Agency Information Collection Activities: Proposed Collection; Comment Request, 2430-2431 [2015-00627]
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Federal Register / Vol. 80, No. 11 / Friday, January 16, 2015 / Notices
asabaliauskas on DSK5VPTVN1PROD with NOTICES
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:
3. Type of Information Collection
Request: Extension of a currently
approved collection;
Title of Information Collection:
National Provider Identifier (NPI)
Application and Update Form and
Supporting Regulations in 45 CFR
142.408, 45 CFR 162.406, 45 CFR
162.408; Use: The National Provider
Identifier (NPI) Application and Update
Form is used by health care providers to
apply for NPIs and furnish updates to
the information they supplied on their
initial applications. The form is also
used to deactivate their NPIs if
necessary. The NPI Application/Update
form has been revised to provide
additional guidance on how to
accurately complete the form. The NPI
Application/Update form has been
revised to provide additional guidance
on how to accurately complete the form.
This collection includes clarification on
information that is required on
applications/changes. Minor changes on
the application/update form include
adding a ‘Subpart’ check box in the
Other Name section and a revision
within the PRA Disclosure Statement.
This collection also includes changes to
the instructions. Form Number: CMS–
10114 (OMB control number: 0938–
0931); Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profit, Not-for-profit
institutions, and Federal government;
Number of Respondents: 608,880; Total
Annual Responses: 608,880; Total
Annual Hours: 112,660. (For policy
VerDate Sep<11>2014
17:36 Jan 15, 2015
Jkt 235001
questions regarding this collection
contact Kim McPhillips at 410–786–
5374.)
Dated: January 13, 2015.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–00626 Filed 1–15–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–372(S), CMS–
10500, CMS–10221 and CMS–R–263]
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
March 17, 2015.
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
DATES:
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
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 lll, 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–372(S) Annual Report on Home
and Community Based Services
Waivers and Supporting Regulations
CMS–10500 Outpatient/Ambulatory
Surgery Patient Experience of Care
Survey (O/ASPECS)
CMS–10221 Site Investigation for
Independent Diagnostic Testing
Facilities (IDTFs)
CMS–R–263 Site Investigation for
Suppliers of Durable Medical
Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS)
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
E:\FR\FM\16JAN1.SGM
16JAN1
Federal Register / Vol. 80, No. 11 / Friday, January 16, 2015 / Notices
asabaliauskas on DSK5VPTVN1PROD with NOTICES
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: Annual Report
on Home and Community Based
Services Waivers and Supporting
Regulations; Use: We use this report to
compare actual data to the approved
waiver estimates. In conjunction with
the waiver compliance review reports,
the information provided will be
compared to that in the Medicaid
Statistical Information System (MSIS)
(CMS–R–284; OMB control number
0938–0345) report and FFP claimed on
a state’s Quarterly Expenditure Report
(CMS–64; OMB control number 0938–
1265), to determine whether to continue
the state’s home and community-based
services waiver. States’ estimates of cost
and utilization for renewal purposes are
based upon the data compiled in the
CMS–372(S) reports. Form Number:
CMS–372(S) (OMB Control Number:
0938–0272); Frequency: Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
48; Total Annual Responses: 315; Total
Annual Hours: 13,545. (For policy
questions regarding this collection
contact Ralph Lollar at 410–786–0777).
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Outpatient/
Ambulatory Surgery Patient Experience
of Care Survey (O/ASPECS); Use: The
information collected in the national
implementation of Outpatient/
Ambulatory Surgery Patient Experience
of Care Survey (A/ASPECS) will be used
to: (1) Provide a source of information
from which selected measures can be
publicly reported to beneficiaries to
help them make informed decisions for
outpatient surgery facility selection; (2)
aid facilities with their internal quality
improvement efforts and external
benchmarking with other facilities; and
(3) provide us with information for
monitoring and public reporting
purposes. Form Number: CMS–10500
(OMB Control Number: 0938–1240);
Frequency: Once; Affected Public:
Individuals and households; Number of
Respondents: 2,813,610; Total Annual
Responses: 2,813,610; Total Annual
VerDate Sep<11>2014
17:36 Jan 15, 2015
Jkt 235001
Hours: 365,769. (For policy questions
regarding this collection contact
Memuna Ifedirah at 410–786–6849).
