Agency Information Collection Activities: Proposed Collection; Comment Request, 44776-44777 [2014-18042]
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44776
Federal Register / Vol. 79, No. 148 / Friday, August 1, 2014 / Notices
technology to minimize the information
collection burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by September 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.
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: Independent
Rural Health Clinic/Freestanding
Federally Qualified Health Center Cost
Report; Use: Providers of services
tkelley on DSK3SPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
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22:09 Jul 31, 2014
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participating in the Medicare program
are required under sections 1815(a) and
1861(v)(1)(A) of the Social Security Act
(42 U.S.C. 1395g) to submit annual
information to achieve settlement of
costs for health care services rendered to
Medicare beneficiaries. In addition,
regulations at 42 CFR 413.20 and 413.24
require adequate cost data and cost
reports from providers on an annual
basis. The Form CMS–222–92 cost
report is needed to determine the
provider’s reasonable costs incurred in
furnishing medical services to Medicare
beneficiaries and reimbursement due to
or due from the provider. Form Number:
CMS–222–92 (OMB control number:
0938–0107); Frequency: Annually;
Affected Public: Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 3,264; Total
Annual Responses: 3,264; Total Annual
Hours: 163,200. (For policy questions
regarding this collection contact
Leonard Fisher at 410–786–4574.)
Dated: July 28, 2014.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2014–18040 Filed 7–31–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10292 and CMS–
10357]
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
SUMMARY:
PO 00000
Frm 00039
Fmt 4703
Sfmt 4703
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.
Comments must be received by
September 30, 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 Numberlll, 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:
DATES:
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–10292 State Medicaid HIT Plan,
Planning Advance Planning
Document, and Implementation
Advance Planning Document for
Section 4201 of the Recovery Act
E:\FR\FM\01AUN1.SGM
01AUN1
Federal Register / Vol. 79, No. 148 / Friday, August 1, 2014 / Notices
CMS–10357 Letter Requesting Waiver
of Medicare/Medicaid Enrollment
Application Fee; Submission of
Fingerprints; Submission of
Medicaid Identifying Information;
Medicaid Site Visit and Rescreening
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.
tkelley on DSK3SPTVN1PROD with NOTICES
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Medicaid
HIT Plan, Planning Advance Planning
Document, and Implementation
Advance Planning Document for
Section 4201 of the Recovery Act; Use:
To assess the appropriateness of state
requests for the administrative Federal
financial participation for expenditures
under their Medicaid Electronic Health
Record Incentive Program related to
health information exchange, our staff
will review the submitted information
and documentation to make an approval
determination of the state advance
planning document. Form Number:
CMS–10292 (OMB control number
0938–1088); Frequency: Once and
occasionally; Affected Public: State,
Local, and Tribal Governments; Number
of Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
896. (For policy questions regarding this
collection contact Thomas Romano at
410–786–0465).
2. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection:
Title of Information Collection: Letter
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22:09 Jul 31, 2014
Jkt 232001
Requesting Waiver of Medicare/
Medicaid Enrollment Application Fee;
Submission of Fingerprints; Submission
of Medicaid Identifying Information;
Medicaid Site Visit and Rescreening;
Use: Section 6401 of the Affordable Care
Act (ACA) establishes a number of
important payment safeguard
provisions. The provisions are designed
to improve the integrity of the Medicare,
Medicaid, and Children’s Health
Insurance Programs (CHIP) so as to
reduce fraud, waste and abuse. The
provisions include the following:
• Medicare Enrollment Application
Fee Waiver Request: Certain providers
and suppliers enrolling in Medicare will
be required to submit a fee with their
application. Under 42 CFR 424.514, if
the applicant believes it has a hardship
that justifies a waiver of the application
fee, it may submit a letter describing
said hardship.
• Fingerprints: Certain providers and
suppliers enrolling in Medicare,
Medicaid, and CHIP will be required to
submit fingerprints—either digitally or
via the FD–258 standard fingerprint
card—of their owners.
• Suspension of Medicaid Payments:
A State Medicaid agency shall suspend
all Medicaid payments to a provider
when there is a pending investigation of
a credible allegation of Medicaid fraud
against an individual or entity, unless it
has good cause not to suspend payments
or to suspend payment only in part. The
State Medicaid agency may suspend
payments without first notifying the
provider of its intention to suspend
such payments. A provider may request,
and must be granted, administrative
review where State law so requires.
• Collection of Social Security
Numbers (SSNs) and Dates of Birth
(DOBs) for Medicaid and CHIP
Providers: The State Medicaid agency or
CHIP agency must require that all
persons with an ownership or control
interest in a Medicaid or CHIP provider
submit their SSNs and DOBs.
• Site Visits for Medicaid-only or
CHIP-only providers: A State Medicaid
agency or CHIP agency must conduct
on-site visits for providers it determines
to be ‘‘moderate’’ or ‘‘high’’ categorical
risk.
• Rescreening of Medicaid and CHIP
Providers Every 5 Years: A State
Medicaid agency or CHIP agency must
screen all providers at least every 5
years. This is consistent with the
Medicare requirement in current 42 CFR
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Frm 00040
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44777
424.515 that providers and suppliers
revalidate their enrollment information
at least every 5 years.
