Agency Information Collection Activities: Submission for OMB Review; Comment Request, 73649-73650 [2011-30732]
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Federal Register / Vol. 76, No. 229 / Tuesday, November 29, 2011 / Notices
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.
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 January 30, 2012:
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 lll_l, Room C4–
26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
Dated: November 21, 2011.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–30729 Filed 11–28–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10411, CMS–
10114 and CMS–10390]
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;
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AGENCY:
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Jkt 226001
(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: State Balancing
Incentive Payments Program (BIPP);
Use: The Balancing Incentive Program
requires that States undertake three
structural changes to their long-term
services and supports (LTSS) systems to
increase nursing home diversions and
access to community-based care:
implementation of a No Wrong Door/
Single Entry Point System, conflict-free
case management, and the use of a core
standardized assessment for supporting
eligibility determination and service
planning. In addition, grantee States
must increase their community-based
LTSS expenditures relative to their
overall expenditures on LTSS to a
minimum of 25% or 50%. State
Medicaid agencies are responsible for
developing the submissions to CMS in
order to participate in this opportunity.
If the statutory requirements are met,
CMS will approve the State’s
submission, giving the State the
authority to implement the changes in
the program and to draw down the
increased FMAP funds. Form Number:
CMS–10411 (OCN 0938–1145);
Frequency: Once; Affected Public: State,
Local, or Tribal Government; Number of
Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
2,240. (For policy questions regarding
this collection contact Effie George at
(410) 786–8639. For all other issues call
(410) 786–1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: National
Provider Identifier (NPI) Application
and Update Form and Supporting
Regulations in 45 CFR 142.408, 45 CFR
162.406, 45 CFR 162.408; Use: The
National Provider Identifier (NPI)
Application and Update Form is used
by health care providers to apply for
NPIs and furnish updates to the
information they supplied on their
initial applications. The form is also
used to deactivate their NPIs if
necessary. The NPI Application/Update
form has been revised to provide
additional guidance on how to
accurately complete the form. This
collection includes clarification on
information that is required on initial
applications. Minor changes include
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73649
adding a ‘delete’ check box for removal
of information. This collection also
includes revisions to the instructions. In
addition, we have adjusted the burden
downward from the estimate provided
in the 60-day Federal Register notice to
correct an arithmetic error. Form
Number: CMS–10114 (OCN: 0938–
0931); Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profit, Not-for-profit
institutions, and Federal government;
Number of Respondents: 481,440; Total
Annual Responses: 481,440; Total
Annual Hours: 89,080. (For policy
questions regarding this collection
contact Leslie Jones at (410) 786–6599.
For all other issues call (410) 786–1326.)
3. Type of Information Collection
Request: New collection; Title of
Information Collection: Hospice
Voluntary Quality Data Reporting
Program; Use: Section 1814(i)(5) of the
Social Security Act (Act) added by
section 3004 of Patient Protection and
Affordable Care Act, Public Law 111–
148, enacted on March 23, 2010
(Affordable Care Act), authorizes the
Secretary to establish a quality reporting
program for hospices. Section
1814(i)(5)(A)(i) of the Act requires that
the Secretary, beginning with FY 2014,
reduce the market basket update by 2
percentage points for any hospice that
does not comply with the quality data
submission requirements with respect to
that fiscal year.
To meet the quality reporting
requirements for hospices, as set forth in
the proposed Hospice Wage Index for
Fiscal Year 2012 rule, we propose that
there shall be a voluntary hospice
quality reporting cycle which will
consist of data collection cycle
beginning on October 1, 2011 and
continuing through December 31, 2011.
This data shall be reported to CMS by
no later than January 31, 2012. There
shall be a mandatory hospice quality
reporting cycle which will consist of
data collected from October 1, 2012
through December 31, 2012. This data
shall be reported to CMS by no later
than April 1, 2013. Thereafter, it is
proposed that all subsequent hospice
quality reporting cycles will be based on
the calendar-year basis (that is, January
1, 2013 through December 31, 2013 for
determination of the Hospice market
basket increase factor for each Hospice
in FY 2015, etc.).
We are requesting an initial approval
of a data collection instrument entitled
‘‘Quality Data Submission Form’’ that
hospice providers will use to submit
quality measures data to CMS during
the proposed voluntary reporting period
of 10/01/2011 through 12/31/2011. This
form shall be used by hospices to report
E:\FR\FM\29NON1.SGM
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73650
Federal Register / Vol. 76, No. 229 / Tuesday, November 29, 2011 / Notices
quality data pertaining to one structural
measure, which is entitled: Participation
in a Quality Assessment and
Performance Improvement (QAPI)
Program that Includes at Least Three
Quality Indicators Related to Patient
Care.
Since the publication of the 60-day
Federal Register notice, there have been
some revision made to the Supporting
Statement A and B of this PRA package.
