Emergency Clearance: Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB), 14807-14808 [2012-6035]

Download as PDF mstockstill on DSK4VPTVN1PROD with NOTICES Federal Register / Vol. 77, No. 49 / Tuesday, March 13, 2012 / Notices 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 postcard 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 May 1, we would anticipate completing data collection at the end of June or early July. 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. Subsequent to the publication of the 60-day Federal Register notice (June 10, 2011; 76 FR 34076), the survey instrument has been separated into two surveys. Prior to this action, there was one survey proposed for the Quality of Care and Appeals review types. Once approved by OMB, there will be two survey instruments that will request similar information: one for Quality of Care and one for Appeals. 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: 4,002. (For policy questions regarding this collection, contact Coles Mercier at 410–786–2112. For all other issues call (410) 786–1326.) 3. Type of Information Collection Request: Extension without change of a currently approved collection; Title of Information Collection: Medicare and Medicaid Programs OASIS Collection Requirements as Part of the CoPs for HHAs and Supp. Regs. in 42 CFR 48.55, 484.205, 484.245, 484.250; Use: This data set is currently mandated for use by Home Health Agencies (HHAs) as a condition of participation (CoP) in the Medicare program. Since 1999, the Medicare CoPs have mandated that VerDate Mar<15>2010 18:29 Mar 12, 2012 Jkt 226001 HHAs use the OASIS data set when evaluating adult non-maternity patients receiving skilled services. The OASIS is a core standard assessment data set that agencies integrate into their own patient-specific, comprehensive assessment to identify each patient’s need for home care that meets the patient’s medical, nursing, rehabilitative, social, and discharge planning needs. There have not been any changes to the PRA package that is associated with the 60-day Federal Register notice that published on December 16, 2011 (76 FR 78264); Form Number: CMS–R–245 (OCN 0938–0760); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 11,495; Total Annual Responses: 16,476,008; Total Annual Hours: 16,567,968. (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 http://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 April 12, 2012. OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395– 6974, Email: OIRA_submission@omb.eop.gov. Dated: March 6, 2012. Martique Jones, Director, Regulations Development Group, Division-B, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2012–6036 Filed 3–12–12; 8:45 am] BILLING CODE 4120–01–P PO 00000 Frm 00084 Fmt 4703 Sfmt 4703 14807 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare and Medicaid Services [Document Identifier: CMS–10428] Emergency Clearance: Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) Centers for Medicare and 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 and 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 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. We are, however, requesting an emergency review of the information collection referenced below. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, we have submitted to the Office of Management and Budget (OMB) the following requirements for emergency review. We are requesting an emergency review to ensure compliance with section 1862(a)(1)(A) of the Social Security Act. We cannot reasonably comply with the normal clearance procedures in that public harm is reasonably likely to result if normal clearance procedures are followed as stated in 5 CFR 1320.13(a)(2)(i). 1. Type of Information Collection Request: New collection; Title of Information Collection: Pre-Existing Condition Insurance Plan (PCIP) HIPAA Authorization Form; Use: Unless permitted or required by law, the Health Insurance Portability and Accountability Act (HIPAA) privacy regulation at 45 CFR 164.508 prohibits CMS’ Pre-Existing Condition Insurance Plan (PCIP) program (a HIPAA covered entity) from disclosing an individual’s protected health information without a AGENCY: E:\FR\FM\13MRN1.SGM 13MRN1 14808 Federal Register / Vol. 77, No. 49 / Tuesday, March 13, 2012 / Notices valid authorization. In order to be valid, an authorization must include specified core elements and statements. CMS will make available to PCIP applicants and enrollees a standard, valid authorization to enable beneficiaries to request the disclosure of their protected health information. CMS will make available to PCIP applicants and enrollees a standard, valid authorization to enable beneficiaries to communicate with PCIP about their personal health information. This is a critical tool because the population the PCIP program serves is comprised of individuals with preexisting conditions who may be incapacitated and need an advocate to help them apply for or receive benefits from the program. This standard authorization will simplify the process of requesting information disclosure for beneficiaries and minimize the response time for the PCIP program; Form Number: CMS–10428 (OMB 0938–New); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 2,100; Total Annual Responses: 2,100; Total Annual Hours: 525. (For policy questions regarding this collection contact Laura Dash at 410–786–8623. For all other issues call 410–786–1326.) CMS is requesting OMB review and approval of this collection by March 22, 2012. To be assured consideration, comments and recommendations for the proposed information collections must be received by via one of the methods below on March 19, 2012. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS’ Web Site address at http://www.cms.gov/ PaperworkReductionActof1995/PRAL/ list.asp 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. Interested persons are invited to send comments regarding the burden or any other aspect of these collections of information requirements. However, as noted above, comments on these information collection and recordkeeping requirements must be received via one of the following methods by March 19, 2012. 1. Electronically. You may submit your comments electronically to http:// www.regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) 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 CMS– 10417, Room C4–26–05, 7500 Security Boulevard, Baltimore, Maryland 21244– 1850. 3. By Email to OMB. OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Email: OIRA_submission@omb.eop.gov. DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Comment Request Title: Descriptive Study of Tribal Temporary Assistance for Needy Families (TANF) Programs—Interview Guides. OMB No.: New Collection. Description: The Administration for Children and Families (ACF) is proposing an information collection activity as part of the Descriptive Study of Tribal TANF Programs. The proposed information collection consists of semistructured interviews and focus groups with key Tribal TANF respondents on questions of Tribal TANF administration, policies, service delivery, and program context. Through this information collection, ACF seeks to gain an in-depth, systematic understanding of program implementation, operations, outputs and outcomes in selected sites, and identify promising practices and other areas for further study. Respondents: Semi-structured interviews will be held with Tribal TANF administrators and staff, and staff of related programs. Focus groups will be held with Tribal TANF clients. Dated: March 8, 2012. Martique Jones, Director, Regulations Development Group, Division B, Office of Strategic Operations and Regulatory Affairs. Annual Burden Estimates Please note that the burden rates below are revised since the 60 day Federal Register Notice to reflect lower burden hours. [FR Doc. 2012–6035 Filed 3–12–12; 8:45 am] BILLING CODE 4120–01–P TABLE 1—ANNUAL BURDEN ESTIMATES Annual number of respondents Instrument Number of responses per respondent Average burden hours per response Total annual burden hours 4 1 1.5 6 Discussion Guide for use with tribal TANF Staff ............................................. 12 1 1 12 Discussion Guide for use with Focus Groups with tribal TANF clients .......... 20 1 2 40 Discussion guide for use with staff of related programs ................................. 20 1 1 20 All instruments: ......................................................................................... mstockstill on DSK4VPTVN1PROD with NOTICES Discussion Guide for use with tribal TANF Administrators ............................. ........................ ........................ ........................ 78 Additional Information Copies of the proposed collection may be obtained by writing to the Administration for Children and Families, Office of Planning, Research, and Evaluation, 370 L’Enfant Promenade, SW., Washington, DC VerDate Mar<15>2010 18:29 Mar 12, 2012 Jkt 226001 20447, Attn: OPRE Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: OPREinfocollection@acf.hhs.gov. OMB Comment: OMB is required to make a decision concerning the collection of PO 00000 Frm 00085 Fmt 4703 Sfmt 4703 information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed E:\FR\FM\13MRN1.SGM 13MRN1

