Agency Information Collection Activities: Submission for OMB Review; Comment Request, 20320-20321 [2013-07799]
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Federal Register / Vol. 78, No. 65 / Thursday, April 4, 2013 / Notices
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provisions set forth in Section
552b(c)(4) and (6), Title 5 U.S.C., and
the Determination of the Director,
Management Analysis and Services
Office, CDC, pursuant to Public Law 92–
463.
Matters To Be Discussed: The meeting
will include the initial review,
discussion, and evaluation of
applications received in response to
‘‘Conducting Public Health Research in
Kenya, FOA GH10–003; Conducting
Public Health Research in Thailand by
the Ministry of Public Health (MOPH),
FOA GH11–002; Conducting Public
Health Research in China, FOA GH12–
005; Strengthening Disease Prevention
Research Capacity for Public Health
Action in Guatemala and the Central
American Region, FOA GH13–001;
Strengthening the Monitoring and
Evaluation of Programs for the
Elimination and Control of Neglected
Tropical Diseases in Africa, FOA GH13–
002; Detecting Etiologies of Emerging
Infectious Diseases at the Regional
Level—Western Ghat Region of
Karnataka and Kerala, India, FOA
GH13–003; Strengthening Surveillance
for Japanese Encephalitis in India, FOA
GH13–004; Monitoring and Evaluation
of Malaria Control and Elimination
Activities, FOA GH13–005; and
Research and Technical Assistance for
Public Health Interventions in Haiti to
Support Post-earthquake
Reconstruction, Cholera and HIV/AIDS,
FOA GH13–006, initial review.’’
Contact Person for More Information:
Lata Kumar, Scientific Review Officer,
CGH Science Office, Center for Global
Health, CDC, 1600 Clifton Road, NE.,
Mailstop D–69, Atlanta, Georgia 30033,
Telephone (404) 639–7618.
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and Services Office, has been delegated
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management activities, for both the
Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Dana Redford,
Acting Director, Management Analysis and
Services Office, Centers for Disease Control
and Prevention.
[FR Doc. 2013–07828 Filed 4–3–13; 8:45 am]
BILLING CODE 4163–18–P
VerDate Mar<15>2010
14:48 Apr 03, 2013
Jkt 229001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10457, CMS–
10428 and CMS–10458]
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: MAC
Satisfaction Indicator (MSI) Participant
Information Registration Form; Use:
Section 1874(A)(b)(3)(B) of the Social
Security Act requires that provider
satisfaction be a performance standard
for the work of Medicare Administrative
Contractors (MACs). In order to gain
provider feedback regarding their
satisfaction with their MACs, we need
to be able to contact the providers.
Therefore, we need accurate contact
information to: select from for a random
sample, get the survey to the
appropriate respondent, and increase
response rates. The survey will not be
added to this package; instead, it will be
processed under a different control
number via an Interagency Agreement.
Form Number: CMS–10457 (OCN: 0938New). Frequency: Yearly; Affected
Public: Private sector (business or other
for-profit and not-for-profit institutions).
Number of Respondents: 150,000. Total
Annual Responses: 150,000. Total
Annual Hours: 2,500. (For policy
questions regarding this collection
contact Teresa Mundell at 410–786–
AGENCY:
PO 00000
Frm 00026
Fmt 4703
Sfmt 4703
9176. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title: PCIP
Authorization to Share Personal Health
Information; Use: On March 23, 2010,
the President signed into law H.R. 3590,
the Patient Protection and Affordable
Care Act (Affordable Care Act), Public
Law 111–148. Section 1101 of the law
establishes a ‘‘temporary high risk
health insurance pool program’’ (which
has been named the Pre-Existing
Condition Insurance Plan, or PCIP) to
provide health insurance coverage to
currently uninsured individuals with
pre-existing conditions. The law
authorizes HHS to carry out the program
directly or through contracts with states
or private, non-profit entities.
Reapproval of this package is being
requested as a result of CMS, in its
administration of the PCIP program,
serving as a covered entity under the
Health Insurance Portability and
Accountability Act (HIPAA). Without a
valid authorization, the PCIP program is
unable to disclose information, with
respect to an applicant or enrollee,
about the status of an application,
enrollment, premium billing or claim, to
individuals of the applicant’s or
enrollee’s choosing. The HIPAA
Authorization Form has been modeled
after CMS’ Medicare HIPAA
Authorization Form (OMB control
number 0938–0930) and is used by
applicants or enrollees to designate
someone else to communicate with PCIP
about their protected health information
(PHI).
