82_FR_23101 82 FR 23005 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

82 FR 23005 - 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 96 (May 19, 2017)

Page Range23005-23007
FR Document2017-10225

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 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.

Federal Register, Volume 82 Issue 96 (Friday, May 19, 2017)
[Federal Register Volume 82, Number 96 (Friday, May 19, 2017)]
[Notices]
[Pages 23005-23007]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-10225]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10175, CMS-10220, CMS-10471 and CMS-10495]


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 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 June 19, 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/

[[Page 23006]]

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: William Parham at (410) 786-4669.

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: Extension of a currently 
approved information collection; Title of Information Collection: 
Certification Statement for Electronic File Interchange Organizations; 
Use: Health care providers can currently obtain a National Provider 
Identifier (NPI) via a paper application or over the Internet through 
the National Plan and Provider Enumeration System (NPPES). These 
applications must be submitted individually, on a per-provider basis. 
The Electronic File Interchange (EFI) process allows provider-
designated organizations (EFIOs) to capture multiple providers' NPI 
application information on a single electronic file for submission to 
NPPES. This process is also referred to as bulk enumeration. To ensure 
that the EFIO has the authority to act on behalf of each provider and 
complies with other federal requirements, an authorized official of the 
EFIO must sign a certification statement and mail it to us. No comments 
were received during the 60-day comment period. Form Number: CMS-10175 
(OMB Control Number: 0938-0984). Frequency: Occasionally. Affected 
Public: Private Sector; Number of Respondents: 25; Total Annual 
Responses: 25; Total Annual Hours: 75. (For policy questions regarding 
this collection contact Kimberly McPhillips at 410-786-5374.)
    2. Type of Information Collection Request: Revision of a currently 
approved information collection; Title of Information Collection: 
Security Consent and Surrogate Authorization Form; Use: The primary 
function of the Medicare enrollment application is to obtain 
information about the Provider or supplier and whether they meet the 
Federal and/or State qualifications to participate in the Medicare 
program. In addition, the Medicare enrollment application gathers 
information regarding the provider or supplier's practice location, the 
identity of the owners of the enrolling organization, and information 
necessary to establish the correct claims payment.
    Enrollees have the option of submitting either a CMS-855 form, or 
submitting information via a web based process. In establishing a web 
based application process, we allow providers and suppliers the ability 
to enroll in the Medicare program, revalidate their enrollment and make 
changes to their enrollment information via Internet-based Provider 
Enrollment, Chain and Ownership System (PECOS). Individual providers/
suppliers (hereinafter referred to as ``Individual Providers'') log 
into Internet-based PECOS using their User IDs and passwords 
established when they applied on-line to the National Plan and Provider 
Enumeration System (NPPES) for their National Provider Identifiers 
(NPIs). Authorized Officials (AOs) of the provider or supplier 
organizations (hereinafter referred to as ``Organizational Providers'') 
must register for a user account and authenticate their identity and 
connection to the organization they represent before being able to log 
into Internet-based PECOS. Once authenticated, AOs for Organizational 
Providers, receive complete access to their enrollment information via 
Internet-based PECOS. Individuals and AOs of Organizational Providers 
are not required to submit a Security Consent and Surrogate 
Authorization Form to enroll, revalidate or make changes to their 
Medicare enrollment information.
    Individual and Organizational Providers may complete their Medicare 
enrollment responsibilities on their own or elect to delegate this task 
to a Surrogate. A Surrogate is an individual or organization identified 
by an Individual or Organizational Provider as someone authorized to 
access CMS computer systems, such as Internet-based PECOS, National 
Provider Plan and Enumeration System (NPPES) and the Medicare and 
Medicaid Electronic Health Records (EHR) Incentive Program Registration 
and Attestation System (HITECH), on their behalf and to modify or view 
any information contained therein that the Individual or Organizational 
Provider may have permission or right to access in accordance with 
Medicare statutes, regulations, policies, and usage guidelines for any 
CMS system. Surrogates may consist of administrative staff, independent 
contractors, 3rd party consulting companies or credentialing 
departments. In order for an Individual or Organizational Provider to 
delegate the Medicare credentialing process to a Surrogate to access 
and update their enrollment information in the above mentioned CMS 
systems on their behalf, it is required that a Security Consent and 
Surrogate Authorization Form be completed, or Individual and 
Organizational Providers use an equivalent online process via the PECOS 
Identity and Access Management (I&A) system. The Security Consent and 
Surrogate Authorization form replicates business service agreements 
between Medicare providers, suppliers or both and Surrogates providing 
enrollment services.
    The form, once signed, mailed and approved, grants a Surrogate 
access to all current and future enrollment data for the Individual or 
Organization Provider. Form Number: CMS-10220 (OMB Control Number: 
0938-1035); Frequency: Occasionally; Affected Public: Individuals and 
Private Sector; Number of Respondents: 226,100; Total Annual Responses: 
226,100; Total Annual Hours: 226,100. (For policy questions regarding 
this collection contact Kimberly McPhillips at 410-786-5374.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection of information; Title of Information Collection: 
Medicare Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration; Use: The purpose of the Medicare Prior Authorization of 
Power Mobility Devices Demonstration (the Demonstration) is to ensure 
that payments for PMDs are appropriate before the claims are paid, 
thereby preventing the fraud, waste, and abuse in the seven states 
participating in the Demonstration: California, Florida, Illinois, 
Michigan, New York, North Carolina and Texas. Additional benefits of 
the Demonstration include ensuring that a beneficiary's medical 
condition warrants their medical equipment under existing coverage 
guidelines and preserving their ability to receive

