Agency Information Collection Activities: Submission for OMB Review; Comment Request, 53067-53069 [2014-21179]
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Federal Register / Vol. 79, No. 172 / Friday, September 5, 2014 / Notices
Alternative and provides rationale for
the decision. Written comments must be
received on or before Monday, October
6, 2014.
ADDRESSES: The FEIS is available on the
Federal eRulemaking Portal: https://
www.regulations.gov, identified by
Docket No. CDC–012–0013. Hard copies
of the FEIS are also available for review
at locations listed in the Availability of
the FEIS under SUPPLEMENTARY
INFORMATION.
You may submit written comments
identified by Docket No. CDC–2012–
0013, by the following methods:
• Federal eRulemaking Portal: https://
www.regulations.gov. Follow the
instructions for submitting comments.
• Mail: George F. Chandler, Senior
Advisor, Centers for Disease Control and
Prevention, 1600 Clifton Road NE.,
Mailstop A–22, Atlanta, Georgia 30333.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to https://www.regulations.gov, including
any personal information provided. For
access to the docket, to read background
documents or previous comments
received, go to https://
www.regulations.gov.
Final comments on the FEIS must be
postmarked by Monday, October 6,
2014.
rmajette on DSK2TPTVN1PROD with NOTICES
FOR FURTHER INFORMATION CONTACT:
George F. Chandler, Senior Advisor,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE.,
Mailstop A–22, Atlanta, Georgia 30333.
Telephone: (404)639–5153.
SUPPLEMENTARY INFORMATION: HHS/CDC
has prepared a new long-range Master
Plan to guide the future physical
development of the Roybal Campus for
the planning horizon of 2015 to 2025.
The previous 2000–2009 Master Plan
has been implemented, and as a result,
a new plan is needed in order to ensure
that the campus can support HHS/CDC’s
mission and program requirements
through 2025. Mission change and
growth resulting from emerging or
reemerging infectious diseases, changes
in technology and potential Program
staff growth over time are expected to
drive increases in laboratory and nonlaboratory staff and demand for
specialized space. The Master Plan
provides an update of baseline existing
conditions and examines the potential
growth in agency mission, laboratory
and laboratory support space, office
space and personnel occupying the
Roybal Campus, and identifies a
preferred alternative for future
development.
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The FEIS analyzes the effects of the
Proposed Action and the No Action
Alternative. The Proposed Action
Alternative consists of HHS/CDC’s
implementation of the Master Plan
preferred alternative. Improvements
proposed under the Master Plan
preferred alternative include new
laboratory construction, existing
building renovation, parking expansion,
and infrastructure upgrades. Under the
Master Plan preferred alternative, a new
laboratory building of approximately
350,000 to 450,000 gross square feet
would be constructed on an existing
surface parking lot located in the eastern
portion of the Roybal Campus. A new
approximately 1,600 space parking deck
would be constructed in the
southeastern portion of the campus.
Construction of the new parking deck,
along with the new laboratory and
supporting infrastructure would
eliminate an existing surface parking
and result in a net increase of
approximately 1,200 parking spaces at
the Roybal Campus. The construction of
the new parking deck would increase
the existing campus parking cap from
3,300 to approximately 4,500 spaces.
The employee population at the Roybal
Campus is estimated to increase by
approximately 1,485 new occupants
under the Master Plan preferred
alternative by 2025.
The No Action Alternative represents
continued operation of the existing
facilities at the Roybal Campus without
any new construction or any major
building additions over the ten-year
planning period from 2015 to 2025.
However, the employee population at
the Roybal Campus is projected to
increase by approximately 865 new
occupants under the No Action
Alternative due to potential background
growth of existing Campus programs.
The DEIS for the Roybal Campus 2025
Master Plan was issued for public
review in January of 2014. The DEIS
was filed with the EPA the week of
January 13, 2014 through January 17,
2014 and a Notice of Availability (NOA)
for the DEIS was published in the
Federal Register on January 24, 2014 by
the EPA. The public review period for
the DEIS extended to April 10, 2014.
