Agency Information Collection Activities: Proposed Collection; Comment Request, 74018-74019 [2012-29951]
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74018
Federal Register / Vol. 77, No. 239 / Wednesday, December 12, 2012 / Notices
Form
CJD ...................................................
Cyclosporiasis ...................................
Dengue ..............................................
Hantavirus .........................................
Kawasaki Syndrome .........................
Legionellosis .....................................
Lyme Disease ...................................
Malaria ..............................................
Plague ...............................................
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Reye Syndrome ................................
Tick-borne Rickettsia ........................
Trichinosis .........................................
Tularemia ..........................................
Typhoid Fever ...................................
Viral hepatitis ....................................
Total ...........................................
Epidemiologist
Epidemiologist
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Epidemiologist
Epidemiologist
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10
182
3
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12
385
20
1
1
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200
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15/60
15/60
20/60
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20/60
10/60
15/60
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20/60
10/60
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20/60
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110
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3,337
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165
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11,441
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10280 and CMS–
R–131]
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
other forms of information technology to
minimize the information collection
burden.
AGENCY:
mstockstill on DSK4VPTVN1PROD with
Total burden
hours
20
55
55
40
55
23
52
55
11
55
50
55
25
55
55
55
[FR Doc. 2012–30021 Filed 12–11–12; 8:45 am]
15:48 Dec 11, 2012
Avg. burden
per response
(in hrs)
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
..................................
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.
VerDate Mar<15>2010
Number of
responses per
respondent
Number of
respondents
Type of respondent
Jkt 229001
1. Type of Information Collection
Request: New collection; Title: Home
Health Change of Care Notice (HHCCN);
Use: Home health agencies (HHAs) are
required to provide written notice to
original Medicare beneficiaries under
various circumstances involving the
initiation, reduction, or termination of
services. The notice used in these
situations has been the Home Health
Advance Beneficiary Notice (HHABN),
CMS–R–296.
The HHABN, originally a liability
notice specifically for HHA issuance,
was first approved for use and
implementation in 2000 with the home
health prospective payment system
transition. In 2006, the notice
underwent significant modifications
subsequent to the decision of the U.S.
Court of Appeals (2nd Circuit) in Lutwin
v. Thompson. HHABN content and
formatting were revised so that it could
be used to provide beneficiaries with
change of care notification consistent
with HHA Conditions of Participation
(COPs) in addition to its liability notice
function. Three interchangeable option
boxes were introduced to the HHABN to
support the added notification
purposes. Option Box 1 addressed
liability, Option Box 2 addressed change
of care for agency reasons, and Option
Box 3 addressed change of care due to
provider orders. HHABN Collection
0938–0781 last received PRA approval
in 2009 following minor notice changes
such as accessibility reformatting for
compliance with Section 508 of the
Rehabilitation Act of 1973, as amended
in 1998, and removal of the
beneficiary’s health insurance claim
number (HICN).
In an effort to streamline, reduce, and
simplify notices issued to Medicare
beneficiaries, HHABN Option Box 1, the
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
liability notice portion, will be replaced
by the existing Advanced Beneficiary
Notice of Noncoverage (ABN) which is
approved by OMB (0938–0566), for
conveying information on beneficiary
liability. Written notices to inform
beneficiaries of their liability under
specific conditions have been available
since the ‘‘limitation on liability’’
provisions in section 1879 of the Social
Security Act were enacted in 1972 (Pub.
L. 92–603). The ABN (CMS–R–131) is
presently used by providers and
suppliers other than HHAs to inform fee
for service (FFS) Medicare beneficiaries
of potential liability for certain items/
services that might be billed to
Medicare. The HHABN was developed
specifically as the liability notice for
HHA issuance. Since 2006, the HHABN
has evolved to serve both liability and
change of care notification purposes.
Pursuant to a separate PRA package
revising the use of the ABN, HHAs will
now use the ABN for liability
notification, and the HHCCN will be
introduced as a separate, distinct
document to give change of care notice
in compliance with HHA conditions of
participation. The HHCCN will replace
both Option Box 2 and Option Box 3
formats of the HHABN. The single page
format of the HHCCN is designed to
specify whether the change of care is
due to agency reasons or provider
orders. Form Number: CMS–10280
(OCN: 0938–New); Frequency:
Occasionally; Affected Public: Private
Sector—Business or other for-profits
and not-for-profit institutions; Number
of Respondents: 10,914; Total Annual
Responses: 14,126,428; Total Annual
Hours: 941,385. (For policy questions
regarding this collection contact Evelyn
Blaemire at 410–786–1803. For all other
issues call 410–786–1326.)
