82 FR 48719 - 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 201 (October 19, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 201 (October 19, 2017)
| Page Range | 48719-48720 | |
| FR Document | 2017-22699 |
[Federal Register Volume 82, Number 201 (Thursday, October 19, 2017)] [Notices] [Pages 48719-48720] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-22699] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-18F5, CMS-10137, and CMS-10651] 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 November 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: OIRA_submission@omb.eop.gov 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 Paperwork@cms.hhs.gov. 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: Reinstatement without change of a previously approved collection; Title of Information Collection: Application for Hospital Insurance and Supporting Regulations; Use: Individuals who are already entitled to retirement or disability benefits under Social Security or Railroad Retirement Board (RRB) benefits are automatically entitled to premium-free Medicare Hospital Insurance (Part A) when they attain age 65 or reach the 25th month of disability benefit entitlement. These individuals do not file a separate application for Medicare Part A because their application for Social Security or RRB benefits is also an application for [[Page 48720]] Part A. The form is for individuals who are not eligible for Social Security for RRB benefits, but may qualify for premium-free Medicare Part A based on certain requirements outlined in Sec. 406.11 and 406.15 or for certain disabled individuals who may enroll in premium Medicare Part A based on certain requirements outlined in Sec. 406.20. Individuals may also choose to enroll in Medicare Part B at the same time they apply for Medicare Part A. Form Number: CMS-18F5 (OMB control number: 0938-0251); Frequency: Once; Affected Public: Individuals or households; Number of Respondents: 51,000; Total Annual Responses: 51,000; Total Annual Hours: 29,580. (For policy questions regarding this collection contact Carla Patterson at 410-786-8911.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Solicitation for Applications for Medicare Prescription Drug Plan 2019 Contracts; Use: Coverage for the prescription drug benefit is provided through contracted prescription drug (PD) plans or through Medicare Advantage (MA) plans that offer integrated prescription drug and health care coverage (MA-PD plans). Cost Plans that are regulated under Section 1876 of the Social Security Act, and Employer Group Waiver Plans may also provide a Part D benefit. Organizations wishing to provide services under the Prescription Drug Benefit Program must complete an application, negotiate rates, and receive final approval from CMS. Existing Part D Sponsors may also expand their contracted service area by completing the Service Area Expansion application. Form Number: CMS- 10137 (OMB control number: 0938-0936); Frequency: Yearly; Affected Public: Private sector (Business or other For-profits and Not-for- profit institutions); Number of Respondents: 243; Total Annual Responses: 243; Total Annual Hours: 2,240. (For policy questions regarding this collection contact Arianne Spaccarelli at 410-786-5715.) 3. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: CMS Tribal Long Term Services and Supports (LTSS) Program Survey; Use: The Survey will provide CMS with an inventory of LTSS programs for older adults or individuals with disabilities managed by American Indian and Alaska Native (AI/AN) tribes. Information on tribal LTSS programs has previously been gathered through publicly available data via online research. However, not all of the information, including program contact information and program focus, are regularly available online as tribal Web sites are not updated frequently. Therefore, the survey will enable the collection of the most accurate information possible. The respondents include 424 LTSS programs run by AI/AN tribes. Once the survey has been conducted, CMS will feature the survey data, specifically a list of AI/AN managed LTSS programs, online on CMS.gov. The dissemination of survey data on CMS.gov will allow tribal communities and the general public to access this important data. Documentation of these programs will support sharing of LTSS best practices and innovative models employed in Indian Country. CMS will use the survey data to generate further content on LTSS in Indian Country, including literature reviews and reports on best practices. Form Number: CMS-10651 (OMB control number: 0938-New); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 425; Total Annual Responses: 425; Total Annual Hours: 106. (For policy questions regarding this collection contact John Johns at 410-786-7253.) Dated: October 16, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-22699 Filed 10-18-17; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 201 / Thursday, October 19, 2017 / Notices 48719
SUPPLEMENTARY INFORMATION: the PSO has 90 days from the effective following transmissions: OMB, Office of
date of delisting and revocation to Information and Regulatory Affairs,
Background
complete the disposition of PSWP that Attention: CMS Desk Officer, Fax
The Patient Safety and Quality is currently in the PSO’s possession. Number: (202) 395–5806 OR Email:
Improvement Act of 2005, 42 U.S.C. More information on PSOs can be OIRA_submission@omb.eop.gov
299b–21 to b–26, (Patient Safety Act) obtained through AHRQ’s PSO Web site To obtain copies of a supporting
and the related Patient Safety and at http://www.pso.ahrq.gov. statement and any related forms for the
Quality Improvement Final Rule, 42 proposed collection(s) summarized in
CFR part 3 (Patient Safety Rule), Sharon B. Arnold,
this notice, you may make your request
published in the Federal Register on Deputy Director.
