Agency Information Collection Activities: Submission for OMB Review; Comment Request, 29645-29646 [2012-12078]
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mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 77, No. 97 / Friday, May 18, 2012 / Notices
provide information for the revision and
shortening of the survey based on the
assessment of the reliability and
construct validity of survey items and
composites. (c) Case mix adjustment
analysis—Assess the variables that may
be considered as case mix adjusters.
These preliminary research activities
are not required by regulation, and will
not be used by CMS to regulate or
sanction its customers. They will be
entirely voluntary and the
confidentiality of respondents and their
responses will be preserved.
The information collected will be
used to revise and test the survey
instrument described in the Background
section of the Supporting Statement.
Within the PRA package, Attachment B
includes two versions of the survey (one
modified for accessibility) and
Attachment C has the introductory
information. The end result will be an
improvement in information collection
instruments and in the quality of data
collected, a reduction or minimization
of respondent burden, increased agency
efficiency, and improved
responsiveness to the public. Following
the field test, CMS will seek approval
from the CAHPS consortium for the
HCBS Experience Survey to be a new
addition to the CAHPS® family of
surveys.
Form Number: CMS–10389 (OCN
0938–New). Frequency: Once. Affected
Public: 1 Individuals and households.
Number of Respondents: 18,000. Total
Annual Responses: 18,000. Total
Annual Hours: 9,000. (For policy
questions regarding this collection
contact Anita Yuskauskas at 410–786–
0268. 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 July 17, 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’’
VerDate Mar<15>2010
18:21 May 17, 2012
Jkt 226001
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
Numberll, Room C4–26–05, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: May 15, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–12080 Filed 5–17–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10136]
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: Reinstatement of a previously
approved collection; Title of
Information Collection: Physician Group
Practice Transition Demonstration
(PGP–TD) Performance Assessment Tool
(‘‘PAT’’); Use: The Physician Group
Practice (PGP) Demonstration was
mandated by section 412 of the
Medicare, Medicaid, and SCHIP
AGENCY:
PO 00000
Frm 00058
Fmt 4703
Sfmt 4703
29645
Benefits Improvement and Protection
Act of 2000 and is the precursor to the
Medicare Shared Savings Program.
Section 1899(k) of the Social Security
Act, as added by section 10307(k) of the
Affordable Care Act (as amended by
section 10307 of the Health Care and
Education Reconciliation Act of 2010),
states ‘‘the Secretary may enter into an
agreement with an ACO under the
Demonstration under section 1866A,
subject to rebasing and other
modifications deemed appropriate by
the Secretary.’’ The Demonstration
extension is entitled the PGP Transition
Demonstration (PGP–TD).
We are seeking reinstatement of the
collection of information as it was
erroneously discontinued. Only a
portion of the information collection
requirements previously approved
under 0938–0941 should have been
discontinued. The collection of
information is strictly voluntary in
nature and was developed in
conjunction with the industry and
Demonstration participants. Only
organizations that voluntarily respond
and elect to participate in the
Demonstration will be reporting the
measures. Moreover, CMS will not be
using this information to regulate or
sanction but rather to provide financial
incentives for improving the quality of
care. The collection of information to be
used under this extension is being used
to test quality data collection systems
and determine incentive payment levels
to participating physician group
practices participating in the PGP–TD.
In addition, this data will be used to
evaluate the effectiveness of these
payment models and provide insight
into the most appropriate way for the
agency to collect clinical information.
Form Number: CMS–10136 (OCN:
0938–0941); Frequency: Yearly; Affected
Public: Private Sector—Business or
other for-profits and not-for-profit
institutions. Number of Respondents:
10. Number of Responses: 10. Total
Annual Hours: 790. (For policy
questions regarding this collection
contact Heather Grimsley at 410–786–
1048. 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.
E:\FR\FM\18MYN1.SGM
18MYN1
29646
Federal Register / Vol. 77, No. 97 / Friday, May 18, 2012 / Notices
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 June 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: May 15, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–12078 Filed 5–17–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10424 and CMS–
10416]
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: New collection; Title of
Information Collection: Cooperative
Agreement to Support Establishment of
the Affordable Care Act’s Health
Insurance Exchanges; Use: All States
(including the 50 States, consortia of
States, and the District of Columbia,
herein referred to as States) are eligible
for the Cooperative Agreement to
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AGENCY:
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18:21 May 17, 2012
Jkt 226001
Support Establishment of the Affordable
Care Act’s Health Insurance Exchanges.
Section 1311 of the Affordable Care Act
provides for grants to States for the
planning and establishment of these
Exchanges. Given the innovative nature
of Exchanges and the statutorilyprescribed relationship between the
Secretary and States in their
development and operation, it is critical
that the Secretary work closely with
States to provide necessary guidance
and technical assistance to ensure that
States can meet the prescribed
timelines, federal requirements, and
goals of the statute.
In order to provide appropriate and
timely guidance and technical
assistance, the Secretary must have
access to timely, periodic information
regarding State progress. Consequently,
the information collection associated
with these grants is essential to
facilitating reasonable and appropriate
federal monitoring of funds, providing
statutorily-mandated assistance to States
to implement Exchanges in accordance
with Federal requirements, and to
ensure that States have all necessary
information required to proceed, such
that retrospective corrective action can
be minimized.
