Agency Information Collection Activities: Submission for OMB Review; Comment Request, 23265-23266 [2012-9259]
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Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Notices
approved collection; Title of
Information Collection: Medicare Part D
Reporting Requirements and Supporting
Regulations; Use: Title I of 42 CFR, part
423, § 423.514, requires each Part D
Sponsor to have an effective procedure
to provide statistics indicating: the cost
of its operations, the patterns of
utilization of its services, the
availability, accessibility, and
acceptability of its services, information
demonstrating it has a fiscally sound
operation and other matters as required
by CMS. In addition, subsection 423.505
of the Medicare Prescription Drug,
Improvement, and Modernization Act
(MMA), establishes as a contract
provision that Part D Sponsors must
comply with the reporting requirements
for submitting drug claims and related
information to CMS. Data collected via
Medicare Part D Reporting
Requirements is an integral resource for
oversight, monitoring, compliance and
auditing activities necessary to ensure
quality provision of the Medicare
Prescription Drug Benefit to
beneficiaries. The data collected will be
validated, analyzed, and utilized for
trend reporting.
The revisions for the CY2013 include
the removal, addition or both of data
elements for the Prompt Payment by
Part D Sponsors, Grievances, Fraud,
Waste, and Abuse Compliance
Programs, and Plan Oversight of Agents
reporting sections; however, these
changes resulted in no changes to the
burden for these sections. In addition,
we added data elements and revised
data elements for the Medication
Therapy Management Programs and the
Coverage Determinations and
Exceptions reporting sections, which
resulted in an increase in burden hours
for both sections. Lastly, we removed
the following reporting sections and
decreased burden estimates associated
with these sections because these data
are no longer necessary for monitoring
through these reporting requirements:
Access to Extended Day Supplies at
Retail Pharmacies; and Pharmacy
Support of E-prescribing. Form Number:
CMS–10185 (OCN: 0938–0992);
Frequency: Yearly, Quarterly, SemiAnnually; Affected Public: Private
Sector, business or other for-profit;
Number of Respondents: 3,180; Total
Annual Responses: 48,152; Total
Annual Hours: 76,240. (For policy
questions regarding this collection
contact LaToyia Grant at 410–786–5434.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB Control Number). Title of
Information Collection: Surveys of
Physicians and Home Health Agencies
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to Assess Access Issues for Specific
Medicare Beneficiaries as Defined in
Section 3131(d) of the ACA. Use: This
collection is part of a study called for
under section 3131(d) of the Patient
Protection and Affordable Care Act
(ACA). The study is focused on two
major issues: (1) Supporting CMS’
efforts to improve payment accuracy
and (2) understanding issues of access
for the ACA populations under the
existing home health prospective
payment system. The study team’s
analytic plan focuses on understanding
payment accuracy for the specific study
populations through claims and cost
data analyses, which will reflect
payments and costs for patients who
have gained access to home health care.
In order to understand access issues for
the ACA defined populations, the study
team proposes using survey instruments
to better understand the characteristics
of Medicare beneficiaries who are not
able to gain access to or have
experienced delays in gaining access to
home health services.
As a new collection, the information
collected is expected to support CMS’
efforts to improve the home health
prospective payment system payment
accuracy for vulnerable populations and
thereby ensure the payment system does
not inadvertently cause avoidable access
problems. The questions are designed to
provide insights into access issues for
vulnerable populations that cannot be
learned through analyses of
administrative data. Form Number:
CMS–10429 (OCN: 0938–New);
Frequency: Once. Affected Public:
Private Sector (business or other forprofit and not-for-profit institutions).
Number of Respondents: 875. Total
Annual Responses: 292. Total Annual
Hours: 73. (For policy questions
regarding this collection contact Kristy
Chu at 410–786–8953. 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.
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 June 18, 2012:
PO 00000
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23265
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 Numberlll,
Room C4–26–05,
7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
Dated: April 12, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–9258 Filed 4–17–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–668B, CMS–1557
and CMS–10399]
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
AGENCY:
E:\FR\FM\18APN1.SGM
18APN1
mstockstill on DSK4VPTVN1PROD with NOTICES
23266
Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Notices
Information Collection: Post Clinical
Laboratory Survey Questionnaire and
Supporting Regulations in 42 CFR
493.1771, 493.1773, and 493.1777. Use:
Form CMS–668B is used by a Clinical
Laboratory Improvement Amendments
(CLIA) laboratory to express its
satisfaction with the survey process and
to make recommendations for
improvement. Surveyors furnish this
form to all laboratories that receive
either an onsite survey or the Alternate
Quality Assessment Survey (i.e., paper
survey of quality indicators). CMS
Central Office performs an overview
evaluation of the completed forms. Each
calendar year, a summary of the
information collected is sent to the State
and CMS Regional Office. Form
Number: CMS–668B (OCN 0938–0653).