using one of following:
November 21, 2008, 73 FR 70732– [FR Doc. 2017–22671 Filed 10–18–17; 8:45 am]
1. Access CMS’ Web site address at
70814, establish a framework by which BILLING CODE 4160–90–P
Web site address at https://
hospitals, doctors, and other health care www.cms.gov/Regulations-and-
providers may voluntarily report Guidance/Legislation/
information to Patient Safety DEPARTMENT OF HEALTH AND
PaperworkReductionActof1995/PRA-
Organizations (PSOs), on a privileged HUMAN SERVICES
Listing.html.
and confidential basis, for the 2. Email your request, including your
Centers for Medicare & Medicaid
aggregation and analysis of patient address, phone number, OMB number,
Services
safety events. and CMS document identifier, to
The Patient Safety Act authorizes the [Document Identifiers: CMS–18F5, CMS– Paperwork@cms.hhs.gov.
listing of PSOs, which are entities or 10137, and CMS–10651] 3. Call the Reports Clearance Office at
component organizations whose (410) 786–1326.
mission and primary activity are to Agency Information Collection
Activities: Submission for OMB FOR FURTHER INFORMATION CONTACT:
conduct activities to improve patient
Review; Comment Request William Parham at (410) 786–4669.
safety and the quality of health care
delivery. SUPPLEMENTARY INFORMATION: Under the
AGENCY: Centers for Medicare & Paperwork Reduction Act of 1995 (PRA)
HHS issued the Patient Safety Rule to Medicaid Services, HHS.
implement the Patient Safety Act. (44 U.S.C. 3501–3520), federal agencies
ACTION: Notice. must obtain approval from the Office of
AHRQ administers the provisions of the
Patient Safety Act and Patient Safety SUMMARY: The Centers for Medicare & Management and Budget (OMB) for each
Rule relating to the listing and operation Medicaid Services (CMS) is announcing collection of information they conduct
of PSOs. The Patient Safety Rule an opportunity for the public to or sponsor. The term ‘‘collection of
authorizes AHRQ to list as a PSO an comment on CMS’ intention to collect information’’ is defined in 44 U.S.C.
entity that attests that it meets the information from the public. Under the 3502(3) and 5 CFR 1320.3(c) and
statutory and regulatory requirements Paperwork Reduction Act of 1995 includes agency requests or
for listing. A PSO can be ‘‘delisted’’ if (PRA), federal agencies are required to requirements that members of the public
it is found to no longer meet the publish notice in the Federal Register submit reports, keep records, or provide
requirements of the Patient Safety Act concerning each proposed collection of information to a third party. Section
and Patient Safety Rule, when a PSO information, including each proposed 3506(c)(2)(A) of the PRA (44 U.S.C.