During the public comment period, a
public meeting was held on March 20,
2014. HHS/CDC received 24 sets of
comments addressing the DEIS, with a
total of 111 individual comments. HHS/
CDC reviewed and considered all
comments that were received during the
public review period. All comments and
HHS/CDC’s response to comments are
contained in the FEIS. Portions of the
FEIS were revised in response to
comments which called for
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53067
clarifications or factual changes.
Additional mitigation related to
potential visual impacts were
incorporated in response to public
comments.
Availability of the FEIS: Copies of the
FEIS were distributed to Federal, State,
and local government agencies with
jurisdiction by law or expertise, elected
officials and all agencies, persons and
organizations that submitted comments
on the DEIS.
The FEIS is also available online on
the Federal eRulemaking Portal: https://
www.regulations.gov, identified by
Docket No. CDC–2012–0013. Copies of
the FEIS are available at the following
locations: Decatur Library, 215
Sycamore Street, Decatur, GA 30030;
Toco Hill-Avis G. Williams Library,
1282 McConnell Drive, Decatur, GA
30030; Atlanta-Public Library Ponce de
Leon Branch, 980 Ponce de Leon Ave.
NE., Atlanta, GA 30306; Atlanta-Public
Library—Central Library, One Margaret
Mitchell Square, Atlanta, GA 30303;
Atlanta-Public Library—Kirkwood
Branch, 11 Kirkwood Rd. NE., Atlanta,
GA 30317; and, Emory UniversityRobert W. Woodruff Library, 540 Asbury
Cir., Atlanta, GA 30322.
Dated: September 2, 2014.
Ron A. Otten,
Acting Deputy Associate Director for Science,
Centers for Disease Control and Prevention.
[FR Doc. 2014–21147 Filed 9–4–14; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10123 and
–10124, CMS–10147, CMS–10252, CMS–
10340, CMS–R–235, CMS–R–268 and CMS–
10519]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
SUMMARY:
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Federal Register / Vol. 79, No. 172 / Friday, September 5, 2014 / Notices
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 October 6, 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/Paperwork
ReductionActof1995.
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
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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: Fast Track
Appeals Notices: NOMNC/DENC; Use:
Providers shall deliver a Notice of
Medicare (Provider) Non-Coverage
(NOMNC) to beneficiaries, enrollees, or
both beneficiaries and enrollees no later
than two days prior to the end of
Medicare-covered services in skilled
nursing facilities, home health agencies,
comprehensive outpatient rehabilitation
facilities, and hospices. Beneficiaries,
enrollees or both beneficiaries and
enrollees will use this information to
determine whether they want to appeal
the service termination to their Quality
Improvement Organization (QIO). If the
beneficiaries, enrollees or both
beneficiaries decide to appeal, the
Medicare provider or health plan will
send the QIO and appellant a Detailed
Explanation of Non-Coverage (DENC)
detailing the rationale for the
termination decision. Form Number:
CMS–10123 and –10124 (OMB control
number: 0938–0953); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 24,915; Total Annual
Responses: 5,347,980; Total Annual
Hours: 927,901. (For policy questions
regarding this collection contact Janet
Miller at 404–562–1799).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Prescription Drug Coverage and Your
Rights; Use: Through the delivery of this
standardized notice, Part D plan
sponsors’ network pharmacies are in the
best position to inform enrollees (at the
point of sale) about how to contact their
Part D plan if their prescription cannot
be filled and how to request an
exception to the Part D plan’s formulary.
The notice restates certain rights and
protections related to the enrollees
Medicare prescription drug benefits,
including the right to receive a written
explanation from the drug plan about
why a prescription drug is not covered.
