Agency Information Collection Activities: Proposed Collection; Comment Request, 34076-34077 [2011-14435]
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and (CMS–378) Ambulatory Surgical
Center (ASC) Survey Report Form; Use:
CMS–370 has not been revised and will
continue to be used to establish
eligibility for payment under Title XVIII
of the Social Security Act (the ‘‘Act’’). As
revised, CMS–377 will be used to
collect facility-specific characteristics
that facilitate CMS’ oversight of ASCs.
The data also enables CMS to respond
to inquiries from the Congress, GAO,
and the OIG concerning the
characteristics of Medicare-participating
ASCs. The data base that supports
survey and certification activities will
be revised to reflect changes in the data
fields on this revised form, such as the
data on the types of surgical procedures
performed in the ASC. CMS–378 will be
discontinued since it duplicates
information collected by other means;
Form Numbers: CMS–370, –377 and
–378 (OCN: 0938–0266); Frequency:
Occasionally; Affected Public: Private
Sector: Business or other for-profit and
Not-for-profit institutions; Number of
Respondents: 7,213; Total Annual
Responses: 1,795; Total Annual Hours:
648. (For policy questions regarding this
collection contact Gail Vong at 410–
786–0787. For all other issues call 410–
786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Identification of
Extension Units of Medicare Approved
Outpatient Physical Therapy/Outpatient
Speech Pathology (OPT/OSP) Providers
and Supporting Regulations in 42 CFR
485.701–485.729; Use: The collected
information is used in conjunction with
42 CFR 485.701 through 485.729
governing the operation of providers of
outpatient physical therapy and speechlanguage pathology services. The
provider uses the form to report to the
State survey agency extension locations
that it has added since the date of last
report. The form is used by the State
survey agencies and by the CMS
regional offices to identify and monitor
extension locations to ensure their
compliance with the Federal
requirements for the providers of
outpatient physical therapy and speechlanguage pathology services; Form
Number: CMS–381 (OMB #: 0938–
0273); Frequency: Annually; Affected
Public: Private Sector; Business or other
for-profit and not-for-profit institutions;
Number of Respondents: 2,960; Total
Annual Responses: 2,960; Total Annual
Hours: 740. (For policy questions
regarding this collection contact Georgia
Johnson at 410–786–6859. For all other
issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension without change of a
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currently approved collection; Title of
Information Collection: Medicare Part B
Drug and Biological Competitive
Acquisition Program (CAP) and
Supporting Regulations in 42 CFR
Sections 414.906, 414.908, 414.910,
414.914, 414.916, and 414.917; Use:
Section 303(d) of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA)
provides an alternative payment
methodology for Part B covered drugs
that are not paid on a cost or
prospective payment basis. In
particular, Section 303(d) of the MMA
amends Title XVIII of the Social
Security Act by adding a new section
1847B, which establishes a competitive
acquisition program for the acquisition
of and payment for Part B covered drugs
and biologicals furnished on or after
January 1, 2006. Since its inception,
additional legislation has augmented the
CAP. Section 108 of the Medicare
Improvements and Extension Act under
Division B, Title I of the Tax Relief
Health Care Act of 2006 (MIEA–TRHCA)
amended Section 1847b(a)(3) of the
Social Security Act and requires that
CAP implement a post payment review
process. This procedure is done to
assure that payment is made for a drug
or biological under this section only if
the drug or biological has been
administered to a beneficiary. Form
Number: CMS–10145 (OCN: 0938–
0945); Frequency: Weekly, quarterly and
occasionally; Affected Public: Private
sector—Business or other for-profit and
Not-for-profit institutions; Number of
Respondents: 3000; Total Annual
Responses: 156,020; Total Annual
Hours: 31,208. (For policy questions
regarding this collection contact Karen
Hill at 410–786–5607. For all other
issues call 410–786–1326.)
4. Type of Information Collection
Request: New collection; Title of
Information Collection: Autism
Spectrum Disorders (ASD): State of the
States Services and Supports for People
with ASD; Use: The information that is
collected in the interviews will be used
to communicate additional information
about services available to people with
ASD and the public policy issues that
affect people with ASD to key
stakeholder audiences. The format of
the report will include data tables from
various State programs and narrative
about the data being presented based on
the interviews with State agency staff.