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Site
Investigation for Independent
Diagnostic Testing Facilities (IDTFs);
Use: We enroll Independent Diagnostic
Testing Facilities (IDTFs) into the
Medicare program via a uniform
application, the CMS 855B.
Implementation of enhanced procedures
for verifying the enrollment information
has improved the enrollment process as
well as identified and prevented
fraudulent IDTFs from entering the
Medicare program. As part of this
process, verification of compliance with
IDTF performance standards is
necessary. The primary function of the
site investigation form for IDTFs is to
provide a standardized, uniform tool to
gather information from an IDTF that
tells us whether it meets certain
standards to be a IDTF (as found in 42
CFR 410.33(g)) and where it practices or
renders its services. The site
investigation form has been used in the
past to aid in verifying compliance with
the required performance standards
found in 42 CFR 410.33(g). No revisions
have been made to this form since the
last submission for OMB approval. Form
Number: CMS–10221 (OMB Control
Number: 0938–1029); Frequency:
Occasionally; Affected Public: Private
Sector (Business or other for-profits and
Not-for-profit institutions); Number of
Respondents: 900; Total Annual
Responses: 900; Total Annual Hours:
1,800. (For policy questions regarding
this collection contact Kim McPhillips
at 410–786–5374).
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Site
Investigation for Suppliers of Durable
Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS); Use:
We enroll suppliers of durable medical
equipment, prosthetics, orthotics, and
supplies (DMEPOS) into the Medicare
program via a uniform application, the
CMS 855S. Implementation of enhanced
procedures for verifying the enrollment
information has improved the
enrollment process as well as identified
and prevented fraudulent DMEPOS
suppliers from entering the Medicare
program. As part of this process,
verification of compliance with supplier
standards is necessary. The primary
function of the site investigation form is
to provide a standardized, uniform tool
to gather information from a DMEPOS
supplier that tells us whether it meets
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
2431
certain qualifications to be a DMEPOS
supplier (as found in 42 CFR 424.57(c))
and where it practices or renders its
services. The site investigation form has
been used in the past to aid in verifying
compliance with the required supplier
standards found in 42 CFR 424.57(c). No
revisions have been made to this form
since the last submission for OMB
approval. Form Number: CMS–R–263
(OMB Control Number: 0938–0749);
Frequency: Occasionally; Affected
Public: Private Sector (Business or other
for-profits and Not-for-profit
institutions); Number of Respondents:
30,000; Total Annual Responses:
30,000; Total Annual Hours: 15,000.
(For policy questions regarding this
collection contact Kim McPhillips at
410–786–5374).
Dated: January 13, 2015.
Martique Jones,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–00627 Filed 1–15–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
[OMB No.: 0970–0167]
Submission for OMB Review;
Comment Request: Child Care
Quarterly Case Record Report—ACF–
801
Description: Section 658K of the
Child Care and Development Block
Grant Act (42 U.S.C. 9858) requires that
States and Territories submit monthly
case-level data on the children and
families receiving direct services under
the Child Care and Development Fund
(CCDF). The implementing regulations
for the statutorily required reporting are
at 45 CFR 98.70. Case-level reports,
submitted quarterly or monthly (at
grantee option), include monthly
sample or full population case-level
data. The data elements to be included
in these reports are represented in the
ACF–801. ACF uses disaggregate data to
determine program and participant
characteristics as well as costs and
levels of child care services provided.
This provides ACF with the information
necessary to make reports to Congress,
address national child care needs, offer
technical assistance to grantees, meet
performance measures, and conduct
research. On November 19, 2014, the
President signed the Child Care and
Development Block Grant Act of 2014
E:\FR\FM\16JAN1.SGM
16JAN1
Agencies
[Federal Register Volume 80, Number 11 (Friday, January 16, 2015)]
[Notices]
[Pages 2430-2431]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-00627]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-372(S), CMS-10500, CMS-10221 and CMS-R-263]
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 March 17, 2015.
