Agency Information Collection Activities: Proposed Collection; Comment Request, 23566-23567 [2013-09267]
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Federal Register / Vol. 78, No. 76 / Friday, April 19, 2013 / Notices
or bank holding company. The factors
that are considered in acting on the
notices are set forth in paragraph 7 of
the Act (12 U.S.C. 1817(j)(7)).
The notices are available for
immediate inspection at the Federal
Reserve Bank indicated. The notices
also will be available for inspection at
the offices of the Board of Governors.
Interested persons may express their
views in writing to the Reserve Bank
indicated for that notice or to the offices
of the Board of Governors. Comments
must be received not later than May 6,
2013.
A. Federal Reserve Bank of
Minneapolis (Jacqueline G. King,
Community Affairs Officer) 90
Hennepin Avenue, Minneapolis,
Minnesota 55480–0291:
1. Thomas W. Armstrong, and Bradley
A. Trimner, individually and as CoTrustees of the Arnold J. Stueber, Sr.
Revocable Trust, and the Sadie A.
Stueber Revocable Trust, and Mary
Luethmers, all of Park Falls, Wisconsin,
individually, to each retain voting
shares of Park Falls Agency, Inc., and
thereby indirectly retain voting shares of
The First National Bank of Park Falls,
both in Park Falls, Wisconsin.
Board of Governors of the Federal Reserve
System, April 16, 2013.
Margaret McCloskey Shanks,
Deputy Secretary of the Board.
[FR Doc. 2013–09220 Filed 4–18–13; 8:45 am]
BILLING CODE 6210–01–P
FEDERAL RESERVE SYSTEM
mstockstill on DSK4VPTVN1PROD with NOTICES
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies;
Correction
This notice corrects a notice (FR Doc.
2013–08630) published on pages 21949–
21950 of the issue for Friday, April 12,
2013.
Under the Federal Reserve Bank of St.
Louis heading, the entry for Hopfed
Bancorp, Inc., Hopkinsville, Kentucky,
is revised to read as follows:
A. Federal Reserve Bank of St. Louis
(Yvonne Sparks, Community
Development Officer) P.O. Box 442, St.
Louis, Missouri 63166–2034:
1. Hopfed Bancorp, Inc.,
Hopkinsville, Kentucky; to become a
bank holding company through the
conversion of its wholly owned
subsidiary, Heritage Bank, Hopkinsville,
Kentucky, from a federally chartered
savings bank to a state charted
commercial bank.
Comments on this application must
be received by May 9, 2013.
VerDate Mar<15>2010
17:11 Apr 18, 2013
Jkt 229001
Board of Governors of the Federal Reserve
System, April 16, 2013.
Margaret McCloskey Shanks,
Deputy Secretary of the Board.
[FR Doc. 2013–09219 Filed 4–18–13; 8:45 am]
BILLING CODE 6210–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10108, CMS–
10268, CMS–10316, and CMS–10478]
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: Extension of a currently
approved collection; Title of
Information Collection: Medicaid
Managed Care Regulations; Use:
Medicaid enrollees use the information
collected and reported to make
informed choices regarding health care,
including how to access health care
services and the grievance and appeal
system. States use the information
collected and reported as part of its
contracting process with managed care
entities, as well as its compliance
oversight role. The CMS uses the
information collected and reported in an
oversight role of state Medicaid
managed care programs. Form Number:
CMS–10108 (OCN: 0938–0920);
Frequency: Occasionally; Affected
Public: Individuals or households,
Private sector (business or other forprofit and not-for-profit institutions),
AGENCY:
PO 00000
Frm 00030
Fmt 4703
Sfmt 4703
and State, local or Tribal Government;
Number of Respondents: 1,640,223;
Total Annual Responses: 5,217,333;
Total Annual Hours: 5,872,255. (For
policy questions regarding this
collection contact Amy Gentile at 410–
786–3499. For all other issues call 410–
786–1326.)
