83_FR_17632 83 FR 17555 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

83 FR 17555 - 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 77 (April 20, 2018)

Page Range17555-17556
FR Document2018-08329

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 77 (Friday, April 20, 2018)
[Federal Register Volume 83, Number 77 (Friday, April 20, 2018)]
[Notices]
[Pages 17555-17556]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-08329]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10653]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human 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 (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 May 21, 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: 
[email protected].
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' 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 [email protected].
    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: Revision of a currently 
approved collection; Title of Information Collection: Coverage of 
Certain Preventive Services Under the Affordable Care Act; Use: The 
2017 interim final regulations titled ``Religious Exemptions and 
Accommodations for Coverage of Certain Preventive Services Under the 
Affordable Care Act'' and ``Moral Exemptions and Accommodations for 
Coverage of Certain Preventive Services Under the Affordable Care Act'' 
expand exemptions for religious beliefs and moral convictions for 
certain entities or individuals whose health plans may otherwise be 
subject to a mandate of contraceptive coverage through guidance issued 
pursuant to the Patient Protection and Affordable Care Act. The interim 
final rules extend the exemption to health insurance issuers that hold 
religious or moral objections in certain circumstances. The interim 
final rules also allow plan participants and enrollees with sincerely 
held religious or moral objections to request coverage that does not 
include contraceptive services.
    The interim final rules also leave the accommodation process in 
place as an optional process for objecting entities who wish to use it 
voluntarily. To avoid contracting, arranging, paying, or referring for 
contraceptive coverage, an organization seeking to be treated as an 
eligible organization may self-certify (by using EBSA Form 700), prior 
to the beginning of the first plan year to which an accommodation is to 
apply, that it meets the definition of an eligible organization. The 
eligible organization must provide a copy of its self-certification to 
each health insurance issuer that would otherwise provide such coverage 
in connection with the health plan (for insured group health plans or 
student health insurance coverage). The issuer that receives the self-
certification must provide separate payments for contraceptive services 
for plan participants and beneficiaries (or students and dependents). 
For a self-insured group health plan, the self-certification must be 
provided to its third party administrator. An eligible organization may 
alternatively submit a notification to HHS as an alternative to 
submitting the EBSA Form 700 to the eligible organization's health 
insurance issuer or third party administrator. A health insurance 
issuer or third party administrator providing or arranging payments for 
contraceptive services for participants and beneficiaries in plans (or 
student enrollees and covered dependents in student health insurance 
coverage) of eligible organizations must provide a written notice to 
such plan participants and beneficiaries (or such student enrollees and 
covered dependents) informing them of the availability of such 
payments.
    Under the interim final regulations, eligible organizations can 
revoke at any time the accommodation process if

[[Page 17556]]

participants and beneficiaries receive written notice of such 
revocation from the issuer or third party administrator in accordance 
with guidance issued by the Secretary, and if the accommodation process 
is currently being utilized, such revocation will be effective on the 
first day of the first plan year that begins on or after thirty days 
after the date of revocation.
    Final rules were published in the Federal Register on July 14, 2015 
(80 FR 41318) under which qualifying closely held, for-profit entities 
may avail themselves of the accommodation to effectively exempt their 
plans from the otherwise applicable requirement to cover certain 
contraceptive services. Previously, this accommodation had been 
available only to non-profit eligible organizations. These final rules 
also finalized the 2014 interim final rules permit an eligible 
organization to notify HHS directly that it will not contract, arrange, 
pay, or refer for all or a subset of contraceptive services.
    Due to judicial decisions preliminarily enjoining the 
implementation of the 2017 interim final regulations, the information 
collection requirements are drafted to be applicable under whichever 
accommodation rules are in effect (for example, the 2017 interim final 
rules, or the 2015 final rules if the 2017 interim final rules continue 
to be enjoined). HHS will only implement the ICRs under regulations 
that are legally in effect at the time the ICRs are used. Form Number: 
CMS-10653 (OMB control number: 0938-1344); Frequency: On Occasion; 
Affected Public: Private Sector; Number of Respondents: 110; Number of 
Responses: 110; Total Annual Hours: 181. (For policy questions 
regarding this collection, contact Usree Bandyopadhyay at 410-786-
6650.)