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-372(S) Annual Report on Home and Community Based Services Waivers
and Supporting Regulations
CMS-10500 Outpatient/Ambulatory Surgery Patient Experience of Care
Survey (O/ASPECS)
CMS-10221 Site Investigation for Independent Diagnostic Testing
Facilities (IDTFs)
CMS-R-263 Site Investigation for Suppliers of Durable Medical
Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
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
[[Page 2431]]
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: Annual Report on
Home and Community Based Services Waivers and Supporting Regulations;
Use: We use this report to compare actual data to the approved waiver
estimates. In conjunction with the waiver compliance review reports,
the information provided will be compared to that in the Medicaid
Statistical Information System (MSIS) (CMS-R-284; OMB control number
0938-0345) report and FFP claimed on a state's Quarterly Expenditure
Report (CMS-64; OMB control number 0938-1265), to determine whether to
continue the state's home and community-based services waiver. States'
estimates of cost and utilization for renewal purposes are based upon
the data compiled in the CMS-372(S) reports. Form Number: CMS-372(S)
(OMB Control Number: 0938-0272); Frequency: Yearly; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 48; Total
Annual Responses: 315; Total Annual Hours: 13,545. (For policy
questions regarding this collection contact Ralph Lollar at 410-786-
0777).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Outpatient/
Ambulatory Surgery Patient Experience of Care Survey (O/ASPECS); Use:
The information collected in the national implementation of Outpatient/
Ambulatory Surgery Patient Experience of Care Survey (A/ASPECS) will be
used to: (1) Provide a source of information from which selected
measures can be publicly reported to beneficiaries to help them make
informed decisions for outpatient surgery facility selection; (2) aid
facilities with their internal quality improvement efforts and external
benchmarking with other facilities; and (3) provide us with information
for monitoring and public reporting purposes. Form Number: CMS-10500
(OMB Control Number: 0938-1240); Frequency: Once; Affected Public:
Individuals and households; Number of Respondents: 2,813,610; Total
Annual Responses: 2,813,610; Total Annual Hours: 365,769. (For policy
questions regarding this collection contact Memuna Ifedirah at 410-786-
6849).
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Site
Investigation for Independent Diagnostic Testing Facilities (IDTFs);
Use: We enroll Independent Diagnostic Testing Facilities (IDTFs) into
the Medicare program via a uniform application, the CMS 855B.
Implementation of enhanced procedures for verifying the enrollment
information has improved the enrollment process as well as identified
and prevented fraudulent IDTFs from entering the Medicare program. As
part of this process, verification of compliance with IDTF performance
standards is necessary. The primary function of the site investigation
form for IDTFs is to provide a standardized, uniform tool to gather
information from an IDTF that tells us whether it meets certain
standards to be a IDTF (as found in 42 CFR 410.33(g)) and where it
practices or renders its services. The site investigation form has been
used in the past to aid in verifying compliance with the required
performance standards found in 42 CFR 410.33(g). No revisions have been
made to this form since the last submission for OMB approval. Form
Number: CMS-10221 (OMB Control Number: 0938-1029); Frequency:
Occasionally; Affected Public: Private Sector (Business or other for-
profits and Not-for-profit institutions); Number of Respondents: 900;
Total Annual Responses: 900; Total Annual Hours: 1,800. (For policy
questions regarding this collection contact Kim McPhillips at 410-786-
5374).
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Site
Investigation for Suppliers of Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS); Use: We enroll suppliers of durable
medical equipment, prosthetics, orthotics, and supplies (DMEPOS) into
the Medicare program via a uniform application, the CMS 855S.
Implementation of enhanced procedures for verifying the enrollment
information has improved the enrollment process as well as identified
and prevented fraudulent DMEPOS suppliers from entering the Medicare
program. As part of this process, verification of compliance with
supplier standards is necessary. The primary function of the site
investigation form is to provide a standardized, uniform tool to gather
information from a DMEPOS supplier that tells us whether it meets
certain qualifications to be a DMEPOS supplier (as found in 42 CFR
424.57(c)) and where it practices or renders its services. The site
investigation form has been used in the past to aid in verifying
compliance with the required supplier standards found in 42 CFR
424.57(c). No revisions have been made to this form since the last
submission for OMB approval. Form Number: CMS-R-263 (OMB Control
Number: 0938-0749); Frequency: Occasionally; Affected Public: Private
Sector (Business or other for-profits and Not-for-profit institutions);
Number of Respondents: 30,000; Total Annual Responses: 30,000; Total
Annual Hours: 15,000. (For policy questions regarding this collection
contact Kim McPhillips at 410-786-5374).
Dated: January 13, 2015.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2015-00627 Filed 1-15-15; 8:45 am]
BILLING CODE 4120-01-P