2. Type of Information Collection
Request: Reinstatement of a currently
approved collection; Title of
Information Collection: Consolidated
Renal Operations in a Web Enabled
Network (CROWNWeb) Third-party
Submission Authorization Form Use:
The Consolidated Renal Operations in a
Web Enabled Network (CROWNWeb)
Third-Party Submission Authorization
(CWTPSA) form is to be completed by
‘‘Facility Administrators’’
(administrators of CMS-certified dialysis
facilities) if they intend to authorize a
third party (a business with which the
facility is associated, or an independent
vendor) to submit data to CMS to
comply with the recently-revised
Conditions for Coverage of dialysis
facilities. The CROWNWeb system is
the system used as the collection point
of data necessary for entitlement of
ESRD patients to Medicare benefits and
for Federal Government monitoring and
assessing of the quality and types of care
provided to renal patients. The
information collected through the
CWTPSA form will allow CMS and its
contractors to receive data from
authorized parties acting on behalf of
CMS-certified dialysis facilities. Since
February 2009, CMS has received 4,160
CWTPSA forms and anticipates that
they will continue to receive no more
than 400 new CWTPSA forms annually
to address the creation of new facilities
under the current participating ‘‘third
party submitters.’’ Form Number: CMS–
10268 (OCN: 0938–1052); Frequency:
Occasionally; Affected Public: Private
Sector; Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 400; Total Annual
Responses: 400; Total Annual Hours:
34. (For policy questions regarding this
collection contact Michelle Tucker at
410–786–0736. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: Revision of a currently
approved collection. Title of
Information Collection: Implementation
of the Medicare Prescription Drug Plan
(PDP) and Medicare Advantage (MA)
Plan Disenrollment Reasons Survey.
Use: This data collection complements
the satisfaction data collected through
the Medicare Consumer Assessment of
Healthcare Providers and Systems
survey by providing dissatisfaction data
in the form of reasons for disenrollment
E:\FR\FM\19APN1.SGM
19APN1
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Federal Register / Vol. 78, No. 76 / Friday, April 19, 2013 / Notices
from a Prescription Drug Plan. The data
collected in this survey can be used to
improve the operation of Medicare
Advantage (both MA and MA–PD)
contracts and standalone PDPs through
the identification of beneficiary
disenrollment reasons. Plans can use the
information to guide quality
improvement efforts. The data can also
be used by beneficiaries who need to
choose among the different MA and PDP
options. To the extent that these data
identify areas for improvement at the
contract level they can be used to
inform CMS contract oversight. Form
Number: CMS–10316 (OCN: 0938–
1113). Frequency: Yearly; Affected
Public: Individuals or households;
Number of Respondents: 88,492; Total
Annual Responses: 88,492; Total
Annual Hours: 22,887. (For policy
questions regarding this collection
contact Sai Ma at 410–786–1479. For all
other issues call 410–786–1326.)
4. Type of Information Collection
Request: New collection (request for a
new OMB control number). Title of
Information Collection: National
Implementation of In-Center
Hemodialysis CAHPS Survey. Use: Data
collected in the national
implementation of the In-center
Hemodialysis Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) Survey will be used for the
following purposes: (1) To provide a
source of information from which
selected measures can be publicly
reported to beneficiaries as a decision
aid for dialysis facility selection; (2) to
aid facilities with their internal quality
improvement efforts and external
benchmarking with other facilities; (3)
to provide CMS with information for
monitoring and public reporting
purposes; and (4) to support the endstage renal disease value-based
purchasing program. Form Number:
CMS–10478 (OCN: 0938–New);
Frequency: Semi-annually and once;
Affected Public: Individuals or
households; Number of Respondents:
165,000; Total Annual Responses:
165,000; Total Annual Hours: 87,750.
(For policy questions regarding this
collection contact Elizabeth Goldstein at
410–786–6665. 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
VerDate Mar<15>2010
17:11 Apr 18, 2013
Jkt 229001
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 18, 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: April 16, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–09267 Filed 4–18–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–576A]
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
AGENCY:
PO 00000
Frm 00031
Fmt 4703
Sfmt 9990
23567
minimize the information collection
burden.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Organ
Procurement Organization’s (OPOs)
Health Insurance Benefits Agreement
and Supporting Regulations at 42 CFR
486.301–486.348; Use: The Medicare
and Medicaid Programs final conditions
for coverage for Organ Procurement
Organizations (OPOs) require OPOs to
sign agreements with the Center for
Medicare and Medicaid Services (CMS)
in order to be reimbursed and perform
their services. The information provided
on this form serves as a basis for
continuing the agreements with CMS
and the OPOs for participation in the
Medicare and Medicaid programs for
reimbursement of service. Form
Number: CMS–576A (OCN: 0938–0512);
Frequency: Occasionally; Affected
Public: Private Sector: Business or other
for-profit and not-for-profit institutions;
Number of Respondents: 58; Total
Annual Responses: 58; Total Annual
Hours: 116. (For policy questions
regarding this collection contact Melissa
Rice at 410–786–3270. 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 20, 2013.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395–
6974, Email:
OIRA_submission@omb.eop.gov
Dated: April 16, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–09256 Filed 4–18–13; 8:45 am]
BILLING CODE 4120–01–P
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]]>Agencies
[Federal Register Volume 78, Number 76 (Friday, April 19, 2013)]
[Notices]
[Pages 23566-23567]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-09267]
=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10108, CMS-10268, CMS-10316, and CMS-10478]
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: Extension of a currently
approved collection; Title of Information Collection: Medicaid Managed
Care Regulations; Use: Medicaid enrollees use the information collected
and reported to make informed choices regarding health care, including
how to access health care services and the grievance and appeal system.
