Agency Information Collection Activities: Submission for OMB Review; Comment Request, 29135-29137 [2013-11811]

Download as PDF wreier-aviles on DSK5TPTVN1PROD with NOTICES Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices certification criteria are currently available to meet the priority area; (2) an assessment of where gaps exist (i.e., no standard is available or harmonization is required because more than one standard exists) and identify potential organizations that have the capability to address those gaps; and (3) a timeline, which may also account for NIST testing, where appropriate, and include dates when the HIT Standards Committee is expected to issue recommendation(s) to the National Coordinator. (B) Upon receipt of a report from a workgroup or other special group, the HIT Standards Committee will: (1) accept the timeline provided by the subcommittee, and, if necessary, revise it; and (2) assign subcommittee(s) to conduct research and solicit testimony, where appropriate, and issue recommendations to the full committee in a timely manner. (C) Advise the National Coordinator, consistent with the accepted timeline in (B)(1) and after NIST testing, where appropriate, on standards, implementation specifications, and/or certification criteria, for the National Coordinator’s review and determination whether or not to endorse the recommendations, and possible adoption of the proposed recommendations by the Secretary of the Department of Health and Human Services. The standards and related topics which the HIT Standards Committee is expected to address over the coming year include, but may not be limited to standards to support: Transport of data to and from patients, image exchange, current content gaps, securing data at rest, digital signature, longitudinal record sharing, advanced care preferences, application programming interfaces, measuring and reporting quality, clinical decision support, defect reporting and registry support. For a listing of upcoming HIT Standards Committee meetings, please visit the ONC Web site at https:// healthit.gov. Notice of this schedule is given under the American Recovery and Reinvestment Act of 2009 (Pub. L. 111– 5), section 3003. Dated: May 8, 2013. MacKenzie Robertson, FACA Program Director, Office of Policy and Planning, Office of the National Coordinator for Health Information Technology. [FR Doc. 2013–11740 Filed 5–16–13; 8:45 am] BILLING CODE 4150–45–P VerDate Mar<15>2010 15:20 May 16, 2013 Jkt 229001 DEPARTMENT OF HEALTH AND HUMAN SERVICES HIT Standards Committee Advisory Meeting Office of the National Coordinator for Health Information Technology, HHS. ACTION: Notice of meeting. AGENCY: This notice announces a forthcoming meeting of a public advisory committee of the Office of the National Coordinator for Health Information Technology (ONC). The meeting will be open to the public. Name of Committee: HIT Standards Committee. General Function of the Committee: To provide recommendations to the National Coordinator on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information for purposes of adoption, consistent with the implementation of the Federal Health IT Strategic Plan, and in accordance with policies developed by the HIT Policy Committee. Date and Time: The meeting will be held on June 19, 2013, from 9:00 a.m. to 3:00 p.m. Eastern Time. This is a change from the previously announced date of June 20, 2013. Location: TBD. For up-to-date information, go to the ONC Web site, https://healthit.gov. Contact Person: MacKenzie Robertson, Office of the National Coordinator, HHS, 355 E Street SW., Washington, DC 20201, 202–205–8089, Fax: 202–260–1276, email: mackenzie.robertson@hhs.gov. Please call the contact person for up-to-date information on this meeting. A notice in the Federal Register about last minute modifications that impact a previously announced advisory committee meeting cannot always be published quickly enough to provide timely notice. Agenda: The committee will hear reports from its workgroups and updates from ONC and other Federal agencies. ONC intends to make background material available to the public no later than two (2) business days prior to the meeting. If ONC is unable to post the background material on its Web site prior to the meeting, it will be made publicly available at the location of the advisory committee meeting, and the background material will be posted on ONC’s Web site after the meeting, at https://healthit.gov. Procedure: ONC is committed to the orderly conduct of its advisory committee meetings. Interested persons may present data, information, or views, PO 00000 Frm 00025 Fmt 4703 Sfmt 4703 29135 orally or in writing, on issues pending before the Committee. Written submissions may be made to the contact person on or before two days prior to