Form Number: CMS–10147 (OMB
control number: 0938–0975); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits;
Number of Respondents: 56,000; Total
Annual Responses: 37,620,000; Total
Annual Hours: 626,749. (For policy
questions regarding this collection
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contact Kathryn M. Smith at 410–786–
7623).
3. Type of Information Collection
Request: Extension of a currently
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,
Not-for-profit institutions; Number of
Respondents: 500; Total Annual
Responses: 1000; 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: Collection of
Encounter Data from Medicare
Advantage Organizations, Section 1876
Cost HMOS/CMPS, Section 1833 Health
Care Prepayment Plans (HCPPS), and
Pace Organizations; Use: We collect
encounter data or data on each item or
service delivered to enrollees of
Medicare Advantage (MA) plans offered
by MA organizations. MA organizations
currently obtain this data from
providers. We collect this information
using standard transaction forms and
code sets. We will use the data for
determining risk adjustment factors for
payment, updating the risk adjustment
model, calculating Medicare DSH
percentages, Medicare coverage
purposes, and quality review and
improvement activities. The data is also
used to verify the accuracy and validity
of the costs claimed on cost reports. For
PACE organizations, encounter data
would serve the same purpose it does
related to the MA program and would
be submitted in a similar manner. The
information collection request has been
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Federal Register / Vol. 79, No. 172 / Friday, September 5, 2014 / Notices
revised subsequent to the publication of
the 60-day Federal Register notice (June
2, 2014; 79 FR 31336). Form Number:
CMS–10340 (OMB control number:
0938–1152); Frequency: Weekly;
Affected Public: Private sector—
Business or other for-profits; Number of
Respondents: 683; Total Annual
Responses: 516,493,635; Total Annual
Hours: 34,433 (For policy questions
regarding this collection contact
Michael Massimini at 410–786–1566).
5. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Data Use
Agreement (DUA) Certificate of
Disposition for Data Acquired from the
Centers for Medicare & Medicaid
Services (CMS); Use: The Privacy Act of
1974 allows for discretionary releases of
data maintained in Privacy Act
protected systems of records under
§ 552a(b) (Conditions of Disclosure).
The mandate to account for disclosures
of data under the Privacy Act is found
at § 552a(c) (Accounting of Certain
Disclosures). This section states that
certain information must be maintained
regarding disclosures made by each
agency. This information is: Date,
Nature, Purpose, and Name and Address
of Recipient. Section 552a(e) sets the
overall Agency Requirements that each
agency must meet in order to maintain
records under the Privacy Act. The Data
Use Agreement (DUA) form is needed as
part of the review of each CMS data
request to ensure compliance with the
requirements of the Privacy Act for
disclosures that contain PII. The DUA
form also provides data requestors and
custodians with a formal means to agree
to the data protection and destruction
statutory and regulatory requirements of
CMS’ PII data. 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. The information collected by the
DUA form is used by CMS to track
disclosures, conditions for disclosure,
accounting of disclosures and agency
requirements dictated by the Privacy
Act, HIPAA and FISMA. Form Number:
CMS–R–235 (OMB control number:
0938–0734); Frequency: Annually;
Affected Public: Private Sector—
Business or other for-profits and Not-
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for-profit institutions; Number of
Respondents: 9220; Total Annual
Responses: 9220; Total Annual Hours:
2740. (For policy questions regarding
this collection contact Sharon Kavanagh
at 410–786–5441.)
6. 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 submission 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.)
7. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Physician
Quality Reporting System (PQRS) and
the Electronic Prescribing Incentive
(eRx) Program Data Assessment,
Accuracy and Improper Payments
Identification Support; Use: The
incentive and reporting programs have
data integrity issues, such as rejected
and improper payments. This four year
project will evaluate incentive payment
information for accuracy and identify
improper payments, with the goal of
recovering these payments.
Additionally, based on the project’s
results, recommendations will be made
so that we can avoid future data
integrity issues.