Frequency: Biennially; Affected Public:
Business or other for-profits and not-forprofit institutions. State, Local, or Tribal
Government, Federal Government.
Number of Respondents: 21,000. Total
Annual Responses: 10,500. Total
Annual Hours: 2,625. (For policy
questions regarding this collection
contact Kathleen Todd at 410–786–
3385. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection. Title of
Information Collection: Survey Report
Form for Clinical Laboratory
Improvement Amendments (CLIA) and
Supporting Regulations in 42 CFR
493.1–493.2001. Use: CMS 1557 is used
to report surveyor findings during a
CLIA survey. For each type of survey
conducted (i.e., initial certification,
recertification, validation, complaint,
addition/deletion of specialty/
subspecialty, transfusion fatality
investigation, or revisit inspections) the
Survey Report Form incorporates the
requirements specified in the CLIA
regulations. Form Number: CMS–1557
(OCN 0938–0544). Frequency:
Biennially. Affected Public: Business or
other for-profit, Not-for-profit
institutions, State, Local or Tribal
Governments and Federal Government.
Number of Respondents: 21,000. Total
Annual Responses: 10,500. Total
Annual Hours: 5,248. (For policy
questions regarding this collection
contact Kathleen Todd at 410–786–
3385. For all other issues call 410–786–
1326.)
3. Type of Information Collection
Request: New collection; Title of
Information Collection: Analysis of
Transportation Barriers to Utilization of
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Medicare Services by American Indian
and Alaska Native Medicare
Beneficiaries; Use: The purpose of the
proposed study is to identify and
analyze transportation barriers
associated with the utilization of
Medicare services by American Indian
and Alaska Native (AI/AN)
beneficiaries, to identify and analyze the
health outcomes resulting from those
barriers, and ultimately to identify
potential solutions that could help
mitigate the problem and produce
meaningful improvements in health care
use and health outcomes for this
population. Specifically, the
information that will be collected
through the use of instruments and the
study developed under the Analysis of
Transportation Barriers to Utilization of
Medicare Services by American Indian
and Alaska Native Medicare
Beneficiaries Project has not been
collected or evaluated previously by any
agency or individual, so data on the
extent of transportation barriers for rural
AI/AN beneficiaries to Medicare
services by AI/AN Medicare
beneficiaries are not available except
from the proposed data collection
activity.
The information gathered as part of
the project—through the use of survey,
interview, and focus group
instruments—will be used by CMS to
identify transportation barriers to
Medicare services for AI/AN Medicare
beneficiaries. It will provide the first
ever complete evaluation of
transportation barriers to health care for
this population.
The information collection request
has been revised since the publication
of the 60-day Federal Register notice.
Several questions were added in
response to public comments. In
addition to new questions, several
clarifying edits were made as well. Form
Number: CMS–10399 (OMB # 0938–
NEW); Frequency: Occasionally;
Affected Public: Individuals and
Households, Private Sector; Number of
Respondents: 3,418; Total Annual
Responses: 3,418; Total Annual Hours:
2,544. (For policy questions regarding
this collection contact Roger Goodacre
at 410–786–3209. 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
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
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 May 18, 2012.
OMB, Office of Information and
Regulatory Affairs,
Attention: CMS Desk Officer,
Fax Number: (202) 395–6974,
Email: OIRA_submission@omb.eop.gov.
Dated: April 12, 2012.
Martique Jones,
Director, Regulations Development Group,
Division-B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–9259 Filed 4–17–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Proposed Projects
Title: National Youth in Transition
Database and Youth Outcome Survey.
OMB No.: 0970–0340.
Description: The Foster Care
Independence Act of 1999 (42 U.S.C.
1305 et seq.) as amended by Public Law
106–169 requires State child welfare
agencies to collect and report to the
Administration on Children and
Families (ACF) data on the
characteristics of youth receiving
independent living services and
information regarding their outcomes.
The regulation implementing the
National Youth in Transition Database,
listed in 45 CFR 1356.80, contains
standard data collection and reporting
requirements for States to meet the law’s
requirements. ACF will use the
information collected under the
regulation to track independent living
services, assess the collective outcomes
of youth, and potentially to evaluate
State performance with regard to those
outcomes consistent with the law’s
mandate.