These revisions have been made in
order to: (1) Correct several very minor
errors; (2) make the content of the
document more descriptive; and (3) to
add additional information about the
program that has become available since
publication of the 60-day notice. The
operational details of the program have
progressed and been finalized.
Therefore, these changes will reflect
information pertaining to operational
details of the program that was not
available at the time that the PRA
package documents were published.
There have been no changes to the
Information Collection Request that is
the subject of this PRA package. There
has been no change in the estimated
burden that will be required of
providers. Form Number: CMS–10390
(OCN: 0938–New); Frequency:
Occasionally; Affected Public: Private
Sector: Business or other for-profit and
not-for-profit institutions; Number of
Respondents: 3,531; Total Annual
Responses: 3,531; Total Annual Hours:
883. (For policy questions regarding this
collection contact Robin Dowell at (410)
786–0060. 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 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 December 29, 2011.
OMB, Office of Information and
Regulatory Affairs,
Attention: CMS Desk Officer.
Fax Number: (202) 395–6974.
Email:
OIRA_submission@omb.eop.gov.
VerDate Mar<15>2010
15:20 Nov 28, 2011
Jkt 226001
Dated: November 21, 2011.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–30732 Filed 11–28–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection:
Comment Request
In compliance with the requirement
for opportunity for public comment on
proposed data collection projects
(section 3506(c)(2)(A) of Title 44, United
States Code, as amended by the
Paperwork Reduction Act of 1995, Pub.
L. 104–13), the Health Resources and
Services Administration (HRSA)
publishes periodic summaries of
proposed projects being developed for
submission to the Office of Management
and Budget (OMB) under the Paperwork
Reduction Act of 1995. To request more
information on the proposed project or
to obtain a copy of the data collection
plans and draft instruments, email
paperwork@hrsa.gov or call the HRSA
Reports Clearance Officer at (301) 443–
1129.
Comments are invited on: (a) The
proposed collection of information for
the proper performance of the functions
of the Agency; (b) the accuracy of the
Agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology.
Proposed Project: Organ Procurement
and Transplantation Network and
Scientific Registry of Transplant
Recipients Data System (OMB No.
0915–0157)—[Revision]
Section 372 of the Public Health
Service (PHS) Act requires that the
Secretary, by contract, provide for the
establishment and operation of an Organ
Procurement and Transplantation
Network (OPTN). The OPTN, among
other responsibilities, operates and
maintains a national waiting list of
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Fmt 4703
Sfmt 4703
individuals requiring organ transplants,
maintains a computerized system for
matching donor organs with transplant
candidates on the waiting list, and
operates a 24-hour system to facilitate
matching organs with individuals
included in the list.
Data for the OPTN data system are
collected from transplant hospitals,
organ procurement organizations, and
tissue-typing laboratories. The
information is used to indicate the
disease severity of transplant
candidates, to monitor compliance of
member organizations with OPTN rules
and requirements, and to report
periodically on the clinical and
scientific status of organ donation and
transplantation in this country. Data are
used to develop transplant, donation
and allocation policies, to determine if
institutional members are complying
with policy, to determine member
specific performance, to ensure patient
safety and to fulfill the requirements of
the OPTN Final Rule. The practical
utility of the data collection is further
enhanced by requirements that the
OPTN data must be made available,
consistent with applicable laws, for use
by OPTN members, the Scientific
Registry of Transplant Recipients, the
Department of Health and Human
Services, and others for evaluation,
research, patient information, and other
important purposes.
The OPTN is recommending addition
of a new Liver Explant Pathology form
to the OPTN data system. This new form
was developed by the OPTN Liver and
Intestinal Organ Transplantation
Committee and will be used to collect
pathology data on liver transplant
recipients who received waitlist
exception points as a result of a
diagnosis of hepatocellular carcinoma.
Existing OPTN policy requires
submission of post-transplant pathology
reports by fax transmission, and the
proposed form will provide
standardized collection of this alreadyrequired information.
There are also minor revisions to the
existing data collection forms; the added
fields were inadvertently left off of the
forms at the time of the initial
submission. Several of these fields are
‘‘read only’’ and are included on the
forms for information purposes only.
One field is proposed to be removed as
it represented duplicative information.