E:\FR\FM\12DEN1.SGM
12DEN1
mstockstill on DSK4VPTVN1PROD with
Federal Register / Vol. 77, No. 239 / Wednesday, December 12, 2012 / Notices
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Advance
Beneficiary Notice of Noncoverage
(ABN); Use: The use of written notices
to inform beneficiaries of their liability
under specific conditions has been
available since Title XVIII of the Social
Security Act (the Act), section 1879,
Limitation on Liability, was enacted in
1972 (Pub. L. 92–603). Similar required
notification and liability protections are
available under other sections of the
Act: Section 1834(a)(18) refund
requirements for certain items when
unsolicited telephone contacts are
made, section 1834(j)(4) for the same
types of items when there is neither a
required advance coverage
determination nor required supplier
number; 1834(a)(15) also for advance
determinations for these items and
section 1842(l) applicable to physicians
not accepting assignment. Implementing
regulations are found at 42 CFR
411.404(b) and (c), and 411.408(d)(2)
and (f), on written notice requirements.
These statutory requirements apply only
to Original Medicare, not Medicare
Advantage plans.
Under section 1879 of the Act,
Medicare beneficiaries may be held
financially responsible for items or
services usually covered under
Medicare, but denied in an individual
case under specific statutory exclusions,
if the beneficiary is informed prior to
furnishing the issues or services that
Medicare is likely to deny payment.
When required, the ABN is delivered
by Part B paid physicians, providers
(including institutional providers like
outpatient hospitals) practitioners (such
as chiropractors), and suppliers, as well
as hospice providers and Religious Nonmedical Health Care Institutions paid
under Part A. Other Medicare
institutional providers paid under Part
A use other approved notice for this
purpose.
The revised ABN in this information
collection request incorporates
expanded use by Home Health Agencies
(HHAs). There have been no substantive
changes to the form. There are no
changes that will affect existing ABN
users. Form Number: CMS–R–131
(OMB#: 0938–0566); Frequency:
Reporting—Occasionally; Affected
Public: Private Sector—Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
1,288,837; Total Annual Responses:
52,967,771; Total Annual Hours:
6,177,101. (For policy questions
regarding this collection contact Evelyn
Blaemire at 410–786–1803. For all other
issues call 410–786–1326.)
VerDate Mar<15>2010
15:48 Dec 11, 2012
Jkt 229001
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 February 11, 2013:
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 Number ll, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: December 7, 2012.
Martique Jones,
Director, Division of Regulations
Development-B, Office of Strategic Operations
and Regulatory Affairs.
74019
FOR FURTHER INFORMATION CONTACT:
William Parham, (410) 786–4669.
SUPPLEMENTARY INFORMATION:
I. Background
In the FR Doc. 2012–16514 of October
26, 2012 (77 FR 65391), we published a
Paperwork Reduction Act notice
requesting a 60-day public comment
period for the document entitled
‘‘Evaluation and Development of
Outcome Measures for Quality
Assessment in Medicare Advantage and
Special Needs Plans.’’
There were technical delays with
making the information collection
request publicly available; therefore, in
this notice we are extending the
comment period from the date originally
listed in the October 26, 2012 notice.
II. Correction of Error
In FR Doc. 2012–26380 of October 26,
2012 (77 FR 65391), make the following
correction:
On page 65391, second column, third
full paragraph, fourth line, the sentence,
‘‘To be assured consideration,
comments and recommendations must
be submitted in one of the following
ways by December 26, 2012:’’ is
corrected to read ‘‘To be assured
consideration, comments and
recommendations must be submitted in
one of the following ways by January 2,
2012:’’.
[FR Doc. 2012–29951 Filed 12–11–12; 8:45 am]
Dated: December 7, 2012.
Martique Jones,
Director, Division of Regulations
Development-B, Office of Strategic Operations
and Regulatory Affairs.
BILLING CODE 4120–01–P
[FR Doc. 2012–29956 Filed 12–11–12; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10451]
Public Information Collection
Requirements Submitted to the Office
of Management and Budget (OMB);
Correction
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Correction of notice.
AGENCY:
This document corrects a
technical error in the notice [Document
Identifier: CMS–10451] entitled
‘‘Evaluation and Development of
Outcome Measures for Quality
Assessment in Medicare Advantage and
Special Needs Plans’’ that was
published in the October 26, 2012 (77
FR 65391) Federal Register.
SUMMARY:
PO 00000
Frm 00047
Fmt 4703
Sfmt 4703
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Office of Child Support Enforcement;
Privacy Act of 1974; Computer
Matching Agreement
Office of Child Support
Enforcement (OCSE), ACF, HHS.
ACTION: Notice of a Computer Matching
Program.
AGENCY:
In accordance with the
Privacy Act of 1974 (5 U.S.C. 522a), as
amended, OCSE is publishing notice of
a computer matching program between
OCSE and state agencies administering
the Temporary Assistance for Needy
Families (TANF) program.
DATES: HHS invites interested parties to
review, submit written data, comments,
SUMMARY:
E:\FR\FM\12DEN1.SGM
12DEN1
Agencies
[Federal Register Volume 77, Number 239 (Wednesday, December 12, 2012)]
[Notices]
[Pages 74018-74019]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-29951]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10280 and CMS-R-131]
Agency Information Collection Activities: Proposed Collection;
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) 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.