chooses to voluntarily relinquish its extension or reinstatement of an existing 3506(c)(2)(A)) requires federal agencies
status as a PSO for any reason, or when collection of information, and to allow to publish a 30-day notice in the
a PSO’s listing expires. Section 3.108(d) a second opportunity for public Federal Register concerning each
of the Patient Safety Rule requires comment on the notice. Interested proposed collection of information,
AHRQ to provide public notice when it persons are invited to send comments including each proposed extension or
removes an organization from the list of regarding the burden estimate or any reinstatement of an existing collection
federally approved PSOs. other aspect of this collection of of information, before submitting the
AHRQ has accepted a notification information, including the necessity and collection to OMB for approval. To
from the American College of utility of the proposed information comply with this requirement, CMS is
Physicians Patient Safety Organization, collection for the proper performance of publishing this notice that summarizes
a component entity of American College the agency’s functions, the accuracy of the following proposed collection(s) of
of Physicians, PSO number P0128, to the estimated burden, ways to enhance information for public comment:
voluntarily relinquish its status as a the quality, utility, and clarity of the 1. Type of Information Collection
PSO. Accordingly, the American College information to be collected; and the use Request: Reinstatement without change
of Physicians Patient Safety of automated collection techniques or of a previously approved collection;
Organization was delisted effective at other forms of information technology to Title of Information Collection:
12:00 Midnight ET (2400) on October minimize the information collection Application for Hospital Insurance and
10, 2017. burden. Supporting Regulations; Use:
The American College of Physicians Individuals who are already entitled to
Patient Safety Organization has patient DATES: Comments on the collection(s) of retirement or disability benefits under
safety work product (PSWP) in its information must be received by the Social Security or Railroad Retirement
possession. The PSO will meet the OMB desk officer by November 20, Board (RRB) benefits are automatically
requirements of section 3.108(c)(2)(i) of 2017. entitled to premium-free Medicare
rmajette on DSKBCKNHB2PROD with NOTICES
the Patient Safety Rule regarding ADDRESSES: When commenting on the Hospital Insurance (Part A) when they
notification to providers that have proposed information collections, attain age 65 or reach the 25th month of
reported to the PSO and of section please reference the document identifier disability benefit entitlement. These
3.108(c)(2)(ii) regarding disposition of or OMB control number. To be assured individuals do not file a separate
PSWP consistent with section consideration, comments and application for Medicare Part A because
3.108(b)(3). According to section recommendations must be received by their application for Social Security or
3.108(b)(3) of the Patient Safety Rule, the OMB desk officer via one of the RRB benefits is also an application for
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![48720 Federal Register / Vol. 82, No. 201 / Thursday, October 19, 2017 / Notices
Part A. The form is for individuals who research. However, not all of the System Scholarship Application. Our
are not eligible for Social Security for information, including program contact ICR describes the information we seek
RRB benefits, but may qualify for information and program focus, are to collect from the public. Review and
premium-free Medicare Part A based on regularly available online as tribal Web comments by OIRA ensure we only
certain requirements outlined in sites are not updated frequently. impose paperwork burdens
§ 406.11 and 406.15 or for certain Therefore, the survey will enable the commensurate with our performance of
disabled individuals who may enroll in collection of the most accurate duties.
premium Medicare Part A based on information possible. The respondents DATES: Comments must reach the Coast
certain requirements outlined in include 424 LTSS programs run by AI/ Guard and OIRA on or before November
§ 406.20. Individuals may also choose to AN tribes. Once the survey has been 20, 2017.
enroll in Medicare Part B at the same conducted, CMS will feature the survey ADDRESSES: You may submit comments
time they apply for Medicare Part A. data, specifically a list of AI/AN identified by Coast Guard docket
Form Number: CMS–18F5 (OMB control managed LTSS programs, online on number [USCG–2016–0598] to the Coast
number: 0938–0251); Frequency: Once; CMS.gov. The dissemination of survey Guard using the Federal eRulemaking
Affected Public: Individuals or data on CMS.gov will allow tribal Portal at http://www.regulations.gov.
households; Number of Respondents: communities and the general public to Alternatively, you may submit
51,000; Total Annual Responses: access this important data. comments to OIRA using one of the
51,000; Total Annual Hours: 29,580. Documentation of these programs will following means:
(For policy questions regarding this support sharing of LTSS best practices (1) Email: dhsdeskofficer@
collection contact Carla Patterson at and innovative models employed in omb.eop.gov.
