82_FR_61248 82 FR 61002 - Agency Information Collection Activities: Proposed Collection; Comment Request

82 FR 61002 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 82, Issue 246 (December 26, 2017)

Page Range61002-61003
FR Document2017-27787

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 (the 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 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates 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 246 (Tuesday, December 26, 2017)
[Federal Register Volume 82, Number 246 (Tuesday, December 26, 2017)]
[Notices]
[Pages 61002-61003]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-27787]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-1696 and CMS-10536]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the 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 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of

[[Page 61003]]

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 must be received by February 26, 2018.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number _____ , Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    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' website address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).
CMS-1696 Appointment of Representative
CMS-10536 Medicaid Eligibility and Enrollment (EE) Implementation 
Advanced Planning Document (IAPD) Template

    Under the 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 requires federal agencies 
to publish a 60-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.

Information Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Appointment of 
Representative; Use: The Appointment of Representative form is 
completed by beneficiaries, providers and suppliers, and any party 
seeking to appoint a representative to assist them with their initial 
determinations and filing appeals. Form Number: CMS-1696 (OMB control 
number: 0938-0950); Frequency: Once; Affected Public: Individuals and 
Households, and the Private sector (Business or other for-profits); 
Number of Respondents: 3,472,840; Total Annual Responses: 347,284; 
Total Annual Hours: 86,821. (For policy questions regarding this 
collection contact Katherine Hosna at 410-786-4993.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Eligibility and Enrollment (EE) Implementation Advanced Planning 
Document (IAPD) Template; Use: To assess the appropriateness of states' 
requests for enhanced federal financial participation for expenditures 
related to Medicaid eligibility determination systems, we will review 
the submitted information and documentation to make an approval 
determination for the advanced planning document. Form Number: CMS-
10536 (OMB control number: 0938-1268); Frequency: Yearly, once, and 
occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 56; Total Annual Responses: 168; Total Annual 
Hours: 2,688. (For policy questions regarding this collection contact 
Martin Rice at 410-786-2417.)

    Dated: December 20, 2017.
William N. Parham, III
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-27787 Filed 12-22-17; 8:45 am]
 BILLING CODE 4120-01-P



