Agency Information Collection Activities: Proposed Collection; Comment Request, 20323-20324 [2013-07800]
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Federal Register / Vol. 78, No. 65 / Thursday, April 4, 2013 / Notices
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: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–07798 Filed 4–3–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10309, CMS–
10475, CMS–R–5, CMS–R–234, and CMS–
R–297]
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: Reinstatement with change of a
previously approved collection. Title of
Information Collection: Grandfathering
Provisions of the Medicare DMEPOS
Competitive Bidding Program. Use:
Section 1847(a)(4) of the Social Security
Act (the Act) requires that (in the case
of covered durable medical equipment
(DME) items for which payment is made
on a rental basis under section 1834(a)
of the Act and in the case of oxygen for
which payment is made under section
wreier-aviles on DSK5TPTVN1PROD with NOTICES
AGENCY:
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14:48 Apr 03, 2013
Jkt 229001
1834(a)(5) of the Act) the Secretary shall
establish a grandfathering process by
which covered items and supplies that
were rented by suppliers before the
implementation of a competitive
bidding program may be continued.
We established the grandfathering
process in the April 10, 2007 final rule
for competitive bidding (72 FR 17992)
for rented DME and oxygen and oxygen
equipment when these items are
included under the Medicare DMEPOS
Competitive Bidding Program. This
process only applies to suppliers that
rented DME and oxygen and oxygen
equipment to beneficiaries who
maintain a permanent residence in a
competitive bidding area (CBA) before
the implementation of the competitive
bidding program.
The competitive bidding program will
require some beneficiaries to change
their suppliers. In order to avoid a
beneficiary being without medically
necessary equipment we felt it
necessary to establish this notification
process.
The notification to the beneficiaries is
a beneficiary protection that will keep
them informed of whether or not they
can continue to rent an item from their
current supplier or go to a contract
supplier. The notification will also
provide information to the beneficiary
as to how to find a contract supplier in
their CBA. In the event that the
beneficiary must go to a contract
supplier, the notification will identify
the procedure for the pick-up of their
current equipment and delivery of new
equipment.
Form Number: CMS–10309 (OCN
0938–1079). Frequency: Once. Affected
Public: Private sector (business or other
for-profits). Number of Respondents:
2,697 (or 8,091/3). Total Annual
Responses: 536,667 (or 1,610,000/3).
Total Annual Hours: 65 (or 196/3). (For
policy questions regarding this
collection contact Michael Keane at
410–786–4495. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: New collection (request for a
new OMB control number). Title of
Information Collection: Hospice
Experience of Care Survey. Use: This
survey supports the National Quality
Strategy that was called for under the
Affordable Care Act to create national
aims and priorities to guide local, state,
and national efforts to improve the
quality of health care. This strategy has
established six priorities that support a
three-part aim focusing on better care,
better health, and lower costs through
improvement. Because the hospice
survey focuses on experiences of care,
implementation of the survey supports
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20323
the following national priorities for
improving care: engaging patients and
families in care and promoting effective
communication and coordination. In
addition, upon national implementation
and public reporting of hospice survey
results, the survey will provide data on
experiences with hospice care that
enable consumers to make meaningful
comparisons between hospices across
the nation. Form Number: CMS–10475
(OCN 0938–New). Frequency: Once.
Affected Public: Individuals and
households. Number of Respondents:
730. Total Annual Responses: 730. Total
Annual Hours: 185. (For policy
questions regarding this collection
contact Lori Teichman at 410–786–
6684. For all other issues call 410–786–
1326.)
3. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection.
