83_FR_18650 83 FR 18568 - Agency Information Collection Activities: Proposed Collection; Comment Request

83 FR 18568 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 82 (April 27, 2018)

Page Range18568-18569
FR Document2018-08893

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 83 Issue 82 (Friday, April 27, 2018)
[Federal Register Volume 83, Number 82 (Friday, April 27, 2018)]
[Notices]
[Pages 18568-18569]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-08893]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-838]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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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 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 June 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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [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-838 Medicare Credit Balance Reporting Requirements

    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: Medicare Credit 
Balance Reporting Requirements; Use: Quarterly credit balance reporting 
is needed to monitor and control the identification and timely 
collection of improper payments. Credit balances are mainly 
attributable to provider billing practices and cannot be eliminated by 
program functions; they will continue to occur. The OIG issued a 
Management Advisory Report (MAR) on their extended review of credit 
balances (See Attachment). They state that approximately 90 percent of 
credit balances result from providers: (1) Billing Medicare and a 
private insurer for the same service, (2) submitting duplicate billings 
for services in a manner which cannot be detected by system edits, and 
(3) billing for services not performed. The MAR recommends that CMS 
continue its plan of recovery by requiring hospitals to report Medicare 
credit balances to contractors on a quarterly basis. Form Number: CMS-
838 (OMB control number: 0938-0600); Frequency: Quarterly; Affected 
Public: Private sector (Business or other For-profits); Number of 
Respondents: 52,582; Total Annual Responses:

[[Page 18569]]

210,328; Total Annual Hours: 630,984. (For policy questions regarding 
this collection contact Anita Crosier at 410-786-0217).

    Dated: April 24, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-08893 Filed 4-26-18; 8:45 am]
 BILLING CODE 4120-01-P



                                               18568                            Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices

                                               emerging pathogens. VSP also revised                    an opportunity for the public to                      Contents
                                               the VSP Construction Guidelines as a                    comment on CMS’ intention to collect                    This notice sets out a summary of the
                                               framework of consistent construction                    information from the public. Under the                use and burden associated with the
                                               and design guidelines related to public                 Paperwork Reduction Act of 1995 (the                  following information collections. More
                                               health, including vessel facilities related             PRA), federal agencies are required to                detailed information can be found in
                                               to food storage, preparation, and service               publish notice in the Federal Register                each collection’s supporting statement
                                               and water bunkering, storage,                           concerning each proposed collection of                and associated materials (see
                                               disinfection, and distribution.                         information (including each proposed                  ADDRESSES).
                                                  CDC received five comments on the                    extension or reinstatement of an existing
                                               document from industry and the public.                  collection of information) and to allow               CMS–838 Medicare Credit Balance
                                               Comments related to document format                     60 days for public comment on the                     Reporting Requirements
                                               (highlighted versions), height                          proposed action. Interested persons are                 Under the PRA (44 U.S.C. 3501–
                                               requirements for handwashing stations,                  invited to send comments regarding our                3520), federal agencies must obtain
                                               requirements for chlorine and pH                        burden estimates or any other aspect of               approval from the Office of Management
                                               monitoring of production water,                         this collection of information, including             and Budget (OMB) for each collection of
                                               language in specific sections of the                    the necessity and utility of the proposed             information they conduct or sponsor.
                                               Operations Manual, and a general                        information collection for the proper                 The term ‘‘collection of information’’ is
                                               comment about the effectiveness of the                  performance of the agency’s functions,
                                               program.                                                                                                      defined in 44 U.S.C. 3502(3) and 5 CFR
                                                                                                       the accuracy of the estimated burden,                 1320.3(c) and includes agency requests
                                                  In response to the comments, CDC has                 ways to enhance the quality, utility, and
                                               provided highlighted versions of the                                                                          or requirements that members of the
                                                                                                       clarity of the information to be                      public submit reports, keep records, or
                                               2018 Operations Manual and                              collected, and the use of automated
                                               Construction Guidelines and included                                                                          provide information to a third party.
                                                                                                       collection techniques or other forms of               Section 3506(c)(2)(A) of the PRA
                                               requirements for handwashing station                    information technology to minimize the
                                               height and chlorine and pH monitoring.                                                                        requires federal agencies to publish a
                                                                                                       information collection burden.                        60-day notice in the Federal Register
                                               Regarding the comment suggesting
                                                                                                       DATES: Comments must be received by                   concerning each proposed collection of
                                               language changes, CDC developed the
                                                                                                       June 26, 2018.                                        information, including each proposed
                                               draft 2018 Operations Manual through a
                                               cooperative change request system with                  ADDRESSES: When commenting, please                    extension or reinstatement of an existing
                                               industry. In 2015, CDC provided change                  reference the document identifier or                  collection of information, before
                                               request forms and instructions to                       OMB control number. To be assured                     submitting the collection to OMB for
                                               industry partners, then held in-person                  consideration, comments and                           approval. To comply with this
                                               and web-based meetings with partners                    recommendations must be submitted in                  requirement, CMS is publishing this
                                               over 2 years to review the change                       any one of the following ways:                        notice.
                                               requests they submitted. Proposed                         1. Electronically. You may send your
                                                                                                       comments electronically to http://                    Information Collection
                                               substantive changes would need to be
                                               accepted through the same process                       www.regulations.gov. Follow the                         1. Type of Information Collection
                                               before CDC could consider including                     instructions for ‘‘Comment or                         Request: Extension of a currently
                                               them in the draft 2018 Operations                       Submission’’ or ‘‘More Search Options’’               approved collection; Title of
                                               Manual. CDC took no action in response                  to find the information collection                    Information Collection: Medicare Credit
                                               to the general comment about the                        document(s) that are accepting                        Balance Reporting Requirements; Use:
                                               program being ineffective. CDC carefully                comments.                                             Quarterly credit balance reporting is
                                               reviewed and considered all comments                      2. By regular mail. You may mail                    needed to monitor and control the
                                               in development of the final documents.                  written comments to the following                     identification and timely collection of
                                                                                                       address: CMS, Office of Strategic                     improper payments. Credit balances are
                                                 Dated: April 23, 2018.                                Operations and Regulatory Affairs,                    mainly attributable to provider billing
                                               Sandra Cashman,                                         Division of Regulations Development,                  practices and cannot be eliminated by
                                               Executive Secretary, Centers for Disease                Attention: Document Identifier/OMB                    program functions; they will continue to
                                               Control and Prevention.                                 Control Numberll, Room C4–26–05,                      occur. The OIG issued a Management
                                               [FR Doc. 2018–08870 Filed 4–26–18; 8:45 am]             7500 Security Boulevard, Baltimore,                   Advisory Report (MAR) on their
                                               BILLING CODE 4163–18–P                                  Maryland 21244–1850.                                  extended review of credit balances (See
                                                                                                         To obtain copies of a supporting                    Attachment). They state that
                                                                                                       statement and any related forms for the               approximately 90 percent of credit
                                               DEPARTMENT OF HEALTH AND                                proposed collection(s) summarized in                  balances result from providers: (1)
                                               HUMAN SERVICES                                          this notice, you may make your request                Billing Medicare and a private insurer
                                                                                                       using one of following:                               for the same service, (2) submitting
                                               Centers for Medicare & Medicaid                           1. Access CMS’ website address at                   duplicate billings for services in a
                                               Services                                                https://www.cms.gov/Regulations-and-                  manner which cannot be detected by
                                               [Document Identifiers: CMS–838]                         Guidance/Legislation/Paperwork                        system edits, and (3) billing for services
                                                                                                       ReductionActof1995/PRA-Listing.html.                  not performed. The MAR recommends
                                               Agency Information Collection                             2. Email your request, including your               that CMS continue its plan of recovery
                                               Activities: Proposed Collection;                        address, phone number, OMB number,                    by requiring hospitals to report
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                                               Comment Request                                         and CMS document identifier, to                       Medicare credit balances to contractors
                                                                                                       Paperwork@cms.hhs.gov.                                on a quarterly basis. Form Number:
                                               AGENCY: Centers for Medicare &
                                                                                                         3. Call the Reports Clearance Office at             CMS–838 (OMB control number: 0938–
                                               Medicaid Services, HHS.
                                                                                                       (410) 786–1326.                                       0600); Frequency: Quarterly; Affected
                                               ACTION: Notice.
                                                                                                       FOR FURTHER INFORMATION CONTACT:                      Public: Private sector (Business or other
                                               SUMMARY: The Centers for Medicare &                     William Parham at (410) 786–4669.                     For-profits); Number of Respondents:
                                               Medicaid Services (CMS) is announcing                   SUPPLEMENTARY INFORMATION:                            52,582; Total Annual Responses:


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                                                                                Federal Register / Vol. 83, No. 82 / Friday, April 27, 2018 / Notices                                         18569

                                               210,328; Total Annual Hours: 630,984.                   anyone else’s Social Security number, or              ‘‘confidential.’’ Any information marked
                                               (For policy questions regarding this                    confidential business information, such               as ‘‘confidential’’ will not be disclosed
                                               collection contact Anita Crosier at 410–                as a manufacturing process. Please note               except in accordance with 21 CFR 10.20
                                               786–0217).                                              that if you include your name, contact                and other applicable disclosure law. For
                                                  Dated: April 24, 2018.                               information, or other information that                more information about FDA’s posting
                                                                                                       identifies you in the body of your                    of comments to public dockets, see 80
                                               William N. Parham, III,
                                                                                                       comments, that information will be                    FR 56469, September 18, 2015, or access
                                               Director, Paperwork Reduction Staff, Office
                                                                                                       posted on https://www.regulations.gov.                the information at: https://www.gpo.gov/
                                               of Strategic Operations and Regulatory
                                                                                                         • If you want to submit a comment                   fdsys/pkg/FR-2015-09-18/pdf/2015-
                                               Affairs.
                                                                                                       with confidential information that you                23389.pdf.
                                               [FR Doc. 2018–08893 Filed 4–26–18; 8:45 am]
                                                                                                       do not wish to be made available to the                  Docket: For access to the docket to
                                               BILLING CODE 4120–01–P
                                                                                                       public, submit the comment as a                       read background documents or the
                                                                                                       written/paper submission and in the                   electronic and written/paper comments
                                                                                                       manner detailed (see ‘‘Written/Paper                  received, go to https://
                                               DEPARTMENT OF HEALTH AND
                                                                                                       Submissions’’ and ‘‘Instructions’’).                  www.regulations.gov and insert the
                                               HUMAN SERVICES
                                                                                                       Written/Paper Submissions                             docket number, found in brackets in the
                                               Food and Drug Administration                                                                                  heading of this document, into the
                                                                                                          Submit written/paper submissions as                ‘‘Search’’ box and follow the prompts
                                               [Docket No. FDA–2017–D–2462]                            follows:                                              and/or go to the Dockets Management
                                                                                                          • Mail/Hand delivery/Courier (for
                                               The Index of Legally Marketed                                                                                 Staff, 5630 Fishers Lane, Rm. 1061,
                                                                                                       written/paper submissions): Dockets
                                               Unapproved New Animal Drugs for                                                                               Rockville, MD 20852.
                                                                                                       Management Staff (HFA–305), Food and
                                               Minor Species; Guidance for Industry;                                                                            You may submit comments on any
                                                                                                       Drug Administration, 5630 Fishers
                                               Availability                                                                                                  guidance at any time (see 21 CFR
                                                                                                       Lane, Rm. 1061, Rockville, MD 20852.
                                                                                                          • For written/paper comments                       10.115(g)(5)).
                                               AGENCY:    Food and Drug Administration,                submitted to the Dockets Management                      Submit written requests for single
                                               HHS.                                                    Staff, FDA will post your comment, as                 copies of the guidance to the Policy and
                                               ACTION:   Notice of availability.                       well as any attachments, except for                   Regulations Staff (HFV–6), Center for
                                                                                                       information submitted, marked, and                    Veterinary Medicine, Food and Drug
                                               SUMMARY:   The Food and Drug                                                                                  Administration, 7500 Standish Pl.,
                                                                                                       identified as confidential, if submitted
                                               Administration (FDA) is announcing the                                                                        Rockville, MD 20855. Send one self-
                                                                                                       as detailed in ‘‘Instructions.’’