410–786–8911.) Indian Country. CMS will use the (2) Mail: OIRA, 725 17th Street NW.,
2. Type of Information Collection survey data to generate further content Washington, DC 20503, attention Desk
Request: Revision of a currently on LTSS in Indian Country, including Officer for the Coast Guard.
approved collection; Title of literature reviews and reports on best A copy of the ICR is available through
Information Collection: Solicitation for practices. Form Number: CMS–10651 the docket on the Internet at http://
Applications for Medicare Prescription (OMB control number: 0938-New); www.regulations.gov. Additionally,
Drug Plan 2019 Contracts; Use: Coverage Frequency: Yearly; Affected Public: copies are available from: Commandant
for the prescription drug benefit is State, Local, or Tribal Governments; (CG–612), ATTN: Paperwork Reduction
provided through contracted Number of Respondents: 425; Total Act Manager, U.S. Coast Guard, 2703
prescription drug (PD) plans or through Annual Responses: 425; Total Annual Martin Luther King Jr. Ave. SE., Stop
Medicare Advantage (MA) plans that Hours: 106. (For policy questions 7710, Washington, DC 20593–7710.
offer integrated prescription drug and regarding this collection contact John
health care coverage (MA–PD plans). FOR FURTHER INFORMATION CONTACT: Mr.
Johns at 410–786–7253.) Anthony Smith, Office of Information
Cost Plans that are regulated under
Section 1876 of the Social Security Act, Dated: October 16, 2017. Management, telephone 202–475–3532,
and Employer Group Waiver Plans may William N. Parham, III, or fax 202–372–8405, for questions on
also provide a Part D benefit. Director, Paperwork Reduction Staff, Office these documents.
Organizations wishing to provide of Strategic Operations and Regulatory SUPPLEMENTARY INFORMATION:
services under the Prescription Drug Affairs.
Public Participation and Request for
Benefit Program must complete an [FR Doc. 2017–22699 Filed 10–18–17; 8:45 am]
Comments
application, negotiate rates, and receive BILLING CODE 4120–01–P
final approval from CMS. Existing Part This Notice relies on the authority of
D Sponsors may also expand their the Paperwork Reduction Act of 1995;
contracted service area by completing DEPARTMENT OF HOMELAND 44 U.S.C. Chapter 35, as amended. An
the Service Area Expansion application. SECURITY ICR is an application to OIRA seeking
Form Number: CMS–10137 (OMB the approval, extension, or renewal of a
control number: 0938–0936); Frequency: Coast Guard Coast Guard collection of information
Yearly; Affected Public: Private sector (Collection). The ICR contains
[Docket No. USCG–2016–0598] information describing the Collection’s
(Business or other For-profits and Not-
for-profit institutions); Number of Collection of Information Under purpose, the Collection’s likely burden
Respondents: 243; Total Annual Review by Office of Management and on the affected public, an explanation of
Responses: 243; Total Annual Hours: Budget; OMB Control Number: 1625– the necessity of the Collection, and
2,240. (For policy questions regarding 0119 other important information describing
this collection contact Arianne the Collection. There is one ICR for each
Spaccarelli at 410–786–5715.) AGENCY:Coast Guard, DHS. Collection.
3. Type of Information Collection Thirty-day notice requesting
ACTION: The Coast Guard invites comments on
Request: New collection (Request for a comments. whether this ICR should be granted
new OMB control number); Title of based on the Collection being necessary
Information Collection: CMS Tribal SUMMARY: In compliance with the for the proper performance of
Long Term Services and Supports Paperwork Reduction Act of 1995 the Departmental functions. In particular,
(LTSS) Program Survey; Use: The U.S. Coast Guard is forwarding an the Coast Guard would appreciate
Survey will provide CMS with an Information Collection Request (ICR), comments addressing: (1) The practical
rmajette on DSKBCKNHB2PROD with NOTICES
inventory of LTSS programs for older abstracted below, to the Office of utility of the Collection; (2) the accuracy
adults or individuals with disabilities Management and Budget (OMB), Office of the estimated burden of the
managed by American Indian and of Information and Regulatory Affairs Collection; (3) ways to enhance the
Alaska Native (AI/AN) tribes. (OIRA), requesting approval for quality, utility, and clarity of
Information on tribal LTSS programs reinstatement, without change, of the information subject to the Collection;
has previously been gathered through following collection of information: and (4) ways to minimize the burden of
publicly available data via online 1625–0119, Coast Guard Exchange the Collection on respondents,
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Document Created: 2017-10-19 02:56:25
Document Modified: 2017-10-19 02:56:25
| 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 November 20, 2017. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 82 FR 48719 |
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