                                               61002                            Federal Register / Vol. 82, No. 246 / Tuesday, December 26, 2017 / Notices

                                                  CDC will accept all comments for this                            Budget, 725 17th Street NW,                                        be generalized to the population of
                                               proposed information collection project.                            Washington, DC 20503 or by fax to (202)                            study.
                                               The Office of Management and Budget                                 395–5806. Provide written comments                                    This collection of information is
                                               is particularly interested in comments                              within 30 days of notice publication.                              necessary to enable the Agency to garner
                                               that:                                                                                                                                  customer and stakeholder feedback in
                                                  (a) Evaluate whether the proposed                                Proposed Project
                                                                                                                     Generic Clearance for the Collection                             an efficient, timely manner, in
                                               collection of information is necessary
                                                                                                                   of Qualitative Feedback on Agency                                  accordance with our commitment to
                                               for the proper performance of the
                                                                                                                   Service Delivery (0920–1071, 06/30/                                improving service delivery. The
                                               functions of the agency, including
                                                                                                                   2018)—Extension—National Center for                                information collected from our
                                               whether the information will have
                                                                                                                   Emerging and Zoonotic Infectious                                   customers and stakeholders will help
                                               practical utility;
                                                  (b) Evaluate the accuracy of the                                 Diseases (NCEZID), Centers for Disease                             ensure that users have an effective,
                                               agencies estimate of the burden of the                              Control and Prevention (CDC).                                      efficient, and satisfying experience with
                                               proposed collection of information,                                                                                                    the Agency’s programs. This feedback
                                                                                                                   Background and Brief Description                                   will provide insights into customer or
                                               including the validity of the
                                               methodology and assumptions used;                                      CDC/NCEZID seeks a three-year                                   stakeholder perceptions, experiences
                                                  (c) Enhance the quality, utility, and                            extension of the information collection                            and expectations, provide an early
                                               clarity of the information to be                                    plan titled ‘‘Generic Clearance for the                            warning of issues with service, or focus
                                               collected;                                                          Collection of Qualitative Feedback on                              attention on areas where
                                                  (d) Minimize the burden of the                                   Agency Service Delivery’’ (OMB Control                             communication, training or changes in
                                               collection of information on those who                              Number 0920–1071). Approval of this                                operations might improve delivery of
                                               are to respond, including, through the                              plan will allow CDC to continue                                    products or services. These collections
                                               use of appropriate automated,                                       collection of routine customer feedback                            will allow for ongoing, collaborative and
                                               electronic, mechanical, or other                                    on agency service delivery efforts.                                actionable communications between the
                                               technological collection techniques or                                 Executive Order 12862 directs Federal                           Agency and its customers and
                                               other forms of information technology,                              agencies to provide service to the public                          stakeholders. It will also allow feedback
                                               e.g., permitting electronic submission of                           that matches or exceeds the best service                           to contribute directly to the
                                               responses; and                                                      available in the private sector. In order                          improvement of program management.
                                                  (e) Assess information collection                                to work continuously to ensure that our                               Since getting approval in June 2015,
                                               costs.                                                              programs are effective and meet our                                NCEZID has utilized this information
                                                  To request additional information on                             customers’ needs, the CDC (hereafter the                           collection plan (OMB Control Number
                                               the proposed project or to obtain a copy                            ‘‘Agency’’) seeks to obtain OMB                                    0920–1071) nine separate times (16,800
                                               of the information collection plan and                              approval of a generic clearance to                                 responses and 2,029 burden hours).
                                               instruments, call (404) 639–7570 or                                 collect qualitative feedback on our
                                               send an email to omb@cdc.gov. Direct                                service delivery. By qualitative feedback                             There is no cost to respondents other
                                               written comments and/or suggestions                                 we mean information that provides                                  than the time to participate.
                                               regarding the items contained in this                               useful insights on perceptions and                                    Authorizing legislation comes from
                                               notice to the Attention: CDC Desk                                   opinions, but are not statistical surveys                          Section 301 of the Public Health Service
                                               Officer, Office of Management and                                   that yield quantitative results that can                           Act (42 U.S.C. 241).

                                                                                                                  ESTIMATED ANNUALIZED BURDEN HOURS
                                                                                                                                                                                                                        Average
                                                                                                                                                                                                        Number of
                                                                                                                                                                                      Number of                       burden per
                                                                Type of respondents                                                      Form name                                                    responses per
                                                                                                                                                                                     respondents                       response
                                                                                                                                                                                                        respondent     (in hours)

                                               General public .................................................   Online surveys ...............................................            1,500                 1          30/60
                                                                                                                  Focus groups .................................................              800                 1              2
                                                                                                                  In-person surveys ...........................................             1,000                 1          30/60
                                                                                                                  Usability testing ..............................................          1,500                 1          30/60
                                                                                                                  Customer comment cards ..............................                     1,000                 1          15/60



                                               Leroy A. Richardson,                                                DEPARTMENT OF HEALTH AND                                           SUMMARY:   The Centers for Medicare &
                                               Chief, Information Collection Review Office,                        HUMAN SERVICES                                                     Medicaid Services (CMS) is announcing
                                               Office of Scientific Integrity, Office of the                                                                                          an opportunity for the public to
                                               Associate Director for Science, Office of the                       Centers for Medicare & Medicaid                                    comment on CMS’ intention to collect
                                               Director, Centers for Disease Control and                           Services                                                           information from the public. Under the
                                               Prevention.                                                                                                                            Paperwork Reduction Act of 1995 (the
                                               [FR Doc. 2017–27688 Filed 12–22–17; 8:45 am]                        [Document Identifiers: CMS–1696 and CMS–                           PRA), federal agencies are required to
                                               BILLING CODE 4163–18–P                                              10536]                                                             publish notice in the Federal Register
                                                                                                                                                                                      concerning each proposed collection of
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                                                                                                                   Agency Information Collection                                      information (including each proposed
                                                                                                                   Activities: Proposed Collection;                                   extension or reinstatement of an existing
                                                                                                                   Comment Request                                                    collection of information) and to allow
                                                                                                                   AGENCY: Centers for Medicare &                                     60 days for public comment on the
                                                                                                                   Medicaid Services.                                                 proposed action. Interested persons are
                                                                                                                                                                                      invited to send comments regarding our
                                                                                                                   ACTION: Notice.
                                                                                                                                                                                      burden estimates or any other aspect of