[[Page 23007]]

quality products from accredited suppliers. In order to gather 
qualitative information for analysis, the evaluation team will use 
semi-structured interview guides that focus on the direct impact of the 
Demonstration on stakeholder groups. Stakeholders will be drawn from 
advocacy organizations, power mobility device supply companies, state 
and local government, and healthcare practitioners. This information 
collection request explains the research methodology and data 
collection strategies designed to minimize the burden placed on 
research participants, while effectively gathering the data needed for 
the evaluation of the Demonstration. Form Number: CMS-10471 (OMB 
Control Number: 0938-1235); Frequency: Yearly; Affected Public: Private 
sector (business or other for-profit and not-for-profit institutions) 
and State and Local Governments; Number of Respondents: 254; Total 
Annual Responses: 254; Total Annual Hours: 288. (For policy questions 
regarding this collection contact Debbie Skinner at 410-786-7480.)
    4. Type of Information Collection Request: Revision of a currently 
approved information collection; Title of Information Collection: 
Registration, Attestation, Dispute & Resolution, Assumptions Document 
and Data Retention Requirements for Open Payments; Use: Section 6002 of 
the Affordable Care Act added section 1128G to the Social Security Act 
(Act), which requires applicable manufacturers and applicable group 
purchasing organizations (GPOs) of covered drugs, devices, biologicals, 
or medical supplies to report annually to CMS certain payments or other 
transfers of value to physicians and teaching hospitals, as well as, 
certain information regarding the ownership or investment interests 
held by physicians or their immediate family members in applicable 
manufacturers or applicable GPOs.
    Specifically, applicable manufacturers of covered drugs, devices, 
biologicals, and medical supplies are required to submit on an annual 
basis the information required in section 1128G(a)(1) of the Act about 
certain payments or other transfers of value made to physicians and 
teaching hospitals (collectively called covered recipients) during the 
course of the preceding calendar year. Similarly, section 1128G(a)(2) 
of the Act requires applicable manufacturers and applicable GPOs to 
disclose any ownership or investment interests in such entities held by 
physicians or their immediate family members, as well as information on 
any payments or other transfers of value provided to such physician 
owners or investors. Applicable manufacturers must report the required 
payment and other transfer of value information annually to CMS in an 
electronic format. The statute also provides that applicable 
manufacturers and applicable GPOs must report annually to CMS the 
required information about physician ownership and investment 
interests, including information on any payments or other transfers of 
value provided to physician owners or investors, in an electronic 
format by the same date. Applicable manufacturers and applicable GPOs 
are subject to civil monetary penalties (CMPs) for failing to comply 
with the reporting requirements of the statute. We are required by 
statute to publish the reported data on a public Web site. The data 
must be downloadable, easily searchable, and aggregated. In addition, 
we must submit annual reports to the Congress and each state 
summarizing the data reported. Finally, section 1128G of the Act 
generally preempts state laws that require disclosure of the same type 
of information by manufacturers. Form Number: CMS-10495 (OMB Control 
Number: 0938-1237); Frequency: Once; Affected Public: Private sector--
Business or other for-profits; Number of Respondents: 227,157; Total 
Annual Responses: 457,454; Total Annual Hours: 3,099,297. (For policy 
questions regarding this collection contact Veronika Peleshchuk Fradlin 
at 410-786-3323.)

