Agency Information Collection Activities: Submission for OMB Review; Comment Request, 48686-48687 [2013-19379]
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48686
Federal Register / Vol. 78, No. 154 / Friday, August 9, 2013 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–367, CMS–
10265, CMS–10279 and CMS–10483]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the 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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by September 9, 2013.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974 or, Email:
OIRA_submission@omb.eop.gov .
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
pmangrum on DSK3VPTVN1PROD with NOTICES
SUMMARY:
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14:54 Aug 08, 2013
Jkt 229001
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal Agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Medicaid Drug
Program Monthly and Quarterly Drug
Reporting Format; Use: Labelers
transmit drug data to us within 30 days
after the end of each calendar month
and quarter. We calculate the unit rebate
amount (URA) for each National Drug
Code and distributes to all state
Medicaid agencies. States use the URA
to invoice the labeler for rebates. The
monthly data is used to calculate
Federal Upper Limit prices for
applicable drugs and for states that opt
to use this data to establish their
pharmacy reimbursement methodology.
Form Number: CMS–367 (OCN: 0938–
0578); Frequency: Monthly and
quarterly; Affected Public: Private
sector—Business or other for-profits;
Number of Respondents: 590; Total
Annual Responses: 9,440; Total Annual
Hours: 139,712. (For policy questions
regarding this collection contact Cindy
Bergin at 410–786–1176.)
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: The
purpose of this submission is to renew
PO 00000
Frm 00045
Fmt 4703
Sfmt 4703
the information collection request (ICR)
and the information collected in
accordance with to Section 111 of the
Medicare, Medicaid and SCHIP Act of
2007 (MMSEA). The information is
collected from applicable reporting
entities for the purpose of coordination
of benefits. Section 111 mandates the
reporting of information in the form and
manner specified by the Secretary,
DHHS. Data the Secretary collects is
necessary for both pre-payment and
post-payment coordination of benefit
purposes, including necessary recovery
actions.
Section 111 establishes separate
mandatory reporting requirements for
GHP arrangements as well as for
liability insurance (including selfinsurance), no-fault insurance, and
workers’ compensation; for purposes of
this ICR these may be collectively be
referred to as ‘‘non-GHP.’’ Both GHP
and non-GHP entities have had and
continue to have the responsibility for
determining when they are primary to
Medicare and to pay appropriately, even
without the mandatory Section 111
process. In order to make this
determination, they should already and
always be collecting most of the
information CMS will require in
connection with Section 111 of the
MMSEA. Form Number: CMS–10265
(OCN: 0938–1074); Frequency: Yearly;
Affected Public: Private sector—
Business or other for-profits, Not-forprofit institutions and State, Local or
Tribal Governments; Number of
Respondents: 22,647; Total Annual
Responses: 22,647; Total Annual Hours:
333,130. (For policy questions regarding
this collection contact Cynthia Ginsburg
at 410–786–2579.)
3. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Ambulatory
Surgical Center Conditions for Coverage;
Use: The Ambulatory Surgical Center
(ASC) Conditions for Coverage (CfCs)
focus on a patient-centered, outcomeoriented, and transparent processes that
promote quality patient care. The CfCs
are designed to ensure that each facility
has properly trained staff to provide the
appropriate type and level of care for
that facility and provide a safe physical
environment for patients. The CfCs are
used by Federal or state surveyors as a
basis for determining whether an ASC
qualifies for approval or re-approval
under Medicare. We, along with the
healthcare industry, believe that the
availability to the facility of the type of
records and general content of records,
which this regulation specifies, is
standard medical practice and is
necessary in order to ensure the well-
E:\FR\FM\09AUN1.SGM
09AUN1
pmangrum on DSK3VPTVN1PROD with NOTICES
Federal Register / Vol. 78, No. 154 / Friday, August 9, 2013 / Notices
being and safety of patients and
professional treatment accountability.
Form Number: CMS–10279 (OCN:
0938–1071); Frequency: Annual;
Affected Public: Private sector—
Business or other for-profit and not-forprofit institutions; Number of
Respondents: 5,300; Total Annual
Responses: 5,300; Total Annual Hours:
206,700. (For policy questions regarding
this collection contact Jacqueline Leach
at 410–786–4282.)
4. Type of Information Collection
Request: New Collection (Request for a
new control number); Title of
Information Collection: Evaluation of
the Multi-Payer Advanced Primary Care
Practice (MAPCP) Demonstration:
Conduct Beneficiary Experience with
Care Surveys; 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. We selected
eight states to participate in this
demonstration: Maine, Vermont, Rhode
Island, New York, Pennsylvania, North
Carolina, Michigan, and Minnesota. We
are conducting a survey to assess the
care experiences of beneficiaries
involved in the MAPCP Demonstration.
We have chosen to measure patient
experience using a validated,
standardized survey questionnaire, the
PCMH version of the Consumer
Assessment of Healthcare Providers and
Systems (PCMH–CAHPS). The PCMH–
CAHPS is a validated, federally
developed instrument that measures
patient experience in 6 domains (access
to care, provider communication, office
staff interactions, attention to medical,
emotional, or both medical and
emotional health, health care support,
and medication decisions). Form
Number: CMS–10483 (OCN: 0938–
NEW); Frequency: Annually; Affected
Public: Individuals and households;
Number of Respondents: 10,038; Total
Annual Responses: 10,038; Total
Annual Hours: 3,313. (For policy
questions regarding this collection
contact Suzanne Wensky at 410–786–
0226.)
Dated: August 6, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–19379 Filed 8–8–13; 8:45 am]
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14:54 Aug 08, 2013
Jkt 229001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–416, CMS–R–71,
and CMS–10150]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates 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.
SUMMARY:
Comments must be received by
October 8, 2013.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
recommendations must be submitted in
any one of the following ways:
1. Electronically. You may send 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) that are 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,
DATES:
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
48687
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–416 Annual Early and Periodic
Screening, Diagnostic and Treatment
(EPSDT) Participation Report
CMS–R–71 Quality Improvement
Organization (QIO) Assumption of
Responsibilities and Supporting
Regulations
CMS–10150 Collection of Drug
Pricing and Network Pharmacy Data
from Medicare Prescription Drug Plans
(PDPs and MA–PDs) and Supporting
Regulations
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collections
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
E:\FR\FM\09AUN1.SGM
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Agencies
[Federal Register Volume 78, Number 154 (Friday, August 9, 2013)]
[Notices]
[Pages 48686-48687]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-19379]
[[Page 48686]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-367, CMS-10265, CMS-10279 and CMS-10483]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the 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.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by September 9, 2013.
ADDRESSES: When commenting on the proposed information collections,
please reference the document identifier or OMB control number. To be
assured consideration, comments and recommendations must be received by
the OMB desk officer via one of the following transmissions: OMB,
Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974 or, Email: OIRA_submission@omb.eop.gov .
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal Agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Medicaid Drug Program Monthly and Quarterly Drug Reporting Format; Use:
Labelers transmit drug data to us within 30 days after the end of each
calendar month and quarter. We calculate the unit rebate amount (URA)
for each National Drug Code and distributes to all state Medicaid
agencies. States use the URA to invoice the labeler for rebates. The
monthly data is used to calculate Federal Upper Limit prices for
applicable drugs and for states that opt to use this data to establish
their pharmacy reimbursement methodology. Form Number: CMS-367 (OCN:
0938-0578); Frequency: Monthly and quarterly; Affected Public: Private
sector--Business or other for-profits; Number of Respondents: 590;
Total Annual Responses: 9,440; Total Annual Hours: 139,712. (For policy
questions regarding this collection contact Cindy Bergin at 410-786-
1176.)
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: The purpose of this
submission is to renew the information collection request (ICR) and the
information collected in accordance with to Section 111 of the
Medicare, Medicaid and SCHIP Act of 2007 (MMSEA). The information is
collected from applicable reporting entities for the purpose of
coordination of benefits. Section 111 mandates the reporting of
information in the form and manner specified by the Secretary, DHHS.
Data the Secretary collects is necessary for both pre-payment and post-
payment coordination of benefit purposes, including necessary recovery
actions.
Section 111 establishes separate mandatory reporting requirements
for GHP arrangements as well as for liability insurance (including
self-insurance), no-fault insurance, and workers' compensation; for
purposes of this ICR these may be collectively be referred to as ``non-
GHP.'' Both GHP and non-GHP entities have had and continue to have the
responsibility for determining when they are primary to Medicare and to
pay appropriately, even without the mandatory Section 111 process. In
order to make this determination, they should already and always be
collecting most of the information CMS will require in connection with
Section 111 of the MMSEA. Form Number: CMS-10265 (OCN: 0938-1074);
Frequency: Yearly; Affected Public: Private sector--Business or other
for-profits, Not-for-profit institutions and State, Local or Tribal
Governments; Number of Respondents: 22,647; Total Annual Responses:
22,647; Total Annual Hours: 333,130. (For policy questions regarding
this collection contact Cynthia Ginsburg at 410-786-2579.)
3. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Ambulatory Surgical Center Conditions for Coverage; Use:
The Ambulatory Surgical Center (ASC) Conditions for Coverage (CfCs)
focus on a patient-centered, outcome-oriented, and transparent
processes that promote quality patient care. The CfCs are designed to
ensure that each facility has properly trained staff to provide the
appropriate type and level of care for that facility and provide a safe
physical environment for patients. The CfCs are used by Federal or
state surveyors as a basis for determining whether an ASC qualifies for
approval or re-approval under Medicare. We, along with the healthcare
industry, believe that the availability to the facility of the type of
records and general content of records, which this regulation
specifies, is standard medical practice and is necessary in order to
ensure the well-
[[Page 48687]]
being and safety of patients and professional treatment accountability.
Form Number: CMS-10279 (OCN: 0938-1071); Frequency: Annual; Affected
Public: Private sector--Business or other for-profit and not-for-profit
institutions; Number of Respondents: 5,300; Total Annual Responses:
5,300; Total Annual Hours: 206,700. (For policy questions regarding
this collection contact Jacqueline Leach at 410-786-4282.)
4. Type of Information Collection Request: New Collection (Request
for a new control number); Title of Information Collection: Evaluation
of the Multi-Payer Advanced Primary Care Practice (MAPCP)
Demonstration: Conduct Beneficiary Experience with Care Surveys; 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. We selected eight states to
participate in this demonstration: Maine, Vermont, Rhode Island, New
York, Pennsylvania, North Carolina, Michigan, and Minnesota. We are
conducting a survey to assess the care experiences of beneficiaries
involved in the MAPCP Demonstration. We have chosen to measure patient
experience using a validated, standardized survey questionnaire, the
PCMH version of the Consumer Assessment of Healthcare Providers and
Systems (PCMH-CAHPS). The PCMH-CAHPS is a validated, federally
developed instrument that measures patient experience in 6 domains
(access to care, provider communication, office staff interactions,
attention to medical, emotional, or both medical and emotional health,
health care support, and medication decisions). Form Number: CMS-10483
(OCN: 0938-NEW); Frequency: Annually; Affected Public: Individuals and
households; Number of Respondents: 10,038; Total Annual Responses:
10,038; Total Annual Hours: 3,313. (For policy questions regarding this
collection contact Suzanne Wensky at 410-786-0226.)
Dated: August 6, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-19379 Filed 8-8-13; 8:45 am]
BILLING CODE 4120-01-P