Agency Information Collection Activities: Submission for OMB Review; Comment Request, 18554-18555 [2014-07402]
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Federal Register / Vol. 79, No. 63 / Wednesday, April 2, 2014 / Notices
for participating in the survey. Face-toface interviews, usually taking 30
minutes or less, with one adult (≥ 18
years of age) from a selected household
are recorded on paper or in electronic
form. In general, yes/no and multiple
choice questions are used to collect
household level information including,
but not limited to, the following
categories: Housing unit type and extent
of damage to the dwelling, household
needs, physical and behavioral health
status, perception and response to
public health communications,
household emergency preparedness,
and greatest reported need. While a
majority of CASPERs collect only
household-level information, there may
be instances where the questionnaires
are modified to collect a small amount
of individual level data.
Participants give verbal consent.
Additionally, no data is collected that
could link specific questionnaires to
house addresses. Separate from the
questionnaire, a tracking form is used to
record the number of households
visited, calculate response rates, and
record households that should be
revisited because a respondent was
unavailable for interview. A complete
addresses, including house number,
street name, city, state, and zip code, are
never recorded on any form. This
information is not retained by CDC or
entered into any database. There is no
way to link data from the tracking form
to specific household questionnaires.
Though each CASPER will be
different, in general, personally
identifying information is not collected.
In a minimal number of CASPERs,
interview teams may come across
households with urgent needs that
present an immediate threat to life or
health, where calling emergency
services immediately is not appropriate.
In these instances, the team may refer
the household to appropriate services
using a referral form that is not attached
to the questionnaire. In the scant
instances where these forms are
utilized, personally identifying
information is collected. However, the
forms go directly from the field team to
the local CASPER coordinator for
handling and rapid follow-up. When
referral forms are used, the information
is never retained by CDC or entered into
any database. There is no way to link
specific questionnaires to any
information on the referral form.
The estimated annualized burden is
1,577 hours. The estimated burden is
based on conducting 15 CASPERs per
year, interviewing 210 households per
CASPER, conducting 30 minute
interviews per household, and
completing 50 referral forms per year.
There is no cost to respondents other
than their time.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Average
burden per
response
(in hrs)
Total burden
(in hrs)
Type of respondents
Form name
Residents of the selected geographic area to be
assessed.
CASPER Questionnaire
Referral Form ...............
3,150
50
1
1
30/60
2/60
1,575
2
Total ...............................................................
.......................................
........................
........................
........................
1,577
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. 2014–07320 Filed 4–1–14; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10209 and
CMS–10379]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
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
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
17:01 Apr 01, 2014
Comments on the collection(s) of
information must be received by the
OMB desk officer by May 2, 2014.
DATES:
Notice.
VerDate Mar<15>2010
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.
Jkt 232001
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
ADDRESSES:
PO 00000
Frm 00048
Fmt 4703
Sfmt 4703
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.
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
SUPPLEMENTARY INFORMATION:
E:\FR\FM\02APN1.SGM
02APN1
tkelley on DSK3SPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 63 / Wednesday, April 2, 2014 / Notices
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: Medicare
Advantage Chronic Care Improvement
Program (CCIP) and Quality
Improvement (QI) Project Reporting
Tools; Use: Medicare Advantage
Organizations (MAOs) are required to
have an ongoing quality improvement
(QI) program that meets our
requirements and includes at least one
chronic care improvement program
(CCIP) and one QI project. Every MAO
must have a QI program that monitors
and identifies areas where
implementing appropriate interventions
would improve patient outcomes and
patient safety. Information collected
using the CCIP and QIP reporting tools
is an integral resource for oversight,
monitoring, compliance, and auditing
activities necessary to ensure high
quality value-based health care for
Medicare beneficiaries. Form Number:
CMS–10209 (OCN: 0938–1023);
Frequency: Yearly; Affected Public:
Private sector (business or other forprofits and not-for-profit institutions);
Number of Respondents: 1,904; Total
Annual Responses: 1,904; Total Annual
Hours: 28,560. (For policy questions
regarding this collection contact Ellen
Dieujuste at 410–786–2191).
