83_FR_13188 83 FR 13129 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

83 FR 13129 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

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

Federal Register Volume 83, Issue 59 (March 27, 2018)

Page Range13129-13130
FR Document2018-06082

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 83 Issue 59 (Tuesday, March 27, 2018)
[Federal Register Volume 83, Number 59 (Tuesday, March 27, 2018)]
[Notices]
[Pages 13129-13130]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-06082]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10390 and CMS-10571]


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 April 26, 2018.

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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995 
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from 
the Office of Management and Budget (OMB) for each collection of 
information they conduct or sponsor. The term ``collection of 
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and 
includes agency requests or requirements that members of the public 
submit reports, keep records, or provide information to a third party. 
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-day notice in the Federal Register 
concerning each proposed collection of information, including each 
proposed extension or reinstatement of an existing collection of 
information, before submitting the collection to OMB for approval. To 
comply with this requirement, CMS is publishing this notice that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Extension of a currently 
approved collection without change; Title of Information Collection: 
Hospice Quality Reporting Program; Use: The Hospice Item Set (HIS) is a 
standardized, patient-level data collection tool developed specifically 
for use by hospices. It is currently used for the collection of quality 
measure data pertaining to the Hospice Quality Reporting Program 
(HQRP). Since April 1, 2017, hospices have been using the HIS V2.00.0 
which specifies the collection of data items that support eight 
National Quality Forum (NQF) endorsed Quality Measures (QMs) and an 
additional measure pair for hospice. All Medicare-certified hospice 
providers are required to submit HIS admission and discharge records to 
CMS for each patient admission and discharge. The HIS contains data 
elements that are used by the CMS to calculate these measures and also 
allows CMS to collect quality data from hospices in compliance with 
Section 3004 of the Affordable Care Act. Form Number: CMS-10390 (OMB 
control number: 0938-1153); Frequency: On Occasion; Affected Public: 
State, Local, or Tribal Governments, Private Sector (not-for-profit 
institutions); individuals or households; Number of Respondents: 4,259; 
Total Annual Responses: 4,259; Total Annual Hours: 686,630. (For policy 
questions regarding this collection contact Cindy Massuda at (410) 786-
0652.)
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: Limited 
Wraparound Coverage Reporting; Use: The Department of Treasury, the 
Department of Labor and the Department of Health and Human Services 
published final regulations on March 18, 2015 (80 FR 13995), amending 
the regulations regarding excepted benefits under the Employee 
Retirement Income Security Act of 1974, the Internal Revenue Code, and 
the Public Health Service Act to specify requirements for limited 
wraparound coverage to qualify as an excepted benefit. The final 
regulations include requirements that limited wraparound coverage must 
satisfy in order to qualify as excepted benefits. One of them is a 
reporting requirement, for group health plans and group health 
insurance issuers, as well as group health plan sponsors.
    A self-insured group health plan, or a health insurance issuer 
offering or proposing to offer Multi-State Plan wraparound coverage, is 
required to report to OPM information reasonably required to determine 
whether the plan or issuer qualifies to offer such coverage or complies 
with the applicable requirements. In addition, the plan sponsor of any 
group health plan offering any type of limited wraparound coverage is 
required to report to the Department of Health and Human Services 
(HHS), in a form and manner specified in guidance by the Secretary of 
HHS.
    We seek comment on the content of the proposed collection form. We 
also seek comment on the impact that an extension of the limited 
wraparound pilot program would have on the number of employers/sponsors 
participating in the limited wraparound pilot program. In addition, if 
HHS extends the limited wraparound pilot program, we seek comment on 
when the limited wraparound pilot program

[[Page 13130]]

should sunset, or whether the limited wraparound pilot program should 
be made permanent. Form Number: CMS-10571 (OMB control number: 0938-
NEW); Frequency: Once; Affected Public: Private Sector; Number of 
Respondents: 8; Total Annual Responses: 8; Total Annual Hours: 24. (For 
policy questions regarding this collection contact Usree Bandyopadhyay 
at 410-786-6650.)

