Proposed Information Collection Activity; Comment Request, 66365-66366 [2013-26383]
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Federal Register / Vol. 78, No. 214 / Tuesday, November 5, 2013 / Notices
++ ACHC’s agreement to provide
CMS with a copy of the most current
accreditation survey together with any
other information related to the survey
as we may require, including corrective
action plans.
In accordance with section
1865(a)(3)(A) of the Act, the May 3,
2013 proposed notice also solicited
public comments regarding whether
ACHC’s requirements met or exceeded
the Medicare conditions of participation
for hospices. We received no comments
in response to our proposed notice.
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IV. Provisions of the Final Notice
A. Differences Between ACHC’s
Standards and Requirements for
Accreditation and Medicare’s
Conditions and Survey Requirements
We compared ACHC’s hospice
requirements and survey process with
the Medicare conditions of participation
and survey process as outlined in the
State Operations Manual (SOM). Our
review and evaluation of ACHC’s
hospice application, which were
conducted as described in section III of
this final notice, yielded the following:
• To meet the requirement at
§ 418.3(2), ACHC amended its crosswalk
and standards to accurately reflect the
current regulatory language that the
attending physician is identified by the
individual, at the time he or she elects
to receive hospice care, as having the
most significant role in the
determination and delivery of the
individual’s medical care.
• To meet the requirement at
§ 418.24(c)(3), ACHC amended its
preamble to accurately reflect the
current regulatory language that an
election to receive hospice care will be
considered to continue through the
initial election period and through the
subsequent election periods without a
break in care as long as the individual
is not discharged from the hospice
under the provisions in § 418.26.
• To meet the requirement at
§ 418.70, ACHC revised its standard to
accurately address the care/services
provided directly and those provided
under arrangement.
• To meet the requirement at
§ 418.76(c), ACHC revised its standards
to address the requirement that hospice
aide services can be provided by an
individual only after the successful
completion of a competency evaluation
program.
• To meet the requirement at
§ 418.78, ACHC revised its standard to
reflect that the hospice must use
volunteers in defined roles.
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• To meet the requirement at
§ 418.104(d), ACHC revised its standard
to reflect that if the hospice
discontinues operation, hospice policies
must provide for retention and storage
of clinical records.
• To meet the requirement at
§ 418.106(e)(2)(i)(A), ACHC revised its
standard to reflect that the hospice will
provide a copy of the hospice’s written
policies and procedures on the
management and disposal of controlled
drugs to the patient representative.
• To meet the requirement at
§ 418.106(e)(2)(i)(B), ACHC revised its
standard to reflect the discussion of the
hospice’s policies and procedures
managing the safe use and disposal of
controlled drugs to the patient
representative.
• To meet the requirement at
§ 418.108(b)(1)(ii), ACHC revised its
standard to allow for pain control,
symptom management, and respite
purposes in a Medicare or Medicaidcertified nursing facility, in addition to
a Medicare or Medicaid-certified
hospice or hospital that also meets the
standards specified in § 418.110(e).
• To meet the requirement at
§ 418.110(n)(2)(i), ACHC revised its
standard to address techniques to
identify staff behaviors, events, and
environmental factors that may trigger
circumstances that require the use of a
restraint or seclusion.
• To meet the requirement at
§ 418.112(c), ACHC provided a clear
definition of the management of crisis
situations and temporary emergencies.
• To meet the requirement at
§ 418.202(g), ACHC amended its
preamble to accurately reflect the
requirement that homemaker services
may include assistance in maintenance
of a safe and healthy environment and
services to enable the individual to
carry out the treatment plan.
• To meet the requirements of
Appendix M of the SOM, ACHC
instituted processes and audits to
ensure that the Medicare Enrollment
Application Form CMS–855A is verified
by the assigned Medicare
Administrative Contractor (MAC) prior
to conducting an initial survey.
B. Term of Approval
Based on our review and observations
described in section III of this final
notice, we have determined that ACHC’s
hospice accreditation program
requirements meet or exceed our
requirements. Therefore, we approve
ACHC as a national accreditation
organization for hospices that request
participation in the Medicare program,
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66365
effective November 27, 2013 through
November 27, 2019.
V. Collection of Information
Requirements
This document does not impose
information collection and
recordkeeping requirements.
Consequently, it need not be reviewed
by the Office of Management and
Budget under the authority of the
Paperwork Reduction Act of 1995.
(Catalog of Federal Domestic Assistance
Program No. 93.778, Medical Assistance
Program; No. 93.773 Medicare—Hospital
Insurance Program; and No. 93.774,
Medicare—Supplementary Medical
Insurance Program).
Dated: October 29, 2013.
Marilyn Tavenner,
Administrator, Centers for Medicare &
Medicaid Services.
[FR Doc. 2013–26374 Filed 11–4–13; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Proposed Projects:
Title: DRA TANF Final Rule.
OMB No.: 0970–0338.
Description: When the Deficit
Reduction Act of 2005 (DRA)
reauthorized the Temporary Assistance
for Needy Families (TANF) program, it
imposed a new data requirement that
States prepare and submit data
verification procedures and replaced
other data requirements with new
versions including: the TANF Data
Report, the SSP–MOE Data Report, the
Caseload Reduction Documentation
Process, and the Reasonable Cause/
Corrective Compliance Documentation
Process. The Continuing Appropriations
Act, 2014 (Pub. L. 113–46) provides
federal funds to operate Temporary
Assistance for Needy Families (TANF)
programs in the states, DC, Guam,
Puerto Rico, the U.S. Virgin Islands, and
for approved federally recognized tribes
and Alaskan Native Villages through
January 15, 2014. We are proposing to
continue these information collections
without change.
Respondents: The 50 States of the
United States, the District of Columbia,
Guam, Puerto Rico, and the Virgin
Islands.
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66366
Federal Register / Vol. 78, No. 214 / Tuesday, November 5, 2013 / Notices
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
Preparation and Submission of Data Verification Procedures §§ 261.60—
261.63 ..........................................................................................................
Caseload Reduction Documentation Process, ACF–202 §§ 261.41 & 261.44
Reasonable Cause/Corrective Compliance Documentation Process
§§ 262.4, 262.6, & 262.7; § 261.51 ..............................................................
TANF Data Report Part 265 ............................................................................
SSP–MOE Data Report Part 265 ....................................................................
wreier-aviles on DSK5TPTVN1PROD with NOTICES
Estimated Total Annual Burden
Hours: 625,200.
In compliance with the requirements
of Section 506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the
Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
Copies of the proposed collection of
information can be obtained and
comments may be forwarded by writing
to the Administration for Children and
Families, Office of Planning, Research
and Evaluation, 370 L’Enfant
Promenade, SW., Washington, DC
20447, Attn: ACF Reports Clearance
Officer. Email address: infocollection@
acf.hhs.gov. All requests should be
identified by the title of the information
collection.
The Department specifically requests
comments on: (a) Whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
comments and suggestions submitted
within 60 days of this publication.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2013–26383 Filed 11–4–13; 8:45 am]
BILLING CODE 4184–01–P
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640
120
34,560
6,480
54
54
29
2
4
4
240
2,201
714
25,920
475,416
82,824
[Docket No. FDA–2013–D–1213]
Draft Guidance for Industry: Use of
Donor Screening Tests To Test Donors
of Human Cells, Tissues, and Cellular
and Tissue-Based Products for
Infection With Treponema pallidum
(Syphilis); Availability
Food and Drug Administration,
HHS.
Notice.
The Food and Drug
Administration (FDA) is announcing the
availability of a draft document entitled
‘‘Guidance for Industry: Use of Donor
Screening Tests to Test Donors of
Human Cells, Tissues, and Cellular and
Tissue-Based Products (HCT/Ps) for
Infection with Treponema pallidum
(Syphilis),’’ dated October 2013. The
draft guidance document provides
establishments that make donor
eligibility determinations for donors of
HCT/Ps (HCT/P Establishments), with
updated recommendations concerning
donor testing for evidence of
Treponema pallidum (T. pallidum)
infection, the etiologic agent of syphilis.
HCT/P Establishments must, as required
under Federal regulations, test a donor
specimen for evidence of T. pallidum
infection using appropriate FDAlicensed, approved, or cleared donor
screening tests, in accordance with the
manufacturer’s instructions, unless an
exception to this requirement applies.
The draft guidance clarifies that FDA
does not consider diagnostic tests or
pre-amendment devices (which have
not been licensed, approved, or cleared)
to be adequate for use in donor testing
for T. pallidum infection under the
criteria specified in Federal regulations.
The recommendations in this guidance,
when finalized, will supersede those
recommendations for testing HCT/P
donors for evidence of T. pallidum
infection contained in the document
entitled ‘‘Guidance for Industry:
SUMMARY:
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Sfmt 4703
Total burden
hours
1
1
Food and Drug Administration
ACTION:
Average
burden hours
per response
54
54
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
AGENCY:
Number of
responses per
respondent
Eligibility Determination for Donors of
Human Cells, Tissues, and Cellular and
Tissue-Based Products (HCT/Ps),’’ dated
August 2007.
DATES: Although you can comment on
any guidance at any time (see 21 CFR
10.115(g)(5)), to ensure that the Agency
considers your comment on this draft
guidance before it begins work on the
final version of the guidance, submit
either electronic or written comments
on the draft guidance by February 3,
2014.
ADDRESSES: Submit written requests for
single copies of the draft guidance to the
Office of Communication, Outreach and
Development (HFM–40), Center for
Biologics Evaluation and Research
(CBER), Food and Drug Administration,
1401 Rockville Pike, suite 200N,
Rockville, MD 20852–1448. Send one
self-addressed adhesive label to assist
the office in processing your requests.
The draft guidance may also be obtained
by mail by calling CBER at 1–800–835–
4709 or 301–827–1800. See the
SUPPLEMENTARY INFORMATION section for
electronic access to the draft guidance
document.
Submit electronic comments on the
draft guidance to https://
www.regulations.gov. Submit written
comments to the Division of Dockets
Management (HFA–305), Food and Drug
Administration, 5630 Fishers Lane, rm.
1061, Rockville, MD 20852.
FOR FURTHER INFORMATION CONTACT: Paul
E. Levine, Jr., Center for Biologics
Evaluation and Research (HFM–17),
Food and Drug Administration, 1401
Rockville Pike, suite 200N, Rockville,
MD 20852–1448, 301–827–6210.
SUPPLEMENTARY INFORMATION:
I. Background
FDA is announcing the availability of
a draft document entitled ‘‘Guidance for
Industry: Use of Donor Screening Tests
to Test Donors of Human Cells, Tissues,
and Cellular and Tissue-Based Products
(HCT/Ps) for Infection with Treponema
pallidum (Syphilis),’’ dated October
2013. The draft guidance document
provides HCT/P Establishments with
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Agencies
[Federal Register Volume 78, Number 214 (Tuesday, November 5, 2013)]
[Notices]
[Pages 66365-66366]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-26383]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Proposed Information Collection Activity; Comment Request
Proposed Projects:
Title: DRA TANF Final Rule.
OMB No.: 0970-0338.
Description: When the Deficit Reduction Act of 2005 (DRA)
reauthorized the Temporary Assistance for Needy Families (TANF)
program, it imposed a new data requirement that States prepare and
submit data verification procedures and replaced other data
requirements with new versions including: the TANF Data Report, the
SSP-MOE Data Report, the Caseload Reduction Documentation Process, and
the Reasonable Cause/Corrective Compliance Documentation Process. The
Continuing Appropriations Act, 2014 (Pub. L. 113-46) provides federal
funds to operate Temporary Assistance for Needy Families (TANF)
programs in the states, DC, Guam, Puerto Rico, the U.S. Virgin Islands,
and for approved federally recognized tribes and Alaskan Native
Villages through January 15, 2014. We are proposing to continue these
information collections without change.
Respondents: The 50 States of the United States, the District of
Columbia, Guam, Puerto Rico, and the Virgin Islands.
[[Page 66366]]
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Number of responses per hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Preparation and Submission of Data Verification 54 1 640 34,560
Procedures Sec. Sec. 261.60--261.63.........
Caseload Reduction Documentation Process, ACF- 54 1 120 6,480
202 Sec. Sec. 261.41 & 261.44...............
Reasonable Cause/Corrective Compliance 54 2 240 25,920
Documentation Process Sec. Sec. 262.4,
262.6, & 262.7; Sec. 261.51..................
TANF Data Report Part 265....................... 54 4 2,201 475,416
SSP-MOE Data Report Part 265.................... 29 4 714 82,824
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 625,200.
In compliance with the requirements of Section 506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Administration for Children and
Families is soliciting public comment on the specific aspects of the
information collection described above. Copies of the proposed
collection of information can be obtained and comments may be forwarded
by writing to the Administration for Children and Families, Office of
Planning, Research and Evaluation, 370 L'Enfant Promenade, SW.,
Washington, DC 20447, Attn: ACF Reports Clearance Officer. Email
address: infocollection@acf.hhs.gov. All requests should be identified
by the title of the information collection.
The Department specifically requests comments on: (a) Whether the
proposed collection of information is necessary for the proper
performance of the functions of the agency, including whether the
information shall have practical utility; (b) the accuracy of the
agency's estimate of the burden of the proposed collection of
information; (c) the quality, utility, and clarity of the information
to be collected; and (d) ways to minimize the burden information to be
collected; and (d) ways to minimize the burden of the collection of
information on respondents, including through the use of automated
collection techniques or other forms of information technology.
Consideration will be given to comments and suggestions submitted
within 60 days of this publication.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2013-26383 Filed 11-4-13; 8:45 am]
BILLING CODE 4184-01-P