Unless permitted or required by law,
the Health Insurance Portability and
Accountability Act (HIPAA) Privacy
Rule (§ 164.508) prohibits CMS’ PCIP
program (a HIPAA covered entity) from
disclosing an individual’s protected
health information without a valid
authorization. In order to be valid, an
authorization must include specified
core elements and statements.
CMS will make available to PCIP
applicants and enrollees a standard,
valid authorization to enable
beneficiaries to communicate with PCIP
about their personal health information.
This is a critical tool because the
population the PCIP program serves is
comprised of individuals with preexisting conditions who may be
incapacitated and need an advocate to
help them apply for or receive benefits
from the program. This standard
authorization will simplify the process
of requesting information disclosure for
beneficiaries and minimize the response
time for the PCIP program.
E:\FR\FM\04APN1.SGM
04APN1
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 65 / Thursday, April 4, 2013 / Notices
Each individual will be asked to
complete the form which will include
providing the individual’s name, PCIP
account number (if known), date of
birth, what personal health information
they agree to share, the length of time
the individual agrees their personal
health information can be shared, the
names and addresses of the third party
the individual wants PCIP to share their
personal health information with, and
an attestation that the individual is
giving PCIP permission to share their
personal health information with the
third party listed in the form. This
completed form will be submitted to the
PCIP benefits administrator, GEHA,
which contracts with CMS.
We estimate that it will take
approximately 15 minutes per applicant
to complete and submit a HIPAA
Authorization Form to the PCIP
program.
The federally-run PCIP program
operates in 23 states plus the District of
Columbia and receives an average of
35,000 enrollment applications per year.
To estimate the number of PCIP
applicants and enrollees who may
complete an authorization, we looked at
the percentage of individuals who
request an authorization in Medicare as
a baseline. Medicare estimates 3% of its
population will submit an authorization
per year. However, since the PCIP
program caters to an exclusive
population comprised of individuals
who have one or more pre-existing
conditions, we believe it is likely we
could receive double the percentage
estimated by Medicare. Accordingly,
PCIP estimates 6% (or 2,100) of its
applicants and enrollees may submit an
authorization per year.
Based on the above, it is estimated
that up to 2,100 applicants and
enrollees may submit an authorization
annually. There is no cost to PCIP
beneficiaries to request, complete,
submit, or have the authorization form
processed by PCIP. It should take
approximately 15 minutes for a
beneficiary to complete the
authorization form. 15 minutes
multiplied by 2,100 beneficiaries equals
525 hours. Form Number: CMS–10428
(OCN#: 0938–1161); Frequency: Once;
Affected Public: Individuals or
households; Number of Respondents:
2,100; Total Annual Responses: 2,100;
Total Annual Hours: 525. (For policy
questions regarding this collection
contact Geoffrey Cabin at 410–786–
1744. For all other issues call 410–786–
1326.)
1. Type of Information Collection
Request: New collection (request for a
new OMB control number). Title of
Information Collection: Consumer
VerDate Mar<15>2010
14:48 Apr 03, 2013
Jkt 229001
Research Supporting Outreach for
Health Insurance Marketplace. Use: The
Centers for Medicare and Medicaid
Services is requesting clearance for two
surveys to aid in understanding levels of
awareness and customer service needs
associated with the Health Insurance
Marketplace established by the
Affordable Care Act. Because the
Marketplace will provide coverage to
the almost 50 million uninsured in the
United States through individual and
small employer programs, we have
developed one survey to be
administered to individual consumers
most likely to use the Marketplace and
another to be administered to small
employers most likely to use the Small
Business Health Options portion of the
Marketplace. These brief surveys,
designed to be conducted quarterly, will
give CMS the ability to obtain a rough
indication of the types of outreach and
marketing that will be needed to
enhance awareness of and knowledge
about the Marketplace for individual
and business customers. CMS’ biggest
customer service need is likely to be
providing sufficient education so
consumers: (a) Can take advantage of the
Marketplace and (b) know how to access
CMS’ customer service channels. The
surveys will provide information on
media use, concept awareness, and
conceptual or content areas where
education for customer service delivery
can be improved. Awareness and
knowledge gaps are likely to change
over time based not only on
effectiveness of CMS’ marketing efforts,
but also of those of state, local, private
sector, and nongovernmental
organizations. Form Number: CMS–
10458 (OCN: 0938–New). Frequency:
Quarterly. Affected Public: Individuals
or households, private sector (business
or other for-profits). Number of
Respondents: 40,200. Total Annual
Responses: 40,200. Total Annual Hours:
2,480. (For policy questions regarding
this collection contact Julie Franklin at
410–786–8126. 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
PO 00000
Frm 00027
Fmt 4703
Sfmt 4703
20321
the address below, no later than 5 p.m.