    Dated: April 17, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-08329 Filed 4-19-18; 8:45 am]
 BILLING CODE 4120-01-P



                                                                                 Federal Register / Vol. 83, No. 77 / Friday, April 20, 2018 / Notices                                          17555

                                                help to inform HHS, Exchanges, and                      DATES:  Comments on the collection(s) of              Accommodations for Coverage of
                                                health insurance issuers as to the                      information must be received by the                   Certain Preventive Services Under the
                                                participation of individuals, employers,                OMB desk officer by May 21, 2018.                     Affordable Care Act’’ and ‘‘Moral
                                                and employees in the individual                         ADDRESSES: When commenting on the                     Exemptions and Accommodations for
                                                Exchange, and SHOP. Form Number:                        proposed information collections,                     Coverage of Certain Preventive Services
                                                CMS–10516 (OMB Control Number:                          please reference the document identifier              Under the Affordable Care Act’’ expand
                                                0938–1277); Frequency: Annually;                        or OMB control number. To be assured                  exemptions for religious beliefs and
                                                Affected Public: Private Sector, State,                 consideration, comments and                           moral convictions for certain entities or
                                                Business, and Not-for Profits; Number of                recommendations must be received by                   individuals whose health plans may
                                                Respondents: 1,915; Number of                           the OMB desk officer via one of the                   otherwise be subject to a mandate of
                                                Responses: 1,915; Total Annual Hours:                   following transmissions: OMB, Office of               contraceptive coverage through
                                                48,732. (For questions regarding this                   Information and Regulatory Affairs,                   guidance issued pursuant to the Patient
                                                collection, contact Leigha Basini at (301)              Attention: CMS Desk Officer, Fax                      Protection and Affordable Care Act. The
                                                492–4380.)                                              Number: (202) 395–5806 OR, Email:                     interim final rules extend the exemption
                                                   Dated: April 17, 2018.                               OIRA_submission@omb.eop.gov.                          to health insurance issuers that hold
                                                                                                           To obtain copies of a supporting                   religious or moral objections in certain
                                                William N. Parham, III,
                                                                                                        statement and any related forms for the               circumstances. The interim final rules
                                                Director, Paperwork Reduction Staff, Office                                                                   also allow plan participants and
                                                of Strategic Operations and Regulatory                  proposed collection(s) summarized in
                                                                                                        this notice, you may make your request                enrollees with sincerely held religious
                                                Affairs.
                                                                                                        using one of following:                               or moral objections to request coverage
                                                [FR Doc. 2018–08325 Filed 4–19–18; 8:45 am]
                                                                                                           1. Access CMS’ website address at                  that does not include contraceptive
                                                BILLING CODE 4120–01–P                                                                                        services.
                                                                                                        website address at https://www.cms.gov/
                                                                                                        Regulations-and-Guidance/Legislation/                    The interim final rules also leave the
                                                                                                        PaperworkReductionActof1995/PRA-                      accommodation process in place as an
                                                DEPARTMENT OF HEALTH AND                                                                                      optional process for objecting entities
                                                HUMAN SERVICES                                          Listing.html.
                                                                                                           1. Email your request, including your              who wish to use it voluntarily. To avoid
                                                                                                        address, phone number, OMB number,                    contracting, arranging, paying, or
                                                Centers for Medicare & Medicaid
                                                                                                        and CMS document identifier, to                       referring for contraceptive coverage, an
                                                Services
                                                                                                        Paperwork@cms.hhs.gov.                                organization seeking to be treated as an
                                                                                                           2. Call the Reports Clearance Office at            eligible organization may self-certify (by
                                                [Document Identifiers: CMS–10653]                                                                             using EBSA Form 700), prior to the
                                                                                                        (410) 786–1326.
                                                                                                        FOR FURTHER INFORMATION CONTACT:                      beginning of the first plan year to which
                                                Agency Information Collection                                                                                 an accommodation is to apply, that it