    Dated: May 16, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-10225 Filed 5-18-17; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                     Federal Register / Vol. 82, No. 96 / Friday, May 19, 2017 / Notices                                           23005

                                                    organization’s requirements consider,                   noncompliance is identified through                   DEPARTMENT OF HEALTH AND
                                                    among other factors, the applying                       validation reviews or complaint                       HUMAN SERVICES
                                                    accrediting organization’s requirements                 surveys, the State survey agency
                                                    for accreditation; survey procedures;                   monitors corrections as specified at                  Centers for Medicare & Medicaid
                                                    resources for conducting required                       § 488.9(c).                                           Services
                                                    surveys; capacity to furnish information                  ++ TJC’s capacity to report                         [Document Identifiers: CMS–10175, CMS–
                                                    for use in enforcement activities;                      deficiencies to the surveyed facilities               10220, CMS–10471 and CMS–10495]
                                                    monitoring procedures for provider                      and respond to the facility’s plan of
                                                    entities found not in compliance with                   correction in a timely manner.                        Agency Information Collection
                                                    the conditions or requirements; and                       ++ TJC’s capacity to provide CMS                    Activities: Submission for OMB
                                                    ability to provide CMS with the                         with electronic data and reports                      Review; Comment Request
                                                    necessary data for validation.                          necessary for effective validation and
                                                       Section 1865(a)(3)(A) of the Act                                                                           AGENCY: Centers for Medicare &
                                                                                                            assessment of the organization’s survey               Medicaid Services, HHS.
                                                    further requires that we publish, within
                                                                                                            process.
                                                    60 days of receipt of an organization’s                                                                       ACTION: Notice.
                                                    complete application, a notice                            ++ The adequacy of TJC’s staff and
                                                    identifying the national accrediting                    other resources, and its financial                    SUMMARY:    The Centers for Medicare &
                                                    body making the request, describing the                 viability.                                            Medicaid Services (CMS) is announcing
                                                    nature of the request, and providing at                   ++ TJC’s capacity to adequately fund                an opportunity for the public to
                                                    least a 30-day public comment period.                   required surveys.                                     comment on CMS’ intention to collect
                                                    We have 210 days from the receipt of a                    ++ TJC’s policies with respect to                   information from the public. Under the
                                                    complete application to publish notice                  whether surveys are announced or                      Paperwork Reduction Act of 1995
                                                    of approval or denial of the application.               unannounced, to assure that surveys are               (PRA), federal agencies are required to
                                                       The purpose of this proposed notice                  unannounced.                                          publish notice in the Federal Register
                                                    is to inform the public of TJC’s request                                                                      concerning each proposed collection of
                                                                                                              ++ TJC’s agreement to provide CMS                   information, including each proposed
                                                    for continued CMS-approval of its CAH                   with a copy of the most current
                                                    accreditation program. This notice also                                                                       extension or reinstatement of an existing
                                                                                                            accreditation survey together with any                collection of information, and to allow
                                                    solicits public comment on whether                      other information related to the survey
                                                    TJC’s requirements meet or exceed the                                                                         a second opportunity for public
                                                                                                            as CMS may require (including                         comment on the notice. Interested
                                                    Medicare conditions of participation for                corrective action plans).
                                                    CAHs.                                                                                                         persons are invited to send comments
                                                                                                            IV. Collection of Information                         regarding the burden estimate or any
                                                    III. Evaluation of Deeming Authority                    Requirements                                          other aspect of this collection of
