Agency Information Collection Activities: Submission for OMB Review; Comment Request, 13679-13680 [2013-04548]
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Federal Register / Vol. 78, No. 40 / Thursday, February 28, 2013 / Notices
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Indirect Medical
Education (IME) and Supporting
Regulations at 42 CFR 412.105; Direct
Graduate Medical Education (GME) and
Supporting Regulations at 412 CFR
413.75 through 83; Use: Section
1886(d)(5)(B) of the Social Security Act
(the Act) requires additional payments
to be made under the Medicare
Prospective Payment System (PPS) for
the indirect medical educational costs a
hospital incurs in connection with
interns and residents (IRs) in approved
teaching programs. In addition, Title 42,
Part 413, sections 75 through 83
implement section 1886(d) of the Act by
establishing the methodology for
Medicare payment of the cost of direct
graduate medical educational activities.
These payments, which are adjustments
(add-ons) to other payments made to a
hospital under the PPS, are largely
determined by the number of full-time
equivalent (FTE) IRs that work at a
hospital during its cost reporting period.
In Federal fiscal year (FY) 2011, the
estimated Medicare program payments
for indirect medical education (IME)
costs amounted to $6.59 billion.
Medicare program payments for direct
graduate medical education (GME) are
also based upon the number of FTE–IRs
that work at a hospital. In FY 2011, the
estimated Medicare program payments
for GME costs amounted to $2.57
billion. Form Number: CMS–R–64
(OCN: 0938–0456); Frequency:
Reporting—Annually; Affected Public:
Private Sector—Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 1,075; Total
Annual Responses: 1075; Total Annual
Hours: 2,150. (For policy questions
regarding this collection contact Milton
Jacobson at 410–786–7553. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: Reinstatement of a previously
approved collection; Title of
Information Collection: Social Security
Office (SSO) Report of State Buy-in
Problem; Use: Under Section 1843 of the
Social Security Act, States may enter
into an agreement with the Department
of Health and Human Services to enroll
eligible individuals in Medicare and pay
their premiums. The purpose of the
State Buy-in’ program is to assure that
Medicaid is the payer of last resort by
permitting a State to provide Medicare
protection to certain groups of needy
individuals, as part of the State’s total
assistance plan. State Buy-in also has
the effect of transferring some medical
costs for this population from the
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Medicaid program, which is partially
State funded to the Medicare program,
which is funded by the federal
government and individual premiums.
Generally, the States Buy-in for
individuals who meet the eligibility
requirements for Medicare and are cash
recipients or deemed cash recipients or
categorically needy under Medicaid. In
some cases, States may also include
individuals who are not cash assistance
recipients under the Medical Assistance
Only group. The day-to-day operations
of the State Buy-in program is
accomplished through an automated
data exchange process. The automated
data exchange process is used to
exchange Medicare and Buy-in
entitlement information between the
Social Security District Offices,
Medicaid State Agencies and the
Centers for Medicare & Medicaid
Services. When problems arise however
that cannot be resolved though the
normal data exchange process, clerical
actions are required. The CMS–1957,
‘‘SSO Report of State Buy-In Problem’’
is used to report Buy-in problems cases.
The CMS–1957 is the only standardized
form available for communications
between the aforementioned agencies
for the resolution of beneficiary
complaints and inquiries regarding State
Buy-in eligibility. Form Number: CMS–
1957 (OCN: 0938–0035); Frequency:
Reporting—Annually; Affected Public:
Individuals and Households; Number of
Respondents: 3,802; Total Annual
Responses: 3,802; Total Annual Hours:
1,266. (For policy questions regarding
this collection contact Lucia DiazRobinson at 410–247–6843. 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 April 29, 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.
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13679
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 lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: February 22, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–04551 Filed 2–27–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10079 and CMS–
10149]
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: Revision of a currently
approved collection; Title of
Information Collection: Hospital Wage
Index Occupational Mix Survey and
Supporting Regulations in 42 CFR,
Section 412.64; Use: Section 304(c) of
Public Law 106–554 amended section
1886(d)(3)(E) of the Social Security Act
to require CMS to collect data every 3
years on the occupational mix of
employees for each short-term, acute
AGENCY:
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13680
Federal Register / Vol. 78, No. 40 / Thursday, February 28, 2013 / Notices
care hospital participating in the
Medicare program, in order to construct
an occupational mix adjustment to the
wage index, for application beginning
October 1, 2004 (the FY 2005 wage
index). The purpose of the occupational
mix adjustment is to control for the
effect of hospitals’ employment choices
on the wage index. Form Number:
CMS–10079 (OMB#: 0938–0907);
Frequency: Reporting—Yearly,
Biennially and Occasionally ; Affected
Public: Private Sector—Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
3,500; Total Annual Responses: 3,500;
Total Annual Hours: 1,680,000. (For
policy questions regarding this
collection contact Geri Mondowney at
410–786–1172. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Health
Insurance Reform: Electronic Security
Standards; Use: This information
collection corresponds to existing
regulations establishing standards for
the security of electronic protected
health information to be implemented
by health plans, health care
clearinghouses and certain health care
providers, as required under Title II,
subtitle F, sections 261 through 264 of
the Health Insurance Portability and
Accountability Act of 1996 (HIPAA),
Public Law 104–191. The use of the
security standards improves Federal
health programs, private health
programs, and the effectiveness and
efficiency of the health care industry in
general by establishing a level of
protection for certain electronic health
information. This information collection
request does not propose any changes to
this information collection related to
future modifications of the underlying
HIPAA security standards. Form
Number: CMS–10149 (OCN: 0938–
0949); Frequency: Occasionally;
Affected Public: Business or other forprofit, Not-for-profit institutions,
Federal Government, and State, Local or
Tribal Government; Number of
Respondents: 135,560; Total Annual
Responses: 285,560; Total Annual
Hours: 536,743. (For policy questions
regarding this collection contact
William Parham at 410–786–4669. For
all other issues call 410–786–1326.)
