82 FR 14516 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 53 (March 21, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 53 (March 21, 2017)
| Page Range | 14516-14517 | |
| FR Document | 2017-05555 |
[Federal Register Volume 82, Number 53 (Tuesday, March 21, 2017)] [Notices] [Pages 14516-14517] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-05555] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-10632] 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: The necessity and utility of the proposed information collection for the proper performance of the agency's functions; the accuracy of the estimated burden; ways to enhance the quality, utility, and clarity of the information to be collected; and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments on the collection(s) of information must be received by the OMB desk officer by April 20, 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 Web site address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html. 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: Evaluating Coverage to Care (C2C); Use: CMS OMH has contracted with the RAND Corporation to evaluate From Coverage to Care (C2C). From the beginning of the Affordable Care Act's implementation, the Centers for Medicare & Medicaid Services, Office of Minority Health (CMS OMH) recognized that achieving better health and reduced health care costs would require individuals to take an active role in their health care and regularly use primary and preventive care services. To address this need, CMS OMH launched From Coverage to Care (C2C) in June 2014. C2C was designed to help consumers understand what it means to have health insurance coverage, how to find a provider, when and where to seek appropriate health services, and why prevention and partnering with a provider is important for achieving optimal health. It was also designed to equip health care providers and stakeholders in the community who support consumers' connection to care with the tools needed to promote consumer engagement and to promote changes in the health care system that improve access to care. As part of C2C, CMS produced a range of consumer-oriented materials, both Web-based and in print. The most in-depth of the print materials is an eight-step booklet titled ``A Roadmap to Better Care and a Healthier You.'' Based on the need for the information to be communicated in smaller, more digestible packets, booklets were developed to correspond to each of the eight steps. Four of the most popular pages of the Roadmap have been made available as single-page handouts for easier distribution. These materials are currently available in eight languages, including English, Spanish, Arabic, Chinese, Haitian Creole, Korean, Russian, and Vietnamese. Since the national launch in 2014, CMS has disseminated C2C through speaking engagements, webinars, and meetings sponsored by CMS regional offices. CMS fills product orders and recently completed a redesign of the C2C Web site. C2C has grown to address emerging needs of consumers, as well as stakeholders or organizations that work with and support consumers, across the full continuum of health insurance and care: Plan selection, enrollment, finding a provider, and engaging in care over time. RAND spent the past year designing and preparing for this evaluation to assess C2C's impact on consumer health insurance literacy and care utilization. This evaluation will also help CMS understand how C2C is spread within a community and disseminated to consumers, and in turn how best to maximize C2C's impact. The next three years will be dedicated to implementing the evaluation described in this submission. We are proposing four data collection activities: (1) A cross-sectional survey of organizations that have ordered and used the materials with consumers; (2) A cross-sectional survey of consumers, drawn from the Knowledge Networks panel, to measure the association between C2C and consumer knowledge and behavior; (3) semi-structured interviews with staff from a limited set of community organizations as part of a case study; and (4) focus groups of consumers as part of a case study. The case study will be conducted in a community where English is not the preferred language, and where C2C materials in another [[Page 14517]] language (e.g., Spanish, Arabic, Chinese, Haitian Creole, Korean, Russian, and Vietnamese) were used with consumers. Form Number: CMS- 10632 (OMB control number: 0938--New); Frequency: Occasionally; Affected Public: Individuals or Households; Number of Respondents: 3,460; Total Annual Responses: 3,460; Total Annual Hours: 1,176. (For policy questions regarding this collection contact Ashley Peddicord- Austin at 410-786-0757). Dated: March 16, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-05555 Filed 3-20-17; 8:45 am] BILLING CODE 4120-01-P