                                                    Request                                                                                                       information, including the necessity and
                                                       TJC submitted all the necessary                        This document does not impose                       utility of the proposed information
                                                    materials to enable us to make a                        information collection requirements,                  collection for the proper performance of
                                                    determination concerning its request for                that is, reporting, recordkeeping or                  the agency’s functions, the accuracy of
                                                    continued approval of its CAH                           third-party disclosure requirements.                  the estimated burden, ways to enhance
                                                    accreditation program. This application                 Consequently, there is no need for                    the quality, utility, and clarity of the
                                                    was determined to be complete on                        review by the Office of Management and                information to be collected; and the use
                                                    March 31, 2017. Under Section                           Budget under the authority of the                     of automated collection techniques or
                                                    1865(a)(2) of the Act and our regulations               Paperwork Reduction Act of 1995 (44                   other forms of information technology to
                                                    at 42 CFR 488.5 (Application and re-                    U.S.C. 3501 et seq.).                                 minimize the information collection
                                                    application procedures for national                     V. Response to Public Comments                        burden.
                                                    accrediting organizations), our review                                                                        DATES: Comments on the collection(s) of
                                                    and evaluation of TJC will be conducted                   Because of the large number of public
                                                                                                            comments we normally receive on                       information must be received by the
                                                    in accordance with, but not necessarily                                                                       OMB desk officer by June 19, 2017.
                                                    limited to, the following factors:                      Federal Register documents, we are not
                                                       • The equivalency of TJC’s standards                 able to acknowledge or respond to them                ADDRESSES: When commenting on the
                                                    for CAHs as compared with CMS’ CAH                      individually. We will consider all                    proposed information collections,
                                                    conditions of participation.                            comments we receive by the date and                   please reference the document identifier
                                                       • TJC’s survey process to determine                  time specified in the ‘‘DATES’’ section               or OMB control number. To be assured
                                                    the following:                                          of this preamble, and, when we proceed                consideration, comments and
                                                       ++ The composition of the survey                     with a subsequent document, we will                   recommendations must be received by
                                                    team, surveyor qualifications, and the                  respond to the comments in the                        the OMB desk officer via one of the
                                                    ability of the organization to provide                  preamble to that document.                            following transmissions: OMB, Office of
                                                    continuing surveyor training.                             Upon completion of our evaluation,                  Information and Regulatory Affairs,
                                                       ++ The comparability of TJC’s                        including evaluation of comments                      Attention: CMS Desk Officer, Fax
                                                    processes to those of State agencies,                   received as a result of this notice, we               Number: (202) 395–5806 OR, Email:
                                                    including survey frequency, and the                     will publish a final notice in the Federal            OIRA_submission@omb.eop.gov.
                                                    ability to investigate and respond                                                                              To obtain copies of a supporting
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                            Register announcing the result of our
                                                    appropriately to complaints against                     evaluation.                                           statement and any related forms for the
                                                    accredited facilities.                                                                                        proposed collection(s) summarized in
                                                       ++ TJC’s processes and procedures                      Dated: April 25, 2017.                              this notice, you may make your request
                                                    for monitoring a CAH is out of                          Seema Verma,                                          using one of following:
                                                    compliance with TJC’s program                           Administrator, Centers for Medicare &                   1. Access CMS’ Web site address at
                                                    requirements. These monitoring                          Medicaid Services.                                    Web site address at https://
                                                    procedures are used only when TJC                       [FR Doc. 2017–10216 Filed 5–18–17; 8:45 am]           www.cms.gov/Regulations-and-
                                                    identifies noncompliance. If                            BILLING CODE 4120–01–P                                Guidance/Legislation/


