Agency Information Collection Activities: Submission for OMB Review; Comment Request, 60843-60845 [2011-25271]

Download as PDF mstockstill on DSK4VPTVN1PROD with NOTICES Federal Register / Vol. 76, No. 190 / Friday, September 30, 2011 / Notices the popHealth system related to meaningful use measures; and/or target patients with high disease burden in need of early intervention. Eligibility Rules for Participating in the Competition: To be eligible to win a prize under this challenge, an individual or entity: (1) Shall have registered to participate in the competition under the rules promulgated by Office of the National Coordinator for Health Information Technology; (2) Shall have complied with all the requirements under this section; (3) In the case of a private entity, shall be incorporated in and maintain a primary place of business in the United States, and in the case of an individual, whether participating singly or in a group, shall be a citizen or permanent resident of the United States; and (4) May not be a Federal entity or Federal employee acting within the scope of their employment. An individual or entity shall not be deemed ineligible because the individual or entity used Federal facilities or consulted with Federal employees during a competition if the facilities and employees are made available to all individuals and entities participating in the competition on an equitable basis. Registered participants shall be required to agree to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from their participation in a competition, whether the injury, death, damage, or loss arises through negligence or otherwise. Participants shall be required to obtain liability insurance or demonstrate financial responsibility, in amounts determined by the head of the Office of the National Coordinator for Health Information Technology, for claims by— (1) A third party for death, bodily injury, or property damage, or loss resulting from an activity carried out in connection with participation in a competition, with the Federal Government named as an additional insured under the registered participant’s insurance policy and registered participants agreeing to indemnify the Federal Government against third party claims for damages arising from or related to competition activities; and (2) the Federal Government for damage or loss to Government property resulting from such an activity. VerDate Mar<15>2010 17:19 Sep 29, 2011 Jkt 223001 Participants must be teams of at least two people. All participants are required to provide written consent to the rules upon or before submitting an entry. DATES: • Submission Period Begins: 12:01 a.m., EDT, September 26, 2011. • Submission Period Ends: 11:59 p.m., EDT, February 3, 2012. Registration Process for Participants: To register for this challenge participants should: • Access the https:// www.challenge.gov Web site and search for the ‘‘popHealth Tools Development Challenge’’. • Access the ONC Investing in Innovation (i2) Challenge Web site at: Æ https://www.health2challenge.org/ category/onc/. Æ A registration link for the challenge can be found on the landing page under the challenge description. Amount of the Prize: • First Prize: $75,000. • Second Prize: $20,000. • Third Prize: $5,000. Awards may be subject to Federal income taxes and HHS will comply with IRS withholding and reporting requirements, where applicable. Basis Upon Which Winner Will Be Selected: The judging panel will make selections based upon the following criteria: 1. Ability to integrate with popHealth system and build upon existing functionality. 2. Impact on stakeholders. 3. Usability and design. 4. Creativity and Innovation. Additional Information: Ownership of intellectual property is determined by the following: • Each entrant retains title and full ownership in and to their submission. Entrants expressly reserve all intellectual property rights not expressly granted under the challenge agreement. • By participating in the challenge, each entrant hereby irrevocably grants to Sponsor and Administrator a limited, non-exclusive, royalty free, worldwide, license and right to reproduce, publically perform, publically display, and use the Submission to the extent necessary to administer the challenge, and to publically perform and publically display the Submission, including, without limitation, for advertising and promotional purposes relating to the challenge. PO 00000 Frm 00045 Fmt 4703 Sfmt 4703 60843 Dated: September 26, 2011. Farzad Mostashari, National Coordinator for Health Information Technology. [FR Doc. 2011–25295 Filed 9–29–11; 8:45 am] BILLING CODE 4150–45–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–9042, CMS– 10374, CMS–10385, CMS–10402 and CMS– 10396] Agency Information Collection Activities: Submission for OMB Review; 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), Department of Health and Human Services, 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 function; (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 minimize the information collection burden. 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Accelerated Payments and Supporting Regulations 42 CFR, Section 412.116(f), 412.632(e), 413.64(g), 413.350(d), and 484.245; Use: This information is used by the contractor to determine the provider’s eligibility for accelerated payments. If this information were not furnished with an accelerated payment request, the contractor would not be able to assess whether the provider’s financial difficulties justified the accelerated payment; Form Number: CMS–9042 (OMB # 0938–0269); Frequency: Yearly; Affected Public: Private Sector; Business or other for-profit and not-for-profit institutions; Number of Respondents: 37,804; Total Annual Responses: 945; Total Annual Hours: 473. (For policy AGENCY: E:\FR\FM\30SEN1.SGM 30SEN1 mstockstill on DSK4VPTVN1PROD with NOTICES 60844 Federal Register / Vol. 76, No. 190 / Friday, September 30, 2011 / Notices questions regarding this collection contact Leonard Fisher at 410–786–4574 TTY. For all other issues call 410–786– 1326.) 