                                                Activities: Submission for OMB                          Reports Clearance Office at (410) 786–
                                                                                                        1326.                                                 meets the definition of an eligible
                                                Review; Comment Request                                                                                       organization. The eligible organization
                                                                                                        SUPPLEMENTARY INFORMATION: Under the                  must provide a copy of its self-
                                                AGENCY: Centers for Medicare &                          Paperwork Reduction Act of 1995 (PRA)
                                                Medicaid Services, Department of                                                                              certification to each health insurance
                                                                                                        (44 U.S.C. 3501–3520), federal agencies               issuer that would otherwise provide
                                                Health and Human Services.                              must obtain approval from the Office of               such coverage in connection with the
                                                ACTION:   Notice.                                       Management and Budget (OMB) for each                  health plan (for insured group health
                                                                                                        collection of information they conduct                plans or student health insurance
                                                SUMMARY:    The Centers for Medicare &                  or sponsor. The term ‘‘collection of                  coverage). The issuer that receives the
                                                Medicaid Services (CMS) is announcing                   information’’ is defined in 44 U.S.C.                 self-certification must provide separate
                                                an opportunity for the public to                        3502(3) and 5 CFR 1320.3(c) and                       payments for contraceptive services for
                                                comment on CMS’ intention to collect                    includes agency requests or                           plan participants and beneficiaries (or
                                                information from the public. Under the                  requirements that members of the public               students and dependents). For a self-
                                                Paperwork Reduction Act of 1995                         submit reports, keep records, or provide              insured group health plan, the self-
                                                (PRA), federal agencies are required to                 information to a third party. Section                 certification must be provided to its
                                                publish notice in the Federal Register                  3506(c)(2)(A) of the PRA (44 U.S.C.                   third party administrator. An eligible
                                                concerning each proposed collection of                  3506(c)(2)(A)) requires federal agencies              organization may alternatively submit a
                                                information, including each proposed                    to publish a 30-day notice in the                     notification to HHS as an alternative to
                                                extension or reinstatement of an existing               Federal Register concerning each                      submitting the EBSA Form 700 to the
                                                collection of information, and to allow                 proposed collection of information,                   eligible organization’s health insurance
                                                a second opportunity for public                         including each proposed extension or                  issuer or third party administrator. A
                                                comment on the notice. Interested                       reinstatement of an existing collection               health insurance issuer or third party
                                                persons are invited to send comments                    of information, before submitting the                 administrator providing or arranging
                                                regarding the burden estimate or any                    collection to OMB for approval. To                    payments for contraceptive services for
                                                other aspect of this collection of                      comply with this requirement, CMS is                  participants and beneficiaries in plans
                                                information, including the necessity and                publishing this notice that summarizes                (or student enrollees and covered
                                                utility of the proposed information                     the following proposed collection(s) of               dependents in student health insurance
                                                collection for the proper performance of                information for public comment:                       coverage) of eligible organizations must
                                                the agency’s functions, the accuracy of                    1. Type of Information Collection
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                                                                                                                                                              provide a written notice to such plan
                                                the estimated burden, ways to enhance                   Request: Revision of a currently                      participants and beneficiaries (or such
                                                the quality, utility, and clarity of the                approved collection; Title of                         student enrollees and covered
                                                information to be collected, and the use                Information Collection: Coverage of                   dependents) informing them of the
                                                of automated collection techniques or                   Certain Preventive Services Under the                 availability of such payments.
                                                other forms of information technology to                Affordable Care Act; Use: The 2017                       Under the interim final regulations,
                                                minimize the information collection                     interim final regulations titled                      eligible organizations can revoke at any
                                                burden.                                                 ‘‘Religious Exemptions and                            time the accommodation process if


