Agency Information Collection Activities: Proposed Collection; Comment Request, 25089-25090 [2013-09948]
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<![CDATA[
25089
Federal Register / Vol. 78, No. 82 / Monday, April 29, 2013 / Notices
3,440 respondents × 25/60 minutes =
1,433 hours). In total, this will be
approximately 1,531 hours.
There are no costs to respondents
other than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Average
burden per
response
(in hrs.)
Total burden
(in hrs.)
Type of respondents
Form name
Mental Health/Public Health Agency
Staff and Community Leaders.
General Public from Disaster affected communities.
Community
Recovery
Interview
Guide.
Public Health Systems, Mental
Health and Community Recovery
Household Survey.
98
1
1
98
3,440
1
25/60
1,433
Total ...........................................
...........................................................
........................
........................
........................
1,531
Ron A. Otten,
Director, Office of Scientific Integrity, Office
of the Associate Director for Science, Office
of the Director. Centers for Disease Control
and Prevention.
[FR Doc. 2013–09992 Filed 4–26–13; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–1984–14, CMS–
10115, CMS–10130, and CMS–10479]
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: Revision of a currently
approved collection; Title of
Information Collection: Hospice Facility
emcdonald on DSK67QTVN1PROD with NOTICES
AGENCY:
VerDate Mar<15>2010
14:16 Apr 26, 2013
Jkt 229001
Cost Report; Use: In accordance with
sections 1815(a), 1833(e) and
1861(v)(1)(A) of the Social Security Act
(the Act), providers of service in the
Medicare program are required to
submit annual information to achieve
reimbursement for health care services
rendered to Medicare beneficiaries. In
addition, 42 CFR 413.20(b) specifies that
cost reports are required from providers
on an annual basis. Such cost reports
are required to be filed with the
provider’s Medicare contractor. The
functions of the Medicare contractor are
described in section 1816 of the Act.
Section 3132 of the Affordable Care Act
requires that CMS collect appropriate
data and information to facilitate
hospice payment reform. Form Number:
CMS–1984–14 (OCN: 0938–0758);
Frequency: Yearly; Affected Public:
Private sector (business or other forprofit and not-for-profit institutions);
Number of Respondents: 2,751; Total
Annual Responses: 2,751; Total Annual
Hours: 517,188. (For policy questions
regarding this collection contact Gail
Duncan at 410–786–7278. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Federal
Reimbursement of Emergency Health
Services Furnished to Undocumented
Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and
Modernization Act of 2003 (MMA). Use:
Section 1011 of the MMA provides that
the Secretary will establish a process
(i.e., enrollment and claims payment)
for eligible providers to request
payment. The Secretary must directly
pay hospitals, physicians and
ambulance providers (including Indian
Health Service, Indian Tribe and Tribal
organizations) for their otherwise unreimbursed costs of providing services
required by section 1867 of the Social
Security Act and related hospital
PO 00000
Frm 00032
Fmt 4703
Sfmt 4703
inpatient, outpatient and ambulance
services. CMS will use the application
information to administer this health
services program and establish an audit
process. Form Number: CMS–10115
(OCN: 0938–0929); Frequency: Once
and occasionally; Affected Public:
Private sector (business or other forprofit and not-for-profit institutions);
Number of Respondents: 10,000; Total
Annual Responses: 10,000; Total
Annual Hours: 5,000. (For policy
questions regarding this collection
contact Fred Rooke at 404–562–7502.
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: Federal
Reimbursement of Emergency Health
Services Furnished to Undocumented
Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and
Modernization Act of 2003 (MMA):
‘‘Section 1011 Provider Payment
Determination’’ and ‘‘Request for
Section 1011 Hospital On-Call Payments
to Physicians’’ Forms. Use: Section 1011
of the MMA requires that the Secretary
establish a process under which eligible
providers (certain hospitals, physicians
and ambulance providers) may request
payment for (claim) their otherwise unreimbursed costs of providing eligible
services. The Secretary must make
quarterly payments directly to such
providers. The Secretary must also
implement measures to ensure that
inappropriate, excessive, or fraudulent
payments are not made under Section
1011, including certification by
providers of the veracity of their
requests for payment. Both forms have
been established to address the statutory
requirements outlined above. Form
Number: CMS–10130 (OCN: 0938–
0952); Frequency: Occasionally;
Affected Public: Private sector (business
or other for-profit and not-for-profit
institutions); Number of Respondents:
E:\FR\FM\29APN1.SGM
29APN1
emcdonald on DSK67QTVN1PROD with NOTICES
25090
Federal Register / Vol. 78, No. 82 / Monday, April 29, 2013 / Notices
12,037; Total Annual Responses:
300,148; Total Annual Hours: 75,037.
(For policy questions regarding this
collection contact Fred Rooke at 404–
562–7205. For all other issues call 410–
786–1326.)