To obtain copies of the supporting
statement and any related forms for the
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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 1, 2013. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, Email:
OIRA_submission@omb.eop.gov.
Dated: February 22, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–04548 Filed 2–27–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Parents and Children
Together—Discussion Guide.
OMB No.: 0970–0403.
Description: The Office of Planning,
Research, and Evaluation (OPRE),
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS), is
proposing data collection activity as
part of the Parents and Children
Together (PACT) Evaluation.
The PACT project is a formative
evaluation whose overall objective is to
document and provide initial
assessment of selected Responsible
Fatherhood and Healthy Marriage grant
programs that were authorized under
the 2010 Claims Resolution Act. This
information will be critical to informing
decisions related to future investments
in this kind of programming as well as
the design and operation of such
services.
To meet the objective of the study,
PACT is utilizing three major,
interrelated evaluation strategies:
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(a) Impact evaluation;
(b) Implementation evaluation; and
(c) Qualitative evaluation.
To collect data for these strategies,
four instruments have been approved todate, and 14 new instruments are
proposed through this ICR:
(1) Selecting Study Grantees
(discussions with program and
partner organization staff)—
APPROVED April 20, 2012
(2) Introductory Script (for RE program
staff to discuss with program
applicants)—APPROVED October
31, 2012
(3) Baseline Survey (for RF study
participants)—APPROVED October
31, 2012
(4) Introductory Script (for HM program
staff to discuss with program
applicants)
(5) Baseline Survey (for HM study
participants)
(6) RF study Management Information
System (MIS)—APPROVED October
31, 2012
(7) HM study Management Information
System (MIS)
(8) Semi-structured interview topic
guide (for program staff)
(9) On-line survey (for program staff)
(10) Telephone interview guide (for
program staff at referral
organizations)
(11) On-line Working Alliance Inventory
(for program staff and participants)
(12) Focus group discussion guide (for
program participants)
(13) Telephone interview guide (for
program dropouts)
(14) In-person, in-depth interview guide
(for program participants)
(15) Telephone check-in guide (for
program participants)
(16) Semi-structured interview topic
guide (for program staff)
(17) Focus group discussion guide (for
program participants)
(18) Questionnaire (for program
participants in focus groups)
Respondents: Program applicants,
program participants, program staff, and
staff at referral agencies. Specific
respondents per instrument are noted in
the burden tables below.
Annual Burden Estimates
New instruments submitted for
approval are included in the table
below.
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]]>Agencies
[Federal Register Volume 78, Number 40 (Thursday, February 28, 2013)]
[Notices]
[Pages 13679-13680]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-04548]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10079 and CMS-10149]
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: Revision of a currently
approved collection; Title of Information Collection: Hospital Wage
Index Occupational Mix Survey and Supporting Regulations in 42 CFR,
Section 412.64; Use: Section 304(c) of Public Law 106-554 amended
section 1886(d)(3)(E) of the Social Security Act to require CMS to
collect data every 3 years on the occupational mix of employees for
each short-term, acute
[[Page 13680]]
care hospital participating in the Medicare program, in order to
construct an occupational mix adjustment to the wage index, for
application beginning October 1, 2004 (the FY 2005 wage index). The
purpose of the occupational mix adjustment is to control for the effect
of hospitals' employment choices on the wage index. Form Number: CMS-
10079 (OMB: 0938-0907); Frequency: Reporting--Yearly,
Biennially and Occasionally ; Affected Public: Private Sector--Business
or other for-profits and Not-for-profit institutions; Number of
Respondents: 3,500; Total Annual Responses: 3,500; Total Annual Hours:
1,680,000. (For policy questions regarding this collection contact Geri
Mondowney at 410-786-1172. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Health Insurance Reform: Electronic Security Standards;
Use: This information collection corresponds to existing regulations
establishing standards for the security of electronic protected health
information to be implemented by health plans, health care
clearinghouses and certain health care providers, as required under
Title II, subtitle F, sections 261 through 264 of the Health Insurance
Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191.
The use of the security standards improves Federal health programs,
private health programs, and the effectiveness and efficiency of the
health care industry in general by establishing a level of protection
for certain electronic health information. This information collection
request does not propose any changes to this information collection
related to future modifications of the underlying HIPAA security
standards. Form Number: CMS-10149 (OCN: 0938-0949); Frequency:
Occasionally; Affected Public: Business or other for-profit, Not-for-
profit institutions, Federal Government, and State, Local or Tribal
Government; Number of Respondents: 135,560; Total Annual Responses:
285,560; Total Annual Hours: 536,743. (For policy questions regarding
this collection contact William Parham at 410-786-4669. 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 1, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.
Dated: February 22, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-04548 Filed 2-27-13; 8:45 am]
BILLING CODE 4120-01-P