Form Number: CMS–10357 (OMB
control number: 0938–1137); Frequency:
On occasion; Affected Public: Private
sector—Business or for-profit and Notfor-profit institutions and State, Local,
or Tribal Governments; Number of
Respondents: 960,981; Total Annual
Responses: 960,981; Total Annual
Hours: 1,248,082. (For policy questions
regarding this collection contact Frank
Whelan at 410–786–1302).
Dated: July 28, 2014.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2014–18042 Filed 7–31–14; 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
Proposed Projects:
Title: State Plan for the Temporary
Assistance for Needy Families (TANF).
OMB No.: 0970–0145.
Description: The State plan is a
mandatory statement submitted to the
Secretary of the Department of Health
and Human Services by the State. It
consists of an outline specifying how
the state’s TANF program will be
administered and operated and certain
required certifications by the State’s
Chief Executive Officer. It is used to
provide the public with information
about the program.
Authority to require States to submit
a State TANF plan is contained in
section 402 of the Social Security Act,
as amended by Public Law 104–193, the
Personal Responsibility and Work
Opportunity Reconciliation Act of 1996.
States are required to submit new plans
periodically (i.e., within a 27-month
period).
We are proposing to continue the
information collection without change.
Respondents: The 50 States of the
United States, the District of Columbia,
Guam, Puerto Rico, and the Virgin
Islands.
E:\FR\FM\01AUN1.SGM
01AUN1
Agencies
[Federal Register Volume 79, Number 148 (Friday, August 1, 2014)]
[Notices]
[Pages 44776-44777]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-18042]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10292 and CMS-10357]
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 September 30, 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-10292 State Medicaid HIT Plan, Planning Advance Planning Document,
and Implementation Advance Planning Document for Section 4201 of the
Recovery Act
[[Page 44777]]
CMS-10357 Letter Requesting Waiver of Medicare/Medicaid Enrollment
Application Fee; Submission of Fingerprints; Submission of Medicaid
Identifying Information; Medicaid Site Visit and Rescreening
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 Collection
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Medicaid
HIT Plan, Planning Advance Planning Document, and Implementation
Advance Planning Document for Section 4201 of the Recovery Act; Use: To
assess the appropriateness of state requests for the administrative
Federal financial participation for expenditures under their Medicaid
Electronic Health Record Incentive Program related to health
information exchange, our staff will review the submitted information
and documentation to make an approval determination of the state
advance planning document. Form Number: CMS-10292 (OMB control number
0938-1088); Frequency: Once and occasionally; Affected Public: State,
Local, and Tribal Governments; Number of Respondents: 56; Total Annual
Responses: 56; Total Annual Hours: 896. (For policy questions regarding
this collection contact Thomas Romano at 410-786-0465).
2. Type of Information Collection Request: Reinstatement without
change of a previously approved collection: Title of Information
Collection: Letter Requesting Waiver of Medicare/Medicaid Enrollment
Application Fee; Submission of Fingerprints; Submission of Medicaid
Identifying Information; Medicaid Site Visit and Rescreening; Use:
Section 6401 of the Affordable Care Act (ACA) establishes a number of
important payment safeguard provisions. The provisions are designed to
improve the integrity of the Medicare, Medicaid, and Children's Health
Insurance Programs (CHIP) so as to reduce fraud, waste and abuse. The
provisions include the following:
Medicare Enrollment Application Fee Waiver Request:
Certain providers and suppliers enrolling in Medicare will be required
to submit a fee with their application. Under 42 CFR 424.514, if the
applicant believes it has a hardship that justifies a waiver of the
application fee, it may submit a letter describing said hardship.
Fingerprints: Certain providers and suppliers enrolling in
Medicare, Medicaid, and CHIP will be required to submit fingerprints--
either digitally or via the FD-258 standard fingerprint card--of their
owners.
Suspension of Medicaid Payments: A State Medicaid agency
shall suspend all Medicaid payments to a provider when there is a
pending investigation of a credible allegation of Medicaid fraud
against an individual or entity, unless it has good cause not to
suspend payments or to suspend payment only in part. The State Medicaid
agency may suspend payments without first notifying the provider of its
intention to suspend such payments. A provider may request, and must be
granted, administrative review where State law so requires.
Collection of Social Security Numbers (SSNs) and Dates of
Birth (DOBs) for Medicaid and CHIP Providers: The State Medicaid agency
or CHIP agency must require that all persons with an ownership or
control interest in a Medicaid or CHIP provider submit their SSNs and
DOBs.
Site Visits for Medicaid-only or CHIP-only providers: A
State Medicaid agency or CHIP agency must conduct on-site visits for
providers it determines to be ``moderate'' or ``high'' categorical
risk.
Rescreening of Medicaid and CHIP Providers Every 5 Years:
A State Medicaid agency or CHIP agency must screen all providers at
least every 5 years. This is consistent with the Medicare requirement
in current 42 CFR 424.515 that providers and suppliers revalidate their
enrollment information at least every 5 years.
Form Number: CMS-10357 (OMB control number: 0938-1137); Frequency:
On occasion; Affected Public: Private sector--Business or for-profit
and Not-for-profit institutions and State, Local, or Tribal
Governments; Number of Respondents: 960,981; Total Annual Responses:
960,981; Total Annual Hours: 1,248,082. (For policy questions regarding
this collection contact Frank Whelan at 410-786-1302).
Dated: July 28, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2014-18042 Filed 7-31-14; 8:45 am]
BILLING CODE 4120-01-P