States use the information collected and reported as part of its
contracting process with managed care entities, as well as its
compliance oversight role. The CMS uses the information collected and
reported in an oversight role of state Medicaid managed care programs.
Form Number: CMS-10108 (OCN: 0938-0920); Frequency: Occasionally;
Affected Public: Individuals or households, Private sector (business or
other for-profit and not-for-profit institutions), and State, local or
Tribal Government; Number of Respondents: 1,640,223; Total Annual
Responses: 5,217,333; Total Annual Hours: 5,872,255. (For policy
questions regarding this collection contact Amy Gentile at 410-786-
3499. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement of a
currently approved collection; Title of Information Collection:
Consolidated Renal Operations in a Web Enabled Network (CROWNWeb)
Third-party Submission Authorization Form Use: The Consolidated Renal
Operations in a Web Enabled Network (CROWNWeb) Third-Party Submission
Authorization (CWTPSA) form is to be completed by ``Facility
Administrators'' (administrators of CMS-certified dialysis facilities)
if they intend to authorize a third party (a business with which the
facility is associated, or an independent vendor) to submit data to CMS
to comply with the recently-revised Conditions for Coverage of dialysis
facilities. The CROWNWeb system is the system used as the collection
point of data necessary for entitlement of ESRD patients to Medicare
benefits and for Federal Government monitoring and assessing of the
quality and types of care provided to renal patients. The information
collected through the CWTPSA form will allow CMS and its contractors to
receive data from authorized parties acting on behalf of CMS-certified
dialysis facilities. Since February 2009, CMS has received 4,160 CWTPSA
forms and anticipates that they will continue to receive no more than
400 new CWTPSA forms annually to address the creation of new facilities
under the current participating ``third party submitters.'' Form
Number: CMS-10268 (OCN: 0938-1052); Frequency: Occasionally; Affected
Public: Private Sector; Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 400; Total Annual
Responses: 400; Total Annual Hours: 34. (For policy questions regarding
this collection contact Michelle Tucker at 410-786-0736. For all other
issues call 410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection. Title of Information Collection: Implementation of
the Medicare Prescription Drug Plan (PDP) and Medicare Advantage (MA)
Plan Disenrollment Reasons Survey. Use: This data collection
complements the satisfaction data collected through the Medicare
Consumer Assessment of Healthcare Providers and Systems survey by
providing dissatisfaction data in the form of reasons for disenrollment
[[Page 23567]]
from a Prescription Drug Plan. The data collected in this survey can be
used to improve the operation of Medicare Advantage (both MA and MA-PD)
contracts and standalone PDPs through the identification of beneficiary
disenrollment reasons. Plans can use the information to guide quality
improvement efforts. The data can also be used by beneficiaries who
need to choose among the different MA and PDP options. To the extent
that these data identify areas for improvement at the contract level
they can be used to inform CMS contract oversight. Form Number: CMS-
10316 (OCN: 0938-1113). Frequency: Yearly; Affected Public: Individuals
or households; Number of Respondents: 88,492; Total Annual Responses:
88,492; Total Annual Hours: 22,887. (For policy questions regarding
this collection contact Sai Ma at 410-786-1479. For all other issues
call 410-786-1326.)
4. Type of Information Collection Request: New collection (request
for a new OMB control number). Title of Information Collection:
National Implementation of In-Center Hemodialysis CAHPS Survey. Use:
Data collected in the national implementation of the In-center
Hemodialysis Consumer Assessment of Healthcare Providers and Systems
(CAHPS) Survey will be used for the following purposes: (1) To provide
a source of information from which selected measures can be publicly
reported to beneficiaries as a decision aid for dialysis facility
selection; (2) to aid facilities with their internal quality
improvement efforts and external benchmarking with other facilities;
(3) to provide CMS with information for monitoring and public reporting
purposes; and (4) to support the end-stage renal disease value-based
purchasing program. Form Number: CMS-10478 (OCN: 0938-New); Frequency:
Semi-annually and once; Affected Public: Individuals or households;
Number of Respondents: 165,000; Total Annual Responses: 165,000; Total
Annual Hours: 87,750. (For policy questions regarding this collection
contact Elizabeth Goldstein at 410-786-6665. 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 18, 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: April 16, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-09267 Filed 4-18-13; 8:45 am]
BILLING CODE 4120-01-P