We propose interviewing multiple staff
in each State because several State
agencies have an impact on services and
supports for people with ASD; Form
Number: CMS–10362 (OCN: 0938–
New); Frequency: Once; Affected Public:
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State, local, or Tribal Governments;
Number of Respondents: 459; Total
Annual Responses: 459; Total Annual
Hours: 803. (For policy questions
regarding this collection contact Ellen
Blackwell at 410–786–4498. For all
other issues call 410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web Site
address at https://www.cms.hhs.gov/
PaperworkReductionActof1995, or
e-mail your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office on (410) 786–
1326.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on July 11, 2011.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: oira_submission@omb.eop.gov.
Dated: June 3, 2011.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2011–14226 Filed 6–9–11; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10393]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate 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,
AGENCY:
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WReier-Aviles on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 76, No. 112 / Friday, June 10, 2011 / Notices
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Existing collection in use
without an OMB control number; Title
of Information Collection: Medicare
Beneficiary and Family-Centered
Satisfaction Survey; Use: The data
collection methodology used to
determine Beneficiary Satisfaction flows
from the proposed sampling approach.
While it was feasible to conduct the 9th
SOW via telephone data collection only,
with a quarterly sample size for the 10th
SOW estimated to be 2,664, it does not
seem efficient to maintain a telephone
only data collection approach. Based on
recent literature on survey methodology
and response rates by mode, we
recommend using a data collection that
is done primarily by mail. A mail-based
methodology will achieve the goals of
being efficient, effective, and minimally
burdensome for beneficiary
respondents.
As previously described, we
anticipate that a mail-based
methodology could yield a response rate
of approximately 60 percent. In order to
achieve this response rate, we would
recommend a 3 staged approach to data
collection:
(1) Mailout of a covering letter, the
paper survey questionnaire, and a
postage-paid return envelope.
(2) Mailout of a post card that thanks
respondents and reminds the nonrespondents to please return their
survey.
(3) Mailout of a follow-up covering
letter, the paper survey questionnaire,
and a postage-paid return envelope.
Through the pilot test, we will
determine the response rate that can be
achieved using this approach. If it is
deemed necessary, additional mailout
reminders can be added to the protocol,
or a telephone non-response step can be
added to the protocol.
Using the 3-step mail approach
described above, we anticipate that data
collection would occur over an 8 to 10
weeks. This is to say, if the first survey
mailing were dropped on January 1, we
would anticipate completing data
collection at the end of February or
early March. Data would then be
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cleaned, scores would be generated, and
data would be delivered to CMS.
Through the pilot test, we will
determine the precise timing required to
achieve an acceptable response rate, but
we are aiming to complete sampling,
data collection, and scoring within a 12week period. Form Number: CMS–
10393 (OCN: 0938–New) Frequency:
Once; Affected Public: Individuals or
households; Number of Respondents:
16,010; Number of Responses: 16,010;
Total Annual Hours: 4002. (For policy
questions regarding this collection,
contact Coles Mercier at 410–786–2112.
For all other issues call (410) 786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
at https://www.cms.gov/
PaperworkReductionActof1995/PRAL/
list.asp#TopOfPage or email your
request, including your address, phone
number, OMB number, and CMS
document identifier, to
Paperwork@cms.hhs.gov, or call the
Reports Clearance Office at 410–786–
1326.
In commenting on the proposed
information collections, please reference
the document identifier or OMB control
number. To be assured consideration,
comments and recommendations must
be submitted in one of the following
ways by August 9, 2011:
1. Electronically. You may submit
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) 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.
Dated: June 7, 2011.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2011–14435 Filed 6–9–11; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Title: Pre-testing of Evaluation
Surveys.
OMB No.: 0970–0355.