![14516 Federal Register / Vol. 82, No. 53 / Tuesday, March 21, 2017 / Notices
Dated: March 16, 2017. To obtain copies of a supporting services, and why prevention and
William N. Parham, III, statement and any related forms for the partnering with a provider is important
Director, Paperwork Reduction Staff, Office proposed collection(s) summarized in for achieving optimal health. It was also
of Strategic Operations and Regulatory this notice, you may make your request designed to equip health care providers
Affairs. using one of following: and stakeholders in the community who
[FR Doc. 2017–05541 Filed 3–20–17; 8:45 am] 1. Access CMS’ Web site address at support consumers’ connection to care
BILLING CODE 4120–01–P Web site address at https:// with the tools needed to promote
www.cms.gov/Regulations-and- consumer engagement and to promote
Guidance/Legislation/Paperwork changes in the health care system that
DEPARTMENT OF HEALTH AND ReductionActof1995/PRA-Listing.html. improve access to care. As part of C2C,
HUMAN SERVICES 2. Email your request, including your CMS produced a range of consumer-
address, phone number, OMB number, oriented materials, both Web-based and
Centers for Medicare & Medicaid and CMS document identifier, to in print. The most in-depth of the print
Services Paperwork@cms.hhs.gov. materials is an eight-step booklet titled
3. Call the Reports Clearance Office at ‘‘A Roadmap to Better Care and a
[Document Identifiers: CMS–10632]
(410) 786–1326. Healthier You.’’ Based on the need for
Agency Information Collection FOR FURTHER INFORMATION CONTACT: the information to be communicated in
Activities: Submission for OMB Reports Clearance Office at (410) 786– smaller, more digestible packets,
Review; Comment Request 1326. booklets were developed to correspond
to each of the eight steps. Four of the
SUPPLEMENTARY INFORMATION: Under the
AGENCY: Centers for Medicare & most popular pages of the Roadmap
Medicaid Services, HHS. Paperwork Reduction Act of 1995 (PRA)
have been made available as single-page
(44 U.S.C. 3501–3520), federal agencies
ACTION: Notice. handouts for easier distribution. These
must obtain approval from the Office of
materials are currently available in eight
SUMMARY: The Centers for Medicare & Management and Budget (OMB) for each
languages, including English, Spanish,
Medicaid Services (CMS) is announcing collection of information they conduct
Arabic, Chinese, Haitian Creole, Korean,
an opportunity for the public to or sponsor. The term ‘‘collection of
Russian, and Vietnamese.
comment on CMS’ intention to collect information’’ is defined in 44 U.S.C. Since the national launch in 2014,
information from the public. Under the 3502(3) and 5 CFR 1320.3(c) and CMS has disseminated C2C through
Paperwork Reduction Act of 1995 includes agency requests or speaking engagements, webinars, and
(PRA), federal agencies are required to requirements that members of the public meetings sponsored by CMS regional
publish notice in the Federal Register submit reports, keep records, or provide offices. CMS fills product orders and
concerning each proposed collection of information to a third party. Section recently completed a redesign of the
information, including each proposed 3506(c)(2)(A) of the PRA (44 U.S.C. C2C Web site. C2C has grown to address
extension or reinstatement of an existing 3506(c)(2)(A)) requires federal agencies emerging needs of consumers, as well as
collection of information, and to allow to publish a 30-day notice in the stakeholders or organizations that work
a second opportunity for public Federal Register concerning each with and support consumers, across the
comment on the notice. Interested proposed collection of information, full continuum of health insurance and
persons are invited to send comments including each proposed extension or care: Plan selection, enrollment, finding
regarding the burden estimate or any reinstatement of an existing collection a provider, and engaging in care over
other aspect of this collection of of information, before submitting the time.
information, including any of the collection to OMB for approval. To RAND spent the past year designing
following subjects: The necessity and comply with this requirement, CMS is and preparing for this evaluation to
utility of the proposed information publishing this notice that summarizes assess C2C’s impact on consumer health
collection for the proper performance of the following proposed collection(s) of insurance literacy and care utilization.
