81_FR_94626 81 FR 94379 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

81 FR 94379 - 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 247 (December 23, 2016)

Page Range94379-94380
FR Document2016-31029

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 247 (Friday, December 23, 2016)
[Federal Register Volume 81, Number 247 (Friday, December 23, 2016)]
[Notices]
[Pages 94379-94380]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2016-31029]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10634]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 January 23, 2017.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 or, Email: 
[email protected].
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number,

[[Page 94380]]

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: 
Evaluating a Pilot Mobile Health Program; Use: CMS is supporting a 
pilot mobile health (mHealth) program in California, Louisiana, Ohio, 
and Oklahoma. The three-year mHealth project is being conducted to 
complement existing CMCS measurement, data collection, and reporting 
activities to monitor, track, and assess state's maternal and infant 
health efforts in Medicaid and CHIP populations. This information 
collection request supports the evaluation of the pilot mHealth program 
and will be used to assist CMS in tracking maternal and infant health 
outcomes in the Medicaid population. The methods used for collection 
and analysis of the data may be useful to states and serve to increase 
reporting of perinatal core set measures and monitoring and 
interpretation of state-level maternal and infant health efforts. 
Results from the evaluation will help CMS understand the usefulness of 
mobile technology for conveying health information to pregnant women 
and new mothers enrolled in Medicaid/CHIP, as well as the influence 
this information has on health behaviors and outcomes. Form Number: 
CMS-10634 (OMB control number: 0938-New); Frequency: Once; Affected 
Public: Individuals and households, Business or other for-profits and 
Not-for-profits institutions, State, local, or Tribal Governments; 
Number of Respondents: 1,679; Total Annual Responses: 1,679; Total 
Annual Hours: 962. (For policy questions regarding this collection 
contact Lekisha Daniel-Robinson at 410-786-8618.)

    Dated: December 20, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-31029 Filed 12-22-16; 8:45 am]
BILLING CODE 4120-01-P



                                                                              Federal Register / Vol. 81, No. 247 / Friday, December 23, 2016 / Notices                                           94379