The annual estimate of burden is as
follows:
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]]>Agencies
[Federal Register Volume 76, Number 229 (Tuesday, November 29, 2011)]
[Notices]
[Pages 73649-73650]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-30732]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10411, CMS-10114 and CMS-10390]
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: State Balancing
Incentive Payments Program (BIPP); Use: The Balancing Incentive Program
requires that States undertake three structural changes to their long-
term services and supports (LTSS) systems to increase nursing home
diversions and access to community-based care: implementation of a No
Wrong Door/Single Entry Point System, conflict-free case management,
and the use of a core standardized assessment for supporting
eligibility determination and service planning. In addition, grantee
States must increase their community-based LTSS expenditures relative
to their overall expenditures on LTSS to a minimum of 25% or 50%. State
Medicaid agencies are responsible for developing the submissions to CMS
in order to participate in this opportunity. If the statutory
requirements are met, CMS will approve the State's submission, giving
the State the authority to implement the changes in the program and to
draw down the increased FMAP funds. Form Number: CMS-10411 (OCN 0938-
1145); Frequency: Once; Affected Public: State, Local, or Tribal
Government; Number of Respondents: 56; Total Annual Responses: 56;
Total Annual Hours: 2,240. (For policy questions regarding this
collection contact Effie George at (410) 786-8639. For all other issues
call (410) 786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: National Provider
Identifier (NPI) Application and Update Form and Supporting Regulations
in 45 CFR 142.408, 45 CFR 162.406, 45 CFR 162.408; Use: The National
Provider Identifier (NPI) Application and Update Form is used by health
care providers to apply for NPIs and furnish updates to the information
they supplied on their initial applications. The form is also used to
deactivate their NPIs if necessary. The NPI Application/Update form has
been revised to provide additional guidance on how to accurately
complete the form. This collection includes clarification on
information that is required on initial applications. Minor changes
include adding a `delete' check box for removal of information. This
collection also includes revisions to the instructions. In addition, we
have adjusted the burden downward from the estimate provided in the 60-
day Federal Register notice to correct an arithmetic error. Form
Number: CMS-10114 (OCN: 0938-0931); Frequency: Reporting--On occasion;
Affected Public: Business or other for-profit, Not-for-profit
institutions, and Federal government; Number of Respondents: 481,440;
Total Annual Responses: 481,440; Total Annual Hours: 89,080. (For
policy questions regarding this collection contact Leslie Jones at
(410) 786-6599. For all other issues call (410) 786-1326.)
3. Type of Information Collection Request: New collection; Title of
Information Collection: Hospice Voluntary Quality Data Reporting
Program; Use: Section 1814(i)(5) of the Social Security Act (Act) added
by section 3004 of Patient Protection and Affordable Care Act, Public
Law 111-148, enacted on March 23, 2010 (Affordable Care Act),
authorizes the Secretary to establish a quality reporting program for
hospices. Section 1814(i)(5)(A)(i) of the Act requires that the
Secretary, beginning with FY 2014, reduce the market basket update by 2
percentage points for any hospice that does not comply with the quality
data submission requirements with respect to that fiscal year.
To meet the quality reporting requirements for hospices, as set
forth in the proposed Hospice Wage Index for Fiscal Year 2012 rule, we
propose that there shall be a voluntary hospice quality reporting cycle
which will consist of data collection cycle beginning on October 1,
2011 and continuing through December 31, 2011. This data shall be
reported to CMS by no later than January 31, 2012. There shall be a
mandatory hospice quality reporting cycle which will consist of data
collected from October 1, 2012 through December 31, 2012. This data
shall be reported to CMS by no later than April 1, 2013. Thereafter, it
is proposed that all subsequent hospice quality reporting cycles will
be based on the calendar-year basis (that is, January 1, 2013 through
December 31, 2013 for determination of the Hospice market basket
increase factor for each Hospice in FY 2015, etc.).
We are requesting an initial approval of a data collection
instrument entitled ``Quality Data Submission Form'' that hospice
providers will use to submit quality measures data to CMS during the
proposed voluntary reporting period of 10/01/2011 through 12/31/2011.
This form shall be used by hospices to report
[[Page 73650]]
quality data pertaining to one structural measure, which is entitled:
Participation in a Quality Assessment and Performance Improvement
(QAPI) Program that Includes at Least Three Quality Indicators Related
to Patient Care.
Since the publication of the 60-day Federal Register notice, there
have been some revision made to the Supporting Statement A and B of
this PRA package. These revisions have been made in order to: (1)
Correct several very minor errors; (2) make the content of the document
more descriptive; and (3) to add additional information about the
program that has become available since publication of the 60-day
notice. The operational details of the program have progressed and been
finalized. Therefore, these changes will reflect information pertaining
to operational details of the program that was not available at the
time that the PRA package documents were published. There have been no
changes to the Information Collection Request that is the subject of
this PRA package. There has been no change in the estimated burden that
will be required of providers. Form Number: CMS-10390 (OCN: 0938-New);
Frequency: Occasionally; Affected Public: Private Sector: Business or
other for-profit and not-for-profit institutions; Number of
Respondents: 3,531; Total Annual Responses: 3,531; Total Annual Hours:
883. (For policy questions regarding this collection contact Robin
Dowell at (410) 786-0060. 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 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 December 29,
2011.
OMB, Office of Information and Regulatory Affairs,
Attention: CMS Desk Officer.
Fax Number: (202) 395-6974.
Email: OIRA_submission@omb.eop.gov.
Dated: November 21, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-30732 Filed 11-28-11; 8:45 am]
BILLING CODE 4120-01-P