on May 6, 2013.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974,
Email: OIRA_submission@omb.eop.gov.
Dated: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–07799 Filed 4–3–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10467, CMS–
10330, and CMS–10325]
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.
1. Type of Information Collection
Request: New Collection; Title of
Information Collection: Evaluation of
the Graduate Nurse Education
Demonstration Program; Use: The
Graduate Nurse Education (GNE)
Demonstration is mandated under
Section 5509 of the Affordable Care Act
(ACA) under title XVIII of the Social
Security Act (42 U.S.C. 1395 et seq.).
According to Section 5509 of the ACA,
the five selected demonstration sites
receive ‘‘payment for the hospital’s
reasonable costs for the provision of
qualified clinical training to advance
practice registered nurses.’’ Section
5509 of the ACA also states that an
AGENCY:
E:\FR\FM\04APN1.SGM
04APN1
Agencies
[Federal Register Volume 78, Number 65 (Thursday, April 4, 2013)]
[Notices]
[Pages 20320-20321]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-07799]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10457, CMS-10428 and CMS-10458]
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; Title of
Information Collection: MAC Satisfaction Indicator (MSI) Participant
Information Registration Form; Use: Section 1874(A)(b)(3)(B) of the
Social Security Act requires that provider satisfaction be a
performance standard for the work of Medicare Administrative
Contractors (MACs). In order to gain provider feedback regarding their
satisfaction with their MACs, we need to be able to contact the
providers. Therefore, we need accurate contact information to: select
from for a random sample, get the survey to the appropriate respondent,
and increase response rates. The survey will not be added to this
package; instead, it will be processed under a different control number
via an Interagency Agreement. Form Number: CMS-10457 (OCN: 0938-New).
Frequency: Yearly; Affected Public: Private sector (business or other
for-profit and not-for-profit institutions). Number of Respondents:
150,000. Total Annual Responses: 150,000. Total Annual Hours: 2,500.
(For policy questions regarding this collection contact Teresa Mundell
at 410-786-9176. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title: PCIP Authorization to Share Personal Health
Information; Use: On March 23, 2010, the President signed into law H.R.
3590, the Patient Protection and Affordable Care Act (Affordable Care
Act), Public Law 111-148. Section 1101 of the law establishes a
``temporary high risk health insurance pool program'' (which has been
named the Pre-Existing Condition Insurance Plan, or PCIP) to provide
health insurance coverage to currently uninsured individuals with pre-
existing conditions. The law authorizes HHS to carry out the program
directly or through contracts with states or private, non-profit
entities.
Reapproval of this package is being requested as a result of CMS,
in its administration of the PCIP program, serving as a covered entity
under the Health Insurance Portability and Accountability Act (HIPAA).
Without a valid authorization, the PCIP program is unable to disclose
information, with respect to an applicant or enrollee, about the status
of an application, enrollment, premium billing or claim, to individuals
of the applicant's or enrollee's choosing. The HIPAA Authorization Form
has been modeled after CMS' Medicare HIPAA Authorization Form (OMB
control number 0938-0930) and is used by applicants or enrollees to
designate someone else to communicate with PCIP about their protected
health information (PHI).
Unless permitted or required by law, the Health Insurance
Portability and Accountability Act (HIPAA) Privacy Rule (Sec. 164.508)
prohibits CMS' PCIP program (a HIPAA covered entity) from disclosing an
individual's protected health information without a valid
authorization. In order to be valid, an authorization must include
specified core elements and statements.