                                                  • Agatha Nolen, Ph.D., D.Ph                             listed, but each must have a minimum                  DEPARTMENT OF HEALTH AND
                                                  • Rick Nordahl, M.B.A.                                  of 5 years of experience and currently                HUMAN SERVICES
                                                  • Johnathan Pregler, M.D.                               have full-time employment in his or her
                                                  • Michael Rabovsky, M.D. *(January                      area of expertise. Generally, members of              Centers for Medicare & Medicaid
                                                    2017)                                                 the Panel serve overlapping terms up to               Services
                                                  • Wendy Resnick, F.H.F.M.A.
                                                  • Michael K. Schroyer, R.N.                             4 years, based on the needs of the Panel              [Document Identifier CMS–10634]
                                                  • Norman Thomson, III, M.D.                             and contingent upon the rechartering of
                                                  • Kris Zimmer *(January 2017)                           the Panel. A member may serve after the               Agency Information Collection
                                                                                                          expiration of his or her term until a                 Activities: Submission for OMB
                                                    Panel members serve on a voluntary
                                                                                                          successor has been sworn in.                          Review; Comment Request
                                                  basis, without compensation, according
                                                  to an advance written agreement;                           Any interested person or organization              AGENCY: Centers for Medicare &
                                                  however, for the meetings, CMS                          may nominate one or more qualified                    Medicaid Services, HHS.
                                                  reimburses travel, meals, lodging, and                  individuals. Self-nominations will also               ACTION: Notice.
                                                  related expenses in accordance with                     be accepted. Each nomination must
                                                  standard Government travel regulations.                                                                       SUMMARY:    The Centers for Medicare &
                                                                                                          include the following:
                                                  CMS has a special interest in ensuring,                                                                       Medicaid Services (CMS) is announcing
                                                  while taking into account the nominee                      • Letter of Nomination stating the                 an opportunity for the public to
                                                  pool, that the Panel is diverse in all                  reasons why the nominee should be                     comment on CMS’ intention to collect
                                                  respects of the following: geography;                   considered.                                           information from the public. Under the
                                                  rural or urban practice; race, ethnicity,                  • Curriculum vitae or resume of the                Paperwork Reduction Act of 1995
                                                  sex, and disability; medical or technical               nominee that includes an email address                (PRA), federal agencies are required to
                                                  specialty; and type of hospital, hospital               where the nominee can be contacted.                   publish notice in the Federal Register
                                                  health system, or other Medicare                                                                              concerning each proposed collection of
                                                                                                             • Written and signed statement from                information, including each proposed
                                                  provider subject to the OPPS.
                                                    Based upon either self-nominations or                 the nominee that the nominee is willing               extension or reinstatement of an existing
                                                  nominations submitted by providers or                   to serve on the Panel under the                       collection of information, and to allow
                                                  interested organizations, the Secretary,                conditions described in this notice and               a second opportunity for public
                                                  or his or her designee, appoints new                    further specified in the Charter.                     comment on the notice. Interested
                                                  members to the Panel from among those                      • The hospital or hospital system                  persons are invited to send comments
                                                  candidates determined to have the                       name and address, or CAH name and                     regarding the burden estimate or any
                                                  required expertise. New appointments                    address, as well as all Medicare hospital             other aspect of this collection of
                                                  are made in a manner that ensures a                     and or Medicare CAH billing numbers                   information, including any of the
                                                  balanced membership under the FACA                      of the facility where the nominee is                  following subjects: (1) The necessity and
                                                  guidelines. For 2017, we are soliciting                 employed.                                             utility of the proposed information
                                                  for up to two new nominees. Our                                                                               collection for the proper performance of
                                                  appointment schedule will assure that                   IV. Copies of the Charter                             the agency’s functions; (2) the accuracy
                                                  we have the full complement of                                                                                of the estimated burden; (3) ways to
                                                  members for each Panel meeting.                            To obtain a copy of the Panel’s                    enhance the quality, utility, and clarity
                                                    The Panel must be balanced in its                     Charter, we refer readers to our Web site             of the information to be collected; and
                                                  membership in terms of the points of                    at http://www.cms.gov/Regulations-and-                (4) the use of automated collection
                                                  view represented and the functions to                   Guidance/Guidance/FACA/Advisory                       techniques or other forms of information
                                                  be performed. Each panel member must                    PanelonAmbulatoryPayment                              technology to minimize the information
                                                  be employed full-time by a hospital,                    ClassificationGroups.html.                            collection burden.
                                                  hospital system, or other Medicare                                                                            DATES: Comments on the collection(s) of
                                                                                                          V. Collection of Information
                                                  provider subject to payment under the                                                                         information must be received by the
                                                                                                          Requirements
                                                  OPPS (except for the CAH members,                                                                             OMB desk officer by January 23, 2017.
                                                  since CAHs are not paid under the                         This document does not impose                       ADDRESSES: When commenting on the
                                                  OPPS). All members must have                            information collection requirements,                  proposed information collections,
                                                  technical expertise to enable them to                   that is, reporting, recordkeeping or                  please reference the document identifier
                                                  participate fully in the Panel’s work.                  third-party disclosure requirements.                  or OMB control number. To be assured
                                                  Such expertise encompasses hospital                     Consequently, there is no need for                    consideration, comments and
                                                  payment systems; hospital medical care                  review by the Office of Management and                recommendations must be received by
                                                  delivery systems; provider billing                                                                            the OMB desk officer via one of the
                                                                                                          Budget under the authority of the
                                                  systems; APC groups; Current                                                                                  following transmissions: OMB, Office of
                                                                                                          Paperwork Reduction Act of 1995 (44
                                                  Procedural Terminology codes; and                                                                             Information and Regulatory Affairs,
                                                                                                          U.S.C. 3501 et seq.).
                                                  alpha-numeric Health Care Common                                                                              Attention: CMS Desk Officer, Fax
                                                  Procedure Coding System codes; and                        Dated: December 13, 2016.                           Number: (202) 395–5806 or, Email:
                                                  the use of, and payment for, drugs,                     Andrew M. Slavitt,                                    OIRA_submission@omb.eop.gov.
                                                  medical devices, and other services in                  Acting Administrator, Centers for Medicare               To obtain copies of a supporting
                                                  the outpatient setting, as well as other                & Medicaid Services.                                  statement and any related forms for the
                                                  forms of relevant expertise. For
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                                                                                                          [FR Doc. 2016–31022 Filed 12–22–16; 8:45 am]          proposed collection(s) summarized in
                                                  supervision deliberations, the Panel                                                                          this notice, you may make your request
                                                                                                          BILLING CODE 4120–01–P
                                                  shall have members that represent the                                                                         using one of following:
                                                  interests of CAHs, who advise CMS only                                                                           1. Access CMS’ Web site address at
                                                  regarding the level of supervision for                                                                        http://www.cms.hhs.gov/
                                                  hospital outpatient therapeutic services.                                                                     PaperworkReductionActof1995.
                                                    It is not necessary for a nominee to                                                                           2. Email your request, including your
                                                  possess expertise in all of the areas                                                                         address, phone number, OMB number,