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                                                    23006                            Federal Register / Vol. 82, No. 96 / Friday, May 19, 2017 / Notices

                                                    PaperworkReductionActof1995/PRA-                        Responses: 25; Total Annual Hours: 75.                the Medicare and Medicaid Electronic
                                                    Listing.html.                                           (For policy questions regarding this                  Health Records (EHR) Incentive Program
                                                       2. Email your request, including your                collection contact Kimberly McPhillips                Registration and Attestation System
                                                    address, phone number, OMB number,                      at 410–786–5374.)                                     (HITECH), on their behalf and to modify
                                                    and CMS document identifier, to                            2. Type of Information Collection                  or view any information contained
                                                    Paperwork@cms.hhs.gov.                                  Request: Revision of a currently                      therein that the Individual or
                                                       3. Call the Reports Clearance Office at              approved information collection; Title                Organizational Provider may have
                                                    (410) 786–1326.                                         of Information Collection: Security                   permission or right to access in
                                                    FOR FURTHER INFORMATION CONTACT:                        Consent and Surrogate Authorization                   accordance with Medicare statutes,
                                                    William Parham at (410) 786–4669.                       Form; Use: The primary function of the                regulations, policies, and usage
                                                    SUPPLEMENTARY INFORMATION: Under the
                                                                                                            Medicare enrollment application is to                 guidelines for any CMS system.
                                                    Paperwork Reduction Act of 1995 (PRA)                   obtain information about the Provider or              Surrogates may consist of administrative
                                                    (44 U.S.C. 3501–3520), federal agencies                 supplier and whether they meet the                    staff, independent contractors, 3rd party
                                                    must obtain approval from the Office of                 Federal and/or State qualifications to                consulting companies or credentialing
                                                                                                            participate in the Medicare program. In               departments. In order for an Individual
                                                    Management and Budget (OMB) for each
                                                                                                            addition, the Medicare enrollment                     or Organizational Provider to delegate
                                                    collection of information they conduct
                                                                                                            application gathers information                       the Medicare credentialing process to a
                                                    or sponsor. The term ‘‘collection of
                                                                                                            regarding the provider or supplier’s                  Surrogate to access and update their
                                                    information’’ is defined in 44 U.S.C.
                                                                                                            practice location, the identity of the                enrollment information in the above
                                                    3502(3) and 5 CFR 1320.3(c) and
                                                                                                            owners of the enrolling organization,                 mentioned CMS systems on their behalf,
                                                    includes agency requests or
                                                                                                            and information necessary to establish                it is required that a Security Consent
                                                    requirements that members of the public
                                                                                                            the correct claims payment.                           and Surrogate Authorization Form be
                                                    submit reports, keep records, or provide                   Enrollees have the option of                       completed, or Individual and
                                                    information to a third party. Section                   submitting either a CMS–855 form, or                  Organizational Providers use an
                                                    3506(c)(2)(A) of the PRA (44 U.S.C.                     submitting information via a web based                equivalent online process via the
                                                    3506(c)(2)(A)) requires federal agencies                process. In establishing a web based                  PECOS Identity and Access
                                                    to publish a 30-day notice in the                       application process, we allow providers               Management (I&A) system. The Security
                                                    Federal Register concerning each                        and suppliers the ability to enroll in the            Consent and Surrogate Authorization
                                                    proposed collection of information,                     Medicare program, revalidate their                    form replicates business service
                                                    including each proposed extension or                    enrollment and make changes to their                  agreements between Medicare
                                                    reinstatement of an existing collection                 enrollment information via Internet-                  providers, suppliers or both and
                                                    of information, before submitting the                   based Provider Enrollment, Chain and                  Surrogates providing enrollment
