Agency Information Collection Activities: Submission for OMB Review; Comment Request, 43288-43289 [2012-17924]
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43288
Federal Register / Vol. 77, No. 142 / Tuesday, July 24, 2012 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Number of
responses per
respondent
Form
Community Leaders .............................................
On-line survey ..............
600
1
1
600
Total Burden Hours .......................................
.......................................
........................
........................
........................
1,800
Kimberly S. Lane,
Deputy Director, Office of Scientific Integrity,
Office of the Associate Director for Science,
Office of the Director, Centers for Disease
Control and Prevention.
[FR Doc. 2012–17984 Filed 7–23–12; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10389, CMS–
855S and CMS–855(A,B,I,R)]
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 (request for a
new OMB control number). Title of
Information Collection: The Home and
Community-Based Service (HCBS)
Experience Survey. Use: This study is a
one-time pilot field test involving
individuals who receive HCBS from
Medicaid programs. The field test will
be conducted for the following
purposes: (a) To assess survey
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Number of
respondents
Average
burden per
respondent
(in hours)
Type of
respondent
methodology—to determine how well a
face-to-face survey and telephone
survey performs with individuals who
receive HCBS services; (b) Psychometric
Analysis—to 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; and (c)
Case mix adjustment analysis—to 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 PRA package’s 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: 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.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Enrollment Application—Durable
Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS)
Suppliers Use: The primary function of
the CMS 855S Durable Medical
PO 00000
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Fmt 4703
Sfmt 4703
Total burden
hours
Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS) supplier
enrollment application is to gather
information from a supplier that tells us
who it is, whether it meets certain
qualifications to be a health care
supplier, where it renders its services or
supplies, the identity of the owners of
the enrolling entity, and information
necessary to establish the correct claims
payment. The goal of evaluating and
revising the CMS 855S DMEPOS
supplier enrollment application is to
simplify and clarify the information
collection without jeopardizing our
need to collect specific information. The
majority of the revisions contained in
this submission are non-substantive in
nature such as spelling and formatting
corrections; however, we also removed
duplicate fields and obsolete questions
and provided clarification and
simplified the instructions for the
completing the application. Form
Number: CMS–855(S) (OCN: 0938–
1056); Frequency: Yearly; Affected
Public: Private Sector; Business or other
for-profit and not-for-profit institutions;
Number of Respondents: 43,350; Total
Annual Responses: 43,350; Total
Annual Hours: 113,550 (For policy
questions regarding this contact Kim
McPhillips at 410–786–5374. For all
other issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Enrollment Application Use: The
primary function of the CMS–855
Medicare enrollment application is to
gather information from a provider or
supplier that tells us who it is, whether
it meets certain qualifications to be a
health care provider or supplier, where
it practices or renders its services, the
identity of the owners of the enrolling
entity, and other information necessary
to establish correct claims payments.
Form Number: CMS–855(A, B, I, R)
(OCN: 0938–0685); Frequency: Yearly;
Affected Public: Private Sector; Business
or other for-profit and not-for-profit
institutions; Number of Respondents:
440,450; Total Annual Responses:
440,450; Total Annual Hours: 856,395
(For policy questions regarding this
E:\FR\FM\24JYN1.SGM
24JYN1
Federal Register / Vol. 77, No. 142 / Tuesday, July 24, 2012 / Notices
contact Kim McPhillips at 410–786–
5374. 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 August 23, 2012.
OMB, Office of Information and
Regulatory Affairs,
Attention: CMS Desk Officer,
Fax Number: (202) 395–6974,
Email: OIRA_submission@omb.eop.gov.
Dated: July 18, 2012.
Martique Jones,
Director, Regulations Development Group,
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2012–17924 Filed 7–23–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10305]
Agency Information Collection
Activities: Proposed Collection;
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) 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
sroberts on DSK5SPTVN1PROD with NOTICES
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21:52 Jul 23, 2012
Jkt 226001
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title: Medicare
Part C and Part D Data Validation (42
CFR 422.516g and 423.514g); Use: The
Centers for Medicare and Medicaid
Services (CMS) established reporting
requirements for Medicare Part C and
Part D sponsoring organizations
(Medicare Advantage Organizations
[MAOs], Cost Plans, and Medicare Part
D sponsors) under the authority
described in 42 CFR 422.516(a) and
423.514(a), respectively. Under these
reporting requirements, each sponsoring
organization must submit Medicare Part
C, Medicare Part D, or Medicare Part C
and Part D data (depending on the type
of contracts they have in place with
CMS). In order for the reported data to
be useful for monitoring and
performance measurement, it must be
reliable, valid, complete, and
comparable among sponsoring
organizations. In 2009, CMS developed
the data validation program as a
mechanism to verify the data reported
are accurate, valid, and reliable. To
maintain the independence of the
validation process, sponsoring
organizations do not use their own staff
to conduct the data validation. Instead,
sponsoring organizations are
responsible for hiring external,
independent data validation contractors
(DVCs) who meet a minimum set of
qualifications and credentials.
CMS developed standards and data
validation criteria for specific Medicare
Part C and Part D reporting
requirements that the DVCs use in
validating the sponsoring organizations’
data.1 These standards and criteria are
described in Appendix 1 ‘‘Data
Validation Standards.’’ The data
validation standards for each measure
include standard instructions relating to
the types of information that should be
reviewed, and measure-specific criteria
(MSC) that are aligned with the
‘‘Medicare Part C and Part D Reporting
Requirement Technical Specifications.’’