CMS will make available to PCIP applicants and enrollees a
standard, valid authorization to enable beneficiaries to communicate
with PCIP about their personal health information. This is a critical
tool because the population the PCIP program serves is comprised of
individuals with pre-existing conditions who may be incapacitated and
need an advocate to help them apply for or receive benefits from the
program. This standard authorization will simplify the process of
requesting information disclosure for beneficiaries and minimize the
response time for the PCIP program.
[[Page 20321]]
Each individual will be asked to complete the form which will
include providing the individual's name, PCIP account number (if
known), date of birth, what personal health information they agree to
share, the length of time the individual agrees their personal health
information can be shared, the names and addresses of the third party
the individual wants PCIP to share their personal health information
with, and an attestation that the individual is giving PCIP permission
to share their personal health information with the third party listed
in the form. This completed form will be submitted to the PCIP benefits
administrator, GEHA, which contracts with CMS.
We estimate that it will take approximately 15 minutes per
applicant to complete and submit a HIPAA Authorization Form to the PCIP
program.
The federally-run PCIP program operates in 23 states plus the
District of Columbia and receives an average of 35,000 enrollment
applications per year. To estimate the number of PCIP applicants and
enrollees who may complete an authorization, we looked at the
percentage of individuals who request an authorization in Medicare as a
baseline. Medicare estimates 3% of its population will submit an
authorization per year. However, since the PCIP program caters to an
exclusive population comprised of individuals who have one or more pre-
existing conditions, we believe it is likely we could receive double
the percentage estimated by Medicare. Accordingly, PCIP estimates 6%
(or 2,100) of its applicants and enrollees may submit an authorization
per year.
Based on the above, it is estimated that up to 2,100 applicants and
enrollees may submit an authorization annually. There is no cost to
PCIP beneficiaries to request, complete, submit, or have the
authorization form processed by PCIP. It should take approximately 15
minutes for a beneficiary to complete the authorization form. 15
minutes multiplied by 2,100 beneficiaries equals 525 hours. Form
Number: CMS-10428 (OCN: 0938-1161); Frequency: Once; Affected
Public: Individuals or households; Number of Respondents: 2,100; Total
Annual Responses: 2,100; Total Annual Hours: 525. (For policy questions
regarding this collection contact Geoffrey Cabin at 410-786-1744. For
all other issues call 410-786-1326.)
1. Type of Information Collection Request: New collection (request
for a new OMB control number). Title of Information Collection:
Consumer Research Supporting Outreach for Health Insurance Marketplace.
Use: The Centers for Medicare and Medicaid Services is requesting
clearance for two surveys to aid in understanding levels of awareness
and customer service needs associated with the Health Insurance
Marketplace established by the Affordable Care Act. Because the
Marketplace will provide coverage to the almost 50 million uninsured in
the United States through individual and small employer programs, we
have developed one survey to be administered to individual consumers
most likely to use the Marketplace and another to be administered to
small employers most likely to use the Small Business Health Options
portion of the Marketplace. These brief surveys, designed to be
conducted quarterly, will give CMS the ability to obtain a rough
indication of the types of outreach and marketing that will be needed
to enhance awareness of and knowledge about the Marketplace for
individual and business customers. CMS' biggest customer service need
is likely to be providing sufficient education so consumers: (a) Can
take advantage of the Marketplace and (b) know how to access CMS'
customer service channels. The surveys will provide information on
media use, concept awareness, and conceptual or content areas where
education for customer service delivery can be improved. Awareness and
knowledge gaps are likely to change over time based not only on
effectiveness of CMS' marketing efforts, but also of those of state,
local, private sector, and nongovernmental organizations. Form Number:
CMS-10458 (OCN: 0938-New). Frequency: Quarterly. Affected Public:
Individuals or households, private sector (business or other for-
profits). Number of Respondents: 40,200. Total Annual Responses:
40,200. Total Annual Hours: 2,480. (For policy questions regarding this
collection contact Julie Franklin at 410-786-8126. 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 6, 2013.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.
Dated: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-07799 Filed 4-3-13; 8:45 am]
BILLING CODE 4120-01-P