    Dated: March 22, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-06082 Filed 3-26-18; 8:45 am]
 BILLING CODE 4120-01-P



                                                                           Federal Register / Vol. 83, No. 59 / Tuesday, March 27, 2018 / Notices                                            13129

                                             Prevention and the Agency for Toxic                     Number: (202) 395–5806 OR, Email:                     patient admission and discharge. The
                                             Substances and Disease Registry.                        OIRA_submission@omb.eop.gov.                          HIS contains data elements that are used
                                                                                                       To obtain copies of a supporting                    by the CMS to calculate these measures
                                             Elaine L. Baker,
                                                                                                     statement and any related forms for the               and also allows CMS to collect quality
                                             Director, Management Analysis and Services              proposed collection(s) summarized in                  data from hospices in compliance with
                                             Office, Centers for Disease Control and
                                                                                                     this notice, you may make your request                Section 3004 of the Affordable Care Act.
                                             Prevention.
                                                                                                     using one of following:                               Form Number: CMS–10390 (OMB
                                             [FR Doc. 2018–06059 Filed 3–26–18; 8:45 am]
                                                                                                       1. Access CMS’ website address at                   control number: 0938–1153); Frequency:
                                             BILLING CODE 4163–18–P                                  website address at https://www.cms.gov/               On Occasion; Affected Public: State,
                                                                                                     Regulations-and-Guidance/Legislation/                 Local, or Tribal Governments, Private
                                                                                                     PaperworkReductionActof1995/PRA-                      Sector (not-for-profit institutions);
                                             DEPARTMENT OF HEALTH AND                                Listing.html.                                         individuals or households; Number of
                                             HUMAN SERVICES                                            1. Email your request, including your               Respondents: 4,259; Total Annual
                                             Centers for Medicare & Medicaid                         address, phone number, OMB number,                    Responses: 4,259; Total Annual Hours:
                                             Services                                                and CMS document identifier, to                       686,630. (For policy questions regarding
                                                                                                     Paperwork@cms.hhs.gov.                                this collection contact Cindy Massuda at
                                                                                                       2. Call the Reports Clearance Office at             (410) 786–0652.)
                                             [Document Identifiers: CMS–10390 and                    (410) 786–1326.                                          2. Type of Information Collection
                                             CMS–10571]
                                                                                                     FOR FURTHER INFORMATION CONTACT:                      Request: New collection (Request for a
                                             Agency Information Collection                           Reports Clearance Office at (410) 786–                new OMB control number); Title of
                                             Activities: Submission for OMB                          1326.                                                 Information Collection: Limited
                                             Review; Comment Request                                                                                       Wraparound Coverage Reporting; Use:
                                                                                                     SUPPLEMENTARY INFORMATION:      Under the
                                                                                                                                                           The Department of Treasury, the
                                             AGENCY: Centers for Medicare &                          Paperwork Reduction Act of 1995 (PRA)                 Department of Labor and the
                                             Medicaid Services, HHS.                                 (44 U.S.C. 3501–3520), federal agencies               Department of Health and Human
                                                                                                     must obtain approval from the Office of               Services published final regulations on
                                             ACTION: Notice.
                                                                                                     Management and Budget (OMB) for each                  March 18, 2015 (80 FR 13995),
                                             SUMMARY:    The Centers for Medicare &                  collection of information they conduct                amending the regulations regarding
                                             Medicaid Services (CMS) is announcing                   or sponsor. The term ‘‘collection of                  excepted benefits under the Employee
