Agency Information Collection Activities: Submission for OMB Review; Comment Request, 57932-57933 [2014-22980]
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57932
Federal Register / Vol. 79, No. 187 / Friday, September 26, 2014 / Notices
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.
Comments must be received by
November 25, 2014.
DATES:
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 llll, 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.
mstockstill on DSK4VPTVN1PROD with NOTICES
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
VerDate Sep<11>2014
19:14 Sep 25, 2014
Jkt 232001
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–10142 Bid Pricing Tool (BPT) for
Medicare Advantage (MA) Plans and
Prescription Drug Plans (PDP)
CMS–R–262 CY 2016 Plan Benefit
Package (PBP) Software and
Formulary Submission
Under the 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: Revision of a currently
approved collection; Title of
Information Collection: Bid Pricing Tool
(BPT) for Medicare Advantage (MA)
Plans and Prescription Drug Plans
(PDP); Use: We require that Medicare
Advantage organizations and
Prescription Drug Plans complete the
Bid Pricing Tool (BPT) as part of the
annual bidding process. During this
process, organizations prepare their
proposed actuarial bid pricing for the
upcoming contract year and submit
them to us for review and approval. The
purpose of the BPT is to collect the
actuarial pricing information for each
plan. The BPT calculates the plan’s bid,
enrollee premiums, and payment rates.
We publish beneficiary premium
information using a variety of formats
(www.medicare.gov, the Medicare & You
handbook, Summary of Benefits
marketing information) for the purpose
of beneficiary education and
enrollment. Form Number: CMS–10142
(OMB control number 0938–0944);
Frequency: Yearly; Affected Public:
Private sector (business or other forprofits and not-for-profit institutions);
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Frm 00064
Fmt 4703
Sfmt 4703
Number of Respondents: 555; Total
Annual Responses: 4,995; Total Annual
Hours: 149,850. (For policy questions
regarding this collection contact Rachel
Shevland at 410–786–3026).
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: CY 2016 Plan
Benefit Package (PBP) Software and
Formulary Submission; Use: We require
that Medicare Advantage and
Prescription Drug Plan organizations
submit a completed PBP and formulary
as part of the annual bidding process.
During this process, organizations
prepare their proposed plan benefit
packages for the upcoming contract year
and submit them to us for review and
approval. We publish beneficiary
education information using a variety of
formats. The specific education
initiatives that utilize PBP and
formulary data include Web application
tools on www.medicare.gov and the plan
benefit insert in the Medicare & You
handbook. In addition, organizations
utilize the PBP data to generate their
Summary of Benefits marketing
information. Form Number: CMS–R–262
(OMB control number 0938–0763);
Frequency: Yearly; Affected Public:
Private sector—Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 598; Total
Annual Responses: 5,872; Total Annual
Hours: 56,411. (For policy questions
regarding this collection contact Kristy
Holtje at 410–786–2209).
Dated: September 23, 2014.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2014–22990 Filed 9–25–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10526 and
CMS–10477]
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
SUMMARY:
E:\FR\FM\26SEN1.SGM
26SEN1
mstockstill on DSK4VPTVN1PROD with NOTICES
Federal Register / Vol. 79, No. 187 / Friday, September 26, 2014 / Notices
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 October 27, 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.
VerDate Sep<11>2014
19:14 Sep 25, 2014
Jkt 232001
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: New collection (Request for a
new OMB control number); Title of
Information Collection: Cost Sharing
Reduction Reconciliation; Use: Under
established Department of Health and
Human Services (HHS) regulations,
qualified health plan (QHP) issuers will
receive estimated advance payments of
cost-sharing reductions throughout the
year. Each issuer will then be subject to
a reconciliation process at the end of the
benefit year to ensure that HHS
reimburses each issuer only for actual
cost sharing. This proposed collection
establishes the data elements that a QHP
issuer would be required to report to
HHS in order to establish the costsharing reductions provided on behalf
of enrollees for the benefit year.
Comments were received and addressed
in a Response to Comments document.
Form Number: CMS–10526 (OMB
control number: 0938–NEW);
Frequency: Annually; Affected Public:
Private sector—Business or other forprofits; Number of Respondents: 295;
Total Annual Responses: 4 million;
Total Annual Hours: 2,469. (For policy
questions regarding this collection
contact Patricia Meisol at 410–786–
1917.)
2. Type of Information Collection
Request: Revision of a currently
approved information collection; Title
of Information Collection: Medicaid
Incentives for Prevention of Chronic
Disease (MIPCD) Demonstration; Use:
Under section 4108(d)(1) of the
Affordable Care Act, we are required to
contract with an independent entity or
organization to conduct an evaluation of
the Medicaid Incentives for Prevention
of Chronic Disease (MIPCD)
demonstration. The contractor will
conduct state site visits, two rounds of
focus group discussions, interviews
with key program stakeholders, and
field a beneficiary satisfaction survey.
