OMB                             or OMB control number. To be assured                  allows for the imposition of temporary
                                                  control number 0938–1213). Frequency:                   consideration, comments and                           moratorium. The Initial Request for
                                                  Once, Yearly; Affected Public: Not-for-                 recommendations must be received by                   State Medicaid Implemented
                                                  profit institutions; Number of                          the OMB desk officer via one of the                   Moratorium, named the ‘‘Initial Request


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                                                  85572                            Federal Register / Vol. 81, No. 228 / Monday, November 28, 2016 / Notices

                                                  for State Medicaid Implemented                                         Dated: November 21, 2016.                                               functioning and well-being, service
                                                  Moratorium’’ was created to collect that                            William N. Parham, III,                                                    needs, and service utilization of
                                                  data, in a uniform manner, which the                                Director, Paperwork Reduction Staff, Office                                children and families who come to the
                                                  states report to CMS when they request                              of Strategic Operations and Regulatory                                     attention of the child welfare system.
                                                  a moratorium. Currently, CMS is                                     Affairs.                                                                   Information is collected about children’s
                                                  collecting this data on an ad-hoc basis,                            [FR Doc. 2016–28433 Filed 11–25–16; 8:45 am]                               cognitive, social, emotional, behavioral,
                                                  however this process needs to be                                    BILLING CODE 4120–01–P                                                     and adaptive functioning, as well as
                                                  standardized so that moratoria decisions                                                                                                       family and community factors that are
                                                  are being made based on the same                                                                                                               likely to influence their functioning.
                                                  criteria each time.                                                 DEPARTMENT OF HEALTH AND
                                                                                                                                                                                                 Family service needs and service
                                                    The goal of the Initial Request for                               HUMAN SERVICES
                                                  State Medicaid Implemented                                                                                                                     utilization also are addressed in the data
                                                  Moratorium form is to provide a                                     Administration for Children and                                            collection.
                                                  uniform application process that all of                             Families                                                                      A previous notice provided the
                                                  the states may follow so that CMS is                                                                                                           opportunity for public comment on the
                                                  able to administer the Medicaid or                                  Proposed Information Collection
                                                                                                                                                                                                 proposed Phase 1 recruitment and
                                                  Children’s Health Insurance Program                                 Activity; Comment Request
                                                                                                                                                                                                 sampling process (FR V.81, 4/8/2016).
                                                  moratorium process in a standardized                                   Title: National Survey of Child and                                     This notice is specific to the Phase 2
                                                  and repeatable manner. This form                                    Adolescent Well-Being-Third Cohort                                         data collection activities: (1) baseline
                                                  creates a standardized process so that                              (NSCAW III): Data Collection                                               and (2) 18-month follow-up data
                                                  moratoria decisions are being made with                                OMB No.: 0970–0202                                                      collection. Data collection includes
                                                  the same criteria each time. Form                                      Description: The Administration for                                     child interviews and direct assessments,
                                                  Number: CMS–10628 (OMB control                                      Children and Families (ACF) within the                                     as well as caregiver and caseworker
                                                  number: 0938–NEW); Frequency:                                       U.S. Department of Health and Human
                                                                                                                                                                                                 interviews. The overall goal is to
                                                  Occasionally; Affected Public: State,                               Services (HHS) intends to collect data
                                                                                                                                                                                                 maintain the strengths and continuity of
                                                  Local, or Tribal Governments; Number                                on a third cohort of children and
                                                  of Respondents: 15; Total Annual                                    families for the National Survey of Child                                  the prior surveys while better
                                                  Responses: 15; Total Annual Hours: 75.                              and Adolescent Well-Being (NSCAW                                           positioning the study to address changes
                                                  (For policy questions regarding this                                III). NSCAW is the only source of                                          in the child welfare population.
                                                  collection contact Cheryl Cooper at 410–                            nationally representative, longitudinal,                                      Respondents: Children, and their
                                                  786–8624.)                                                          firsthand information about the                                            associated caregivers and caseworkers.
                                                                                                                               ANNUAL BURDEN ESTIMATES
                                                                                                                                                                       Annual                  Number of                   Average
                                                                                                                                        Total number                 number of                                                                     Annual burden
                                                                                   Instrument                                                                                                responses per               burden hours
                                                                                                                                       of respondents               respondents                                                                       hours
                                                                                                                                                                                               respondent                per response
                                                                                                                                                                     (rounded)

                                                                                                                                                  Baseline

                                                  Child Interview and Direct Assessments .............................                                4,565                      1,522                            1                      1.33              2,024
                                                  Caregiver Interview ..............................................................                  4,565                      1,522                            1                      1.67              2,542
                                                  Caseworker Interview ..........................................................                     1,826                        609                            3                       .75              1,370

                                                                                                                                        18-Month Follow-up

                                                  Child Interview and Direct Assessment ...............................                               3,650                      1,217                            1                      1.33              1,619
                                                  Caregiver Interview ..............................................................                  3,650                      1,217                            1                      1.67              2,032
                                                  Caseworker Interview ..........................................................                       840                        280                            3                       1.0                840

                                                        Estimated Total Annual Burden Hours: ........................                  ........................   ........................   ........................   ........................          10,427



                                                    In compliance with the requirements                               identified by the title of the information                                 other forms of information technology.
                                                  of Section 3506(c)(2)(A) of the                                     collection.                                                                Consideration will be given to
                                                  Paperwork Reduction Act of 1995, the                                  The Department specifically requests                                     comments and suggestions submitted
                                                  Administration for Children and                                     comments on (a) whether the proposed                                       within 60 days of this publication.
                                                  Families is soliciting public comment                               collection of information is necessary
                                                  on the specific aspects of the                                      for the proper performance of the                                          Mary Jones,
                                                  information collection described above.                             functions of the agency, including                                         ACF/OPRE Certifying Officer.
                                                  Copies of the proposed collection of                                whether the information shall have                                         [FR Doc. 2016–28431 Filed 11–25–16; 8:45 am]
                                                  information can be obtained and                                     practical utility; (b) the accuracy of the                                 BILLING CODE 4184–01–P
                                                  comments may be forwarded by writing                                agency’s estimate of the burden of the
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                                                  to the Administration for Children and                              proposed collection of information; (c)
                                                  Families, Office of Planning, Research                              the quality, utility, and clarity of the
                                                  and Evaluation, 330 C Street SW.,                                   information to be collected; and (d)
                                                  Washington, DC 20201, Attn: OPRE                                    ways to minimize the burden of the
                                                  Reports Clearance Officer. Email                                    collection of information on
                                                  address: OPREinfocollection@                                        respondents, including through the use
                                                  acf.hhs.gov. All requests should be                                 of automated collection techniques or


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Document Created: 2018-02-14 08:36:01
Document Modified: 2018-02-14 08:36:01
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 December 28, 2016.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 85571 

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