                                             an opportunity for the public to                        information’’ is defined in 44 U.S.C.                 Retirement Income Security Act of 1974,
                                             comment on CMS’ intention to collect                    3502(3) and 5 CFR 1320.3(c) and                       the Internal Revenue Code, and the
                                             information from the public. Under the                  includes agency requests or                           Public Health Service Act to specify
                                             Paperwork Reduction Act of 1995                         requirements that members of the public               requirements for limited wraparound
                                             (PRA), federal agencies are required to                 submit reports, keep records, or provide              coverage to qualify as an excepted
                                             publish notice in the Federal Register                  information to a third party. Section                 benefit. The final regulations include
                                             concerning each proposed collection of                  3506(c)(2)(A) of the PRA (44 U.S.C.                   requirements that limited wraparound
                                             information, including each proposed                    3506(c)(2)(A)) requires federal agencies              coverage must satisfy in order to qualify
                                             extension or reinstatement of an existing               to publish a 30-day notice in the                     as excepted benefits. One of them is a
                                             collection of information, and to allow                 Federal Register concerning each                      reporting requirement, for group health
                                             a second opportunity for public                         proposed collection of information,                   plans and group health insurance
                                             comment on the notice. Interested                       including each proposed extension or                  issuers, as well as group health plan
                                             persons are invited to send comments                    reinstatement of an existing collection               sponsors.
                                             regarding the burden estimate or any                    of information, before submitting the                    A self-insured group health plan, or a
                                             other aspect of this collection of                      collection to OMB for approval. To                    health insurance issuer offering or
                                             information, including the necessity and                comply with this requirement, CMS is                  proposing to offer Multi-State Plan
                                             utility of the proposed information                     publishing this notice that summarizes                wraparound coverage, is required to
                                             collection for the proper performance of                the following proposed collection(s) of               report to OPM information reasonably
                                             the agency’s functions, the accuracy of                 information for public comment:                       required to determine whether the plan
                                             the estimated burden, ways to enhance                      1. Type of Information Collection                  or issuer qualifies to offer such coverage
                                             the quality, utility, and clarity of the                Request: Extension of a currently                     or complies with the applicable
                                             information to be collected, and the use                approved collection without change;                   requirements. In addition, the plan
                                             of automated collection techniques or                   Title of Information Collection: Hospice              sponsor of any group health plan
                                             other forms of information technology to                Quality Reporting Program; Use: The                   offering any type of limited wraparound
                                             minimize the information collection                     Hospice Item Set (HIS) is a                           coverage is required to report to the
                                             burden.                                                 standardized, patient-level data                      Department of Health and Human
                                                                                                     collection tool developed specifically                Services (HHS), in a form and manner
                                             DATES: Comments on the collection(s) of                 for use by hospices. It is currently used             specified in guidance by the Secretary of
                                             information must be received by the                     for the collection of quality measure                 HHS.
                                             OMB desk officer by April 26, 2018.                     data pertaining to the Hospice Quality                   We seek comment on the content of
                                             ADDRESSES: When commenting on the                       Reporting Program (HQRP). Since April                 the proposed collection form. We also
                                             proposed information collections,                       1, 2017, hospices have been using the                 seek comment on the impact that an
                                             please reference the document identifier                HIS V2.00.0 which specifies the                       extension of the limited wraparound
amozie on DSK30RV082PROD with NOTICES