Data submission, processing, and
reporting will be analyzed for potential
errors, inconsistencies, and gaps that are
related to data handling, program
requirements, and clinical quality
measure specifications of PQRS and eRx
program. Surveys of Group Practices,
Registries, and Data Submission
Vendors (DSVs) will be conducted in
order to evaluate the PQRS and eRx
Incentive Program. Follow-up
interviews will occur with a small
number of respondents. Form Number:
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53069
CMS–10519 (OMB control number:
0938–NEW); Frequency: Annually;
Affected Public: Business or other forprofits; Number of Respondents: 115;
Total Annual Responses: 115; Total
Annual Hours: 201. (For policy
questions regarding this collection
contact Sungsoo Oh at 410–786–7611.)
Dated: September 2, 2014.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2014–21179 Filed 9–4–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10329, CMS–
10422, CMS–10532 and CMS–10394]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
SUMMARY:
Comments must be received by
November 4, 2014.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). To be
assured consideration, comments and
DATES:
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]]>Agencies
[Federal Register Volume 79, Number 172 (Friday, September 5, 2014)]
[Notices]
[Pages 53067-53069]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-21179]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10123 and -10124, CMS-10147, CMS-10252, CMS-
10340, CMS-R-235, CMS-R-268 and CMS-10519]
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
[[Page 53068]]
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 October 6, 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:
OIRAsubmission@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: Extension of a currently
approved collection; Title of Information Collection: Fast Track
Appeals Notices: NOMNC/DENC; Use: Providers shall deliver a Notice of
Medicare (Provider) Non-Coverage (NOMNC) to beneficiaries, enrollees,
or both beneficiaries and enrollees no later than two days prior to the
end of Medicare-covered services in skilled nursing facilities, home
health agencies, comprehensive outpatient rehabilitation facilities,
and hospices. Beneficiaries, enrollees or both beneficiaries and
enrollees will use this information to determine whether they want to
appeal the service termination to their Quality Improvement
Organization (QIO). If the beneficiaries, enrollees or both
beneficiaries decide to appeal, the Medicare provider or health plan
will send the QIO and appellant a Detailed Explanation of Non-Coverage
(DENC) detailing the rationale for the termination decision. Form
Number: CMS-10123 and -10124 (OMB control number: 0938-0953);
Frequency: Occasionally; Affected Public: Private sector--Business or
other for-profits and Not-for-profit institutions; Number of
Respondents: 24,915; Total Annual Responses: 5,347,980; Total Annual
Hours: 927,901. (For policy questions regarding this collection contact
Janet Miller at 404-562-1799).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Prescription Drug Coverage and Your Rights; Use: Through the delivery
of this standardized notice, Part D plan sponsors' network pharmacies
are in the best position to inform enrollees (at the point of sale)
about how to contact their Part D plan if their prescription cannot be
filled and how to request an exception to the Part D plan's formulary.
The notice restates certain rights and protections related to the
enrollees Medicare prescription drug benefits, including the right to
receive a written explanation from the drug plan about why a
prescription drug is not covered. Form Number: CMS-10147 (OMB control
number: 0938-0975); Frequency: Occasionally; Affected Public: Private
sector--Business or other for-profits; Number of Respondents: 56,000;
Total Annual Responses: 37,620,000; Total Annual Hours: 626,749. (For
policy questions regarding this collection contact Kathryn M. Smith at
410-786-7623).
3. Type of Information Collection Request: Extension of a currently
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, Sec. 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, Sec. 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, Not-for-profit institutions; Number of Respondents: 500;
Total Annual Responses: 1000; 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: Collection of
Encounter Data from Medicare Advantage Organizations, Section 1876 Cost
HMOS/CMPS, Section 1833 Health Care Prepayment Plans (HCPPS), and Pace
Organizations; Use: We collect encounter data or data on each item or
service delivered to enrollees of Medicare Advantage (MA) plans offered
by MA organizations. MA organizations currently obtain this data from
providers. We collect this information using standard transaction forms
and code sets. We will use the data for determining risk adjustment
factors for payment, updating the risk adjustment model, calculating
Medicare DSH percentages, Medicare coverage purposes, and quality
review and improvement activities. The data is also used to verify the
accuracy and validity of the costs claimed on cost reports. For PACE
organizations, encounter data would serve the same purpose it does
related to the MA program and would be submitted in a similar manner.