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                                                                          Federal Register / Vol. 82, No. 246 / Tuesday, December 26, 2017 / Notices                                                61003

                                               this collection of information, including                 Under the PRA (44 U.S.C. 3501–                         Dated: December 20, 2017.
                                               the necessity and utility of the proposed               3520), federal agencies must obtain                   William N. Parham, III
                                               information collection for the proper                   approval from the Office of Management                Director, Paperwork Reduction Staff, Office
                                               performance of the agency’s functions,                  and Budget (OMB) for each collection of               of Strategic Operations and Regulatory
                                               the accuracy of the estimated burden,                   information they conduct or sponsor.                  Affairs.
                                               ways to enhance the quality, utility, and               The term ‘‘collection of information’’ is             [FR Doc. 2017–27787 Filed 12–22–17; 8:45 am]
                                               clarity of the information to be                        defined in 44 U.S.C. 3502(3) and 5 CFR                BILLING CODE 4120–01–P
                                               collected, and the use of automated                     1320.3(c) and includes agency requests
                                               collection techniques or other forms of                 or requirements that members of the
                                               information technology to minimize the                  public submit reports, keep records, or               DEPARTMENT OF HEALTH AND
                                               information collection burden.                          provide information to a third party.                 HUMAN SERVICES
                                               DATES: Comments must be received by                     Section 3506(c)(2)(A) of the PRA
                                                                                                       requires federal agencies to publish a                Food and Drug Administration
                                               February 26, 2018.
                                                                                                       60-day notice in the Federal Register                 [Docket No. FDA–2014–N–2294]
                                               ADDRESSES: When commenting, please
                                                                                                       concerning each proposed collection of
                                               reference the document identifier or
                                                                                                       information, including each proposed                  Agency Information Collection
                                               OMB control number. To be assured
                                                                                                       extension or reinstatement of an existing             Activities; Submission for Office of
                                               consideration, comments and
                                                                                                       collection of information, before                     Management and Budget Review;
                                               recommendations must be submitted in
                                                                                                       submitting the collection to OMB for                  Comment Request; Evaluation of the
                                               any one of the following ways:
                                                                                                       approval. To comply with this                         Food and Drug Administration’s ‘Fresh
                                                 1. Electronically. You may send your
                                                                                                       requirement, CMS is publishing this                   Empire’ Multicultural Youth Tobacco
                                               comments electronically to http://
                                                                                                       notice.                                               Prevention Campaign
                                               www.regulations.gov. Follow the
                                               instructions for ‘‘Comment or                           Information Collection                                AGENCY:    Food and Drug Administration,
                                               Submission’’ or ‘‘More Search Options’’                   1. Type of Information Collection                   HHS.
                                               to find the information collection                      Request: Extension of a currently                     ACTION:   Notice.
                                               document(s) that are accepting                          approved collection; Title of
                                               comments.                                                                                                     SUMMARY:    The Food and Drug
                                                                                                       Information Collection: Appointment of
                                                 2. By regular mail. You may mail                                                                            Administration (FDA or Agency) is
                                                                                                       Representative; Use: The Appointment
                                               written comments to the following                                                                             announcing an opportunity for public
                                                                                                       of Representative form is completed by
                                               address: CMS, Office of Strategic                                                                             comment on the proposed collection of
                                                                                                       beneficiaries, providers and suppliers,
                                               Operations and Regulatory Affairs,                                                                            certain information by the Agency.
                                                                                                       and any party seeking to appoint a
                                               Division of Regulations Development,                                                                          Under the Paperwork Reduction Act of
                                                                                                       representative to assist them with their
                                               Attention: Document Identifier/OMB                                                                            1995 (PRA), Federal Agencies are
                                                                                                       initial determinations and filing
                                               Control Number lllll , Room C4–                                                                               required to publish notice in the
                                                                                                       appeals. Form Number: CMS–1696
                                               26–05, 7500 Security Boulevard,                                                                               Federal Register concerning each
                                                                                                       (OMB control number: 0938–0950);