There are two levels of awards for
States to apply for the Establishment
grants. Level One grants are open to
States that are participating in either the
Federally-facilitated Exchange,
including States that will be
collaborating with the Federallyfacilitated Exchange on certain
activities, or developing a State-based
Exchange. Level Two Establishment
grants are open to States that are
establishing a State-based Exchange.
Level One Establishment grantees may
apply for additional funding under
Level Two Establishment grants once
they have achieved the benchmarks
identified in the Level Two
Establishment review criteria.
HHS anticipates releasing this
funding opportunity on June 15, 2012.
There will be ten opportunities for
applicants to apply for funding. HHS
anticipates Level One Establishment
and Level Two Establishment
applications will be due: August 1,
2012; November 1, 2012; February 1,
2013; May 1, 2013; August 1, 2013;
November 1, 2013; February 3, 2014;
May 1, 2014; August 1, 2014; and
November 3, 2014. The Period of
Performance for Level One
Establishment grants is up to one year
after date of award. The Period of
Performance for Level Two
Establishment grants is up to three years
after date of award. Form Number:
CMS–10424 (OCN: 0938–NEW);
PO 00000
Frm 00059
Fmt 4703
Sfmt 4703
Frequency: Annually; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 51; Number of
Responses: 331; Total Annual Hours:
50,158. (For policy questions regarding
this collection contact Katherine
Harkins at 301–492–4445. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Blueprint for
Approval of Affordable State-based and
State Partnership Insurance Exchanges
Use: All States (including the 50 States,
the Territories, and the District of
Columbia herein referred to as States)
have the opportunity under Section
1311(b) of the Affordable Care Act to
establish an Exchange no later than
October 1, 2013 (Plan Year 2014).
Given the innovative nature of
Exchanges and the statutorilyprescribed relationship between the
Secretary and States in their
development and operation, it is critical
that the Secretary work closely with
States to provide necessary guidance
and technical assistance to ensure that
States can meet the prescribed
timelines, federal requirements, and
goals of the statute.
States seeking to establish an
Exchange must build an Exchange that
meets the requirements set out in
Section 1311(d) of the Affordable Care
Act and 45 CFR 155.105. In order to
ensure that a State seeking approval as
a State Exchange or State Partnership
Exchange in the Federally-facilitated
Exchange meet all applicable
requirements the Secretary will require
a State to submit a Blueprint for
approval during the Fall of 2012 and to
demonstrate operational readiness
through virtual or on-site readiness
review. The Blueprint has two sections:
The Blueprint Declaration Letter and the
Blueprint Application. Submission of
this Blueprint Declaration Letter will be
online and on paper and submission of
the Blueprint Application will be
online. Form Number: CMS–10416
(OCN: 0938–New) Frequency: Once;
Affected Public: State, Local, or Tribal
governments; Number of Respondents:
56; Number of Responses: 56; Total
Annual Hours: 11,816. (For policy
questions regarding this collection,
contact Sarah Summer 301–492–4443.
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
E:\FR\FM\18MYN1.SGM
18MYN1
Agencies
[Federal Register Volume 77, Number 97 (Friday, May 18, 2012)]
[Notices]
[Pages 29645-29646]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-12078]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10136]
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: Reinstatement of a
previously approved collection; Title of Information Collection:
Physician Group Practice Transition Demonstration (PGP-TD) Performance
Assessment Tool (``PAT''); Use: The Physician Group Practice (PGP)
Demonstration was mandated by section 412 of the Medicare, Medicaid,
and SCHIP Benefits Improvement and Protection Act of 2000 and is the
precursor to the Medicare Shared Savings Program. Section 1899(k) of
the Social Security Act, as added by section 10307(k) of the Affordable
Care Act (as amended by section 10307 of the Health Care and Education
Reconciliation Act of 2010), states ``the Secretary may enter into an
agreement with an ACO under the Demonstration under section 1866A,
subject to rebasing and other modifications deemed appropriate by the
Secretary.'' The Demonstration extension is entitled the PGP Transition
Demonstration (PGP-TD).
We are seeking reinstatement of the collection of information as it
was erroneously discontinued. Only a portion of the information
collection requirements previously approved under 0938-0941 should have
been discontinued. The collection of information is strictly voluntary
in nature and was developed in conjunction with the industry and
Demonstration participants. Only organizations that voluntarily respond
and elect to participate in the Demonstration will be reporting the
measures. Moreover, CMS will not be using this information to regulate
or sanction but rather to provide financial incentives for improving
the quality of care. The collection of information to be used under
this extension is being used to test quality data collection systems
and determine incentive payment levels to participating physician group
practices participating in the PGP-TD. In addition, this data will be
used to evaluate the effectiveness of these payment models and provide
insight into the most appropriate way for the agency to collect
clinical information. Form Number: CMS-10136 (OCN: 0938-0941);
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits and not-for-profit institutions. Number of Respondents: 10.
Number of Responses: 10. Total Annual Hours: 790. (For policy questions
regarding this collection contact Heather Grimsley at 410-786-1048. 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.
[[Page 29646]]
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 June 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: May 15, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-12078 Filed 5-17-12; 8:45 am]
BILLING CODE 4120-01-P