2. Type of Information Collection
Request: Reinstatement with change of a
previously approved information
collection; Title of Information
Collection: Rate Increase Disclosure and
Review Reporting Requirements; Use:
Section 1003 of the Affordable Care Act
adds a new section 2794 of the PHS Act
which directs the Secretary of the
Department of Health and Human
Services (the Secretary), in conjunction
with the states, to establish a process for
the annual review of ‘‘unreasonable
increases in premiums for health
insurance coverage.’’ The statute
provides that health insurance issuers
must submit to the Secretary and the
applicable state justifications for
unreasonable premium increases prior
VerDate Mar<15>2010
17:01 Apr 01, 2014
Jkt 232001
to the implementation of the increases.
Section 2794 also specifies that
beginning with plan years beginning in
2014, the Secretary, in conjunction with
the states, shall monitor premium
increases of health insurance coverage
offered through an Exchange and
outside of an Exchange.
Section 2794 directs the Secretary to
ensure the public disclosure of
information and justification relating to
unreasonable rate increases. The
regulation therefore develops a process
to ensure the public disclosure of all
such information and justification.
Section 2794 requires that health
insurance issuers submit justification
for an unreasonable rate increase to
CMS and the relevant state prior to its
implementation. Additionally, section
2794 requires that rate increases
effective in 2014 (submitted for review
in 2013) be monitored by the Secretary,
in conjunction with the states. To those
ends the regulation establishes various
reporting requirements for health
insurance issuers, including a
Preliminary Justification for a proposed
rate increase, a Final Justification for
any rate increase determined by a state
or CMS to be unreasonable, and a
notification requirement for
unreasonable rate increases which the
issuer will not implement.
On November 14, 2013, CMS issued a
letter to State Insurance Commissioners
outlining transitional policy for nongrandfathered coverage in the small
group and individual health insurance
markets. If permitted by applicable State
authorities, health insurance issuers
may choose to continue coverage that
would otherwise be terminated or
cancelled, and affected individuals and
small businesses may choose to reenroll in such coverage. Under this
transitional policy, non-grandfathered
health insurance coverage in the
individual or small group market that is
renewed for a policy year starting
between January 1, 2014, and October 1,
2014, will not be considered to be out
of compliance with certain market
reforms if certain specific conditions are
met. These transitional plans continue
to be subject to the requirements of
section 2794, but are not subject to 2701
(market rating rules), 2702 (guaranteed
availability), 2704 (prohibition on
health status rating), 2705 (prohibition
on health status discrimination) and
2707 (requirements of essential health
benefits) and the because the single risk
pool (1311(e)) is dependent on all of the
aforementioned sections (2701, 2702,
2704, 2705 and 2707), the transitional
plans are also exempt from the single
risk pool. The Unified Rate Review
Template and system are exclusively
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
18555
designed for use with the single risk
pool plan, and any attempt to include
non-single risk pool plans in the Unified
Rate Review template or system will
create errors, inaccuracies and
limitations on submissions that would
prevent the effectiveness of reviews of
both sets of non-grandfathered plans
(single risk pool and transitional). For
these many reasons, CMS is requiring
issuers with transitional plans that
experience rate increases subject to
review to use the Rate Review
Justification system and templates
which were required and utilized prior
to April 1, 2013. Form Number: CMS–
10379 (OCN: 0938–1141); Frequency:
Annual; Affected Public: Private sector,
State Governments; Number of
Respondents: 81; Total Annual
Responses: 358; Total Annual Hours:
1,879. (For policy questions regarding
this collection, contact Doug Pennington
at (410) 786–1553.)
Dated: March 28, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–07402 Filed 4–1–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–370 and CMS–
377]
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
SUMMARY:
E:\FR\FM\02APN1.SGM
02APN1
]]>Agencies
[Federal Register Volume 79, Number 63 (Wednesday, April 2, 2014)]
[Notices]
[Pages 18554-18555]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-07402]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10209 and CMS-10379]
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 May 2, 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
[[Page 18555]]
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: Medicare
Advantage Chronic Care Improvement Program (CCIP) and Quality
Improvement (QI) Project Reporting Tools; Use: Medicare Advantage
Organizations (MAOs) are required to have an ongoing quality
improvement (QI) program that meets our requirements and includes at
least one chronic care improvement program (CCIP) and one QI project.