Title of Information Collection:
Physician Certification/Recertification
in Skilled Nursing Facilities (SNFs)
Manual Instructions and Supporting
Regulation in 42 CFR 424.20. Use: The
Medicare program requires, as a
condition for Medicare Part A payment
for posthospital SNF services that a
physician must certify and periodically
recertify that a beneficiary requires an
SNF level of care. The physician
certification and recertification is
intended to ensure that the beneficiary’s
need for services has been established
and then reviewed and updated at
appropriate intervals. The
documentation is a condition for
Medicare Part A payment for posthospital SNF care. Form Number: CMS–
R–5 (OCN 0938–0454). Frequency:
Occasionally. Affected Public: Private
sector (business or other for-profit and
not-for-profit institutions). Number of
Respondents: 1,796,502. Total Annual
Responses: 1,796,502. Total Annual
Hours: 559,713. (For policy questions
regarding this collection contact Kia
Sidbury at 410–786–7816. For all other
issues call 410–786–1326.)
4. Type of Information Collection
Request: Extension without change of a
currently approved collection. Title of
Information Collection: Subpart D—
Private Contracts and Supporting
Regulations contained in 42 CFR
405.410, 405.430, 405.435, 405.440,
405.445, and 405.455. Use: Section 4507
of Balancing Budget Act (BBA) 1997
amended section 1802 of the Social
Security Act to permit certain
physicians and practitioners to opt-out
of Medicare and to provide (through
private contracts) services that would
otherwise be covered by Medicare.
Under such contracts the mandatory
claims submission and limiting charge
E:\FR\FM\04APN1.SGM
04APN1
20324
Federal Register / Vol. 78, No. 65 / Thursday, April 4, 2013 / Notices
rules of section 1848(g) of the Act would
not apply. Subpart D and the supporting
regulations counter the effect of certain
provisions of Medicare law that, absent
section 4507 of BBA 1997, preclude
physicians and practitioners from
contracting privately with Medicare
beneficiaries to pay without regard to
Medicare limits. Physicians and/or
practitioners use these information
collection requirements to comply with
the law. In addition, Medicare carriers
use this information to determine if
benefits should be paid or continued.
Form Number: CMS–R–234 (OCN 0938–
0730). Frequency: Biennially. Affected
Public: Private sector (business or other
for-profits). Number of Respondents:
26,820. Total Annual Responses:
26,820. Total Annual Hours: 7,197. (For
policy questions regarding this
collection contact Fred Grabau at 410–
786–0206. For all other issues call 410–
786–1326.)
5. Type of Information Collection
Request: Extension without change of a
currently approved collection. Title of
Information Collection: Request for
Employment Information. Use: This
form is used by the Social Security
Administration to obtain information
from employers regarding whether a
Medicare beneficiary’s coverage under a
group health plan is based on current
employment status. Form Number:
CMS–R–297 (OCN 0938–0787).
Frequency: Once. Affected Public:
Private sector (business or other forprofit and not-for-profit institutions).
Number of Respondents: 15,000. Total
Annual Responses: 15,000. Total
Annual Hours: 3,750. (For policy
questions regarding this collection
contact Lindsay Smith at 410–786–6843.
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 June 3, 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 llllllll,
Room C4–26–05, 7500 Security
Boulevard, Baltimore, Maryland 21244–
1850.
Dated: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–07800 Filed 4–3–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity: Comment Request
Title: Innovative Strategies for
Increasing Self-Sufficiency: Follow-Up
Data Collection.
OMB No.: 0970–0397.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services (HHS), is proposing a data
collection activity as part of the
Innovative Strategies for Increasing SelfSufficiency (ISIS) demonstration and
evaluation. The ISIS project will test a
range of promising career pathways
strategies to promote education,
employment, and self-sufficiency. The
major goals of the ISIS project include
increasing the empirical knowledge
about the effectiveness of a variety of
programs for low-income individuals
and families to achieve educational
credentials, attain employment and
advance to positions that enable selfsufficiency, as well as producing useful
findings for both policymakers and
program administrators.
This proposed information collection
activity focuses on collecting follow-up
data elements approximately fifteen
months after program enrollment.
Baseline data collection instruments
were previously approved under OMB
No. 0970–0397.
