Agency Information Collection Activities: Proposed Collection; Comment Request, 53516-53517 [2015-22033]
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53516
Federal Register / Vol. 80, No. 172 / Friday, September 4, 2015 / Notices
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. 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 without change of a
currently approved collection; Title of
Information Collection: Hospice Survey
and Deficiencies Report Form and
Supporting Regulations; Use: We use
the information collected as the basis for
certification decisions for hospices that
wish to obtain or retain participation in
the Medicare and Medicaid programs.
The information is used by CMS
regional offices, which have the
delegated authority to certify Medicare
facilities for participation, and by State
Medicaid agencies, which have
comparable authority under Medicaid.
The information on the Hospice Survey
and Deficiencies Report Form is coded
for entry into the OSCAR system. The
data is analyzed by the CMS regional
offices and by the CMS central office
components for program evaluation and
monitoring purposes. The information is
also available to the public upon
request. Form Number: CMS–643 (OMB
control number: 0938–0379); Frequency:
Yearly; Affected Public: State, Local, or
Tribal Governments; Number of
Respondents: 3,976; Total Annual
Responses: 1,325; Total Annual Hours:
1,325. (For policy questions regarding
this collection contact Annette Snyder
at 410–786–0807.)
2. Type of Information Collection
Request: New collection (Request for a
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new OMB control number); Title of
Information Collection: Generic
Clearance for the Heath Care Payment
Learning and Action Network; Use: The
Center for Medicare and Medicaid
Services (CMS), through the Center for
Medicare and Medicaid Innovation,
develops and tests innovative new
payment and service delivery models in
accordance with the requirements of
section 1115A and in consideration of
the opportunities and factors set forth in
section 1115A(b)(2) of the Act. To date,
CMS has built a portfolio of 26 models
(in operation or already announced) that
have attracted participation from a
broad array of health care providers,
states, payers, and other stakeholders.
During the development of models,
CMS builds on ideas received from
stakeholders—consulting with clinical
and analytical experts, as well as with
representatives of relevant federal and
state agencies.
On January 26, 2015, Secretary
Burwell announced the ambitious goal
to have 30% of Medicare Fee-ForService payments tied to alternative
payment models (such as Pioneer ACOs
or bundled payment arrangements) by
the end of 2016, and 50% of payments
by the end of 2018. To reach this goal,
CMS will continue to partner with
stakeholders across the health care
system to catalyze transformation
through the use of alternative payment
models. To this end, CMS launched the
Health Care Payment Learning and
Action Network, an effort to accelerate
the transition to alternative payment
models, identify best practices in their
implementation, collaborate with
payers, providers, consumers,
purchasers, and other stakeholders, and
monitor the adoption of value-based
alternative payment models across the
health care system. A system wide
transition to alternative payment models
will strengthen the ability of CMS to
implement existing models and design
new models that improve quality and
decrease costs for CMS beneficiaries.
The information collected from LAN
participants will be used by the CMS
Innovation Center to potentially inform
the design, selection, testing,
modification, and expansion of
innovative payment and service
delivery models in accordance with the
requirements of section 1115A, while
monitoring progress towards the
Secretary’s goal to increase the
percentage of payments tied to
alternative payment models across the
U.S. health care system. In addition, the
requested information will be made
publically available so that LAN
participants (payers, providers,
consumers, employers, state agencies,
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and patients) can use the information to
inform decision making and better
understand market dynamics in relation
to alternative payment models. Form
Number: CMS–10575 (OMB control
number: 0938–NEW); Frequency:
Occasionally; Affected Public:
Individuals; Private Sector (Business or
other For-profit and Not-for-profit
institutions), State, Local and Tribal
Governments; Number of Respondents:
9,570; Total Annual Responses: 20,280;
Total Annual Hours: 49,432. (For policy
questions regarding this collection
contact Dustin Allison at 410–786–
8830.)
Dated: September 1, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–22020 Filed 9–3–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–1728–94 and
CMS–2567]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
ACTION: Notice.
AGENCY:
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
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
SUMMARY:
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04SEN1
Federal Register / Vol. 80, No. 172 / Friday, September 4, 2015 / Notices
minimize the information collection
burden.
Comments must be received by
November 3, 2015.
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 https://
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’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
DATES:
SUPPLEMENTARY INFORMATION:
mstockstill on DSK4VPTVN1PROD with NOTICES
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–10387 Skilled Nursing Facility
(SNF) Prospective Payment System
and Consolidated Billing
CMS–2567 Statement of Deficiencies
and Plan of Correction and
Supporting Regulations
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
VerDate Sep<11>2014
16:57 Sep 03, 2015
Jkt 235001
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: Revision of a currently
approved collection; Title of
Information Collection: Home Health
Agency Cost Report; Use: Providers of
Services participating in the Medicare
program are required under sections
1815(a), 1833(e) and 1861(v)(1)(A) of the
Social Security Act (42 U.S.C. 1395g) to
submit annual information to achieve
settlement of costs for health care
services rendered to Medicare
beneficiaries. In addition, regulations at
42 CFR 413.20 and 413.24 require
adequate cost data and cost reports from
providers on an annual basis. The Form
CMS–1728–94 cost report is needed to
determine a provider’s reasonable cost
incurred in furnishing medical services
to Medicare beneficiaries and
reimbursement due to or from a
provider. Form Number: CMS–1728–94
(OMB control number: 0938–0022);
Frequency: Annually; Affected Public:
Private sector (Business or other forprofits and Not-for-profit institutions);
Number of Respondents: 11,352; Total
Annual Responses: 11,352; Total
Annual Hours: 2,576,904. (For policy
questions regarding this collection
contact Angela DiGorgio at 410–786–
4516.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Statement of
Deficiencies and Plan of Correction
Supporting Regulations; Use: Section
1864(a) of the Social Security Act
requires that the Secretary use state
survey agencies to conduct surveys to
determine whether health care facilities
meet Medicare and Clinical Laboratory
Improvement Amendments
participation requirements. The Form
CMS–2567 is the means by which the
survey findings are documented. This
section of the law further requires that
compliance findings resulting from
these surveys be made available to the
public within 90 days of such surveys.