Every MAO must have a QI program that monitors and identifies areas
where implementing appropriate interventions would improve patient
outcomes and patient safety. Information collected using the CCIP and
QIP reporting tools is an integral resource for oversight, monitoring,
compliance, and auditing activities necessary to ensure high quality
value-based health care for Medicare beneficiaries. Form Number: CMS-
10209 (OCN: 0938-1023); Frequency: Yearly; Affected Public: Private
sector (business or other for-profits and not-for-profit institutions);
Number of Respondents: 1,904; Total Annual Responses: 1,904; Total
Annual Hours: 28,560. (For policy questions regarding this collection
contact Ellen Dieujuste at 410-786-2191).
2. Type of Information Collection Request: Reinstatement with
change of a previously approved information collection; Title of
Information Collection: Rate Increase Disclosure and Review Reporting
Requirements; Use: Section 1003 of the Affordable Care Act adds a new
section 2794 of the PHS Act which directs the Secretary of the
Department of Health and Human Services (the Secretary), in conjunction
with the states, to establish a process for the annual review of
``unreasonable increases in premiums for health insurance coverage.''
The statute provides that health insurance issuers must submit to the
Secretary and the applicable state justifications for unreasonable
premium increases prior to the implementation of the increases. Section
2794 also specifies that beginning with plan years beginning in 2014,
the Secretary, in conjunction with the states, shall monitor premium
increases of health insurance coverage offered through an Exchange and
outside of an Exchange.
Section 2794 directs the Secretary to ensure the public disclosure
of information and justification relating to unreasonable rate
increases. The regulation therefore develops a process to ensure the
public disclosure of all such information and justification. Section
2794 requires that health insurance issuers submit justification for an
unreasonable rate increase to CMS and the relevant state prior to its
implementation. Additionally, section 2794 requires that rate increases
effective in 2014 (submitted for review in 2013) be monitored by the
Secretary, in conjunction with the states. To those ends the regulation
establishes various reporting requirements for health insurance
issuers, including a Preliminary Justification for a proposed rate
increase, a Final Justification for any rate increase determined by a
state or CMS to be unreasonable, and a notification requirement for
unreasonable rate increases which the issuer will not implement.
On November 14, 2013, CMS issued a letter to State Insurance
Commissioners outlining transitional policy for non-grandfathered
coverage in the small group and individual health insurance markets. If
permitted by applicable State authorities, health insurance issuers may
choose to continue coverage that would otherwise be terminated or
cancelled, and affected individuals and small businesses may choose to
re-enroll in such coverage. Under this transitional policy, non-
grandfathered health insurance coverage in the individual or small
group market that is renewed for a policy year starting between January
1, 2014, and October 1, 2014, will not be considered to be out of
compliance with certain market reforms if certain specific conditions
are met. These transitional plans continue to be subject to the
requirements of section 2794, but are not subject to 2701 (market
rating rules), 2702 (guaranteed availability), 2704 (prohibition on
health status rating), 2705 (prohibition on health status
discrimination) and 2707 (requirements of essential health benefits)
and the because the single risk pool (1311(e)) is dependent on all of
the aforementioned sections (2701, 2702, 2704, 2705 and 2707), the
transitional plans are also exempt from the single risk pool. The
Unified Rate Review Template and system are exclusively designed for
use with the single risk pool plan, and any attempt to include non-
single risk pool plans in the Unified Rate Review template or system
will create errors, inaccuracies and limitations on submissions that
would prevent the effectiveness of reviews of both sets of non-
grandfathered plans (single risk pool and transitional). For these many
reasons, CMS is requiring issuers with transitional plans that
experience rate increases subject to review to use the Rate Review
Justification system and templates which were required and utilized
prior to April 1, 2013. Form Number: CMS-10379 (OCN: 0938-1141);
Frequency: Annual; Affected Public: Private sector, State Governments;
Number of Respondents: 81; Total Annual Responses: 358; Total Annual
Hours: 1,879. (For policy questions regarding this collection, contact
Doug Pennington at (410) 786-1553.)
Dated: March 28, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-07402 Filed 4-1-14; 8:45 am]
BILLING CODE 4120-01-P