                                                    collection to OMB for approval. To                      Ownership System (PECOS). Individual                  services.
                                                    comply with this requirement, CMS is                    providers/suppliers (hereinafter referred                The form, once signed, mailed and
                                                    publishing this notice that summarizes                  to as ‘‘Individual Providers’’) log into              approved, grants a Surrogate access to
                                                    the following proposed collection(s) of                 Internet-based PECOS using their User                 all current and future enrollment data
                                                    information for public comment:                         IDs and passwords established when                    for the Individual or Organization
                                                       1. Type of Information Collection                    they applied on-line to the National                  Provider. Form Number: CMS–10220
                                                    Request: Extension of a currently                       Plan and Provider Enumeration System                  (OMB Control Number: 0938–1035);
                                                    approved information collection; Title                  (NPPES) for their National Provider                   Frequency: Occasionally; Affected
                                                    of Information Collection: Certification                Identifiers (NPIs). Authorized Officials              Public: Individuals and Private Sector;
                                                    Statement for Electronic File                           (AOs) of the provider or supplier                     Number of Respondents: 226,100; Total
                                                    Interchange Organizations; Use: Health                  organizations (hereinafter referred to as             Annual Responses: 226,100; Total
                                                    care providers can currently obtain a                   ‘‘Organizational Providers’’) must                    Annual Hours: 226,100. (For policy
                                                    National Provider Identifier (NPI) via a                register for a user account and                       questions regarding this collection
                                                    paper application or over the Internet                  authenticate their identity and                       contact Kimberly McPhillips at 410–
                                                    through the National Plan and Provider                  connection to the organization they                   786–5374.)
                                                    Enumeration System (NPPES). These                       represent before being able to log into                  3. Type of Information Collection
                                                    applications must be submitted                          Internet-based PECOS. Once                            Request: Extension of a currently
                                                    individually, on a per-provider basis.                  authenticated, AOs for Organizational                 approved collection of information;
                                                    The Electronic File Interchange (EFI)                   Providers, receive complete access to                 Title of Information Collection:
                                                    process allows provider-designated                      their enrollment information via                      Medicare Prior Authorization of Power
                                                    organizations (EFIOs) to capture                        Internet-based PECOS. Individuals and                 Mobility Devices (PMDs)
                                                    multiple providers’ NPI application                     AOs of Organizational Providers are not               Demonstration; Use: The purpose of the
                                                    information on a single electronic file                 required to submit a Security Consent                 Medicare Prior Authorization of Power
                                                    for submission to NPPES. This process                   and Surrogate Authorization Form to                   Mobility Devices Demonstration (the
                                                    is also referred to as bulk enumeration.                enroll, revalidate or make changes to                 Demonstration) is to ensure that
                                                    To ensure that the EFIO has the                         their Medicare enrollment information.                payments for PMDs are appropriate
                                                    authority to act on behalf of each                         Individual and Organizational                      before the claims are paid, thereby
                                                    provider and complies with other                        Providers may complete their Medicare                 preventing the fraud, waste, and abuse
                                                    federal requirements, an authorized                     enrollment responsibilities on their own              in the seven states participating in the
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                                                    official of the EFIO must sign a                        or elect to delegate this task to a                   Demonstration: California, Florida,
                                                    certification statement and mail it to us.              Surrogate. A Surrogate is an individual               Illinois, Michigan, New York, North
                                                    No comments were received during the                    or organization identified by an                      Carolina and Texas. Additional benefits
                                                    60-day comment period. Form Number:                     Individual or Organizational Provider as              of the Demonstration include ensuring
                                                    CMS–10175 (OMB Control Number:                          someone authorized to access CMS                      that a beneficiary’s medical condition
                                                    0938–0984). Frequency: Occasionally.                    computer systems, such as Internet-                   warrants their medical equipment under
                                                    Affected Public: Private Sector; Number                 based PECOS, National Provider Plan                   existing coverage guidelines and
                                                    of Respondents: 25; Total Annual                        and Enumeration System (NPPES) and                    preserving their ability to receive