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                                                  94380                       Federal Register / Vol. 81, No. 247 / Friday, December 23, 2016 / Notices

                                                  and CMS document identifier, to                         Frequency: Once; Affected Public:                     Support Enforcement, Administration
                                                  Paperwork@cms.hhs.gov.                                  Individuals and households, Business or               for Children and Families, Mary E.
                                                     3. Call the Reports Clearance Office at              other for-profits and Not-for-profits                 Switzer Building, 330 C Street SW., 5th
                                                  (410) 786–1326.                                         institutions, State, local, or Tribal                 Floor, Washington, DC 20201, 202–401–
                                                  FOR FURTHER INFORMATION CONTACT:                        Governments; Number of Respondents:                   5410.
                                                  Reports Clearance Office at (410) 786–                  1,679; Total Annual Responses: 1,679;                 SUPPLEMENTARY INFORMATION: The
                                                  1326.                                                   Total Annual Hours: 962. (For policy                  Privacy Act of 1974 (5 U.S.C. 552a), as
                                                  SUPPLEMENTARY INFORMATION: Under the
                                                                                                          questions regarding this collection                   amended, provides for certain
                                                  Paperwork Reduction Act of 1995 (PRA)                   contact Lekisha Daniel-Robinson at                    protections for individuals applying for
                                                  (44 U.S.C. 3501–3520), federal agencies                 410–786–8618.)                                        and receiving federal benefits. The law
                                                  must obtain approval from the Office of                    Dated: December 20, 2016.                          governs the use of computer matching
                                                  Management and Budget (OMB) for each                    William N. Parham, III,                               by federal agencies when records in a
                                                  collection of information they conduct                  Director, Paperwork Reduction Staff, Office           system of records are matched with
                                                  or sponsor. The term ‘‘collection of                    of Strategic Operations and Regulatory                other federal, state, or local government
                                                  information’’ is defined in 44 U.S.C.                   Affairs.                                              records. The Privacy Act requires
                                                  3502(3) and 5 CFR 1320.3(c) and                         [FR Doc. 2016–31029 Filed 12–22–16; 8:45 am]          agencies involved in computer matching
                                                  includes agency requests or                             BILLING CODE 4120–01–P                                programs to:
                                                  requirements that members of the public                                                                         1. Negotiate written agreements with
                                                  submit reports, keep records, or provide                                                                      the other agency or agencies
                                                  information to a third party. Section                   DEPARTMENT OF HEALTH AND                              participating in the matching programs.
                                                  3506(c)(2)(A) of the PRA (44 U.S.C.                     HUMAN SERVICES                                          2. Provide notification to applicants
                                                  3506(c)(2)(A)) requires federal agencies                                                                      and beneficiaries that their records are
                                                  to publish a 30-day notice in the                       Administration for Children and                       subject to matching.
                                                  Federal Register concerning each                        Families                                                3. Verify information produced by
                                                  proposed collection of information,                                                                           such matching program before reducing,
                                                                                                          Privacy Act of 1974; Computer                         making a final denial of, suspending, or
                                                  including each proposed extension or                    Matching Agreement
                                                  reinstatement of an existing collection                                                                       terminating an individual’s benefits or
                                                  of information, before submitting the                   AGENCY: Office of Child Support                       payments.
                                                  collection to OMB for approval. To                      Enforcement (OCSE), ACF, HHS.                           4. Publish notice of the computer
                                                  comply with this requirement, CMS is                    ACTION: Notice.
                                                                                                                                                                matching program in the Federal
                                                  publishing this notice that summarizes                                                                        Register.
                                                                                                          SUMMARY:   In accordance with the                       5. Furnish reports about the matching
                                                  the following proposed collection(s) of
                                                                                                          Privacy Act of 1974 (5 U.S.C. 522a), as               program to Congress and the OMB.
                                                  information for public comment:                                                                                 6. Obtain the approval of the
                                                     1. Type of Information Collection                    amended, OCSE is publishing a notice