Respondents: State agencies that
administer the John H. Chafee Foster
Care Independence Program.
E:\FR\FM\18APN1.SGM
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]]>Agencies
[Federal Register Volume 77, Number 75 (Wednesday, April 18, 2012)]
[Notices]
[Pages 23265-23266]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-9259]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-668B, CMS-1557 and CMS-10399]
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
[[Page 23266]]
Information Collection: Post Clinical Laboratory Survey Questionnaire
and Supporting Regulations in 42 CFR 493.1771, 493.1773, and 493.1777.
Use: Form CMS-668B is used by a Clinical Laboratory Improvement
Amendments (CLIA) laboratory to express its satisfaction with the
survey process and to make recommendations for improvement. Surveyors
furnish this form to all laboratories that receive either an onsite
survey or the Alternate Quality Assessment Survey (i.e., paper survey
of quality indicators). CMS Central Office performs an overview
evaluation of the completed forms. Each calendar year, a summary of the
information collected is sent to the State and CMS Regional Office.
Form Number: CMS-668B (OCN 0938-0653). Frequency: Biennially; Affected
Public: Business or other for-profits and not-for-profit institutions.
State, Local, or Tribal Government, Federal Government. Number of
Respondents: 21,000. Total Annual Responses: 10,500. Total Annual
Hours: 2,625. (For policy questions regarding this collection contact
Kathleen Todd at 410-786-3385. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection. Title of Information Collection: Survey Report
Form for Clinical Laboratory Improvement Amendments (CLIA) and
Supporting Regulations in 42 CFR 493.1-493.2001. Use: CMS 1557 is used
to report surveyor findings during a CLIA survey. For each type of
survey conducted (i.e., initial certification, recertification,
validation, complaint, addition/deletion of specialty/subspecialty,
transfusion fatality investigation, or revisit inspections) the Survey
Report Form incorporates the requirements specified in the CLIA
regulations. Form Number: CMS-1557 (OCN 0938-0544). Frequency:
Biennially. Affected Public: Business or other for-profit, Not-for-
profit institutions, State, Local or Tribal Governments and Federal
Government. Number of Respondents: 21,000. Total Annual Responses:
10,500. Total Annual Hours: 5,248. (For policy questions regarding this
collection contact Kathleen Todd at 410-786-3385. For all other issues
call 410-786-1326.)
3. Type of Information Collection Request: New collection; Title of
Information Collection: Analysis of Transportation Barriers to
Utilization of Medicare Services by American Indian and Alaska Native
Medicare Beneficiaries; Use: The purpose of the proposed study is to
identify and analyze transportation barriers associated with the
utilization of Medicare services by American Indian and Alaska Native
(AI/AN) beneficiaries, to identify and analyze the health outcomes
resulting from those barriers, and ultimately to identify potential
solutions that could help mitigate the problem and produce meaningful
improvements in health care use and health outcomes for this
population. Specifically, the information that will be collected
through the use of instruments and the study developed under the
Analysis of Transportation Barriers to Utilization of Medicare Services
by American Indian and Alaska Native Medicare Beneficiaries Project has
not been collected or evaluated previously by any agency or individual,
so data on the extent of transportation barriers for rural AI/AN
beneficiaries to Medicare services by AI/AN Medicare beneficiaries are
not available except from the proposed data collection activity.
The information gathered as part of the project--through the use of
survey, interview, and focus group instruments--will be used by CMS to
identify transportation barriers to Medicare services for AI/AN
Medicare beneficiaries. It will provide the first ever complete
evaluation of transportation barriers to health care for this
population.
The information collection request has been revised since the
publication of the 60-day Federal Register notice. Several questions
were added in response to public comments. In addition to new
questions, several clarifying edits were made as well. Form Number:
CMS-10399 (OMB 0938-NEW); Frequency: Occasionally; Affected
Public: Individuals and Households, Private Sector; Number of
Respondents: 3,418; Total Annual Responses: 3,418; Total Annual Hours:
2,544. (For policy questions regarding this collection contact Roger
Goodacre at 410-786-3209. 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 May 18, 2012.
OMB, Office of Information and Regulatory Affairs,
Attention: CMS Desk Officer,
Fax Number: (202) 395-6974,
Email: OIRA_submission@omb.eop.gov.
Dated: April 12, 2012.
Martique Jones,
Director, Regulations Development Group, Division-B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-9259 Filed 4-17-12; 8:45 am]
BILLING CODE 4120-01-P