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                                                                                     Federal Register / Vol. 82, No. 96 / Friday, May 19, 2017 / Notices                                           23007

                                                    quality products from accredited                        transfers of value provided to such                   Paperwork Reduction Act of 1995 (the
                                                    suppliers. In order to gather qualitative               physician owners or investors.                        PRA), federal agencies are required to
                                                    information for analysis, the evaluation                Applicable manufacturers must report                  publish notice in the Federal Register
                                                    team will use semi-structured interview                 the required payment and other transfer               concerning each proposed collection of
                                                    guides that focus on the direct impact of               of value information annually to CMS in               information (including each proposed
                                                    the Demonstration on stakeholder                        an electronic format. The statute also                extension or reinstatement of an existing
                                                    groups. Stakeholders will be drawn                      provides that applicable manufacturers                collection of information) and to allow
                                                    from advocacy organizations, power                      and applicable GPOs must report                       60 days for public comment on the
                                                    mobility device supply companies, state                 annually to CMS the required                          proposed action. Interested persons are
                                                    and local government, and healthcare                    information about physician ownership                 invited to send comments regarding our
                                                    practitioners. This information                         and investment interests, including                   burden estimates or any other aspect of
                                                    collection request explains the research                information on any payments or other                  this collection of information, including
                                                    methodology and data collection                         transfers of value provided to physician              the necessity and utility of the proposed
                                                    strategies designed to minimize the                     owners or investors, in an electronic                 information collection for the proper
                                                    burden placed on research participants,                 format by the same date. Applicable                   performance of the agency’s functions,
                                                    while effectively gathering the data                    manufacturers and applicable GPOs are                 the accuracy of the estimated burden,
                                                    needed for the evaluation of the                        subject to civil monetary penalties                   ways to enhance the quality, utility, and
                                                    Demonstration. Form Number: CMS–                        (CMPs) for failing to comply with the                 clarity of the information to be
                                                    10471 (OMB Control Number: 0938–                        reporting requirements of the statute.                collected, and the use of automated
                                                    1235); Frequency: Yearly; Affected                      We are required by statute to publish                 collection techniques or other forms of
                                                    Public: Private sector (business or other               the reported data on a public Web site.               information technology to minimize the
                                                    for-profit and not-for-profit institutions)             The data must be downloadable, easily                 information collection burden.
                                                    and State and Local Governments;                        searchable, and aggregated. In addition,              DATES: Comments must be received by
                                                    Number of Respondents: 254; Total                       we must submit annual reports to the                  July 18, 2017.
                                                    Annual Responses: 254; Total Annual                     Congress and each state summarizing
                                                    Hours: 288. (For policy questions                                                                             ADDRESSES: When commenting, please
                                                                                                            the data reported. Finally, section
                                                    regarding this collection contact Debbie                1128G of the Act generally preempts                   reference the document identifier or
                                                    Skinner at 410–786–7480.)                               state laws that require disclosure of the             OMB control number. To be assured
                                                       4. Type of Information Collection                    same type of information by                           consideration, comments and
                                                    Request: Revision of a currently                        manufacturers. Form Number: CMS–                      recommendations must be submitted in
                                                    approved information collection; Title                  10495 (OMB Control Number: 0938–                      any one of the following ways:
                                                    of Information Collection: Registration,                1237); Frequency: Once; Affected                        1. Electronically. You may send your
                                                    Attestation, Dispute & Resolution,                      Public: Private sector—Business or other              comments electronically to http://
                                                    Assumptions Document and Data                           for-profits; Number of Respondents:                   www.regulations.gov. Follow the
                                                    Retention Requirements for Open                         227,157; Total Annual Responses:                      instructions for ‘‘Comment or
                                                    Payments; Use: Section 6002 of the                      457,454; Total Annual Hours: 3,099,297.               Submission’’ or ‘‘More Search Options’’