the Committee’s meeting date. Oral comments from the public will be scheduled in the agenda. Time allotted for each presentation will be limited to three minutes. If the number of speakers requesting to comment is greater than can be reasonably accommodated during the scheduled public comment period, ONC will take written comments after the meeting until close of business on that day. Persons attending ONC’s advisory committee meetings are advised that the agency is not responsible for providing access to electrical outlets. ONC welcomes the attendance of the public at its advisory committee meetings. Seating is limited at the location, and ONC will make every effort to accommodate persons with physical disabilities or special needs. If you require special accommodations due to a disability, please contact MacKenzie Robertson at least seven (7) days in advance of the meeting. Notice of this meeting is given under the Federal Advisory Committee Act (Pub. L. 92–463, 5 U.S.C., App. 2). Dated: May 10, 2013. MacKenzie Robertson, FACA Program Lead, Office of Policy and Planning, Office of the National Coordinator for Health Information Technology. [FR Doc. 2013–11742 Filed 5–16–13; 8:45 am] BILLING CODE 4150–45–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10053, CMS– R–142, CMS–10066, CMS–R–193, CMS– 10464 and CMS–588] 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 AGENCY: E:\FR\FM\17MYN1.SGM 17MYN1 wreier-aviles on DSK5TPTVN1PROD with NOTICES 29136 Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices 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: Extension of a currently approved collection; Title of Information Collection: Paid Feeding Assistants in Long-Term Care Facilities and Supporting Regulations at 42 CFR 483.160; Use: In accordance with 42 CFR part 483, long-term care facilities are permitted to use paid feeding assistants to supplement the services of certified nurse aides. If facilities choose this option, feeding assistants must complete a training program. Nursing home providers are expected to maintain a record of all individuals used by the facility as paid feeding assistants. Form Number: CMS–10053 (OCN: 0938–0916); Frequency: Occasionally; Affected Public: Private Sector—Business or other for-profit and not-for-profit institutions; Number of Respondents: 4,250; Total Annual Responses: 4,250; Total Annual Hours: 25,500. (For policy questions regarding this collection contact Shelly Ray at 410–786–7884. For all other issues call 410–786–1326.) 2. Type of Information Collection Request: Extension without change of a currently approved collection; Title of Information Collection: Examination and Treatment for Emergency Medical Conditions and Women in Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24; Use: In accordance with 42 CFR 488.18, 489.20 and 489.24, during Medicare surveys of hospitals and state agencies, CMS will review hospital records for lists of on-call physicians. CMS will also review and obtain the information which must be recorded in hospital medical records for individuals with emergency medical conditions and women in labor. The emergency department reporting the information, Medicare participating hospitals and Medicare state survey agencies must forward the information to CMS. Additionally, CMS will use the Quality Improvement Organizations Report assessing whether an individual had an emergency condition and whether the individual was stabilized to determine whether to impose a civil monetary penalty or physician exclusion sanctions. Without such information, CMS will be unable to make the hospital emergency services VerDate Mar<15>2010 15:20 May 16, 2013 Jkt 229001 compliance determinations as required under sections 1154, 1866 and 1867 of the Consolidated Omnibus Budget Reconciliation Act (COBRA) of 1985. Form Number: CMS–R–142 (OCN: 0938–0667). Frequency: Occasionally; Affected Public: Private Sector (business or other for-profit and not-for-profit institutions); Number of Respondents: 6,149; Total Annual Responses: 6,149; Total Annual Hours: 6,149. (For policy questions regarding this collection contact Renate Dombrowski at 410–786– 4645. For all other issues call 410–786– 1326.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Detailed Notice of Discharge (DND); Use: When a Medicare beneficiary requests a Quality Improvement Organization review of his/her inpatient hospital discharge, hospitals and Medicare plans have used the DND to provide the beneficiary with a detailed explanation regarding the reason for discharge. Form Number: CMS–10066 (OCN: 0938–1019). Frequency: Yearly. Affected Public: Private Sector—Business or other forprofit and not-for-profit institutions; Number of Respondents: 6,169; Total Annual Responses: 12,852; Total Annual Hours: 12,852. (For policy questions regarding this collection contact Evelyn Blaemire at 410–786– 1803. For all other issues call 410–786– 1326.) 