Agency Information Collection Activities: Submission for OMB Review; Comment Request, 5417-5419 [2014-02061]
Download as PDF
<![CDATA[
Federal Register / Vol. 79, No. 21 / Friday, January 31, 2014 / Notices
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:
tkelley on DSK3SPTVN1PROD with NOTICES
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–10515 Payment Collections
Operations Contingency Plan
CMS–R–48 Hospital Conditions of
Participation and Supporting
Regulations
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: Payment
Collection Operations Contingency
Plan; Use: Under sections 1401, 1411,
and 1412 of the Affordable Care Act and
45 CFR part 155 subpart D, an Exchange
makes an advance determination of tax
credit eligibility for individuals who
VerDate Mar<15>2010
22:14 Jan 30, 2014
Jkt 232001
enroll in Qualified Health Plan (QHP)
coverage through the Exchange and seek
financial assistance. Using information
available at the time of enrollment, the
Exchange determines whether the
individual meets the income and other
requirements for advance payments and
the amount of the advance payments
that can be used to pay premiums.
Advance payments are made
periodically under section 1412 of the
Affordable Care Act to the issuer of the
QHP in which the individual enrolls.
Section 1402 of the Affordable Care Act
provides for the reduction of cost
sharing for certain individuals enrolled
in a QHP through an Exchange, and
section 1412 of the Affordable Care Act
provides for the advance payment of
these reductions to issuers. The statute
directs issuers to reduce cost sharing for
essential health benefits for individuals
with household incomes between 100
and 400 percent of the Federal poverty
level (FPL) who are enrolled in a silver
level QHP through an individual market
Exchange and are eligible for advance
payments of the premium tax credit.
Health insurance issuers will manually
enter enrollment and payment data into
a Microsoft Excel-based spreadsheet,
and submit the information to HHS. The
data collection will be used by HHS to
make payments or collect charges from
issuers under the following programs:
advance payments of the premium tax
credit, advanced cost-sharing
reductions, and Marketplace user fees.
HHS will use the information collected
to make payments and collect charges in
January 2014 and for a number of
months thereafter, as may be required
based on HHS’ operational progress.
Form Number: CMS–10515 (OCN:
0938–1217); Frequency: Monthly;
Affected Public: Private sector (business
or other for-profits and not-for-profit
institutions); Number of Respondents:
575; Total Annual Responses: 7,475;
Total Annual Hours: 51,175. (For policy
questions regarding this collection
contact Jaya Ghildiyal at 301–492–
5149.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Hospital
Conditions of Participation and
Supporting Regulations; Use: The
information collection requirements
described in this information collection
request are needed to implement the
Medicare and Medicaid conditions of
participation (CoP) for 4,890 accredited
and non-accredited hospitals and an
additional 101 critical access hospitals
(CAHs) that have distinct part
psychiatric or rehabilitation units
(DPUs). CAHs that have DPUs must
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
5417
comply with all of the hospital CoPs on
these units. Thus, this package reflects
the paperwork burden for a total of
4,991 (that is, 4,890 hospitals and 101
CAHs which include 81 CAHs that have
psychiatric DPUs and 20 CAHs that
have rehabilitation DPUs). The
information collection requirements for
the remaining 1,183 CAHs have been
reported in a separate package under
CMS–10239.
The CoPs and accompanying
requirements specified in the
supporting regulations are used by our
surveyors as a basis for determining
whether a hospital qualifies for a
provider agreement under Medicare and
Medicaid. CMS and the health care
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-being and safety of
patients and professional treatment
accountability. Form Number: CMS–R–
48 (OCN: 0938–0328); Frequency:
Yearly; Affected Public: Private sector
(business or other for-profits); Number
of Respondents: 4,991; Total Annual
Responses: 1,342,424; Total Annual
Hours: 18,84,0617. (For policy questions
regarding this collection contact Scott
Cooper at 410–786–9465.)