                                                    Affordable Care Act added section                       (For policy questions regarding this                  to find the information collection
                                                    1128G to the Social Security Act (Act),                 collection contact Veronika Peleshchuk                document(s) that are accepting
                                                    which requires applicable                               Fradlin at 410–786–3323.)                             comments.
                                                    manufacturers and applicable group                                                                              2. By regular mail. You may mail
                                                                                                               Dated: May 16, 2017.                               written comments to the following
                                                    purchasing organizations (GPOs) of
                                                    covered drugs, devices, biologicals, or                 William N. Parham, III,                               address: CMS, Office of Strategic
                                                    medical supplies to report annually to                  Director, Paperwork Reduction Staff, Office           Operations and Regulatory Affairs,
                                                    CMS certain payments or other transfers                 of Strategic Operations and Regulatory                Division of Regulations Development,
                                                                                                            Affairs.
                                                    of value to physicians and teaching                                                                           Attention: Document Identifier/OMB
                                                    hospitals, as well as, certain information              [FR Doc. 2017–10225 Filed 5–18–17; 8:45 am]           Control Number lll, Room C4–26–
                                                    regarding the ownership or investment                   BILLING CODE 4120–01–P                                05, 7500 Security Boulevard, Baltimore,
                                                    interests held by physicians or their                                                                         Maryland 21244–1850.
                                                    immediate family members in                                                                                     To obtain copies of a supporting
                                                    applicable manufacturers or applicable                  DEPARTMENT OF HEALTH AND                              statement and any related forms for the
                                                    GPOs.                                                   HUMAN SERVICES                                        proposed collection(s) summarized in
                                                       Specifically, applicable manufacturers                                                                     this notice, you may make your request
                                                                                                            Centers for Medicare & Medicaid
                                                    of covered drugs, devices, biologicals,                                                                       using one of following:
                                                                                                            Services
                                                    and medical supplies are required to                                                                            1. Access CMS’ Web site address at
                                                    submit on an annual basis the                           [Document Identifier: CMS–10371 and CMS–              https://www.cms.gov/Regulations-and-
                                                    information required in section                         10507]                                                Guidance/Legislation/
                                                    1128G(a)(1) of the Act about certain                                                                          PaperworkReductionActof1995/PRA-
                                                    payments or other transfers of value                    Agency Information Collection
                                                                                                            Activities: Proposed Collection;                      Listing.html.
                                                    made to physicians and teaching                                                                                 2. Email your request, including your
                                                    hospitals (collectively called covered                  Comment Request
                                                                                                                                                                  address, phone number, OMB number,
                                                    recipients) during the course of the
asabaliauskas on DSK3SPTVN1PROD with NOTICES




                                                                                                            AGENCY: Centers for Medicare &                        and CMS document identifier, to
                                                    preceding calendar year. Similarly,                     Medicaid Services, HHS.                               Paperwork@cms.hhs.gov.
                                                    section 1128G(a)(2) of the Act requires                 ACTION: Notice.                                         3. Call the Reports Clearance Office at
                                                    applicable manufacturers and                                                                                  (410) 786–1326.
                                                    applicable GPOs to disclose any                         SUMMARY:  The Centers for Medicare &
                                                                                                                                                                  FOR FURTHER INFORMATION CONTACT:
                                                    ownership or investment interests in                    Medicaid Services (CMS) is announcing
                                                    such entities held by physicians or their               an opportunity for the public to                      Reports Clearance Office at (410) 786–
                                                    immediate family members, as well as                    comment on CMS’ intention to collect                  1326.
                                                    information on any payments or other                    information from the public. Under the                SUPPLEMENTARY INFORMATION:



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Document Created: 2018-11-08 08:47:45
Document Modified: 2018-11-08 08:47:45
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 June 19, 2017.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 23005 

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