                                               availability of guidance for industry                      Instructions: All submissions received             addressed adhesive label to assist that
                                               #210 entitled ‘‘The Index of Legally                    must include the Docket No. FDA–                      office in processing your requests. See
                                               Marketed Unapproved New Animal                          2017–D–2462 for ‘‘The Index of Legally                the SUPPLEMENTARY INFORMATION section
                                               Drugs for Minor Species.’’ This final                   Marketed Unapproved New Animal                        for electronic access to the draft
                                               guidance describes the process for                      Drugs for Minor Species.’’ Received                   guidance document.
                                               adding a new animal drug to the Index                   comments will be placed in the docket                 FOR FURTHER INFORMATION CONTACT:
                                               of Legally Marketed Unapproved New                      and, except for those submitted as                    Dorothy Bailey, Center for Veterinary
                                               Animal Drugs for Minor Species (the                     ‘‘Confidential Submissions,’’ publicly                Medicine (HFV–50), Food and Drug
                                               Index). The Index consists of a list of                 viewable at https://www.regulations.gov               Administration, 7500 Standish Pl.,
                                               legally marketed unapproved new                         or at the Dockets Management Staff                    Rockville, MD 20855, 240–402–0565,
                                               animal drugs for minor species that                     between 9 a.m. and 4 p.m., Monday                     dorothy.bailey@fda.hhs.gov.
                                               meet the requirements of a certain                      through Friday.                                       SUPPLEMENTARY INFORMATION:
                                               section of the Federal Food, Drug, and                     • Confidential Submissions—To
                                               Cosmetic Act (FD&C Act).                                submit a comment with confidential                    I. Background
                                               DATES: The announcement of the                          information that you do not wish to be                   In the Federal Register of September
                                               guidance is published in the Federal                    made publicly available, submit your                  15, 2017 (82 FR 43381), FDA published
                                               Register on April 27, 2018.                             comments only as a written/paper                      the notice of availability for a draft
                                               ADDRESSES: You may submit either                        submission. You should submit two                     guidance entitled ‘‘The Index of Legally
                                               electronic or written comments on                       copies total. One copy will include the               Marketed Unapproved New Animal
                                               Agency guidances at any time as                         information you claim to be confidential              Drugs for Minor Species’’ giving
                                               follows:                                                with a heading or cover note that states              interested persons until November 14,
                                                                                                       ‘‘THIS DOCUMENT CONTAINS                              2017, to comment on the draft guidance.
                                               Electronic Submissions                                  CONFIDENTIAL INFORMATION’’. The                       FDA received several comments on the
                                                 Submit electronic comments in the                     Agency will review this copy, including               draft guidance and those comments
                                               following way:                                          the claimed confidential information, in              were considered as the guidance was
                                                 • Federal eRulemaking Portal:                         its consideration of comments. The                    finalized. Editorial changes were made
                                               https://www.regulations.gov. Follow the                 second copy, which will have the                      to improve clarity. The guidance
                                               instructions for submitting comments.                   claimed confidential information                      announced in this notice finalizes the
                                               Comments submitted electronically,                      redacted/blacked out, will be available               draft guidance dated September 2017.
                                               including attachments, to https://                      for public viewing and posted on                      The Index consists of a list of legally
                                               www.regulations.gov will be posted to                   https://www.regulations.gov. Submit                   marketed unapproved new animal drugs
daltland on DSKBBV9HB2PROD with NOTICES




                                               the docket unchanged. Because your                      both copies to the Dockets Management                 for minor species that meet the
                                               comment will be made public, you are                    Staff. If you do not wish your name and               requirements of section 572 of the FD&C
                                               solely responsible for ensuring that your               contact information to be made publicly               Act.
                                               comment does not include any                            available, you can provide this
                                               confidential information that you or a                  information on the cover sheet and not                II. Significance of Guidance
                                               third party may not wish to be posted,                  in the body of your comments and you                    This level 1 guidance is being issued
                                               such as medical information, your or                    must identify this information as                     consistent with FDA’s good guidance


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Document Created: 2018-04-27 01:46:17
Document Modified: 2018-04-27 01:46:17
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 June 26, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation83 FR 18568 

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