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Important Message from Medicare (IM); Use: Hospitals have used the Important Message from Medicare (IM) to inform original Medicare, Medicare Advantage, and other Medicare plan beneficiaries who are hospital inpatients about their hospital rights and discharge rights. In particular, the IM provides information about when a beneficiary will and will not be liable for charges for a continued stay in a hospital and offers a detailed description of the Quality Improvement Organization review process. Form Number: CMS–R–193 (OCN: 0938– 0692). Frequency: Yearly; Affected Public: Private Sector—Business or other for-profit and not-for-profit institutions; Number of Respondents: 6,169; Total Annual Responses: 19,840,000; Total Annual Hours: 2,976,000. (For policy questions regarding this collection contact Evelyn Blaemire at 410–786–1803. For all other issues call 410–786–1326.) 5. Type of Information Collection Request: New collection (Request for a new control number); Title of PO 00000 Frm 00026 Fmt 4703 Sfmt 4703 Information Collection: Agent/Broker Data Collection in Federally-facilitated Health Insurance Exchanges; Use: Both section 1312(e) of the Affordable Care Act and 45 CFR 155.220 permit states to allow agents and brokers to enroll qualified individuals, employers, and employees in QHPs, including through the Exchange; and assist individuals in applying for advance payments of the premium tax credit and cost-sharing reductions. Agents and brokers will serve as additional access points to the Exchange for individuals, SHOP employers or SHOP employees requiring or desiring agent and broker assistance. In order to interface with the Federally-facilitated Exchange (FFE), agents and brokers must establish an account and obtain a user ID through the CMS Enterprise Portal. Additionally, agents and brokers must register for, and successfully complete, Exchangespecific training, which enforces their understanding of eligibility and enrollment requirements in Exchanges. Agents and brokers must also apply this understanding to the use or development of any non-Exchange Web site, such as an issuer’s or web broker’s Web site, used as a tool for enrollment. At the conclusion of training, agents and brokers will attest to adhere to FFE standards and requirements. Webbrokers will sign and submit a similar agreement. We estimate that it will take approximately one-half hour (30 minutes) per applicant to complete all of the data collection activities associated with the process. They must register on-line for a training module; complete an on-line attestation (or, if they are web brokers sign and submit their agreement); and finally, if for some reason they choose to terminate their registration, complete and sign a termination notice. Collectively, these activities will take no more than 30 minutes. We estimate that approximately 350,000 agents and brokers will seek to register to participate in the FFE. At an estimated 30 minutes (0.50 hours) per broker, that result in 175,000 hours of overall burden. According to the Bureau of Labor and Statistics, Insurance Sales Agents earned an average of $30.48 per hour in 2012. We factored that up by 3% for 2013 and 2014, for an average annual wage of $32.34. Applying that cost factor to the estimated 175,000 hours of burden yields an overall cost estimate of $5,659,500 for the first year of operation. The 60-day Federal Register notice was published on February 7, 2013 (78 FR 9056). We received nine comments. E:\FR\FM\17MYN1.SGM 17MYN1 wreier-aviles on DSK5TPTVN1PROD with NOTICES Federal Register / Vol. 78, No. 96 / Friday, May 17, 2013 / Notices Of those nine comments, three were related to the information collection request and six were out of scope. Specifically, one commenter requested a process that would allow web-brokers to enroll people without reporting individual issuer appointments, and CMS made this revision to the registration process. We also received some questions about how the training process will work. We confirmed that agents and brokers will only need to register for the FFE once and that CMS will host the training program, as opposed to individual issuers. As a result of the comments, we modified both the registration process and simplified how agents and brokers would participate in the Exchanges to make it align more closely with how issuers, agents, and web-brokers currently do business. Form Number: CMS–10464 (OCN: 0938–NEW); Frequency: Annually; Affected Public: Private Sector—Business or Other ForProfit, Non-For-Profit Institutions, or Farms; Number of Respondents: 350,000; Total Annual Responses: 350,000; Total Annual Hours: 175,000 hours. (For policy questions regarding this collection contact Leigha Basini at 301–492–4307. For all other issues call 410–786–1326.) 