The Form CMS–2567 is the vehicle for
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53517
this disclosure. The form is also used by
health care facilities to document their
plan of correction and by CMS, the
states, facilities, purchasers, consumers,
advocacy groups, and the public as a
source of information about quality of
care and facility compliance. The
regulations at 42 CFR 488.18 require
that state survey agencies document all
deficiency findings on a statement of
deficiencies and plan of correction,
which is the CMS–2567. Sections
488.26 and 488.28 further delineate how
compliance findings must be recorded
and that CMS prescribed forms must be
used. Form Number: CMS–2567 (OMB
Control Number: 0938–0391);
Frequency: Yearly and occasionally;
Affected Public: Private Sector (Business
or other for-profit and Not-for-profit
institutions); Number of Respondents:
64,500; Total Annual Responses:
64,500; Total Annual Hours: 128,083.
(For policy questions regarding this
collection contact Sharon Lash at 410–
786–9457.)
Dated: September 1, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–22033 Filed 9–3–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Assets for Independence (AFI)
Program Evaluation.
OMB No.: 0970–0414.
Description: The U.S. Department of
Health and Human Services,
Administration for Children and
Families (ACF) is proposing a data
collection activity as part of an
experimental evaluation of the Assets
for Independence (AFI) Program. The
purpose of this study is to assess the
impact of participation in AFI-funded
individual development account (IDA)
projects on the savings, asset purchases,
and economic well-being of low-income
individuals and families. While some
evaluations suggest that IDAs help lowincome families save, rigorous
experimental research is limited. Few
studies have focused on AFI-funded
IDAs, and few have tested alternative
design features. The Assets for
Independence Evaluation is the first
experimental evaluation of IDA projects
operating under the Assets for
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Agencies
[Federal Register Volume 80, Number 172 (Friday, September 4, 2015)]
[Notices]
[Pages 53516-53517]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22033]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1728-94 and CMS-2567]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are required to publish notice
in the Federal Register concerning each proposed collection of
information (including each proposed extension or reinstatement of an
existing collection of information) and to allow 60 days for public
comment on the proposed action. Interested persons are invited to send
comments regarding our burden estimates or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to
[[Page 53517]]
minimize the information collection burden.
DATES: Comments must be received by November 3, 2015.
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
https://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' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
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-10387 Skilled Nursing Facility (SNF) Prospective Payment System and
Consolidated Billing
CMS-2567 Statement of Deficiencies and Plan of Correction and
Supporting Regulations
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: Revision of a currently
approved collection; Title of Information Collection: Home Health
Agency Cost Report; Use: Providers of Services participating in the
Medicare program are required under sections 1815(a), 1833(e) and
1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to submit
annual information to achieve settlement of costs for health care
services rendered to Medicare beneficiaries. In addition, regulations
at 42 CFR 413.20 and 413.24 require adequate cost data and cost reports
from providers on an annual basis. The Form CMS-1728-94 cost report is
needed to determine a provider's reasonable cost incurred in furnishing
medical services to Medicare beneficiaries and reimbursement due to or
from a provider. Form Number: CMS-1728-94 (OMB control number: 0938-
0022); Frequency: Annually; Affected Public: Private sector (Business
or other for-profits and Not-for-profit institutions); Number of
Respondents: 11,352; Total Annual Responses: 11,352; Total Annual
Hours: 2,576,904. (For policy questions regarding this collection
contact Angela DiGorgio at 410-786-4516.)
2. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Statement of Deficiencies and Plan of Correction Supporting
Regulations; Use: Section 1864(a) of the Social Security Act requires
that the Secretary use state survey agencies to conduct surveys to
determine whether health care facilities meet Medicare and Clinical
Laboratory Improvement Amendments participation requirements. The Form
CMS-2567 is the means by which the survey findings are documented. This
section of the law further requires that compliance findings resulting
from these surveys be made available to the public within 90 days of
such surveys. The Form CMS-2567 is the vehicle for this disclosure. The
form is also used by health care facilities to document their plan of
correction and by CMS, the states, facilities, purchasers, consumers,
advocacy groups, and the public as a source of information about
quality of care and facility compliance. The regulations at 42 CFR
488.18 require that state survey agencies document all deficiency
findings on a statement of deficiencies and plan of correction, which
is the CMS-2567. Sections 488.26 and 488.28 further delineate how
compliance findings must be recorded and that CMS prescribed forms must
be used. Form Number: CMS-2567 (OMB Control Number: 0938-0391);
Frequency: Yearly and occasionally; Affected Public: Private Sector
(Business or other for-profit and Not-for-profit institutions); Number
of Respondents: 64,500; Total Annual Responses: 64,500; Total Annual
Hours: 128,083. (For policy questions regarding this collection contact
Sharon Lash at 410-786-9457.)
Dated: September 1, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-22033 Filed 9-3-15; 8:45 am]
BILLING CODE 4120-01-P