2. Type of Information Collection Request: New collection of information; Title of Information Collection: Training Needs Assessment, Evaluation/Survey— Question Compilation; Use: The intent of this information collection is to assist in the creation and enhancement of training for Federal and State health care surveyors and certification specialists. The purpose of the collection is to gather information for training needs assessment, training analysis, related demographic, psychographics and technographics to support the development and enhancement of training and training aids; Form Number: CMS–10374 (OMB # 0938–New); Frequency: Half-year (2 per year); Affected Public: State, Local, or Tribal Governments; Number of Respondents: 2,161; Total Annual Responses: 4,322; Total Annual Hours: 1,430. (For policy questions regarding this collection contact Etolia Biggs at 410–786–8664. For all other issues call 410–786–1326.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Expedited Checklist: Medicaid Eligibility & Enrollment Systems—Advance Planning Document (E&E–APD); Use: Under sections 1903(a)(3)(A)(i) and 1903(a)(3)(B) of the Social Security Act, CMS has issued new standards and conditions that must be met by States for Medicaid technology investments (including traditional claims processing systems, as well as eligibility systems) to be eligible for enhanced match funding. The Checklist will be submitted by States to the E&E APD National Coordinator for review and coordination in the Eligibility/ Enrollment Systems APD approval assignment. The information requested on the Checklist will be used to determine and approve enhanced FFP to States and to determine how States are complying with the seven standards and conditions; Form Number: CMS–10385 (OMB#: 0938–1125); Frequency: Occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 168; Total Annual Hours: 204. (For policy questions regarding this collection contact Richard Friedman at 410–786–4451. For all other issues call 410–786–1326.) 4. Type of Information Collection Request: New collection; Title of Information Collection: Medicaid State Plan Preprint for Use by States When VerDate Mar<15>2010 17:19 Sep 29, 2011 Jkt 223001 Implementing Section 6401 of the Patient Protection and Affordable Care Act under the Medicaid Program; Use: The Secretary, in consultation with the Department of Health of Human Services’ Office of the Inspector General, is required to establish procedures under which screening is conducted with respect to providers of medical or other items or services and suppliers under Medicare, Medicaid, and CHIP. The Secretary is also required to impose a fee on each institutional provider of medical or other items or services or supplier that would be used by the Secretary for program integrity efforts. States are required to comply with the process of screening providers and suppliers as established by the Secretary under 1866(j)(2) of the Affordable Care Act. The Office of General Counsel through guidance, is requiring that States use the Medicaid State Plan Preprint to assure CMS compliance with the law. CMS will use the information to review and approve the State plan. States would refer to the State plan on an as needed basis to manage and operate their Medicaid programs under Title XIX of the Social Security Act; Form Number: CMS– 10402 (OMB # 0938–New); Frequency: Once; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 14. (For policy questions regarding this collection contact Richard Friedman. at 410–786–4451. For all other issues call 410–786–1326.) 5. Type of Information Collection Request: New collection; Title of Information Collection: Medication Therapy Management Program Improvements—Standardized Format. Use: The Medicare Modernization Act of 2003 (MMA) under title 42 CFR Part 423, Subpart D, established the requirements that Part D sponsors must meet with regard to medication therapy management (MTM) programs. Beginning in 2010, sponsors must offer an interactive, person-to-person comprehensive medication review (CMR) by a pharmacist or other qualified provider at least annually. A CMR is a review of a beneficiary’s medications, including prescription and over-the-counter (OTC) medications, herbal therapies, and dietary supplements, which is intended to aid in assessing medication therapy and optimizing patient outcomes. Sponsors must summarize the CMR and provide an individualized written or printed summary to the beneficiary. The burden associated with the time and effort necessary for Part D sponsors to conduct PO 00000 Frm 00046 Fmt 4703 Sfmt 4703 CMRs with written summaries was estimated previously under OMB Control Number 0938–0964 as 937,500 hours with total labor cost of $112.5 million. The Affordable Care Act (ACA) under Section 10328 specifies that the Secretary, in consultation with relevant stakeholders, develop a standardized format for the action plan and written or printed summary that are given to beneficiaries as a result of their CMRs. The standardized format will replace whatever formats Part D sponsors are using for their written CMR summaries and action plans prior to 2013. Beginning in January, 2013, Part D sponsors will collect information required by the new standardized format, and provide that information to Medicare beneficiaries after their CMRs on forms that comply with the requirements specified by CMS for the standardized format. The use of the standardized format will increase the burden associated with providing the CMRs with written summaries and action plans as described in this submission. The use of the standardized format will support a uniform and consistent level of MTMP communications with beneficiaries, improve the ability of beneficiaries to understand and manage their medications safely and effectively, and support improved healthcare outcomes and lower overall healthcare costs. The final standardized format will be posted in the 2013 Call Letter for implementation by Part D sponsors in January 2013. Form Number: CMS– 10396 (OCN: 0938–New); Frequency: Yearly; Affected Public: Private Sector— Business or other For-profits; Number of Respondents: 673; Number of Responses: 1,875,000; Total Annual Hours: 1,179,894. (For policy questions regarding this collection, contact Gary Wirth at 410–786–3997. 