4. Type of Information Collection
Request: New Collection; Title of
Information Collection: Evaluation of
the Multi-Payer Advanced Primary Care
Practice (MAPCP) Demonstration Focus
Group Protocols; Use: On September 16,
2009, the Department of Health and
Human Services announced the
establishment of the Multi-payer
Advanced Primary Care Practice
(MAPCP) Demonstration, under which
Medicare joined Medicaid and private
insurers as a payer participant in statesponsored patient-centered medical
home (PCMH) initiatives. CMS selected
eight states to participate in this
demonstration: Maine, Vermont, Rhode
Island, New York, Pennsylvania, North
Carolina, Michigan, and Minnesota.
CMS is proposing to conduct in-person
focus groups with Medicare and
Medicaid beneficiaries and their
caregivers to more thoroughly
understand patients’ experiences with
their PCMHs and how well their PCMHs
are serving their needs.
The focus groups will provide CMS
with answers to fundamental ‘‘what,
how, and why’’ questions about
beneficiaries’ experiences with care and
access to and coordination of care. The
information obtained via in-person,
focus groups will be utilized by CMS for
the evaluation of the MAPCP
Demonstration. The focus group data
will be collected to supplement other
qualitative and quantitative analyses
from primary and secondary data
sources by providing data on context,
structure, and process, as well as select
aspects of the key outcomes. The data
gathered from the interviews will allow
for more complete interpretation of the
quantitative claims and other data
analysis by taking into account the
unique perspectives of beneficiaries.
Form Number: CMS–10479 (OCN:
0938–NEW); Frequency: Annually;
Affected Public: Individuals and
households; Number of Respondents:
768; Total Annual Responses: 384; Total
Annual Hours: 1,152. (For policy
questions regarding this collection
contact Suzanne Goodwin at 410–786–
0226. 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
VerDate Mar<15>2010
14:16 Apr 26, 2013
Jkt 229001
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 28, 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 llll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: April 23, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–09948 Filed 4–26–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection, 60-day Comment
Request: Certificate of Confidentiality
Electronic Application System
In compliance with the
requirement of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995, to
provide the opportunity for public
comment on proposed data collection
projects, the Office of Extramural
Research (OER) of the National
Institutes of Health (NIH) is developing
an electronic application form for the
submission of requests to NIH for
Certificates of Confidentiality (CoCs).
Written comments and/or suggestions
from the public and affected agencies
are invited on one or more of the
following points: (1) Whether the
proposed collection of information is
necessary for the proper performance of
the function of the agency, including
whether the information will have
practical utility; (2) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
SUMMARY:
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Frm 00033
Fmt 4703
Sfmt 4703
methodology and assumptions used; (3)
ways to enhance the quality, utility, and
clarity of the information to be
collected; and (4) ways to minimize the
burden of the collection of information
on those who are to respond, including
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology.
To Submit Comments and For Further
Information: To obtain a copy of the
data collection plans and instruments,
submit comments in writing, or request
more information on the proposed
project, contact: Dr. Ann M. Hardy, NIH
Extramural Human Research Protections
Officer and Coordinator, Certificates of
Confidentiality, Office of Extramural
Programs, OER, NIH, 3701 Rockledge
Drive, Room 3002, Bethesda, MD 20892;
or call the non-toll-free number (301)
435–2690; or email your request,
including your address, to
hardyan@od.nih.gov. Formal requests
for additional plans and instruments
must be requested in writing.
Comment Due Date: Comments
regarding this information collection are
best assured of having their full effect if
received within 60 days of the date of
this publication.
Proposed Collection: Certificate of
Confidentiality Electronic Application
System 0925–New, Office of Extramural
Research (OER), National Institutes of
Health (NIH).
Need and Use of Information
Collection: This application system will
provide one electronic form to be used
by all research organizations that wish
to request a Certificate of Confidentiality
(CoC) from NIH. As described in the
authorizing legislation (Section 301(d)
of the Public Health Service Act, 42
U.S.C. 241(d)), CoCs are issued by the
agencies of the Department of Health
and Human Services (HHS), including
NIH, to authorize researchers
conducting sensitive research to protect
the privacy of human research subjects
by enabling them to refuse to release
names and identifying characteristics of
subjects to anyone not connected with
the research. At the NIH, the issuance of
CoCs has been delegated to the
individual NIH Institutes and Centers
(ICs). The NIH ICs collectively issue
approximately 1,000 new CoCs each
year for eligible research projects.