The purpose of this information
collection effort is to follow-up with
study participants, document the
experiences of program participants,
examine differences in service receipt
and educational experiences between
program and control group members,
describe the intervention as it was
implemented in each site and assess the
extent to which it was implemented as
intended, and assess the implications
for intervention scalability and
sustainability.
Specifically, this data will be
collected using the following
instruments: (a) A follow-up survey
which will be administered to all study
participants approximately 15 months
following enrollment in the study; (b) a
modification to the Baseline Information
Form requesting some basic information
about all of the study participant’s
children (if applicable); (c) interview
guides for the in-person visits to the
intervention sites to structure
discussions with program leadership/
managers, instructional staff, case
managers/advisors, partners and
employers; (d) a brief survey for
instructional staff; (e) a brief survey for
case managers/advisors; (f) a brief study
participant check-in call; and (g) indepth interviews with a sample of study
participants. Respondents: Individuals
enrolled in the ISIS demonstration
programs, control group members, ISIS
program/partner staff (including
program leadership, case managers and
instructional staff), and other local
informants.
wreier-aviles on DSK5TPTVN1PROD with NOTICES
ANNUAL BURDEN ESTIMATES
Total number
of respondents
Instrument
Number of responses per
respondent
Average burden hours per
response
5,645
6,998
1,562
1
1
1
0.05
0.833
1
282
5,829
1,562
94
1943
521
2,974
1
0.083
247
82
#1 Basic Information Form Modification ..............................
#2 15 Month Follow-up Survey, no child roster ..................
#2 15 Month Follow-up Survey, with child roster ................
#2 15 Month Follow-Up Survey, Additional HPOG Questions ..................................................................................
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E:\FR\FM\04APN1.SGM
04APN1
Total burden
hours
Average annual burden
hours
Agencies
[Federal Register Volume 78, Number 65 (Thursday, April 4, 2013)]
[Notices]
[Pages 20323-20324]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-07800]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10309, CMS-10475, CMS-R-5, CMS-R-234, and
CMS-R-297]
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: Reinstatement with
change of a previously approved collection. Title of Information
Collection: Grandfathering Provisions of the Medicare DMEPOS
Competitive Bidding Program. Use: Section 1847(a)(4) of the Social
Security Act (the Act) requires that (in the case of covered durable
medical equipment (DME) items for which payment is made on a rental
basis under section 1834(a) of the Act and in the case of oxygen for
which payment is made under section 1834(a)(5) of the Act) the
Secretary shall establish a grandfathering process by which covered
items and supplies that were rented by suppliers before the
implementation of a competitive bidding program may be continued.
We established the grandfathering process in the April 10, 2007
final rule for competitive bidding (72 FR 17992) for rented DME and
oxygen and oxygen equipment when these items are included under the
Medicare DMEPOS Competitive Bidding Program. This process only applies
to suppliers that rented DME and oxygen and oxygen equipment to
beneficiaries who maintain a permanent residence in a competitive
bidding area (CBA) before the implementation of the competitive bidding
program.
The competitive bidding program will require some beneficiaries to
change their suppliers. In order to avoid a beneficiary being without
medically necessary equipment we felt it necessary to establish this
notification process.
The notification to the beneficiaries is a beneficiary protection
that will keep them informed of whether or not they can continue to
rent an item from their current supplier or go to a contract supplier.
The notification will also provide information to the beneficiary as to
how to find a contract supplier in their CBA. In the event that the
beneficiary must go to a contract supplier, the notification will
identify the procedure for the pick-up of their current equipment and
delivery of new equipment.
Form Number: CMS-10309 (OCN 0938-1079). Frequency: Once. Affected
Public: Private sector (business or other for-profits). Number of
Respondents: 2,697 (or 8,091/3). Total Annual Responses: 536,667 (or
1,610,000/3). Total Annual Hours: 65 (or 196/3). (For policy questions
regarding this collection contact Michael Keane at 410-786-4495. For
all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection (request
for a new OMB control number). Title of Information Collection: Hospice
Experience of Care Survey. Use: This survey supports the National
Quality Strategy that was called for under the Affordable Care Act to
create national aims and priorities to guide local, state, and national
efforts to improve the quality of health care. This strategy has
established six priorities that support a three-part aim focusing on
better care, better health, and lower costs through improvement.