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 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 on (410) 786– 1326. To be assured consideration, comments for the proposed information collections must be received by the OMB desk officer at the address below, no later than 5 p.m. on October 31, 2011. E:\FR\FM\30SEN1.SGM 30SEN1 Federal Register / Vol. 76, No. 190 / Friday, September 30, 2011 / Notices OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395– 6974, E-mail: OIRA_submission@omb.eop.gov. Dated: September 27, 2011. Martique Jones, Director, Regulations Development Group, Division B, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2011–25271 Filed 9–29–11; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10241, CMS– 10412, CMS–R–263, CMS–R–262, CMS– 10142 and CMS–855(O)] 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, 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: Revision of a currently approved collection; Title of Information Collection: Survey of Retail Prices: Payment and Utilization Rates, and Performance Rankings; Use: CMS will develop a National Average Drug Acquisition Cost (NADAC) for States to consider when developing reimbursement methodology. The NADAC is a new pricing benchmark that will be based on the national average costs that pharmacies pay to acquire Medicaid covered outpatient drugs. It is intended to provide States with a more accurate reference price to base reimbursement for prescription mstockstill on DSK4VPTVN1PROD with NOTICES AGENCY: VerDate Mar<15>2010 17:19 Sep 29, 2011 Jkt 223001 drugs and will be based on drug acquisition costs collected directly from pharmacies through a nationwide survey process. This survey will be conducted on a monthly basis to ensure that the NADAC reference file remains current and up-to-date. A NADAC Survey Request for Information has been developed to send to random pharmacies for voluntary completion. CMS proposes to add the survey to an existing collection, ‘‘Annual State Report and Annual State Performance Rankings.’’ The requirements and burden associated with the annual report/rankings are unaffected by this proposed action; Form Number: CMS– 10241 (OCN: 0938–1041); Frequency: Biennially, Once; Affected Public: Private Sector; Business or other forprofits; Number of Respondents: 30,000; Total Annual Responses: 30,000; Total Annual Hours: 15,000. (For policy questions regarding this collection contact Lisa Ferrandi at 410–786–5445. For all other issues call 410–786–1326.) 2. Type of Information Collection Request: New collection; Title of Information Collection: Section 1115 Demonstration: Long Term Services and Supports and Other Service Models for Individuals with Disabilities and Chronic Conditions; Use: Section 1115 of the Social Security Act provides the Secretary of Health and Human Services broad authority to authorize experimental, pilot, or demonstration projects likely to assist in promoting the objectives of the Medicaid statute. Flexibility under Section 1115 is sufficiently broad to allow states to test substantially new ideas of policy merit. States seeking interventions for individuals needing LTSS to lower costs, improve care and improve health can utilize the 1115 demonstration to test and deliver innovative services and approaches to better and more efficiently meet the needs of this population. Section 1115 demonstrations provide a vehicle for innovations in both care delivery and payment methodologies. Demonstrations must be ‘‘budget neutral’’ over the life of the project, meaning they cannot be expected to cost the Federal government more than it would cost without the waiver. State Medicaid agencies are responsible for developing section 1115 demonstration applications and submitting them to CMS; Form Number: CMS–10412 (OCN: 0938–New); Frequency: Once; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 2,240. (For policy questions regarding this collection PO 00000 Frm 00047 Fmt 4703 Sfmt 4703 60845 contact Adrienne Delozer at 410–786– 0278. For all other issues call 410–786– 1326.) 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Site Investigation for Durable Medical Equipment (DME) Suppliers; Use: CMS is mandated to identify and implement measures to prevent fraud and abuse in the Medicare program. To meet this challenge, CMS has moved forward to improve the quality of the process for enrolling suppliers into the Medicare program by establishing a uniform application for enumerating suppliers of durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). Implementation of enhanced procedures for verifying the enrollment information has also improved the enrollment process. As part of this process, verification of compliance with supplier standards is necessary. The site investigation form has been used in the past to aid the Medicare contractor (the National Supplier Clearinghouse and/or its subcontractors) in verifying compliance with the required supplier standards found in 42 CFR 424.57(c). The primary function of the site investigation form is to provide a standardized, uniform tool to gather information from a DMEPOS supplier that tells us whether it meets certain qualifications to be a DMEPOS supplier (as found in 42 CFR 424.57(c)) and where it practices or renders its services. This site investigation form collects the same information as its predecessor, with the exception of one new yes/no question under the ‘‘Records and Telephone’’ section (question 11(a)) used to verify if the DMEPOS supplier maintains physician ordering/referring records for the supplies and/or services it renders to Medicare beneficiaries (if applicable). This information is required by Section 1833(q) of the Social Security Act which states that all physicians and non-physician practitioners that meet the definitions at section 1861(r) and 1842(b)(18)(C) be uniquely identified for all claims for services that are ordered or referred. Other information collected on this site investigation remains unchanged, but has been reformatted for greater functionality. Form Number: CMS–R–263 (OCN: 0938–0749); Frequency: Once; Affected Public: Private Sector—Business or other forprofits and not-for-profit institutions; Number of Respondents: 30,000; Total Annual Responses: 30,000; Total Annual Hours: 15,000. (For policy questions regarding this collection contact Kimberly McPhillips at 410– E:\FR\FM\30SEN1.SGM 30SEN1