Dated: January 28, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–02065 Filed 1–30–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10418, CMS–
10507, and CMS–10157]
Agency Information Collection
Activities: Submission for OMB
Review; 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
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
SUMMARY:
E:\FR\FM\31JAN1.SGM
31JAN1
tkelley on DSK3SPTVN1PROD with NOTICES
5418
Federal Register / Vol. 79, No. 21 / Friday, January 31, 2014 / Notices
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 March 5, 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
VerDate Mar<15>2010
17:23 Jan 30, 2014
Jkt 232001
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: Revision of currently approved
collection; Title of Information
Collection: Annual MLR and Rebate
Calculation Report and MLR Rebate
Notices; Use: We will use the data
collection of annual reports provided by
an issuer for each state’s individual,
small group, and large group markets to
ensure that consumers are receiving
value for their premium dollar by
calculating each issuer’s medical loss
ratio (MLR) and any rebate payments
due for the respective MLR reporting
year, as well as verifying the provision
of any rebates and the provisions of the
rebate notices. The notices will be used
to ensure that consumers are receiving
information about the rebate they will
be receiving, how their issuer is using
health care premium dollars and about
the value they are receiving for their
premium dollar. The notices will help
provide greater transparency to
consumers. We will use the
recordkeeping requirements to
determine issuers’ compliance with the
MLR requirements, including
compliance with how issuers’
experience is to be reported, their MLR
and any rebates owing are to be
calculated, distribution of rebates and
provisions of rebate notices.
Additionally, each issuer is required to
maintain for a period of seven years all
documents, records and other evidence
that support the data included in each
issuer’s annual report to the Secretary.
The 60-day Federal Register notice that
published on November 22, 2013 (78 FR
70059) pertained to the 2013 MLR
Annual Reporting Form and
Instructions, and closed on January 21,
2014. We received a total of 2 public
comments on 12 specific issues
regarding the notice of the revised MLR
PRA package. Most of the comments
addressed clarifying the instructions,
updates for recent guidance issuance,
treatment of Student Health Plans,
treatment of Affordable Care Act fees,
adjusted MLR standard experience
aggregation, annual Mini-med
multipliers for credibility
determination, reporting for both QIA
and non-claims costs and reporting
requirements for businesses in run-off.
We considered all of the proposed
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
suggestions and have revised the 2013
MLR Annual Reporting Form and
Instructions. Form Number: CMS–10418
(OCN: 0938–1164); Frequency:
Annually; Affected Public: Private
sector (business or other for-profits and
not-for-profit institutions); Number of
Respondents: 522; Total Annual
Responses: 3,394; Total Annual Hours:
294,911. (For policy questions regarding
this collection contact Julie McCune at
301–492–4196.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: State-based
Marketplace Annual Reporting Tool
(SMART); Use: The annual report is the
primary vehicle to insure
comprehensive compliance with all
reporting requirements contained in the
Affordable Care Act. It is specifically
called for in section 1313(a)(1) of the
Act which requires that an SBM keep an
accurate accounting of all activities,
receipts, and expenditures, and to
submit a report annually to the
Secretary concerning such accounting.
We will use the information collected
from states to assist in determining if a
state is maintaining a compliant
operational Exchange. It will also
provide a mechanism to collect
innovative approaches to meeting
challenges encountered by the SBMs
during the preceding year as well as
providing information to us regarding
potential changes in priorities and
approaches for the upcoming year. Form
Number: CMS–10507 (OCN: 0938–
NEW); Frequency: Annually; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
19; Total Annual Responses: 19; Total
Annual Hours: 1,482. (For policy
questions regarding this collection
contact Shelley Bain at 301–492–4453.)
3. Type of Information Collection
Request: Reinstatement of a previously
approved collection; Title of
Information Collection: HIPAA
Eligibility Transaction System (HETS)
Trading Partner Agreement (TPA); Use:
The HETS is intended to allow the
release of eligibility data to Medicare
providers, suppliers or their authorized
billing agents for the purposes of
preparing accurate Medicare claims,
determining beneficiary liability or
determining eligibility for specific
services. Such information may not be
disclosed to anyone other than
providers, suppliers or a beneficiary for
whom a claim has been filed. Form
Number: CMS–10157 (OCN: 0938–
0960); Frequency: Yearly; Affected
Public: Private sector (business or other
for-profit and not-for-profit institutions);
Number of Respondents: 1,000; Total
E:\FR\FM\31JAN1.SGM
31JAN1
5419
Federal Register / Vol. 79, No. 21 / Friday, January 31, 2014 / Notices
Annual Responses: 1,000; Total Annual
Hours: 125. (For policy questions
regarding this collection contact Ada
Sanchez at 410–786–9466.)
Dated: January 28, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–9082–N]
Medicare and Medicaid Programs;
Quarterly Listing of Program
Issuances—
[FR Doc. 2014–02061 Filed 1–30–14; 8:45 am]
October through December 2013
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice
BILLING CODE 4120–01–P
AGENCY:
This quarterly notice lists
CMS manual instructions, substantive
SUMMARY:
and interpretive regulations, and other
Federal Register notices that were
published from October through
December 2013, relating to the Medicare
and Medicaid programs and other
programs administered by CMS.