6. Type of Information Collection Request: Revision of a currently approved collection. Title of Information Collection: Electronic Funds Transfers Authorization Agreement; Use: The primary function of the Electronic Funds Transfer Authorization Agreement (CMS 588) is to gather information from a provider/ supplier to establish an electronic payment process. The legal authority to collect this information is found in Section 1815(a) of the Social Security Act. This section provides authority for the Secretary of Health and Human Services to pay providers/suppliers of Medicare services. Under 31 U.S.C. 3332(f)(1), all federal payments, including Medicare payments to providers and suppliers, shall be made by electronic funds transfer. 31 U.S.C. 7701 (c) requires that any person or entity doing business with the federal government must provide their Tax Identification Number (TIN). The goal of this submission is to renew the data collection. Only two minor revisions for systems requirements will be made at this time, specifically adding a street address line for the location of the financial institution and adding an additional National Provider Identification (NPI) number collection field for those providers/suppliers who have more VerDate Mar<15>2010 15:20 May 16, 2013 Jkt 229001 than one NPI. Form Number: CMS–588 (OCN: 0938–0626); Frequency: Occasionally; Affected Public: Private Sector—Business or other for-profits and not-for-profit institutions; Number of Respondents: 94,000; Total Annual Responses: 94,000; Total Annual Hours: 23,500. (For policy questions regarding this collection contact Kim McPhillips at 410–786–5374. 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 June 17, 2013. OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov. Dated: May 14, 2013. Martique Jones, Deputy Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2013–11811 Filed 5–16–13; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10088, CMS– 10265, CMS–10477 and CMS–R–13] 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 AGENCY: PO 00000 Frm 00027 Fmt 4703 Sfmt 4703 29137 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 without change of a currently approved collection; Title of Information Collection: Notification of Fiscal Intermediaries (FIs) and CMS of Co-located Medicare Providers and Supporting Regulations in 42 CFR 412.22 and 412.532; Use: Many longterm care hospitals (LTCHs) are colocated with other Medicare providers (acute care hospitals, inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and psychiatric facilities), which leads to potential gaming of the Medicare system based on patient shifting. We are requiring LTCHs to notify fiscal intermediaries (FIs), Medicare administrative contractors (MACs), and CMS of co-located providers and establish policies to limit payment abuse that will be based on FIs and MACs tracking patient movement among these co-located providers 42 CFR 412.22(e)(6) and (h)(5). Based upon being able to identify colocated providers, FIs, MACs, and CMS will be able to track patient shifting between LTCHs and other in-patient providers which will lead to appropriate payments under § 412.532. That section limits payments to LTCHs where over 5 percent of admissions represent patients who had been sequentially discharged by the LTCH, admitted to an on-site provider, and subsequently readmitted to the LTCH. Since each discharge triggers a Medicare payment, we implemented this policy to discourage payment abuse. Form Number: CMS–10088 (OCN: 0938–0897); Frequency: Occasionally; Affected Public: Private Sector— Business or other for-profit and not-forprofit institutions; Number of Respondents: 25; Total Annual Responses: 25; Total Annual Hours: 6. (For policy questions regarding this collection contact Judy Richter at 410– 786–2590. For all other issues call 410– 786–1326.) 2. Type of Information Collection Request: Reinstatement with a change of a previously approved collection; Title of Information Collection: Mandatory Insurer Reporting Requirements of Section 111 of the Medicare, Medicaid and SCHIP Act of 2007; Use: Section E:\FR\FM\17MYN1.SGM 17MYN1

Agencies

[Federal Register Volume 78, Number 96 (Friday, May 17, 2013)]
[Notices]
[Pages 29135-29137]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-11811]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10053, CMS-R-142, CMS-10066, CMS-R-193, CMS-
10464 and CMS-588]


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

[[Page 29136]]

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: Extension of a currently 
approved collection; Title of Information Collection: Paid Feeding 