Agencies

[Federal Register Volume 76, Number 190 (Friday, September 30, 2011)]
[Notices]
[Pages 60843-60845]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-25271]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-9042, CMS-10374, CMS-10385, CMS-10402 and 
CMS-10396]


Agency Information Collection Activities: Submission for OMB 
Review; 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), Department of Health and Human Services, 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 function; (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 minimize the information 
collection burden.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Accelerated 
Payments and Supporting Regulations 42 CFR, Section 412.116(f), 
412.632(e), 413.64(g), 413.350(d), and 484.245; Use: This information 
is used by the contractor to determine the provider's eligibility for 
accelerated payments. If this information were not furnished with an 
accelerated payment request, the contractor would not be able to assess 
whether the provider's financial difficulties justified the accelerated 
payment; Form Number: CMS-9042 (OMB  0938-0269); Frequency: 
Yearly; Affected Public: Private Sector; Business or other for-profit 
and not-for-profit institutions; Number of Respondents: 37,804; Total 
Annual Responses: 945; Total Annual Hours: 473. (For policy

[[Page 60844]]

questions regarding this collection contact Leonard Fisher at 410-786-
4574 TTY. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: New collection of 
information; Title of Information Collection: Training Needs 
Assessment, Evaluation/Survey--Question Compilation; Use: The intent of 
this information collection is to assist in the creation and 
enhancement of training for Federal and State health care surveyors and 
certification specialists. The purpose of the collection is to gather 
information for training needs assessment, training analysis, related 
demographic, psychographics and technographics to support the 
development and enhancement of training and training aids; Form Number: 
CMS-10374 (OMB  0938-New); Frequency: Half-year (2 per year); 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 2,161; Total Annual Responses: 4,322; Total Annual Hours: 
1,430. (For policy questions regarding this collection contact Etolia 
Biggs at 410-786-8664. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Expedited 
Checklist: Medicaid Eligibility & Enrollment Systems--Advance Planning 
Document (E&E-APD); Use: Under sections 1903(a)(3)(A)(i) and 
1903(a)(3)(B) of the Social Security Act, CMS has issued new standards 
and conditions that must be met by States for Medicaid technology 
investments (including traditional claims processing systems, as well 
as eligibility systems) to be eligible for enhanced match funding. The 
Checklist will be submitted by States to the E&E APD National 
Coordinator for review and coordination in the Eligibility/Enrollment 
Systems APD approval assignment. The information requested on the 
Checklist will be used to determine and approve enhanced FFP to States 
and to determine how States are complying with the seven standards and 
conditions; Form Number: CMS-10385 (OMB: 0938-1125); 
Frequency: Occasionally; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 168; 
Total Annual Hours: 204. (For policy questions regarding this 
collection contact Richard Friedman at 410-786-4451. For all other 
issues call 410-786-1326.)
    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Medicaid State Plan Preprint for Use by States 
When Implementing Section 6401 of the Patient Protection and Affordable 
Care Act under the Medicaid Program; Use: The Secretary, in 
consultation with the Department of Health of Human Services' Office of 
the Inspector General, is required to establish procedures under which 
screening is conducted with respect to providers of medical or other 
items or services and suppliers under Medicare, Medicaid, and CHIP. The 
Secretary is also required to impose a fee on each institutional 
provider of medical or other items or services or supplier that would 
