Agency Information Collection Activities: Submission for OMB Review; Comment Request, 14806-14807 [2012-6036]
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14806
Federal Register / Vol. 77, No. 49 / Tuesday, March 13, 2012 / Notices
Advisory Committee, 1600 Clifton Road
NE., Mailstop E–94, Atlanta, Georgia
30333, telephone 404/498–6400 or fax
404/498–6410.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Dated: March 6, 2012.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2012–6080 Filed 3–12–12; 8:45 am]
BILLING CODE 4163–18–P
Dated: March 6, 2012.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2012–6075 Filed 3–12–12; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1880 and –1882;
CMS–10393; and CMS–R–245]
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 without change of a
currently approved collection. Title of
Information Collection: Certification as
a Supplier of Portable X-Ray and
Portable X-Ray Survey Report Form and
Supporting Regulations at 42 CFR Part
486.100–486.110. Use: CMS–1880 is
initially completed by suppliers of
portable X-ray services, expressing an
interest in and requesting participation
in the Medicare program. This form
initiates the process of obtaining a
decision as to whether the conditions of
coverage are met as a portable X-ray
supplier. It also promotes data reduction
or introduction to, and retrieval from,
the Certification and Survey Provider
Enhanced Reporting (CASPER) by the
CMS Regional Offices (ROs).
CMS–1882 is used by the State survey
agency to provide data collected during
AGENCY:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
mstockstill on DSK4VPTVN1PROD with NOTICES
Disease, Disability, and Injury
Prevention and Control Special
Emphasis Panel (SEP): Initial Review
The meeting announced below
concerns Epidemiology, Prevention and
Treatment of Influenza and Other
Respiratory Infections in Ghana, Studies
at the Animal-Human Interface of
Influenza and Other Zoonotic Diseases
in Vietnam, The Incidence of
Community Associated Influenza and
Other Respiratory Infections in the
United States, and Epidemiology,
Prevention and Treatment of Influenza
and Other Respiratory Infections in
Panama and Central America Region,
Funding Opportunity Announcements
(FOAs) IP12–001, IP12–002,IP12–003,
and IP12–006, initial review.
Correction: The notice was published
in the Federal Register on January 26,
2012, Volume 77, Number 17, Page
4047. The place should read as follows:
Place: Crowne Plaza Hotel AtlantaAirport, 1325 Virginia Avenue, Atlanta,
GA 30344, Telephone: (404) 768–6660.
Contact Person for More Information:
Gregory Anderson, MPH, MS, Scientific
Review Officer, CDC, 1600 Clifton Road,
NE., Mailstop E60, Atlanta, Georgia
30333, Telephone: (404) 718–8833.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
VerDate Mar<15>2010
18:29 Mar 12, 2012
Jkt 226001
PO 00000
Frm 00083
Fmt 4703
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an on-site survey of a supplier of
portable X-ray services to determine
compliance with the applicable
conditions of participation and to report
this information to the Federal
Government. The form is primarily a
coding worksheet designed to facilitate
data reduction and retrieval into the
ASPEN system at the CMS ROs. The
form includes basic information on
compliance (i.e., met, not met,
explanatory statements) and does not
require any descriptive information
regarding the survey activity itself. CMS
has the responsibility and authority for
certification decisions which are based
on supplier compliance with the
applicable conditions of participation.
The information needed to make these
decisions is available to CMS only
through the use of information
abstracted from the survey report form.
Subsequent to the publication of the
60-day Federal Register notice
(December 23, 2011; 76 FR 80372), the
Supporting Statement has been revised
by making editorial changes and by
adding clarifying language. The
requirements and burden estimates have
not changed. Form Numbers: CMS–1880
(Request for Certification as a Supplier
of Portable X-Ray Services), CMS–1882
(Medicare/Medicaid Portable X-Ray
Survey Report), and OCN 0938–0027.
Frequency: Occasionally. Affected
Public: State, Local, or Tribal
Governments. Number of Respondents:
579. Total Annual Responses: 86. Total
Annual Hours: 151. (For policy
questions regarding this collection
contact Georgia Johnson at 410–786–
6859. For all other issues call 410–786–
1326.)
2. 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
E:\FR\FM\13MRN1.SGM
13MRN1
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 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 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
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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
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]]>Agencies
[Federal Register Volume 77, Number 49 (Tuesday, March 13, 2012)]
[Notices]
[Pages 14806-14807]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-6036]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1880 and -1882; CMS-10393; and CMS-R-245]
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 without change
of a currently approved collection. Title of Information Collection:
Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey
Report Form and Supporting Regulations at 42 CFR Part 486.100-486.110.
Use: CMS-1880 is initially completed by suppliers of portable X-ray
services, expressing an interest in and requesting participation in the
Medicare program. This form initiates the process of obtaining a
decision as to whether the conditions of coverage are met as a portable
X-ray supplier. It also promotes data reduction or introduction to, and
retrieval from, the Certification and Survey Provider Enhanced
Reporting (CASPER) by the CMS Regional Offices (ROs).
CMS-1882 is used by the State survey agency to provide data
collected during an on-site survey of a supplier of portable X-ray
services to determine compliance with the applicable conditions of
participation and to report this information to the Federal Government.
The form is primarily a coding worksheet designed to facilitate data
reduction and retrieval into the ASPEN system at the CMS ROs. The form
includes basic information on compliance (i.e., met, not met,
explanatory statements) and does not require any descriptive
information regarding the survey activity itself. CMS has the
responsibility and authority for certification decisions which are
based on supplier compliance with the applicable conditions of
participation. The information needed to make these decisions is
available to CMS only through the use of information abstracted from
the survey report form.
Subsequent to the publication of the 60-day Federal Register notice
(December 23, 2011; 76 FR 80372), the Supporting Statement has been
revised by making editorial changes and by adding clarifying language.
The requirements and burden estimates have not changed. Form Numbers:
CMS-1880 (Request for Certification as a Supplier of Portable X-Ray
Services), CMS-1882 (Medicare/Medicaid Portable X-Ray Survey Report),
and OCN 0938-0027. Frequency: Occasionally. Affected Public: State,
Local, or Tribal Governments. Number of Respondents: 579. Total Annual
Responses: 86. Total Annual Hours: 151. (For policy questions regarding
this collection contact Georgia Johnson at 410-786-6859. For all other
issues call 410-786-1326.)
2. 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
[[Page 14807]]
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
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 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 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 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 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