The information collection request has been
[[Page 53069]]
revised subsequent to the publication of the 60-day Federal Register
notice (June 2, 2014; 79 FR 31336). Form Number: CMS-10340 (OMB control
number: 0938-1152); Frequency: Weekly; Affected Public: Private
sector--Business or other for-profits; Number of Respondents: 683;
Total Annual Responses: 516,493,635; Total Annual Hours: 34,433 (For
policy questions regarding this collection contact Michael Massimini at
410-786-1566).
5. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Data Use
Agreement (DUA) Certificate of Disposition for Data Acquired from the
Centers for Medicare & Medicaid Services (CMS); Use: The Privacy Act of
1974 allows for discretionary releases of data maintained in Privacy
Act protected systems of records under Sec. 552a(b) (Conditions of
Disclosure). The mandate to account for disclosures of data under the
Privacy Act is found at Sec. 552a(c) (Accounting of Certain
Disclosures). This section states that certain information must be
maintained regarding disclosures made by each agency. This information
is: Date, Nature, Purpose, and Name and Address of Recipient. Section
552a(e) sets the overall Agency Requirements that each agency must meet
in order to maintain records under the Privacy Act. The Data Use
Agreement (DUA) form is needed as part of the review of each CMS data
request to ensure compliance with the requirements of the Privacy Act
for disclosures that contain PII. The DUA form also provides data
requestors and custodians with a formal means to agree to the data
protection and destruction statutory and regulatory requirements of
CMS' PII data. The Health Insurance Portability and Accountability Act
(HIPAA) of 1996, Sec. 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, Sec. 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. The information collected by the DUA form is used by CMS
to track disclosures, conditions for disclosure, accounting of
disclosures and agency requirements dictated by the Privacy Act, HIPAA
and FISMA. Form Number: CMS-R-235 (OMB control number: 0938-0734);
Frequency: Annually; Affected Public: Private Sector--Business or other
for-profits and Not-for-profit institutions; Number of Respondents:
9220; Total Annual Responses: 9220; Total Annual Hours: 2740. (For
policy questions regarding this collection contact Sharon Kavanagh at
410-786-5441.)
6. 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 submission 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.)
7. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Physician Quality Reporting System (PQRS) and the Electronic
Prescribing Incentive (eRx) Program Data Assessment, Accuracy and
Improper Payments Identification Support; Use: The incentive and
reporting programs have data integrity issues, such as rejected and
improper payments. This four year project will evaluate incentive
payment information for accuracy and identify improper payments, with
the goal of recovering these payments. Additionally, based on the
project's results, recommendations will be made so that we can avoid
future data integrity issues.
Data submission, processing, and reporting will be analyzed for
potential errors, inconsistencies, and gaps that are related to data
handling, program requirements, and clinical quality measure
specifications of PQRS and eRx program. Surveys of Group Practices,
Registries, and Data Submission Vendors (DSVs) will be conducted in
order to evaluate the PQRS and eRx Incentive Program. Follow-up
interviews will occur with a small number of respondents. Form Number:
CMS-10519 (OMB control number: 0938-NEW); Frequency: Annually; Affected
Public: Business or other for-profits; Number of Respondents: 115;
Total Annual Responses: 115; Total Annual Hours: 201. (For policy
questions regarding this collection contact Sungsoo Oh at 410-786-
7611.)
Dated: September 2, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2014-21179 Filed 9-4-14; 8:45 am]
BILLING CODE 4120-01-P