It is
possible that an interested party may
need specific information and not be
able to determine from the listed
information whether the issuance or
regulation would fulfill that need.
Consequently, we are providing contact
persons to answer general questions
concerning each of the addenda
published in this notice.
FOR FURTHER INFORMATION CONTACT:
Addenda
Contact
I CMS Manual Instructions .................................................................................................................
II Regulation Documents Published in the FEDERAL REGISTER ..........................................................
III CMS Rulings ..................................................................................................................................
IV Medicare National Coverage Determinations ................................................................................
V FDA-Approved Category B IDEs ....................................................................................................
VI Collections of Information ..............................................................................................................
VII Medicare –Approved Carotid Stent Facilities ...............................................................................
VIII American College of Cardiology-National Cardiovascular Data Registry Sites ..........................
Ismael Torres ...............
Terri Plumb ...................
Tiffany Lafferty ..............
Wanda Belle .................
John Manlove ...............
Mitch Bryman ...............
Lori Ashby ....................
Marie Casey, BSN,
MPH.
Lori Ashby ....................
Lori Ashby ....................
Stuart Caplan, RN,
MAS.
Marie Casey, BSN,
MPH.
Marie Casey, BSN,
MPH.
Kate Tillman, RN, MAS
Stuart Caplan, RN,
MAS.
Annette Brewer .............
IX Medicare’s Active Coverage-Related Guidance Documents ........................................................
X One-time Notices Regarding National Coverage Provisions .........................................................
XI National Oncologic Positron Emission Tomography Registry Sites ..............................................
XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities ..........................
XIII Medicare-Approved Lung Volume Reduction Surgery Facilities .................................................
XIV Medicare-Approved Bariatric Surgery Facilities ..........................................................................
XV Fluorodeoxyglucose Positron Emission Tomography for Dementia Trials ..................................
All Other Information ..........................................................................................................................
tkelley on DSK3SPTVN1PROD with NOTICES
I. Background
The Centers for Medicare & Medicaid
Services (CMS) is responsible for
administering the Medicare and
Medicaid programs and coordination
and oversight of private health
insurance. Administration and oversight
of these programs involves the
following: (1) Furnishing information to
Medicare and Medicaid beneficiaries,
health care providers, and the public;
and (2) maintaining effective
communications with CMS regional
offices, state governments, state
Medicaid agencies, state survey
agencies, various providers of health
care, all Medicare contractors that
process claims and pay bills, National
Association of Insurance Commissioners
(NAIC), health insurers, and other
stakeholders. To implement the various
statutes on which the programs are
based, we issue regulations under the
authority granted to the Secretary of the
Department of Health and Human
Services under sections 1102, 1871,
VerDate Mar<15>2010
17:23 Jan 30, 2014
Jkt 232001
1902, and related provisions of the
Social Security Act (the Act) and Public
Health Service Act. We also issue
various manuals, memoranda, and
statements necessary to administer and
oversee the programs efficiently.
Section 1871(c) of the Act requires
that we publish a list of all Medicare
manual instructions, interpretive rules,
statements of policy, and guidelines of
general applicability not issued as
regulations at least every 3 months in
the Federal Register.
II. Revised Format for the Quarterly
Issuance Notices
While we are publishing the quarterly
notice required by section 1871(c) of the
Act, we will no longer republish
duplicative information that is available
to the public elsewhere. We believe this
approach is in alignment with CMS’
commitment to the general principles of
the President’s Executive Order 13563
released January 2011entitled
‘‘Improving Regulation and Regulatory
Review,’’ which promotes modifying
PO 00000
Frm 00052
Fmt 4703
Sfmt 4703
Phone number
(410)
(410)
(410)
(410)
(410)
(410)
(410)
(410)
786–1864
786–4481
786–7548
786–7491
786–6877
786–5258
786–6322
786–7861
(410) 786–6322
(410) 786–6322
(410) 786–8564
(410) 786–7861
(410) 786–7861
(410) 786–9252
(410) 786–8564
(410) 786–6580
and streamlining an agency’s regulatory
program to be more effective in
achieving regulatory objectives. Section
6 of Executive Order 13563 requires
agencies to identify regulations that may
be ‘‘outmoded, ineffective, insufficient,
or excessively burdensome, and to
modify, streamline, expand or repeal
them in accordance with what has been
learned.’’ This approach is also in
alignment with the President’s Open
Government and Transparency Initiative
that establishes a system of
transparency, public participation, and
collaboration.
Therefore, this quarterly notice
provides only the specific updates that
have occurred in the 3-month period
along with a hyperlink to the full listing
that is available on the CMS Web site or
the appropriate data registries that are
used as our resources. This information
is the most current up-to-date
information and will be available earlier
than we publish our quarterly notice.