Assistants in Long-Term Care Facilities and Supporting Regulations at 
42 CFR 483.160; Use: In accordance with 42 CFR part 483, long-term care 
facilities are permitted to use paid feeding assistants to supplement 
the services of certified nurse aides. If facilities choose this 
option, feeding assistants must complete a training program. Nursing 
home providers are expected to maintain a record of all individuals 
used by the facility as paid feeding assistants. Form Number: CMS-10053 
(OCN: 0938-0916); Frequency: Occasionally; Affected Public: Private 
Sector--Business or other for-profit and not-for-profit institutions; 
Number of Respondents: 4,250; Total Annual Responses: 4,250; Total 
Annual Hours: 25,500. (For policy questions regarding this collection 
contact Shelly Ray at 410-786-7884. For all other issues call 410-786-
1326.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Examination and Treatment for Emergency Medical Conditions and Women in 
Labor (EMTALA), 42 CFR 482.12, 488.18, 489.20, and 489.24; Use: In 
accordance with 42 CFR 488.18, 489.20 and 489.24, during Medicare 
surveys of hospitals and state agencies, CMS will review hospital 
records for lists of on-call physicians. CMS will also review and 
obtain the information which must be recorded in hospital medical 
records for individuals with emergency medical conditions and women in 
labor. The emergency department reporting the information, Medicare 
participating hospitals and Medicare state survey agencies must forward 
the information to CMS. Additionally, CMS will use the Quality 
Improvement Organizations Report assessing whether an individual had an 
emergency condition and whether the individual was stabilized to 
determine whether to impose a civil monetary penalty or physician 
exclusion sanctions. Without such information, CMS will be unable to 
make the hospital emergency services compliance determinations as 
required under sections 1154, 1866 and 1867 of the Consolidated Omnibus 
Budget Reconciliation Act (COBRA) of 1985. Form Number: CMS-R-142 (OCN: 
0938-0667). Frequency: Occasionally; Affected Public: Private Sector 
(business or other for-profit and not-for-profit institutions); Number 
of Respondents: 6,149; Total Annual Responses: 6,149; Total Annual 
Hours: 6,149. (For policy questions regarding this collection contact 
Renate Dombrowski at 410-786-4645. For all other issues call 410-786-
1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Detailed Notice 
of Discharge (DND); Use: When a Medicare beneficiary requests a Quality 
Improvement Organization review of his/her inpatient hospital 
discharge, hospitals and Medicare plans have used the DND to provide 
the beneficiary with a detailed explanation regarding the reason for 
discharge. Form Number: CMS-10066 (OCN: 0938-1019). Frequency: Yearly. 
Affected Public: Private Sector--Business or other for-profit and not-
for-profit institutions; Number of Respondents: 6,169; Total Annual 
Responses: 12,852; Total Annual Hours: 12,852. (For policy questions 
regarding this collection contact Evelyn Blaemire at 410-786-1803. For 
all other issues call 410-786-1326.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Important Message 
from Medicare (IM); Use: Hospitals have used the Important Message from 
Medicare (IM) to inform original Medicare, Medicare Advantage, and 
other Medicare plan beneficiaries who are hospital inpatients about 
their hospital rights and discharge rights. In particular, the IM 
provides information about when a beneficiary will and will not be 
liable for charges for a continued stay in a hospital and offers a 
detailed description of the Quality Improvement Organization review 
process. Form Number: CMS-R-193 (OCN: 0938-0692). Frequency: Yearly; 
Affected Public: Private Sector--Business or other for-profit and not-
for-profit institutions; Number of Respondents: 6,169; Total Annual 
Responses: 19,840,000; Total Annual Hours: 2,976,000. (For policy 
questions regarding this collection contact Evelyn Blaemire at 410-786-
1803. For all other issues call 410-786-1326.)
    5. Type of Information Collection Request: New collection (Request 
for a new control number); Title of Information Collection: Agent/
Broker Data Collection in Federally-facilitated Health Insurance 
Exchanges; Use: Both section 1312(e) of the Affordable Care Act and 45 
CFR 155.220 permit states to allow agents and brokers to enroll 
qualified individuals, employers, and employees in QHPs, including 
through the Exchange; and assist individuals in applying for advance 
payments of the premium tax credit and cost-sharing reductions. Agents 
and brokers will serve as additional access points to the Exchange for 
individuals, SHOP employers or SHOP employees requiring or desiring 
agent and broker assistance.
