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