be used by the Secretary for program integrity efforts. States are 
required to comply with the process of screening providers and 
suppliers as established by the Secretary under 1866(j)(2) of the 
Affordable Care Act. The Office of General Counsel through guidance, is 
requiring that States use the Medicaid State Plan Preprint to assure 
CMS compliance with the law. CMS will use the information to review and 
approve the State plan. States would refer to the State plan on an as 
needed basis to manage and operate their Medicaid programs under Title 
XIX of the Social Security Act; Form Number: CMS-10402 (OMB  
0938-New); Frequency: Once; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 56; Total Annual Responses: 56; 
Total Annual Hours: 14. (For policy questions regarding this collection 
contact Richard Friedman. at 410-786-4451. For all other issues call 
410-786-1326.)
    5. Type of Information Collection Request: New collection; Title of 
Information Collection: Medication Therapy Management Program 
Improvements--Standardized Format. Use: The Medicare Modernization Act 
of 2003 (MMA) under title 42 CFR Part 423, Subpart D, established the 
requirements that Part D sponsors must meet with regard to medication 
therapy management (MTM) programs. Beginning in 2010, sponsors must 
offer an interactive, person-to-person comprehensive medication review 
(CMR) by a pharmacist or other qualified provider at least annually. A 
CMR is a review of a beneficiary's medications, including prescription 
and over-the-counter (OTC) medications, herbal therapies, and dietary 
supplements, which is intended to aid in assessing medication therapy 
and optimizing patient outcomes. Sponsors must summarize the CMR and 
provide an individualized written or printed summary to the 
beneficiary. The burden associated with the time and effort necessary 
for Part D sponsors to conduct CMRs with written summaries was 
estimated previously under OMB Control Number 0938-0964 as 937,500 
hours with total labor cost of $112.5 million.
    The Affordable Care Act (ACA) under Section 10328 specifies that 
the Secretary, in consultation with relevant stakeholders, develop a 
standardized format for the action plan and written or printed summary 
that are given to beneficiaries as a result of their CMRs. The 
standardized format will replace whatever formats Part D sponsors are 
using for their written CMR summaries and action plans prior to 2013. 
Beginning in January, 2013, Part D sponsors will collect information 
required by the new standardized format, and provide that information 
to Medicare beneficiaries after their CMRs on forms that comply with 
the requirements specified by CMS for the standardized format. The use 
of the standardized format will increase the burden associated with 
providing the CMRs with written summaries and action plans as described 
in this submission. The use of the standardized format will support a 
uniform and consistent level of MTMP communications with beneficiaries, 
improve the ability of beneficiaries to understand and manage their 
medications safely and effectively, and support improved healthcare 
outcomes and lower overall healthcare costs. The final standardized 
format will be posted in the 2013 Call Letter for implementation by 
Part D sponsors in January 2013. Form Number: CMS-10396 (OCN: 0938-
New); Frequency: Yearly; Affected Public: Private Sector--Business or 
other For-profits; Number of Respondents: 673; Number of Responses: 
1,875,000; Total Annual Hours: 1,179,894. (For policy questions 
regarding this collection, contact Gary Wirth at 410-786-3997. 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 for the proposed information 
collections must be received by the OMB desk officer at the address 
below, no later than 5 p.m. on October 31, 2011.


[[Page 60845]]


OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

    Dated: September 27, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-25271 Filed 9-29-11; 8:45 am]
BILLING CODE 4120-01-P
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