Because the hospice survey focuses on experiences of care,
implementation of the survey supports the following national priorities
for improving care: engaging patients and families in care and
promoting effective communication and coordination. In addition, upon
national implementation and public reporting of hospice survey results,
the survey will provide data on experiences with hospice care that
enable consumers to make meaningful comparisons between hospices across
the nation. Form Number: CMS-10475 (OCN 0938-New). Frequency: Once.
Affected Public: Individuals and households. Number of Respondents:
730. Total Annual Responses: 730. Total Annual Hours: 185. (For policy
questions regarding this collection contact Lori Teichman at 410-786-
6684. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Reinstatement without
change of a previously approved collection. Title of Information
Collection: Physician Certification/Recertification in Skilled Nursing
Facilities (SNFs) Manual Instructions and Supporting Regulation in 42
CFR 424.20. Use: The Medicare program requires, as a condition for
Medicare Part A payment for posthospital SNF services that a physician
must certify and periodically recertify that a beneficiary requires an
SNF level of care. The physician certification and recertification is
intended to ensure that the beneficiary's need for services has been
established and then reviewed and updated at appropriate intervals. The
documentation is a condition for Medicare Part A payment for post-
hospital SNF care. Form Number: CMS-R-5 (OCN 0938-0454). Frequency:
Occasionally. Affected Public: Private sector (business or other for-
profit and not-for-profit institutions). Number of Respondents:
1,796,502. Total Annual Responses: 1,796,502. Total Annual Hours:
559,713. (For policy questions regarding this collection contact Kia
Sidbury at 410-786-7816. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Extension without change
of a currently approved collection. Title of Information Collection:
Subpart D--Private Contracts and Supporting Regulations contained in 42
CFR 405.410, 405.430, 405.435, 405.440, 405.445, and 405.455. Use:
Section 4507 of Balancing Budget Act (BBA) 1997 amended section 1802 of
the Social Security Act to permit certain physicians and practitioners
to opt-out of Medicare and to provide (through private contracts)
services that would otherwise be covered by Medicare. Under such
contracts the mandatory claims submission and limiting charge
[[Page 20324]]
rules of section 1848(g) of the Act would not apply. Subpart D and the
supporting regulations counter the effect of certain provisions of
Medicare law that, absent section 4507 of BBA 1997, preclude physicians
and practitioners from contracting privately with Medicare
beneficiaries to pay without regard to Medicare limits. Physicians and/
or practitioners use these information collection requirements to
comply with the law. In addition, Medicare carriers use this
information to determine if benefits should be paid or continued. Form
Number: CMS-R-234 (OCN 0938-0730). Frequency: Biennially. Affected
Public: Private sector (business or other for-profits). Number of
Respondents: 26,820. Total Annual Responses: 26,820. Total Annual
Hours: 7,197. (For policy questions regarding this collection contact
Fred Grabau at 410-786-0206. For all other issues call 410-786-1326.)
5. Type of Information Collection Request: Extension without change
of a currently approved collection. Title of Information Collection:
Request for Employment Information. Use: This form is used by the
Social Security Administration to obtain information from employers
regarding whether a Medicare beneficiary's coverage under a group
health plan is based on current employment status. Form Number: CMS-R-
297 (OCN 0938-0787). Frequency: Once. Affected Public: Private sector
(business or other for-profit and not-for-profit institutions). Number
of Respondents: 15,000. Total Annual Responses: 15,000. Total Annual
Hours: 3,750. (For policy questions regarding this collection contact
Lindsay Smith at 410-786-6843. 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 June 3, 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: March 29, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-07800 Filed 4-3-13; 8:45 am]
BILLING CODE 4120-01-P