                                               Baltimore, Maryland 21244–1850.                                                                               proposed collection of information,
                                                                                                       Frequency: Once; Affected Public:
                                                 To obtain copies of a supporting                                                                            including each proposed extension of an
                                                                                                       Individuals and Households, and the
                                               statement and any related forms for the                                                                       existing collection of information, and
                                                                                                       Private sector (Business or other for-
                                               proposed collection(s) summarized in                                                                          to allow 60 days for public comment in
                                                                                                       profits); Number of Respondents:
                                               this notice, you may make your request                                                                        response to the notice. This notice
                                                                                                       3,472,840; Total Annual Responses:
                                               using one of following:                                                                                       solicits comments on an extension of
                                                                                                       347,284; Total Annual Hours: 86,821.
                                                 1. Access CMS’ website address at                                                                           the time period for the outcome
                                                                                                       (For policy questions regarding this
                                               http://www.cms.hhs.gov/                                                                                       evaluation of FDA’s multicultural youth
                                                                                                       collection contact Katherine Hosna at
                                               PaperworkReductionActof1995.                                                                                  tobacco public education campaign, the
                                                                                                       410–786–4993.)
                                                 2. Email your request, including your                                                                       addition of two rounds of data
                                                                                                         2. Type of Information Collection
                                               address, phone number, OMB number,                                                                            collection with the original youth
                                                                                                       Request: Extension of a currently
                                               and CMS document identifier, to                                                                               surveyed for the outcome evaluation,
                                                                                                       approved collection; Title of
                                               Paperwork@cms.hhs.gov.                                                                                        and recruitment of new youth to
                                                                                                       Information Collection: Medicaid
                                                 3. Call the Reports Clearance Office at                                                                     participate in those two additional
                                                                                                       Eligibility and Enrollment (EE)
                                               (410) 786–1326.                                                                                               surveys.
                                                                                                       Implementation Advanced Planning
                                               FOR FURTHER INFORMATION CONTACT:                        Document (IAPD) Template; Use: To                     DATES: Submit either electronic or
                                               William Parham at (410) 786–4669.                       assess the appropriateness of states’                 written comments on the collection of
                                               SUPPLEMENTARY INFORMATION:                              requests for enhanced federal financial               information by February 26, 2018.
                                                                                                       participation for expenditures related to             ADDRESSES: You may submit comments
                                               Contents                                                Medicaid eligibility determination                    as follows. Please note that late,
                                                 This notice sets out a summary of the                 systems, we will review the submitted                 untimely filed comments will not be
                                               use and burden associated with the                      information and documentation to make                 considered. Electronic comments must
                                               following information collections. More                 an approval determination for the                     be submitted on or before February 26,
                                               detailed information can be found in                    advanced planning document. Form                      2018. The https://www.regulations.gov
                                               each collection’s supporting statement                  Number: CMS–10536 (OMB control                        electronic filing system will accept
                                               and associated materials (see                           number: 0938–1268); Frequency: Yearly,                comments until midnight Eastern Time
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                                               ADDRESSES).                                             once, and occasionally; Affected Public:              at the end of February 26, 2018.
                                               CMS–1696 Appointment of                                 State, Local, or Tribal Governments;                  Comments received by mail/hand
                                                    Representative                                     Number of Respondents: 56; Total                      delivery/courier (for written/paper
                                               CMS–10536 Medicaid Eligibility and                      Annual Responses: 168; Total Annual                   submissions) will be considered timely
                                                    Enrollment (EE) Implementation                     Hours: 2,688. (For policy questions                   if they are postmarked or the delivery
                                                    Advanced Planning Document                         regarding this collection contact Martin              service acceptance receipt is on or
                                                    (IAPD) Template                                    Rice at 410–786–2417.)                                before that date.


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Document Created: 2017-12-23 03:08:37
Document Modified: 2017-12-23 03:08:37
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 must be received by February 26, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 61002 

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