Agencies

[Federal Register Volume 77, Number 49 (Tuesday, March 13, 2012)]
[Notices]
[Pages 14807-14808]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-6035]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-10428]


Emergency Clearance: Public Information Collection Requirements 
Submitted to the Office of Management and Budget (OMB)

AGENCY: Centers for Medicare and 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 and 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 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.
    We are, however, requesting an emergency review of the information 
collection referenced below. In compliance with the requirement of 
section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, we have 
submitted to the Office of Management and Budget (OMB) the following 
requirements for emergency review. We are requesting an emergency 
review to ensure compliance with section 1862(a)(1)(A) of the Social 
Security Act. We cannot reasonably comply with the normal clearance 
procedures in that public harm is reasonably likely to result if normal 
clearance procedures are followed as stated in 5 CFR 1320.13(a)(2)(i).
    1. Type of Information Collection Request: New collection; Title of 
Information Collection: Pre-Existing Condition Insurance Plan (PCIP) 
HIPAA Authorization Form; Use: Unless permitted or required by law, the 
Health Insurance Portability and Accountability Act (HIPAA) privacy 
regulation at 45 CFR 164.508 prohibits CMS' Pre-Existing Condition 
Insurance Plan (PCIP) program (a HIPAA covered entity) from disclosing 
an individual's protected health information without a

[[Page 14808]]

valid authorization. In order to be valid, an authorization must 
include specified core elements and statements. CMS will make available 
to PCIP applicants and enrollees a standard, valid authorization to 
enable beneficiaries to request the disclosure of their protected 
health information. CMS will make available to PCIP applicants and 
enrollees a standard, valid authorization to enable beneficiaries to 
communicate with PCIP about their personal health information. This is 
a critical tool because the population the PCIP program serves is 
comprised of individuals with pre-existing conditions who may be 
incapacitated and need an advocate to help them apply for or receive 
benefits from the program. This standard authorization will simplify 
the process of requesting information disclosure for beneficiaries and 
minimize the response time for the PCIP program; Form Number: CMS-10428 
(OMB 0938-New); Frequency: Occasionally; Affected Public: Private 
Sector (Business or other for-profit and Not-for-profit institutions); 
Number of Respondents: 2,100; Total Annual Responses: 2,100; Total 
Annual Hours: 525. (For policy questions regarding this collection 
contact Laura Dash at 410-786-8623. For all other issues call 410-786-
1326.)
    CMS is requesting OMB review and approval of this collection by 
March 22, 2012. To be assured consideration, comments and 
recommendations for the proposed information collections must be 
received by via one of the methods below on March 19, 2012.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.cms.gov/PaperworkReductionActof1995/PRAL/list.asp 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.
    Interested persons are invited to send comments regarding the 
burden or any other aspect of these collections of information 
requirements. However, as noted above, comments on these information 
collection and recordkeeping requirements must be received via one of 
the following methods by March 19, 2012.
    1. Electronically. You may submit your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) 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 
CMS-10417, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 
21244-1850.

3. By Email to OMB. OMB, Office of Information and Regulatory Affairs, 
Attention: CMS Desk Officer, Email: OIRA_submission@omb.eop.gov.

    Dated: March 8, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-6035 Filed 3-12-12; 8:45 am]
BILLING CODE 4120-01-P