We believe the Web site list provides
more timely access for beneficiaries,
E:\FR\FM\31JAN1.SGM
31JAN1
]]>Agencies
[Federal Register Volume 79, Number 21 (Friday, January 31, 2014)]
[Notices]
[Pages 5417-5419]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-02061]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10418, CMS-10507, and CMS-10157]
Agency Information Collection Activities: Submission for OMB
Review; 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 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
[[Page 5418]]
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 March 5, 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: Revision of currently
approved collection; Title of Information Collection: Annual MLR and
Rebate Calculation Report and MLR Rebate Notices; Use: We will use the
data collection of annual reports provided by an issuer for each
state's individual, small group, and large group markets to ensure that
consumers are receiving value for their premium dollar by calculating
each issuer's medical loss ratio (MLR) and any rebate payments due for
the respective MLR reporting year, as well as verifying the provision
of any rebates and the provisions of the rebate notices. The notices
will be used to ensure that consumers are receiving information about
the rebate they will be receiving, how their issuer is using health
care premium dollars and about the value they are receiving for their
premium dollar. The notices will help provide greater transparency to
consumers. We will use the recordkeeping requirements to determine
issuers' compliance with the MLR requirements, including compliance
with how issuers' experience is to be reported, their MLR and any
rebates owing are to be calculated, distribution of rebates and
provisions of rebate notices. Additionally, each issuer is required to
maintain for a period of seven years all documents, records and other
evidence that support the data included in each issuer's annual report
to the Secretary. The 60-day Federal Register notice that published on
November 22, 2013 (78 FR 70059) pertained to the 2013 MLR Annual
Reporting Form and Instructions, and closed on January 21, 2014. We
received a total of 2 public comments on 12 specific issues regarding
the notice of the revised MLR PRA package. Most of the comments
addressed clarifying the instructions, updates for recent guidance
issuance, treatment of Student Health Plans, treatment of Affordable
Care Act fees, adjusted MLR standard experience aggregation, annual
Mini-med multipliers for credibility determination, reporting for both
QIA and non-claims costs and reporting requirements for businesses in
run-off. We considered all of the proposed suggestions and have revised
the 2013 MLR Annual Reporting Form and Instructions. Form Number: CMS-
10418 (OCN: 0938-1164); Frequency: Annually; Affected Public: Private
sector (business or other for-profits and not-for-profit institutions);
Number of Respondents: 522; Total Annual Responses: 3,394; Total Annual
Hours: 294,911. (For policy questions regarding this collection contact
Julie McCune at 301-492-4196.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: State-
based Marketplace Annual Reporting Tool (SMART); Use: The annual report
is the primary vehicle to insure comprehensive compliance with all
reporting requirements contained in the Affordable Care Act. It is
specifically called for in section 1313(a)(1) of the Act which requires
that an SBM keep an accurate accounting of all activities, receipts,
and expenditures, and to submit a report annually to the Secretary
concerning such accounting. We will use the information collected from
states to assist in determining if a state is maintaining a compliant
operational Exchange. It will also provide a mechanism to collect
innovative approaches to meeting challenges encountered by the SBMs
during the preceding year as well as providing information to us
regarding potential changes in priorities and approaches for the
upcoming year. Form Number: CMS-10507 (OCN: 0938-NEW); Frequency:
Annually; Affected Public: State, Local, or Tribal Governments; Number
of Respondents: 19; Total Annual Responses: 19; Total Annual Hours:
1,482. (For policy questions regarding this collection contact Shelley
Bain at 301-492-4453.)
3. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection: HIPAA
Eligibility Transaction System (HETS) Trading Partner Agreement (TPA);
Use: The HETS is intended to allow the release of eligibility data to
Medicare providers, suppliers or their authorized billing agents for
the purposes of preparing accurate Medicare claims, determining
beneficiary liability or determining eligibility for specific services.
Such information may not be disclosed to anyone other than providers,
suppliers or a beneficiary for whom a claim has been filed. Form
Number: CMS-10157 (OCN: 0938-0960); Frequency: Yearly; Affected Public:
Private sector (business or other for-profit and not-for-profit
institutions); Number of Respondents: 1,000; Total
[[Page 5419]]
Annual Responses: 1,000; Total Annual Hours: 125. (For policy questions
regarding this collection contact Ada Sanchez at 410-786-9466.)
Dated: January 28, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-02061 Filed 1-30-14; 8:45 am]
BILLING CODE 4120-01-P