Furthermore, the standards and criteria
describe how the DVCs should validate
the sponsoring organizations’
compilations of reported data, taking
into account appropriate data
exclusions, and verifying calculations,
source code, and algorithms. The data
validation reviews are conducted at the
contract level given that the Medicare
Part C and Part D data are generally
1 CMS determines annually which Medicare Part
C and Part D measures are included in the data
validation program.
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43289
available at the contract level and the
contract is the basis of any legal and
accountability issues concerning the
rendering of services.
The review is conducted over a threemonth period following the final
submission of data by the sponsoring
organizations. In addition to the ’’Data
Validation Standards’’ described in
Appendix 1, the DVCs employ a set of
information collection tools when
performing their reviews, which are
included in the appendices described
below:
Appendix 2: Organizational Assessment
Instrument
Appendix 3: Data Extraction and
Sampling Instructions
Appendix 4: Instructions for the
Findings Data Collection Form
Appendix 5: Findings Data Collection
Form (FDCF)
Data collected via ‘‘Medicare Part C
and Part D Reporting Requirements’’ is
an integral resource for oversight,
monitoring, compliance and auditing
activities necessary to ensure quality
provision of the Medicare benefits to
beneficiaries. CMS uses the data
collected through the Medicare data
validation program to substantiate the
data collected via Medicare Part C and
Part D Reporting Requirements. If CMS
detects data anomalies, the CMS
division with primary responsibility for
the applicable reporting requirement
assists with determining a resolution.
The hour burden on industry is
estimated at 179,301 total hours, or 879
hours for one contract within one
organization reporting both Part C and
Part D measures. The validation would
require 378 hours from the sponsoring
organization and 501 from the data
validation contractors. The estimates are
based on the total number of Part C and/
or Part D measures, the average number
of sponsors, and the average number of
contracts by type (Part C, Part D, Part C/
D) being validated as well as a level of
effort associated with the individual
activities associated with the data
validation process. Form Number:
CMS–10305 (OCN: 0938–1115);
Frequency: Reporting—Annually;
Affected Public: Private sector—
Business or other for-profits; Number of
Respondents: 135; Total Annual
Responses: 657; Total Annual Hours:
179,301. (For policy questions regarding
this collection contact Terry Lied at
410–786–8973. 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/
E:\FR\FM\24JYN1.SGM
24JYN1
]]>Agencies
[Federal Register Volume 77, Number 142 (Tuesday, July 24, 2012)]
[Notices]
[Pages 43288-43289]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17924]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10389, CMS-855S and CMS-855(A,B,I,R)]
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: New collection (request
for a new OMB control number). Title of Information Collection: The
Home and Community-Based Service (HCBS) Experience Survey. Use: This
study is a one-time pilot field test involving individuals who receive
HCBS from Medicaid programs. The field test will be conducted for the
following purposes: (a) To assess survey methodology--to determine how
well a face-to-face survey and telephone survey performs with
individuals who receive HCBS services; (b) Psychometric Analysis--to
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; and (c) Case mix adjustment analysis--to 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 PRA
package's 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[supreg] family of surveys. Form Number: CMS-10389 (OCN 0938-New).
Frequency: Once. Affected Public: 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.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Enrollment Application--Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) Suppliers Use: The primary function of
the CMS 855S Durable Medical Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS) supplier enrollment application is to gather
information from a supplier that tells us who it is, whether it meets
certain qualifications to be a health care supplier, where it renders
its services or supplies, the identity of the owners of the enrolling
entity, and information necessary to establish the correct claims
payment. The goal of evaluating and revising the CMS 855S DMEPOS
supplier enrollment application is to simplify and clarify the
information collection without jeopardizing our need to collect
specific information. The majority of the revisions contained in this
submission are non-substantive in nature such as spelling and
formatting corrections; however, we also removed duplicate fields and
obsolete questions and provided clarification and simplified the
instructions for the completing the application. Form Number: CMS-
855(S) (OCN: 0938-1056); Frequency: Yearly; Affected Public: Private
Sector; Business or other for-profit and not-for-profit institutions;
Number of Respondents: 43,350; Total Annual Responses: 43,350; Total
Annual Hours: 113,550 (For policy questions regarding this contact Kim
McPhillips at 410-786-5374. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Enrollment Application Use: The primary function of the CMS-855
Medicare enrollment application is to gather information from a
provider or supplier that tells us who it is, whether it meets certain
qualifications to be a health care provider or supplier, where it
practices or renders its services, the identity of the owners of the
enrolling entity, and other information necessary to establish correct
claims payments. Form Number: CMS-855(A, B, I, R) (OCN: 0938-0685);
Frequency: Yearly; Affected Public: Private Sector; Business or other
for-profit and not-for-profit institutions; Number of Respondents:
440,450; Total Annual Responses: 440,450; Total Annual Hours: 856,395
(For policy questions regarding this
[[Page 43289]]
contact Kim McPhillips at 410-786-5374. 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 August 23, 2012.
OMB, Office of Information and Regulatory Affairs,
Attention: CMS Desk Officer,
Fax Number: (202) 395-6974,
Email: OIRA_submission@omb.eop.gov.
Dated: July 18, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-17924 Filed 7-23-12; 8:45 am]
BILLING CODE 4120-01-P