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                                                17556                            Federal Register / Vol. 83, No. 77 / Friday, April 20, 2018 / Notices

                                                participants and beneficiaries receive                  DEPARTMENT OF HEALTH AND                              information, or other information that
                                                written notice of such revocation from                  HUMAN SERVICES                                        identifies you in the body of your
                                                the issuer or third party administrator in                                                                    comments, that information will be
                                                accordance with guidance issued by the                  Food and Drug Administration                          posted on https://www.regulations.gov.
                                                Secretary, and if the accommodation                     [Docket No. FDA–2018–D–1176]
                                                                                                                                                                • If you want to submit a comment
                                                process is currently being utilized, such                                                                     with confidential information that you
                                                revocation will be effective on the first               Q7 Good Manufacturing Practice                        do not wish to be made available to the
                                                day of the first plan year that begins on               Guidance for Active Pharmaceutical                    public, submit the comment as a
                                                                                                        Ingredients: Questions and Answers;                   written/paper submission and in the
                                                or after thirty days after the date of
                                                                                                        International Council for                             manner detailed (see ‘‘Written/Paper
                                                revocation.
                                                                                                        Harmonisation; Guidance for Industry;                 Submissions’’ and ‘‘Instructions’’).
                                                   Final rules were published in the                    Availability
                                                Federal Register on July 14, 2015 (80 FR                                                                      Written/Paper Submissions
                                                41318) under which qualifying closely                   AGENCY:    Food and Drug Administration,                 Submit written/paper submissions as
                                                held, for-profit entities may avail                     HHS.                                                  follows:
                                                themselves of the accommodation to                      ACTION:   Notice of availability.                        • Mail/Hand Delivery/Courier (for
                                                effectively exempt their plans from the                                                                       written/paper submissions): Dockets
                                                                                                        SUMMARY:   The Food and Drug                          Management Staff (HFA–305), Food and
                                                otherwise applicable requirement to                     Administration (FDA or Agency) is                     Drug Administration, 5630 Fishers
                                                cover certain contraceptive services.                   announcing the availability of a final                Lane, Rm. 1061, Rockville, MD 20852.
                                                Previously, this accommodation had                      guidance for industry entitled ‘‘Q7 Good                 • For written/paper comments
                                                been available only to non-profit eligible              Manufacturing Practice Guidance for                   submitted to the Dockets Management
                                                organizations. These final rules also                   Active Pharmaceutical Ingredients:                    Staff, FDA will post your comment, as
                                                finalized the 2014 interim final rules                  Questions and Answers.’’ The guidance                 well as any attachments, except for
                                                permit an eligible organization to notify               was prepared under the auspices of the                information submitted, marked and
                                                HHS directly that it will not contract,                 International Council for Harmonisation               identified, as confidential, if submitted
                                                arrange, pay, or refer for all or a subset              (ICH), formerly the International                     as detailed in ‘‘Instructions.’’
                                                of contraceptive services.                              Conference on Harmonisation. This                        Instructions: All submissions received
                                                   Due to judicial decisions                            question and answer (Q&A) guidance                    must include the Docket No. FDA–
                                                preliminarily enjoining the                             addresses questions about                             2018–D–1176 for ‘‘Q7 Good
                                                implementation of the 2017 interim                      implementation of FDA’s guidance ‘‘Q7                 Manufacturing Practice Guidance for
                                                                                                        Good Manufacturing Practice Guidance                  Active Pharmaceutical Ingredients:
                                                final regulations, the information
                                                                                                        for Active Pharmaceutical Ingredients’’               Questions and Answers; International
                                                collection requirements are drafted to be
                                                                                                        (ICH Q7). The Q&A guidance is                         Council for Harmonisation; Guidance
                                                applicable under whichever                              intended to clarify uncertainties due to              for Industry; Availability.’’ Received
                                                accommodation rules are in effect (for                  the interpretation of certain sections of             comments will be placed in the docket
                                                example, the 2017 interim final rules, or               ICH Q7 and to help ensure that all                    and, except for those submitted as
                                                the 2015 final rules if the 2017 interim                active pharmaceutical ingredients (APIs)              ‘‘Confidential Submissions,’’ publicly
                                                final rules continue to be enjoined).                   meet the standards for quality and                    viewable at https://www.regulations.gov
                                                HHS will only implement the ICRs                        purity they purport or are represented to             or at the Dockets Management Staff
                                                under regulations that are legally in                   possess.                                              between 9 a.m. and 4 p.m., Monday
                                                effect at the time the ICRs are used.                   DATES: The announcement of the                        through Friday.
                                                Form Number: CMS–10653 (OMB                             guidance is published in the Federal                     • Confidential Submissions—To
                                                control number: 0938–1344); Frequency:                  Register on April 20, 2018.                           submit a comment with confidential
                                                On Occasion; Affected Public: Private                   ADDRESSES: You may submit either                      information that you do not wish to be
                                                Sector; Number of Respondents: 110;                     electronic or written comments on                     made publicly available, submit your
                                                Number of Responses: 110; Total                         Agency guidances at any time as                       comments only as a written/paper
                                                Annual Hours: 181. (For policy                          follows:                                              submission. You should submit two
                                                questions regarding this collection,                                                                          copies total. One copy will include the
                                                contact Usree Bandyopadhyay at 410–                     Electronic Submissions                                information you claim to be confidential
                                                786–6650.)                                                Submit electronic comments in the                   with a heading or cover note that states
                                                                                                        following way:                                        ‘‘THIS DOCUMENT CONTAINS
                                                   Dated: April 17, 2018.                                 • Federal eRulemaking Portal:                       CONFIDENTIAL INFORMATION.’’ The
                                                William N. Parham, III,                                 https://www.regulations.gov. Follow the               Agency will review this copy, including
                                                Director, Paperwork Reduction Staff, Office             instructions for submitting comments.                 the claimed confidential information, in
                                                of Strategic Operations and Regulatory                  Comments submitted electronically,                    its consideration of comments. The
                                                Affairs.                                                including attachments, to https://                    second copy, which will have the
                                                [FR Doc. 2018–08329 Filed 4–19–18; 8:45 am]             www.regulations.gov will be posted to                 claimed confidential information
                                                BILLING CODE 4120–01–P                                  the docket unchanged. Because your                    redacted/blacked out, will be available
                                                                                                        comment will be made public, you are                  for public viewing and posted on
                                                                                                        solely responsible for ensuring that your             https://www.regulations.gov. Submit
                                                                                                        comment does not include any                          both copies to the Dockets Management
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                                                                                                        confidential information that you or a                Staff. If you do not wish your name and
                                                                                                        third party may not wish to be posted,                contact information to be made publicly
                                                                                                        such as medical information, your or                  available, you can provide this
                                                                                                        anyone else’s Social Security number, or              information on the cover sheet and not
                                                                                                        confidential business information, such               in the body of your comments and you
                                                                                                        as a manufacturing process. Please note               must identify this information as
                                                                                                        that if you include your name, contact                ‘‘confidential.’’ Any information marked


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Document Created: 2018-04-20 00:02:39
Document Modified: 2018-04-20 00:02:39
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 May 21, 2018.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation83 FR 17555 

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