the agency’s functions; the accuracy of information for public comment: This evaluation will also help CMS
the estimated burden; ways to enhance 1. Type of Information Collection understand how C2C is spread within a
the quality, utility, and clarity of the Request: New collection (Request for a community and disseminated to
information to be collected; and the use new OMB control number); Title of consumers, and in turn how best to
of automated collection techniques or Information Collection: Evaluating maximize C2C’s impact. The next three
other forms of information technology to Coverage to Care (C2C); Use: CMS OMH years will be dedicated to implementing
minimize the information collection has contracted with the RAND the evaluation described in this
burden. Corporation to evaluate From Coverage submission. We are proposing four data
to Care (C2C). From the beginning of the collection activities: (1) A cross-
DATES: Comments on the collection(s) of Affordable Care Act’s implementation, sectional survey of organizations that
information must be received by the the Centers for Medicare & Medicaid have ordered and used the materials
OMB desk officer by April 20, 2017. Services, Office of Minority Health with consumers; (2) A cross-sectional
ADDRESSES: When commenting on the (CMS OMH) recognized that achieving survey of consumers, drawn from the
proposed information collections, better health and reduced health care Knowledge Networks panel, to measure
please reference the document identifier costs would require individuals to take the association between C2C and
or OMB control number. To be assured an active role in their health care and consumer knowledge and behavior; (3)
consideration, comments and regularly use primary and preventive semi-structured interviews with staff
mstockstill on DSK3G9T082PROD with NOTICES
recommendations must be received by care services. To address this need, CMS from a limited set of community
the OMB desk officer via one of the OMH launched From Coverage to Care organizations as part of a case study;
following transmissions: OMB, Office of (C2C) in June 2014. C2C was designed and (4) focus groups of consumers as
Information and Regulatory Affairs, to help consumers understand what it part of a case study. The case study will
Attention: CMS Desk Officer, Fax means to have health insurance be conducted in a community where
Number: (202) 395–5806 OR, Email: coverage, how to find a provider, when English is not the preferred language,
OIRA_submission@omb.eop.gov. and where to seek appropriate health and where C2C materials in another
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![Federal Register / Vol. 82, No. 53 / Tuesday, March 21, 2017 / Notices 14517
language (e.g., Spanish, Arabic, Chinese, OMB control number. To be assured approval from the Office of Management
Haitian Creole, Korean, Russian, and consideration, comments and and Budget (OMB) for each collection of
Vietnamese) were used with consumers. recommendations must be submitted in information they conduct or sponsor.
Form Number: CMS–10632 (OMB any one of the following ways: The term ‘‘collection of information’’ is
control number: 0938—New); 1. Electronically. You may send your defined in 44 U.S.C. 3502(3) and 5 CFR
Frequency: Occasionally; Affected comments electronically to http:// 1320.3(c) and includes agency requests
Public: Individuals or Households; www.regulations.gov. Follow the or requirements that members of the
Number of Respondents: 3,460; Total instructions for ‘‘Comment or public submit reports, keep records, or
Annual Responses: 3,460; Total Annual Submission’’ or ‘‘More Search Options’’ provide information to a third party.
Hours: 1,176. (For policy questions to find the information collection Section 3506(c)(2)(A) of the PRA
regarding this collection contact Ashley document(s) that are accepting requires federal agencies to publish a
Peddicord-Austin at 410–786–0757). comments. 60-day notice in the Federal Register
Dated: March 16, 2017. 2. By regular mail. You may mail concerning each proposed collection of
William N. Parham, III,
written comments to the following information, including each proposed
address: CMS, Office of Strategic extension or reinstatement of an existing
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory Operations and Regulatory Affairs, collection of information, before
Affairs. Division of Regulations Development, submitting the collection to OMB for
[FR Doc. 2017–05555 Filed 3–20–17; 8:45 am]
Attention: Document Identifier/OMB approval. To comply with this
Control Number lll, Room C4–26– requirement, CMS is publishing this
BILLING CODE 4120–01–P
05, 7500 Security Boulevard, Baltimore, notice.
Maryland 21244–1850.