    In order to interface with the Federally-facilitated Exchange 
(FFE), agents and brokers must establish an account and obtain a user 
ID through the CMS Enterprise Portal. Additionally, agents and brokers 
must register for, and successfully complete, Exchange-specific 
training, which enforces their understanding of eligibility and 
enrollment requirements in Exchanges. Agents and brokers must also 
apply this understanding to the use or development of any non-Exchange 
Web site, such as an issuer's or web broker's Web site, used as a tool 
for enrollment. At the conclusion of training, agents and brokers will 
attest to adhere to FFE standards and requirements. Web-brokers will 
sign and submit a similar agreement.
    We estimate that it will take approximately one-half hour (30 
minutes) per applicant to complete all of the data collection 
activities associated with the process. They must register on-line for 
a training module; complete an on-line attestation (or, if they are web 
brokers sign and submit their agreement); and finally, if for some 
reason they choose to terminate their registration, complete and sign a 
termination notice. Collectively, these activities will take no more 
than 30 minutes.
    We estimate that approximately 350,000 agents and brokers will seek 
to register to participate in the FFE. At an estimated 30 minutes (0.50 
hours) per broker, that result in 175,000 hours of overall burden. 
According to the Bureau of Labor and Statistics, Insurance Sales Agents 
earned an average of $30.48 per hour in 2012. We factored that up by 3% 
for 2013 and 2014, for an average annual wage of $32.34. Applying that 
cost factor to the estimated 175,000 hours of burden yields an overall 
cost estimate of $5,659,500 for the first year of operation.
    The 60-day Federal Register notice was published on February 7, 
2013 (78 FR 9056). We received nine comments.

[[Page 29137]]

Of those nine comments, three were related to the information 
collection request and six were out of scope. Specifically, one 
commenter requested a process that would allow web-brokers to enroll 
people without reporting individual issuer appointments, and CMS made 
this revision to the registration process. We also received some 
questions about how the training process will work. We confirmed that 
agents and brokers will only need to register for the FFE once and that 
CMS will host the training program, as opposed to individual issuers. 
As a result of the comments, we modified both the registration process 
and simplified how agents and brokers would participate in the 
Exchanges to make it align more closely with how issuers, agents, and 
web-brokers currently do business. Form Number: CMS-10464 (OCN: 0938-
NEW); Frequency: Annually; Affected Public: Private Sector--Business or 
Other For-Profit, Non-For-Profit Institutions, or Farms; Number of 
Respondents: 350,000; Total Annual Responses: 350,000; Total Annual 
Hours: 175,000 hours. (For policy questions regarding this collection 
contact Leigha Basini at 301-492-4307. For all other issues call 410-
786-1326.)
    6. Type of Information Collection Request: Revision of a currently 
approved collection. Title of Information Collection: Electronic Funds 
Transfers Authorization Agreement; Use: The primary function of the 
Electronic Funds Transfer Authorization Agreement (CMS 588) is to 
gather information from a provider/supplier to establish an electronic 
payment process.
    The legal authority to collect this information is found in Section 
1815(a) of the Social Security Act. This section provides authority for 
the Secretary of Health and Human Services to pay providers/suppliers 
of Medicare services. Under 31 U.S.C. 3332(f)(1), all federal payments, 
including Medicare payments to providers and suppliers, shall be made 
by electronic funds transfer. 31 U.S.C. 7701 (c) requires that any 
person or entity doing business with the federal government must 
provide their Tax Identification Number (TIN).
    The goal of this submission is to renew the data collection. Only 
two minor revisions for systems requirements will be made at this time, 
specifically adding a street address line for the location of the 
financial institution and adding an additional National Provider 
Identification (NPI) number collection field for those providers/
suppliers who have more than one NPI. Form Number: CMS-588 (OCN: 0938-
0626); Frequency: Occasionally; Affected Public: Private Sector--
Business or other for-profits and not-for-profit institutions; Number 
of Respondents: 94,000; Total Annual Responses: 94,000; Total Annual 
Hours: 23,500. (For policy questions regarding this collection contact 
Kim McPhillips at 410-786-5374. 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 June 17, 2013.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: May 14, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-11811 Filed 5-16-13; 8:45 am]
BILLING CODE 4120-01-P