Description: The Office of Planning,
Research and Evaluation (OPRE),
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS),
intends to request approval from the
Office of Management and Budget
(OMB) for a generic clearance that a will
allow OPRE to conduct a variety of data
gathering activities aimed at identifying
questionnaire and procedural problems
in survey administration. Over the next
three years, OPRE anticipates
undertaking a variety of new surveys as
part of research projects in the fields of
cash welfare, employment and selfsufficiency, Head Start, child care,
healthy marriage and responsible
fatherhood, and child welfare, among
others. In order to improve the
development of its research and
evaluation surveys, OPRE envisions
using a variety of techniques including
field tests, respondent debriefing
questionnaires, cognitive interviews and
focus groups in order to identify
questionnaire and procedural problems,
suggest solutions, and measure the
relative effectiveness of alternative
survey solutions.
Following standard OMB
requirements, OPRE will submit a
change request to OMB individually for
every data collection activity
undertaken under this generic
clearance. OPRE will provide OMB with
a copy of the individual instrument or
questionnaire, as well as other materials
describing the project and specific
survey pre-test.
Respondents: The respondents will be
identified at the time that each change
request is submitted to OMB. Generally
they will be individuals who are
representative of the target groups for
the public assistance research or
evaluation project in question.
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Agencies
[Federal Register Volume 76, Number 112 (Friday, June 10, 2011)]
[Notices]
[Pages 34076-34077]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-14435]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10393]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS) is publishing the following summary of proposed
collections for public comment. Interested persons are invited to send
comments regarding this burden estimate 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,
[[Page 34077]]
utility, and clarity of the information to be collected; and (4) the
use of automated collection techniques or other forms of information
technology to minimize the information collection burden.
1. Type of Information Collection Request: Existing collection in
use without an OMB control number; Title of Information Collection:
Medicare Beneficiary and Family-Centered Satisfaction Survey; Use: The
data collection methodology used to determine Beneficiary Satisfaction
flows from the proposed sampling approach. While it was feasible to
conduct the 9th SOW via telephone data collection only, with a
quarterly sample size for the 10th SOW estimated to be 2,664, it does
not seem efficient to maintain a telephone only data collection
approach. Based on recent literature on survey methodology and response
rates by mode, we recommend using a data collection that is done
primarily by mail. A mail-based methodology will achieve the goals of
being efficient, effective, and minimally burdensome for beneficiary
respondents.
As previously described, we anticipate that a mail-based
methodology could yield a response rate of approximately 60 percent. In
order to achieve this response rate, we would recommend a 3 staged
approach to data collection:
(1) Mailout of a covering letter, the paper survey questionnaire,
and a postage-paid return envelope.
(2) Mailout of a post card that thanks respondents and reminds the
non-respondents to please return their survey.
(3) Mailout of a follow-up covering letter, the paper survey
questionnaire, and a postage-paid return envelope.
Through the pilot test, we will determine the response rate that
can be achieved using this approach. If it is deemed necessary,
additional mailout reminders can be added to the protocol, or a
telephone non-response step can be added to the protocol.
Using the 3-step mail approach described above, we anticipate that
data collection would occur over an 8 to 10 weeks. This is to say, if
the first survey mailing were dropped on January 1, we would anticipate
completing data collection at the end of February or early March. Data
would then be cleaned, scores would be generated, and data would be
delivered to CMS. Through the pilot test, we will determine the precise
timing required to achieve an acceptable response rate, but we are
aiming to complete sampling, data collection, and scoring within a 12-
week period. Form Number: CMS-10393 (OCN: 0938-New) Frequency: Once;
Affected Public: Individuals or households; Number of Respondents:
16,010; Number of Responses: 16,010; Total Annual Hours: 4002. (For
policy questions regarding this collection, contact Coles Mercier at
410-786-2112. For all other issues call (410) 786-1326.)
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site at https://www.cms.gov/PaperworkReductionActof1995/PRAL/list.asp#TopOfPage or email your request, including your address, phone
number, OMB number, and CMS document identifier, to
Paperwork@cms.hhs.gov, or call the Reports Clearance Office at 410-786-
1326.
In commenting on the proposed information collections, please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by August 9, 2011:
1. Electronically. You may submit 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) 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.
Dated: June 7, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2011-14435 Filed 6-9-11; 8:45 am]
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