Agency Information Collection Activities: Proposed Collection; Comment Request, 3207-3208 [2014-00916]
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<![CDATA[
3207
Federal Register / Vol. 79, No. 12 / Friday, January 17, 2014 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents
Local health departments .......
State health departments .......
Evaluation
Evaluation
Evaluation
Evaluation
Survey
Survey
Survey
Survey
LeRoy Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2014–00911 Filed 1–16–14; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10396 and
CMS–10462]
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.
DATES: Comments must be received by
March 18, 2014.
emcdonald on DSK67QTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:00 Jan 16, 2014
Number of
respondents
Form name
Jkt 232001
(electronic) ...............................................
(paper-based) ...........................................
(electronic) ...............................................
(paper-based) ...........................................
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,
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.
ADDRESSES:
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).
PO 00000
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Fmt 4703
Sfmt 4703
138
35
14
3
Number of
responses per
respondent
Average
burden per
response
(in hrs.)
1
1
1
1
2
2
2
2
CMS–10396 Medication Therapy
Management Program Improvements
CMS–10462 Community First Choice
Option
Under the Paperwork Reduction Act
(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: Extension of a currently
approved collection; Title of
Information Collection: Medication
Therapy Management Program
Improvements; Use: Information
collected by Part D medication therapy
management programs (as required by
the standardized format for the
comprehensive medication review
summary) will be used by beneficiaries
or their authorized representatives,
caregivers, and their healthcare
providers to improve medication use
and achieve better healthcare outcomes.
Form Number: CMS–10396 (OCN:
0938–1154); Frequency: Occasionally;
Affected Public: Private sector (business
or other for-profits); Number of
Respondents: 682; Total Annual
Responses: 280,352; Total Annual
Hours: 163,539. (For policy questions
regarding this collection contact Gary
Wirth at 410–786–3977).
2. Type of Information Collection
Request: New collection (request for a
new OMB control number); Title of
E:\FR\FM\17JAN1.SGM
17JAN1
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
]]>Agencies
[Federal Register Volume 79, Number 12 (Friday, January 17, 2014)]
[Notices]
[Pages 3207-3208]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-00916]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10396 and CMS-10462]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
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 (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.
DATES: Comments must be received by March 18, 2014.
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 ----, Room C4-26-05, 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-10396 Medication Therapy Management Program Improvements
CMS-10462 Community First Choice Option
Under the Paperwork Reduction Act (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: Extension of a currently
approved collection; Title of Information Collection: Medication
Therapy Management Program Improvements; Use: Information collected by
Part D medication therapy management programs (as required by the
standardized format for the comprehensive medication review summary)
will be used by beneficiaries or their authorized representatives,
caregivers, and their healthcare providers to improve medication use
and achieve better healthcare outcomes. Form Number: CMS-10396 (OCN:
0938-1154); Frequency: Occasionally; Affected Public: Private sector
(business or other for-profits); Number of Respondents: 682; Total
Annual Responses: 280,352; Total Annual Hours: 163,539. (For policy
questions regarding this collection contact Gary Wirth at 410-786-
3977).
2. Type of Information Collection Request: New collection (request
for a new OMB control number); Title of
[[Page 3208]]
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]
BILLING CODE 4120-01-P