                                                                                                          of a computer matching program                        matching agreement by the Data
                                                  Request: New collection (Request for a
                                                                                                          between OCSE and state agencies                       Integrity Board of any federal agency
                                                  new OMB control number); Title of
                                                                                                          administering the Supplemental                        participating in a matching program.
                                                  Information Collection: Evaluating a                                                                            This matching program meets these
                                                  Pilot Mobile Health Program; Use: CMS                   Nutrition Assistance Program (SNAP).
                                                                                                          DATES: On December 13, 2016, HHS sent                 requirements.
                                                  is supporting a pilot mobile health
                                                  (mHealth) program in California,                        a report of the Computer Matching                       Dated: December 13, 2016.
                                                  Louisiana, Ohio, and Oklahoma. The                      Program to the Committee on Homeland                  Donna Bonar,
                                                  three-year mHealth project is being                     Security and Governmental Affairs of                  Deputy Commissioner, Office of Child
                                                  conducted to complement existing                        the Senate, the Committee on Oversight                Support Enforcement.
                                                  CMCS measurement, data collection,                      and Government Reform of the House of
                                                                                                          Representatives, and the Office of                    Notice of New Computer Matching
                                                  and reporting activities to monitor,                                                                          Program
                                                  track, and assess state’s maternal and                  Information and Regulatory Affairs of
                                                  infant health efforts in Medicaid and                   the Office of Management and Budget                   A. Participating Agencies
                                                  CHIP populations. This information                      (OMB), as required by 5 U.S.C. 552a(r)                  The participating agencies are the
                                                  collection request supports the                         of the Privacy Act. HHS invites                       Office of Child Support Enforcement
                                                  evaluation of the pilot mHealth program                 interested parties to review and submit               (OCSE), which is the ‘‘source agency,’’
                                                  and will be used to assist CMS in                       written data, comments, or arguments to               and state agencies administering the
                                                  tracking maternal and infant health                     the agency about the matching program                 Supplemental Nutrition Assistance
                                                  outcomes in the Medicaid population.                    until January 23, 2017.                               Program (SNAP), which are the ‘‘non-
                                                  The methods used for collection and                     ADDRESSES: Interested parties may                     federal agencies.’’
                                                  analysis of the data may be useful to                   submit written comments on this notice
                                                  states and serve to increase reporting of               to Linda Boyer, Director, Division of                 B. Purpose of the Matching Program
                                                  perinatal core set measures and                         Federal Systems, Office of Child                         The purpose of the matching program
                                                  monitoring and interpretation of state-                 Support Enforcement, Administration                   is to provide new hire, quarterly wage,
                                                  level maternal and infant health efforts.               for Children and Families, Mary E.                    and unemployment insurance
                                                  Results from the evaluation will help                   Switzer Building, 330 C Street SW., 5th               information from OCSE’s National
                                                  CMS understand the usefulness of                        Floor, Washington, DC 20201.                          Directory of New Hires (NDNH) to state
mstockstill on DSK3G9T082PROD with NOTICES




                                                  mobile technology for conveying health                  Comments received will be available for               agencies administering SNAP to assist
                                                  information to pregnant women and                       public inspection at this address from                in establishing or verifying the
                                                  new mothers enrolled in Medicaid/                       9:00 a.m. to 5:00 p.m. ET, Monday                     eligibility for assistance, reducing
                                                  CHIP, as well as the influence this                     through Friday.                                       payment errors, and maintaining
                                                  information has on health behaviors and                 FOR FURTHER INFORMATION CONTACT:                      program integrity, including
                                                  outcomes. Form Number: CMS–10634                        Linda Boyer, Director, Division of                    determining whether duplicate
                                                  (OMB control number: 0938–New);                         Federal Systems, Office of Child                      participation exists or if the client


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Document Created: 2016-12-23 12:29:36
Document Modified: 2016-12-23 12:29:36
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 January 23, 2017.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation81 FR 94379 

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