1. Type of Information Collection Request: New collection; Title:
Home Health Change of Care Notice (HHCCN); Use: Home health agencies
(HHAs) are required to provide written notice to original Medicare
beneficiaries under various circumstances involving the initiation,
reduction, or termination of services. The notice used in these
situations has been the Home Health Advance Beneficiary Notice (HHABN),
CMS-R-296.
The HHABN, originally a liability notice specifically for HHA
issuance, was first approved for use and implementation in 2000 with
the home health prospective payment system transition. In 2006, the
notice underwent significant modifications subsequent to the decision
of the U.S. Court of Appeals (2nd Circuit) in Lutwin v. Thompson. HHABN
content and formatting were revised so that it could be used to provide
beneficiaries with change of care notification consistent with HHA
Conditions of Participation (COPs) in addition to its liability notice
function. Three interchangeable option boxes were introduced to the
HHABN to support the added notification purposes. Option Box 1
addressed liability, Option Box 2 addressed change of care for agency
reasons, and Option Box 3 addressed change of care due to provider
orders. HHABN Collection 0938-0781 last received PRA approval in 2009
following minor notice changes such as accessibility reformatting for
compliance with Section 508 of the Rehabilitation Act of 1973, as
amended in 1998, and removal of the beneficiary's health insurance
claim number (HICN).
In an effort to streamline, reduce, and simplify notices issued to
Medicare beneficiaries, HHABN Option Box 1, the liability notice
portion, will be replaced by the existing Advanced Beneficiary Notice
of Noncoverage (ABN) which is approved by OMB (0938-0566), for
conveying information on beneficiary liability. Written notices to
inform beneficiaries of their liability under specific conditions have
been available since the ``limitation on liability'' provisions in
section 1879 of the Social Security Act were enacted in 1972 (Pub. L.
92-603). The ABN (CMS-R-131) is presently used by providers and
suppliers other than HHAs to inform fee for service (FFS) Medicare
beneficiaries of potential liability for certain items/services that
might be billed to Medicare. The HHABN was developed specifically as
the liability notice for HHA issuance. Since 2006, the HHABN has
evolved to serve both liability and change of care notification
purposes. Pursuant to a separate PRA package revising the use of the
ABN, HHAs will now use the ABN for liability notification, and the
HHCCN will be introduced as a separate, distinct document to give
change of care notice in compliance with HHA conditions of
participation. The HHCCN will replace both Option Box 2 and Option Box
3 formats of the HHABN. The single page format of the HHCCN is designed
to specify whether the change of care is due to agency reasons or
provider orders. Form Number: CMS-10280 (OCN: 0938-New); Frequency:
Occasionally; Affected Public: Private Sector--Business or other for-
profits and not-for-profit institutions; Number of Respondents: 10,914;
Total Annual Responses: 14,126,428; Total Annual Hours: 941,385. (For
policy questions regarding this collection contact Evelyn Blaemire at
410-786-1803. For all other issues call 410-786-1326.)
[[Page 74019]]
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Advance
Beneficiary Notice of Noncoverage (ABN); Use: The use of written
notices to inform beneficiaries of their liability under specific
conditions has been available since Title XVIII of the Social Security
Act (the Act), section 1879, Limitation on Liability, was enacted in
1972 (Pub. L. 92-603). Similar required notification and liability
protections are available under other sections of the Act: Section
1834(a)(18) refund requirements for certain items when unsolicited
telephone contacts are made, section 1834(j)(4) for the same types of
items when there is neither a required advance coverage determination
nor required supplier number; 1834(a)(15) also for advance
determinations for these items and section 1842(l) applicable to
physicians not accepting assignment. Implementing regulations are found
at 42 CFR 411.404(b) and (c), and 411.408(d)(2) and (f), on written
notice requirements. These statutory requirements apply only to
Original Medicare, not Medicare Advantage plans.
Under section 1879 of the Act, Medicare beneficiaries may be held
financially responsible for items or services usually covered under
Medicare, but denied in an individual case under specific statutory
exclusions, if the beneficiary is informed prior to furnishing the
issues or services that Medicare is likely to deny payment.
When required, the ABN is delivered by Part B paid physicians,
providers (including institutional providers like outpatient hospitals)
practitioners (such as chiropractors), and suppliers, as well as
hospice providers and Religious Non-medical Health Care Institutions
paid under Part A. Other Medicare institutional providers paid under
Part A use other approved notice for this purpose.
The revised ABN in this information collection request incorporates
expanded use by Home Health Agencies (HHAs). There have been no
substantive changes to the form. There are no changes that will affect
existing ABN users. Form Number: CMS-R-131 (OMB: 0938-0566);
Frequency: Reporting--Occasionally; Affected Public: Private Sector--
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 1,288,837; Total Annual Responses: 52,967,771; Total
Annual Hours: 6,177,101. (For policy questions regarding this
collection contact Evelyn Blaemire at 410-786-1803. 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 February 11, 2013:
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 Number ----, Room C4-26-05, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: December 7, 2012.
Martique Jones,
Director, Division of Regulations Development-B, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2012-29951 Filed 12-11-12; 8:45 am]
BILLING CODE 4120-01-P