                                             or OMB control number. To be assured                    collection of data items that support                 pilot program would have on the
                                             consideration, comments and                             eight National Quality Forum (NQF)                    number of employers/sponsors
                                             recommendations must be received by                     endorsed Quality Measures (QMs) and                   participating in the limited wraparound
                                             the OMB desk officer via one of the                     an additional measure pair for hospice.               pilot program. In addition, if HHS
                                             following transmissions: OMB, Office of                 All Medicare-certified hospice providers              extends the limited wraparound pilot
                                             Information and Regulatory Affairs,                     are required to submit HIS admission                  program, we seek comment on when the
                                             Attention: CMS Desk Officer, Fax                        and discharge records to CMS for each                 limited wraparound pilot program


                                        VerDate Sep<11>2014   18:07 Mar 26, 2018   Jkt 244001   PO 00000   Frm 00011   Fmt 4703   Sfmt 4703   E:\FR\FM\27MRN1.SGM   27MRN1


                                             13130                         Federal Register / Vol. 83, No. 59 / Tuesday, March 27, 2018 / Notices

                                             should sunset, or whether the limited                   OMB control number. To be assured                     information they conduct or sponsor.
                                             wraparound pilot program should be                      consideration, comments and                           The term ‘‘collection of information’’ is
                                             made permanent. Form Number: CMS–                       recommendations must be submitted in                  defined in 44 U.S.C. 3502(3) and 5 CFR
                                             10571 (OMB control number: 0938–                        any one of the following ways:                        1320.3(c) and includes agency requests
                                             NEW); Frequency: Once; Affected                           1. Electronically. You may send your                or requirements that members of the
                                             Public: Private Sector; Number of                       comments electronically to http://                    public submit reports, keep records, or
                                             Respondents: 8; Total Annual                            www.regulations.gov. Follow the                       provide information to a third party.
                                             Responses: 8; Total Annual Hours: 24.                   instructions for ‘‘Comment or                         Section 3506(c)(2)(A) of the PRA
                                             (For policy questions regarding this                    Submission’’ or ‘‘More Search Options’’               requires federal agencies to publish a
                                             collection contact Usree                                to find the information collection                    60-day notice in the Federal Register
                                             Bandyopadhyay at 410–786–6650.)                         document(s) that are accepting                        concerning each proposed collection of
                                                Dated: March 22, 2018.                               comments.                                             information, including each proposed
                                                                                                       2. By regular mail. You may mail                    extension or reinstatement of an existing
                                             William N. Parham, III,
                                                                                                     written comments to the following                     collection of information, before
                                             Director, Paperwork Reduction Staff, Office                                                                   submitting the collection to OMB for
                                             of Strategic Operations and Regulatory
                                                                                                     address: CMS, Office of Strategic
                                                                                                     Operations and Regulatory Affairs,                    approval. To comply with this
                                             Affairs.
                                                                                                     Division of Regulations Development,                  requirement, CMS is publishing this
                                             [FR Doc. 2018–06082 Filed 3–26–18; 8:45 am]
                                                                                                     Attention: Document Identifier/OMB                    notice.
                                             BILLING CODE 4120–01–P
                                                                                                     Control Number ll, Room C4–26–05,                     Information Collection
                                                                                                     7500 Security Boulevard, Baltimore,
                                                                                                     Maryland 21244–1850.                                    1. Type of Information Collection
                                             DEPARTMENT OF HEALTH AND                                                                                      Request: Extension of a currently
                                             HUMAN SERVICES                                            To obtain copies of a supporting
                                                                                                     statement and any related forms for the               approved collection; Title of
                                                                                                     proposed collection(s) summarized in                  Information Collection: Section 1115
                                             Centers for Medicare & Medicaid
                                                                                                     this notice, you may make your request                Demonstration Projects Regulations at
                                             Services                                                                                                      42 CFR 431.408, 431.412, 431.420,
                                                                                                     using one of following:
                                             [Document Identifiers: CMS–10341, CMS–                    1. Access CMS’ website address at                   431.424, and 431.428; Use: This
                                             10538, CMS–R–153, CMS–10561 and CMS–                    https://www.cms.gov/Regulations-and-                  collection is necessary to ensure that
                                             10336]
                                                                                                     Guidance/Legislation/                                 states comply with regulatory and
                                                                                                     PaperworkReductionActof1995/PRA-                      statutory requirements related to the
                                             Agency Information Collection                                                                                 development, implementation and
                                             Activities: Proposed Collection;                        Listing.html.