However, the process for submitting a
CoC request is not consistent across the
ICs, which creates confusion for
applicants. To make the application
process consistent across the entire
agency, the OER is proposing to use an
electronic application system that will
be accessed by research organizations
that wish to request a CoC from any NIH
E:\FR\FM\29APN1.SGM
29APN1
]]>Agencies
[Federal Register Volume 78, Number 82 (Monday, April 29, 2013)]
[Notices]
[Pages 25089-25090]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-09948]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1984-14, CMS-10115, CMS-10130, and CMS-
10479]
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: Revision of a currently
approved collection; Title of Information Collection: Hospice Facility
Cost Report; Use: In accordance with sections 1815(a), 1833(e) and
1861(v)(1)(A) of the Social Security Act (the Act), providers of
service in the Medicare program are required to submit annual
information to achieve reimbursement for health care services rendered
to Medicare beneficiaries. In addition, 42 CFR 413.20(b) specifies that
cost reports are required from providers on an annual basis. Such cost
reports are required to be filed with the provider's Medicare
contractor. The functions of the Medicare contractor are described in
section 1816 of the Act. Section 3132 of the Affordable Care Act
requires that CMS collect appropriate data and information to
facilitate hospice payment reform. Form Number: CMS-1984-14 (OCN: 0938-
0758); Frequency: Yearly; Affected Public: Private sector (business or
other for-profit and not-for-profit institutions); Number of
Respondents: 2,751; Total Annual Responses: 2,751; Total Annual Hours:
517,188. (For policy questions regarding this collection contact Gail
Duncan at 410-786-7278. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003 (MMA).
Use: Section 1011 of the MMA provides that the Secretary will establish
a process (i.e., enrollment and claims payment) for eligible providers
to request payment. The Secretary must directly pay hospitals,
physicians and ambulance providers (including Indian Health Service,
Indian Tribe and Tribal organizations) for their otherwise un-
reimbursed costs of providing services required by section 1867 of the
Social Security Act and related hospital inpatient, outpatient and
ambulance services. CMS will use the application information to
administer this health services program and establish an audit process.
Form Number: CMS-10115 (OCN: 0938-0929); Frequency: Once and
occasionally; Affected Public: Private sector (business or other for-
profit and not-for-profit institutions); Number of Respondents: 10,000;
Total Annual Responses: 10,000; Total Annual Hours: 5,000. (For policy
questions regarding this collection contact Fred Rooke at 404-562-7502.
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: Federal Reimbursement of Emergency Health Services
Furnished to Undocumented Aliens, Section 1011 of the Medicare
Prescription Drug, Improvement and Modernization Act of 2003 (MMA):
``Section 1011 Provider Payment Determination'' and ``Request for
Section 1011 Hospital On-Call Payments to Physicians'' Forms. Use:
Section 1011 of the MMA requires that the Secretary establish a process
under which eligible providers (certain hospitals, physicians and
ambulance providers) may request payment for (claim) their otherwise
un-reimbursed costs of providing eligible services. The Secretary must
make quarterly payments directly to such providers. The Secretary must
also implement measures to ensure that inappropriate, excessive, or
fraudulent payments are not made under Section 1011, including
certification by providers of the veracity of their requests for
payment. Both forms have been established to address the statutory
requirements outlined above. Form Number: CMS-10130 (OCN: 0938-0952);
Frequency: Occasionally; Affected Public: Private sector (business or
other for-profit and not-for-profit institutions); Number of
Respondents:
[[Page 25090]]
12,037; Total Annual Responses: 300,148; Total Annual Hours: 75,037.
(For policy questions regarding this collection contact Fred Rooke at
404-562-7205. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: New Collection; Title of
Information Collection: Evaluation of the Multi-Payer Advanced Primary
Care Practice (MAPCP) Demonstration Focus Group Protocols; Use: On
September 16, 2009, the Department of Health and Human Services
announced the establishment of the Multi-payer Advanced Primary Care
Practice (MAPCP) Demonstration, under which Medicare joined Medicaid
and private insurers as a payer participant in state-sponsored patient-
centered medical home (PCMH) initiatives. CMS selected eight states to
participate in this demonstration: Maine, Vermont, Rhode Island, New
York, Pennsylvania, North Carolina, Michigan, and Minnesota. CMS is
proposing to conduct in-person focus groups with Medicare and Medicaid
beneficiaries and their caregivers to more thoroughly understand
patients' experiences with their PCMHs and how well their PCMHs are
serving their needs.
The focus groups will provide CMS with answers to fundamental
``what, how, and why'' questions about beneficiaries' experiences with
care and access to and coordination of care. The information obtained
via in-person, focus groups will be utilized by CMS for the evaluation
of the MAPCP Demonstration. The focus group data will be collected to
supplement other qualitative and quantitative analyses from primary and
secondary data sources by providing data on context, structure, and
process, as well as select aspects of the key outcomes. The data
gathered from the interviews will allow for more complete
interpretation of the quantitative claims and other data analysis by
taking into account the unique perspectives of beneficiaries. Form
Number: CMS-10479 (OCN: 0938-NEW); Frequency: Annually; Affected
Public: Individuals and households; Number of Respondents: 768; Total
Annual Responses: 384; Total Annual Hours: 1,152. (For policy questions
regarding this collection contact Suzanne Goodwin at 410-786-0226. 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 28, 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 23, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-09948 Filed 4-26-13; 8:45 am]
BILLING CODE 4120-01-P