Information Collection
DEPARTMENT OF HEALTH AND To obtain copies of a supporting
statement and any related forms for the 1. Type of Information Collection
HUMAN SERVICES
proposed collection(s) summarized in Request: Extension without change of a
Centers for Medicare & Medicaid this notice, you may make your request currently approved collection; Title of
Services using one of following: Information Collection: Application for
1. Access CMS’ Web site address at Enrollment in Medicare the Medical
[Document Identifiers: CMS–40B, CMS–43, https://www.cms.gov/Regulations-and- Insurance Program; Use: The CMS–40B
CMS–1763, CMS–10174, CMS–10215, CMS– form is used to establish entitlement to
R–285] Guidance/Legislation/Paperwork
ReductionActof1995/PRA-Listing.html. and enrollment in supplementary
Agency Information Collection 2. Email your request, including your medical insurance for beneficiaries who
Activities: Proposed Collection; address, phone number, OMB number, already have Part A, but not Part B. The
Comment Request and CMS document identifier, to form solicits information that is used to
Paperwork@cms.hhs.gov. determine enrollment for individuals
AGENCY: Centers for Medicare & 3. Call the Reports Clearance Office at who meet the requirements in section
Medicaid Services, HHS. (410) 786–1326. 1836 of the Social Security Act as well
ACTION: Notice. FOR FURTHER INFORMATION CONTACT: as the entitlement of the applicant or a
Reports Clearance Office at (410) 786– spouse regarding a benefit or annuity
SUMMARY: The Centers for Medicare & paid by the Social Security
Medicaid Services (CMS) is announcing 1326.
Administration or the Office of
an opportunity for the public to SUPPLEMENTARY INFORMATION:
Personnel Management for premium
comment on CMS’ intention to collect Contents deduction purposes. The Social Security
information from the public. Under the Administration will use the collected
Paperwork Reduction Act of 1995 (the This notice sets out a summary of the
use and burden associated with the information to establish Part B
PRA), federal agencies are required to enrollment. Form Number: CMS–40B
publish notice in the Federal Register following information collections. More
detailed information can be found in (OMB control number: 0938–1230);
concerning each proposed collection of Frequency: Once; Affected Public:
information (including each proposed each collection’s supporting statement
and associated materials (see Individuals or households; Number of
extension or reinstatement of an existing Respondents: 200,000; Total Annual
collection of information) and to allow ADDRESSES).
Responses: 200,000; Total Annual
60 days for public comment on the CMS–40B Application for Enrollment in Hours: 50,000. (For policy questions
proposed action. Interested persons are Medicare the Medical Insurance Program regarding this collection contact Carla
invited to send comments regarding our CMS–43 Application for Hospital Insurance
Benefits for Individuals with End Stage Patterson at 410–786–8911.)
burden estimates or any other aspect of 2. Type of Information Collection
this collection of information, including Renal Disease
CMS–1763 Request for Termination of Request: Extension without change of a
the necessity and utility of the proposed Premium Hospital and Supplementary currently approved collection; Title of
information collection for the proper Medical Insurance Information Collection: Application for
performance of the agency’s functions, CMS–10174 Collection of Prescription Drug Hospital Insurance Benefits for
the accuracy of the estimated burden, Event Data from Contracted Part D Individuals with End Stage Renal
ways to enhance the quality, utility, and Providers for Payment Disease; Use: The CMS–43 application
clarity of the information to be CMS–10215 Medicaid Payment for
Prescription Drugs—Physicians and
is used (in conjunction with CMS–2728)
collected, and the use of automated to establish entitlement to, and
mstockstill on DSK3G9T082PROD with NOTICES
Hospital Outpatient Departments
collection techniques or other forms of Collecting and Submitting Drug enrollment in, Medicare Part A (and
information technology to minimize the Identifying Information to State Part B) for individuals with end stage
information collection burden. Medicaid Programs renal disease. The application is
DATES: Comments must be received by CMS–R–285 Request for Retirement Benefit completed by a Social Security
May 22, 2017. Information Administration (SSA) claims
ADDRESSES: When commenting, please Under the PRA (44 U.S.C. 3501– representative or field representative
reference the document identifier or 3520), federal agencies must obtain using information provided by the
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Document Created: 2017-03-21 01:09:34
Document Modified: 2017-03-21 01:09:34
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on the collection(s) of information must be received by the OMB desk officer by April 20, 2017. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 82 FR 14516 |
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