                                                                                                       2. Email your request, including your               evaluation of demonstration projects.
                                             Comment Request                                                                                               States seeking waiver authority under
                                                                                                     address, phone number, OMB number,
                                             AGENCY: Centers for Medicare &                          and CMS document identifier, to                       Section 1115 are required to meet
                                             Medicaid Services.                                      Paperwork@cms.hhs.gov.                                certain requirements for public notice,
                                                                                                       3. Call the Reports Clearance Office at             the evaluation of demonstration
                                             ACTION: Notice.
                                                                                                     (410) 786–1326.                                       projects, and reports to the Secretary on
                                             SUMMARY:    The Centers for Medicare &                                                                        the implementation of approved
                                                                                                     FOR FURTHER INFORMATION CONTACT:
                                             Medicaid Services (CMS) is announcing                                                                         demonstrations. Form Number: CMS–
                                                                                                     William Parham at (410) 786–4669.                     10341 (OMB control number 0938–
                                             an opportunity for the public to                        SUPPLEMENTARY INFORMATION:
                                             comment on CMS’ intention to collect                                                                          1162); Frequency: Yearly and quarterly;
                                             information from the public. Under the                  Contents                                              Affected Public: State, Local, or Tribal
                                             Paperwork Reduction Act of 1995 (the                                                                          Governments; Number of Respondents:
                                                                                                       This notice sets out a summary of the               37; Total Annual Responses: 300; Total
                                             PRA), federal agencies are required to                  use and burden associated with the
                                             publish notice in the Federal Register                                                                        Annual Hours: 24,092. (For policy
                                                                                                     following information collections. More               questions regarding this collection
                                             concerning each proposed collection of                  detailed information can be found in
                                             information (including each proposed                                                                          contact Tonya Moore at 410–786–0019.)
                                                                                                     each collection’s supporting statement                  2. Type of Information Collection
                                             extension or reinstatement of an existing               and associated materials (see                         Request: Extension of a currently
                                             collection of information) and to allow                 ADDRESSES).                                           approved collection; Title of
                                             60 days for public comment on the                       CMS–10341 Affordable Care Act                         Information Collection: Hospice
                                             proposed action. Interested persons are                      Information and Collection                       Information for Medicare Part D Plans;
                                             invited to send comments regarding our                       Requirements for Section 1115                    Use: The form would be completed by
                                             burden estimates or any other aspect of                      Demonstration Projects                           the prescriber or the beneficiary’s
                                             this collection of information, including               CMS–10538 Hospice Information for                     hospice, or if the prescriber or hospice
                                             the necessity and utility of the proposed                    Medicare Part D Plans                            provides the information verbally to the
                                             information collection for the proper                   CMS–R–153 Medicaid Drug Use                           Part D sponsor, the form would be
                                             performance of the agency’s functions,                       Review (DUR) Program                             completed by the sponsor. Information
                                             the accuracy of the estimated burden,                   CMS–10561 Essential Community                         provided on the form would be used by
                                             ways to enhance the quality, utility, and                    Provider Data Collection to Support              the Part D sponsor to establish coverage
                                             clarity of the information to be                             QHP Certification for PYs 2021–                  of the drug under Medicare Part D. Per
                                             collected, and the use of automated                          2023                                             statute, drugs that are necessary for the
                                             collection techniques or other forms of
amozie on DSK30RV082PROD with NOTICES




                                                                                                     CMS–10336 Medicare and Medicaid                       palliation and management of the
                                             information technology to minimize the                       Programs; Electronic Health Record               terminal illness and related conditions
                                             information collection burden.                               Incentive Program                                are not eligible for payment under Part
                                             DATES: Comments must be received by                       Under the PRA (44 U.S.C. 3501–                      D. The standard form provides a vehicle
                                             May 29, 2018.                                           3520), federal agencies must obtain                   for the hospice provider, prescriber or
                                             ADDRESSES: When commenting, please                      approval from the Office of Management                sponsor to document that the drug
                                             reference the document identifier or                    and Budget (OMB) for each collection of               prescribed is ‘‘unrelated’’ to the


                                        VerDate Sep<11>2014   18:07 Mar 26, 2018   Jkt 244001   PO 00000   Frm 00012   Fmt 4703   Sfmt 4703   E:\FR\FM\27MRN1.SGM   27MRN1



Document Created: 2018-03-27 01:26:52
Document Modified: 2018-03-27 01:26:52
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 April 26, 2018.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation83 FR 13129 

2024 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR