Agency Information Collection Activities: Submission for OMB Review; Comment Request, 3208-3209 [2014-00915]
Download as PDF
<![CDATA[
3208
Federal Register / Vol. 79, No. 12 / Friday, January 17, 2014 / Notices
Information Collection: Community
First Choice Option; Use: This project is
an evaluation of the implementation
and progress of the Community First
Choice (CFC) Option. The results of the
study will be included in the final
Report to Congress, to be delivered by
the Secretary of Health and Human
Services in 2015. The project is
designed to assist CMS and Congress in
their understanding of: States’ CFC
implementation plans, the effectiveness
of the CFC Option on individuals
receiving home- and community-based
attendant care, and States’ spending on
long-term services and supports.
Researchers will request data from
States approved for CFC via a data form
and semi-structured interviews.
Information obtained will be used to
better understand CFC program design,
the targeted patient population, and
intended outcomes. At this time, we
have only approved California’s
program. To provide comparative
information to the Secretary, researchers
will also collect data from States that
have decided not to pursue the CFC
option. Data will be analyzed and
developed into a report to Congress
which will evaluate the effectiveness of
the CFC option, the program’s impact on
participants’ physical and emotional
health, and a comparative analysis of
the costs of community-based services
and those provided in institutional
settings. Form Number: CMS–10462
(OCN: 0938—New); Frequency: Once;
Affected Public: Individuals and
households, private sector (business or
other for-profits and not-for-profit
institutions), and State, Local, or Tribal
Governments; Number of Respondents:
108; Total Annual Responses: 126; Total
Annual Hours: 225. (For policy
questions regarding this collection
contact Elizabeth Garbarczyk at 410–
786–0426).
Dated: January 14, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–00916 Filed 1–16–14; 8:45 am]
emcdonald on DSK67QTVN1PROD with NOTICES
BILLING CODE 4120–01–P
VerDate Mar<15>2010
17:00 Jan 16, 2014
Jkt 232001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–1561, CMS–R–
216, and CMS–R–262]
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 February 18, 2014:
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) 395–5806 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,
SUMMARY:
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
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 of a currently
approved collection; Title of
Information Collection: Health
Insurance Benefit Agreement; Use:
Applicants to the Medicare program are
required to agree to provide services in
accordance with federal requirements.
The CMS–1561 is essential in that is
allows us to ensure that applicants are
in compliance with the requirements.
Applicants will be required to sign the
completed form and provide operational
information to us to assure that they
continue to meet the requirements after
approval. Form Number: CMS–1561
(OCN: 0938–0832); Frequency: Yearly;
Affected Public: Private sector—
(Business or other for-profits and Notfor-profit institutions); Number of
Respondents: 3,000; Total Annual
Responses: 3,000; Total Annual Hours:
500. (For policy questions regarding this
collection contact Shonte Carter at 410–
786–3532).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Procedures for
Advisory Opinions Concerning
Physicians’ Referrals and Supporting
Regulations; Use: The information
collection requirements contained in 42
CFR 411.372 and 411.373 allow us to
consider requests for advisory opinions
E:\FR\FM\17JAN1.SGM
17JAN1
3209
Federal Register / Vol. 79, No. 12 / Friday, January 17, 2014 / Notices
and provide accurate and useful
opinions. The information is read and
analyzed to develop and issue an
advisory opinion to the individual or
entity that submitted the information.
Form Number: CMS–R–216 (OCN:
0938–0714); Frequency: Occasionally;
Affected Public: Private sector (Business
or other for-profits and Not-for-profit
institutions); Number of Respondents:
25; Total Annual Responses: 25; Total
Annual Hours: 500. (For policy
questions regarding this collection
contact Jacqueline Proctor at 410–786–
0661).
3. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: CY 2015 Plan
Benefit Package (PBP), Formulary, and
Supporting Regulations; Use: We
require Medicare Advantage and
Prescription Drug Plan organizations
submit a completed plan benefit
package (PBP) and formulary as part of
the annual bidding process. During this
process, organizations prepare their
proposed plan benefit packages for the
upcoming contract year and submit
them to us for review and approval. We
publish beneficiary education
information using a variety of formats.
Specific education initiatives that
utilize PBP and formulary data include
web application tools on medicare.gov
and the plan benefit insert in the
Medicare & You handbook. In addition,
organizations utilize the PBP data to
generate their Summary of Benefits
marketing information. The package has
been revised subsequent to the
publication of the 60-day Federal
Register notice (78 FR 65656); Form
Number: CMS–R–262 (OCN: 0938–
0763); Frequency: Yearly; Affected
Public: Private sector (Business or other
for-profits and Not-for-profit
institutions); Number of Respondents:
652; Total Annual Responses: 6,265;
Total Annual Hours: 57,477. (For policy
questions regarding this collection
contact Kristy Holtje at 410–786–2209).
Dated: January 14, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–00915 Filed 1–16–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Adults with Child Welfare Involvement
At-Risk of Homelessness.
OMB No.: New Collection.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services intends to collect data for an
process evaluation of the ‘‘Planning
Grants to Develop a Model Intervention
for Youth/Young Adults with Child
Welfare Involvement at-Risk of
Homelessness’’ program. This two year
program, funded by the Children’s
Bureau within ACF, will support
planning grants to develop a model for
intervening with youth who have
experienced time in foster care and are
most likely to have a challenging
transition to adulthood, including the
possibility of homelessness or unstable
housing.
Respondents: Members of the
planning team, which includes:
Directors and staff from grantee agencies
and partner agencies. Partner agencies
may vary by site, but they are expected
to include child welfare, mental health,
and youth housing/homelessness
agencies.
Submission for OMB Review;
Comment Request
Title: Planning Grants To Develop a
Model Intervention for Youth/Young
ANNUAL BURDEN ESTIMATES
Total
number of
respondents
Instrument
emcdonald on DSK67QTVN1PROD with NOTICES
Survey Sampling Form ........................................................
Survey of Organizational Readiness and Partnership ........
Estimated Total Annual Burden
Hours: 275.
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Planning, Research and Evaluation, 370
L’Enfant Promenade SW., Washington,
DC 20447, Attn: OPRE Reports
Clearance Officer. All requests should
be identified by the title of the
information collection. Email address:
OPREinfocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
VerDate Mar<15>2010
18:31 Jan 16, 2014
Jkt 232001
Annual
number of
respondents
36
540
18
270
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Email: OIRA_
SUBMISSION@OMB.EOP.GOV, Attn:
Desk Officer for the Administration for
Children and Families.
Karl Koerper,
OPRE Reports Clearance Officer.
[FR Doc. 2014–00854 Filed 1–16–14; 8:45 am]
BILLING CODE 4184–01–P
PO 00000
Annual
number of
responses
per
respondent
Average
burden hours
per response
1
1
Annual burden
hours
.25
1
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
[Docket No. FDA–2010–D–0319]
Agency Information Collection
Activities; Announcement of Office of
Management and Budget Approval;
Guidance for Industry and Food and
Drug Administration Staff on Dear
Health Care Provider Letters:
Improving Communication of
Important Safety Information
AGENCY:
Food and Drug Administration,
HHS.
ACTION:
Notice.
The Food and Drug
Administration (FDA) is announcing
SUMMARY:
Frm 00047
Fmt 4703
Sfmt 4703
5
270
E:\FR\FM\17JAN1.SGM
17JAN1
]]>Agencies
[Federal Register Volume 79, Number 12 (Friday, January 17, 2014)]
[Notices]
[Pages 3208-3209]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-00915]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1561, CMS-R-216, and CMS-R-262]
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 February 18, 2014:
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) 395-5806 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 of a currently
approved collection; Title of Information Collection: Health Insurance
Benefit Agreement; Use: Applicants to the Medicare program are required
to agree to provide services in accordance with federal requirements.
The CMS-1561 is essential in that is allows us to ensure that
applicants are in compliance with the requirements. Applicants will be
required to sign the completed form and provide operational information
to us to assure that they continue to meet the requirements after
approval. Form Number: CMS-1561 (OCN: 0938-0832); Frequency: Yearly;
Affected Public: Private sector--(Business or other for-profits and
Not-for-profit institutions); Number of Respondents: 3,000; Total
Annual Responses: 3,000; Total Annual Hours: 500. (For policy questions
regarding this collection contact Shonte Carter at 410-786-3532).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Procedures for
Advisory Opinions Concerning Physicians' Referrals and Supporting
Regulations; Use: The information collection requirements contained in
42 CFR 411.372 and 411.373 allow us to consider requests for advisory
opinions
[[Page 3209]]
and provide accurate and useful opinions. The information is read and
analyzed to develop and issue an advisory opinion to the individual or
entity that submitted the information. Form Number: CMS-R-216 (OCN:
0938-0714); Frequency: Occasionally; Affected Public: Private sector
(Business or other for-profits and Not-for-profit institutions); Number
of Respondents: 25; Total Annual Responses: 25; Total Annual Hours:
500. (For policy questions regarding this collection contact Jacqueline
Proctor at 410-786-0661).
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CY 2015 Plan
Benefit Package (PBP), Formulary, and Supporting Regulations; Use: We
require Medicare Advantage and Prescription Drug Plan organizations
submit a completed plan benefit package (PBP) and formulary as part of
the annual bidding process. During this process, organizations prepare
their proposed plan benefit packages for the upcoming contract year and
submit them to us for review and approval. We publish beneficiary
education information using a variety of formats. Specific education
initiatives that utilize PBP and formulary data include web application
tools on medicare.gov and the plan benefit insert in the Medicare & You
handbook. In addition, organizations utilize the PBP data to generate
their Summary of Benefits marketing information. The package has been
revised subsequent to the publication of the 60-day Federal Register
notice (78 FR 65656); Form Number: CMS-R-262 (OCN: 0938-0763);
Frequency: Yearly; Affected Public: Private sector (Business or other
for-profits and Not-for-profit institutions); Number of Respondents:
652; Total Annual Responses: 6,265; Total Annual Hours: 57,477. (For
policy questions regarding this collection contact Kristy Holtje at
410-786-2209).
Dated: January 14, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-00915 Filed 1-16-14; 8:45 am]
BILLING CODE 4120-01-P
