Agency Information Collection Activities: Submission for OMB Review; Comment Request, 33928-33929 [2014-13858]
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Federal Register / Vol. 79, No. 114 / Friday, June 13, 2014 / Notices
approved collection; Title of
Information Collection: Data Use
Agreement (DUA) Certificate of
Disposition (COD) for Data Acquired
from the Centers for Medicare &
Medicaid Services; Use: The Data Use
Agreement (DUA) Certificate of
Disposition (COD) is required to close
out the release of the data under the
DUA and to ensure the data are
destroyed and not used for another
purpose without written authorization
from CMS. The Health Insurance
Portability and Accountability Act
(HIPAA) of 1996, § 1173(d) (Security
Standards for Health Information)
requires CMS to protect Personally
Identifiable Information (PII).
Additionally, the Federal Information
Security Management Act (FISMA) of
2002, § 3544(b) (Federal Agency
Responsibilities—Agency Program) also
requires CMS to develop policies and
procedures for the protection and
destruction of sensitive data to include
PII.
Form Number: CMS–10252 (OMB
control number: 0938–1046); Frequency:
Biennial; Affected Public: Private
Sector—Business or other for-profits
and Not-for-profit institutions; Number
of Respondents: 500; Total Annual
Responses: 1,000; Total Annual Hours:
84. (For policy questions regarding this
collection contact Sharon Kavanagh at
410–786–5441.)
4. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare Part C
and Part D Data Validation; Use:
Organizations contracted to offer
Medicare Part C and Part D benefits are
required to report data to us on a variety
of measures. For the data to be useful for
monitoring and performance
measurement, the data must be reliable,
valid, complete, and comparable among
sponsoring organizations. To meet this
goal, we have developed reporting
standards and data validation
specifications with respect to the Part C
and Part D reporting requirements.
These standards provide a review
process for Medicare Advantage
Organizations, Cost Plans, and Part D
sponsors to use to conduct data
validation checks on their reported Part
C and Part D data. The currently
approved information collection is
being revised to reflect decreases in the
number of reporting sections being
validated and an increase in the average
number of data elements per reporting
section for 2015–2017.
Form Number: CMS–10305 (OMB
control number: 0938–1115); Frequency:
Yearly; Affected Public: Private sector—
Business or other for-profits; Number of
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Respondents: 706; Total Annual
Responses: 706; Total Annual Hours:
202,578. (For policy questions regarding
this collection contact Terry Lied at
410–786–8973.)
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Survey Tool for
www.medicare.gov and
www.cms.hhs.gov; Use: The Balanced
Budget Act of 1997 states that the
Secretary of Health and Human Services
shall maintain a Web site to provide
information about CMS activities,
programs and topics related to its
services. The present request is for OMB
authorization to collect data on the
reactions of users of the Web sites
through the survey tool. We will use the
data to improve the Web sites so that
they can best serve the needs of their
users. Information collected from the
survey will be used to make
improvements to the sites to make them
more user friendly.
Form Number: CMS–R–268 (OMB
control number: 0938–0756); Frequency:
Annual; Affected Public: Individuals or
households; Number of Respondents:
7,000; Total Annual Responses: 4,900;
Total Annual Hours: 817. (For policy
questions regarding this collection
contact Kymeiria Ingram at 410–786–
8431.)
Dated: June 10, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–13863 Filed 6–12–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10332]
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
SUMMARY:
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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 July 14, 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
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Federal Register / Vol. 79, No. 114 / Friday, June 13, 2014 / Notices
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: Disclosure for
the In-Office Ancillary Services
Exception; Use: Physicians who provide
certain imaging services (magnetic
resonance imaging, computed
tomography, and positron emission
tomography) under the in-office
ancillary services exception to the
physician self-referral prohibition are
required to create the disclosure notice
as well as the list of other imaging
suppliers to be provided to the patient.
The patient can use the disclosure
notice and list of suppliers in making an
informed-decision about his or her
course of care for the imaging service.
The physician must maintain a record of
the disclosure in the patient’s medical
record. If we were investigating the
referrals of a physician providing
advanced imaging services under the inoffice ancillary services exception, we
would review the written disclosure to
determine whether the physician
satisfied the requirement.
Form Number: CMS–10332 (OMB
control number: 0938–1133); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits;
Number of Respondents: 71,000; Total
Annual Responses: 71,106; Total
Annual Hours: 125,383. (For policy
questions regarding this collection
contact Jacqueline Proctor at 410–786–
8852.)