Both the state site visits and interviews
with key program stakeholders will
entail one-on-one interviews; however
each set will have a unique data
collection form. Thus, each evaluation
task listed above has a separate data
collection form and this proposed
information collection encompasses six
PO 00000
Frm 00065
Fmt 4703
Sfmt 4703
57933
data collection forms. The purpose of
the evaluation and assessment includes
determining the following:
• The effect of such initiatives on the
use of health care services by Medicaid
beneficiaries participating in the
program;
• The extent to which special
populations (including adults with
disabilities, adults with chronic
illnesses, and children with special
health care needs) are able to participate
in the program;
• The level of satisfaction of
Medicaid beneficiaries with respect to
the accessibility and quality of health
care services provided through the
program; and
• The administrative costs incurred
by state agencies that are responsible for
administration of the program.
Subsequent to the initial OMB
approval issued January 23, 2014, we
have added two Administrative Cost
forms to the information collection. The
burden estimates for this information
collection have been revised to account
for the burden associated with the new
forms. Form Number: CMS–10477
(OMB control number: 0938–1219);
Frequency: Annually; Affected Public:
Individuals and Households, Private
sector—Business or other for-profits and
Not-for-profit institutions, State, Local
or Tribal Governments; Number of
Respondents: 4,706; Total Annual
Responses: 4,706; Total Annual Hours:
2,236. (For policy questions regarding
this collection contact Jean Scott at 410–
786–6327.)
Dated: September 23, 2014.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2014–22980 Filed 9–25–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–4175–N]
Medicare Program; Medicare Appeals;
Adjustment to the Amount in
Controversy Threshold Amounts for
Calendar Year 2015
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces the
annual adjustment in the amount in
controversy (AIC) threshold amounts for
Administrative Law Judge (ALJ)
SUMMARY:
E:\FR\FM\26SEN1.SGM
26SEN1
]]>Agencies
[Federal Register Volume 79, Number 187 (Friday, September 26, 2014)]
[Notices]
[Pages 57932-57933]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-22980]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10526 and CMS-10477]
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
[[Page 57933]]
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 October 27, 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: New collection (Request
for a new OMB control number); Title of Information Collection: Cost
Sharing Reduction Reconciliation; Use: Under established Department of
Health and Human Services (HHS) regulations, qualified health plan
(QHP) issuers will receive estimated advance payments of cost-sharing
reductions throughout the year. Each issuer will then be subject to a
reconciliation process at the end of the benefit year to ensure that
HHS reimburses each issuer only for actual cost sharing. This proposed
collection establishes the data elements that a QHP issuer would be
required to report to HHS in order to establish the cost-sharing
reductions provided on behalf of enrollees for the benefit year.
Comments were received and addressed in a Response to Comments
document. Form Number: CMS-10526 (OMB control number: 0938-NEW);
Frequency: Annually; Affected Public: Private sector--Business or other
for-profits; Number of Respondents: 295; Total Annual Responses: 4
million; Total Annual Hours: 2,469. (For policy questions regarding
this collection contact Patricia Meisol at 410-786-1917.)
2. Type of Information Collection Request: Revision of a currently
approved information collection; Title of Information Collection:
Medicaid Incentives for Prevention of Chronic Disease (MIPCD)
Demonstration; Use: Under section 4108(d)(1) of the Affordable Care
Act, we are required to contract with an independent entity or
organization to conduct an evaluation of the Medicaid Incentives for
Prevention of Chronic Disease (MIPCD) demonstration. The contractor
will conduct state site visits, two rounds of focus group discussions,
interviews with key program stakeholders, and field a beneficiary
satisfaction survey. Both the state site visits and interviews with key
program stakeholders will entail one-on-one interviews; however each
set will have a unique data collection form. Thus, each evaluation task
listed above has a separate data collection form and this proposed
information collection encompasses six data collection forms. The
purpose of the evaluation and assessment includes determining the
following:
The effect of such initiatives on the use of health care
services by Medicaid beneficiaries participating in the program;
The extent to which special populations (including adults
with disabilities, adults with chronic illnesses, and children with
special health care needs) are able to participate in the program;
The level of satisfaction of Medicaid beneficiaries with
respect to the accessibility and quality of health care services
provided through the program; and
The administrative costs incurred by state agencies that
are responsible for administration of the program.
Subsequent to the initial OMB approval issued January 23, 2014, we
have added two Administrative Cost forms to the information collection.
The burden estimates for this information collection have been revised
to account for the burden associated with the new forms. Form Number:
CMS-10477 (OMB control number: 0938-1219); Frequency: Annually;
Affected Public: Individuals and Households, Private sector--Business
or other for-profits and Not-for-profit institutions, State, Local or
Tribal Governments; Number of Respondents: 4,706; Total Annual
Responses: 4,706; Total Annual Hours: 2,236. (For policy questions
regarding this collection contact Jean Scott at 410-786-6327.)
Dated: September 23, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2014-22980 Filed 9-25-14; 8:45 am]
BILLING CODE 4120-01-P