Dated: June 10, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–13858 Filed 6–12–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request
Title: Evaluation of Tribal Health
Profession Opportunity Grants (HPOG).
OMB No.: 0970–0395.
Description: The Administration for
Children and Families (ACF), U.S.
Department of Health and Human
Services (HHS), is proposing to continue
information collection activities as part
of the Evaluation of the Tribal Health
Profession Opportunity Grants (HPOG).
These information collection activities
were approved by OMB in October 2011
for a three-year period (OMB clearance
number 0970–0395). ACF is requesting
a one-year extension of these activities.
Through the extension of the
information collection, ACF seeks to
continue a comprehensive process and
outcome evaluation to provide
documentation and lessons learned
about diverse programmatic approaches
to health professions trainings for Tribal
populations.
The goals of the Tribal HPOG
evaluation are to: (1) Provide an indepth, systematic analysis of program
structure, implementation, and
outcomes of the sites served by the five
Tribal HPOG grantees funded in FY
2010, and (2) compare these data within
and across grantees to generate
hypotheses about the effectiveness of
different program approaches for Tribal
populations. These goals require
Annual
number of
respondents
Instrument
collecting information from Tribal
HPOG grantees and other program
stakeholders on an annual basis. The
information collection activities include
in-person and telephone interviews and
focus groups. A one-year extension of
these activities will allow the evaluation
to gather data from the grantees through
the end of their grant period. Program
operations data related to this effort will
continue to be collected through a webbased performance management system
under a separate information collection
(OMB clearance number 0970–0394).
This Federal Register Notice provides
the opportunity to comment on a
proposed information collection activity
for the evaluation of Tribal HPOG. All
instruments included in this request
have been previously approved. The
burden represents continuing data
collection into this period.
Respondents: Grantee and Partner
Administrative Staff interview:
Administrators of the Tribal HPOG
program, workforce development, and
TANF agencies; public and private
university-based partners; and not-for
profit organizations.
Program Implementation Staff
interview: Instructors, trainers, and
providers of program or supportive
services.
Program Participant focus groups:
Current program participants.
Employers interview: Local or regional
employers at public or private
companies or organizations that are
partnering with the Tribal HPOG
program or have employed program
participants.
Program Completers interview:
Program completers.
Program Non-completers interview:
Individuals who did not complete the
programs.
Annual Burden Estimates
The current information collection
request is for a one-year period.
Number of
responses per
respondent
Average
burden
hours per
response
Annual
burden
hours
mstockstill on DSK4VPTVN1PROD with NOTICES
New Burden for Previously Approved Instruments
Grantee and partner administrative staff interview ........................................
Program implementation staff interview ........................................................
Program participant focus groups .................................................................
Employer interview ........................................................................................
Program completers interview .......................................................................
Program non-completers interview ................................................................
Estimated Total Annual Burden
Hours: 495.
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Administration for Children and
Families is soliciting public comment
on the specific aspects of the
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[Federal Register Volume 79, Number 114 (Friday, June 13, 2014)]
[Notices]
[Pages 33928-33929]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-13858]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10332]
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 July 14, 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
[[Page 33929]]
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: Disclosure for
the In-Office Ancillary Services Exception; Use: Physicians who provide
certain imaging services (magnetic resonance imaging, computed
tomography, and positron emission tomography) under the in-office
ancillary services exception to the physician self-referral prohibition
are required to create the disclosure notice as well as the list of
other imaging suppliers to be provided to the patient. The patient can
use the disclosure notice and list of suppliers in making an informed-
decision about his or her course of care for the imaging service. The
physician must maintain a record of the disclosure in the patient's
medical record. If we were investigating the referrals of a physician
providing advanced imaging services under the in-office ancillary
services exception, we would review the written disclosure to determine
whether the physician satisfied the requirement.
Form Number: CMS-10332 (OMB control number: 0938-1133); Frequency:
Occasionally; Affected Public: Private sector--Business or other for-
profits; Number of Respondents: 71,000; Total Annual Responses: 71,106;
Total Annual Hours: 125,383. (For policy questions regarding this
collection contact Jacqueline Proctor at 410-786-8852.)
Dated: June 10, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-13858 Filed 6-12-14; 8:45 am]
BILLING CODE 4120-01-P
