Agency Information Collection Activities: Submission for OMB Review; Comment Request, 3603-3604 [2015-01127]
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Federal Register / Vol. 80, No. 15 / Friday, January 23, 2015 / Notices
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers CMS–29]
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.
DATES: Comments must be received by
March 24, 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 lll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
tkelley on DSK3SPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:05 Jan 22, 2015
Jkt 235001
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).
3603
supplier of RHC services. It also
promotes data reduction or introduction
to and retrieval from the Automated
Survey Process Environment (ASPEN)
and related survey and certification
databases by the CMS Regional Offices.
Should any question arise regarding the
structure of the organization, this
information is readily available. Form
Number: CMS–29 (OMB control number
0938–0074); Frequency: Occasionally
(initially and then every six years);
Affected Public: Private Sector (Business
or other for-profit and Not-for-profit
institutions); Number of Respondents:
900; Total Annual Responses: 900; Total
Annual Hours: 150. (For policy
questions regarding this collection
´
contact Shonte Carter at 410–786–3532.)
Dated: January 20, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–01128 Filed 1–22–15; 8:45 am]
BILLING CODE 4120–01–P
CMS–29 Verification of Clinic Data—
Rural Health Clinic Form and
Supporting Regulations
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
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.
Centers for Medicare & Medicaid
Services
Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Verification of
Clinic Data—Rural Health Clinic Form
and Supporting Regulations; Use: The
form is utilized as an application to be
completed by suppliers of Rural Health
Clinic (RHC) services requesting
participation in the Medicare program.
This form initiates the process of
obtaining a decision as to whether the
conditions for certification are met as a
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
[Document Identifier CMS–10538 and CMS–
10527]
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
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
SUMMARY:
E:\FR\FM\23JAN1.SGM
23JAN1
tkelley on DSK3SPTVN1PROD with NOTICES
3604
Federal Register / Vol. 80, No. 15 / Friday, January 23, 2015 / 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 February 23, 2015.
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
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: Prior
Authorization Form for Beneficiaries
Enrolled in Hospice; Use: The form
would be completed by the prescriber or
the beneficiary’s hospice, or if the
VerDate Sep<11>2014
18:05 Jan 22, 2015
Jkt 235001
prescriber or hospice provides the
information verbally to the Part D
sponsor, the form would be completed
by the sponsor. Information provided on
the form would be used by the Part D
sponsor to establish coverage of the drug
under Medicare Part D. Per statute,
drugs that are necessary for the
palliation and management of the
terminal illness and related conditions
are not eligible for payment under Part
D. The standard form provides a vehicle
for the hospice provider, prescriber or
sponsor to document that the drug
prescribed is ‘‘unrelated’’ to the
terminal illness and related conditions.
It also gives a hospice organization the
option to communicate a beneficiary’s
change in hospice status and care plan
to Part D sponsors. The package has
been revised subsequent to the
publication of the 60-day Federal
Register notice on October 3, 2014 (79
FR 59772). Form Number: CMS–10538
(OMB control number 0938—New);
Frequency: Occasionally; Affected
Public: Private sector (business or other
for-profits); Number of Respondents:
424; Total Annual Responses: 376,487;
Total Annual Hours: 31,374. (For policy
questions regarding this collection
contact Shelly Winston at 410–786–
3694).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Annual
Eligibility Redetermination, Product
Discontinuation and Renewal Notices;
Use: Section 1411(f)(1)(B) of the
Affordable Care Act directs the
Secretary of Health and Human Services
(the Secretary) to establish procedures
to redetermine the eligibility of
individuals on a periodic basis in
appropriate circumstances. Section
1321(a) of the Affordable Care Act
provides authority for the Secretary to
establish standards and regulations to
implement the statutory requirements
related to Exchanges, QHPs and other
components of title I of the Affordable
Care Act. Under section 2703 of the PHS
Act, as added by the Affordable Care
Act, and sections 2712 and 2741 of the
PHS Act, enacted by the Health
Insurance Portability and
Accountability Act of 1996, health
insurance issuers in the group and
individual markets must guarantee the
renewability of coverage unless an
exception applies.
The final rule ‘‘Patient Protection and
Affordable Care Act; Annual Eligibility
Redeterminations for Exchange
Participation and Insurance
Affordability Programs; Health
Insurance Issuer Standards Under the
Affordable Care Act, Including
PO 00000
Frm 00058
Fmt 4703
Sfmt 9990
Standards Related to Exchanges’’ (79 FR
52994), provides that an Exchange may
choose to conduct the annual
redetermination process for a plan year
(1) in accordance with the existing
procedures described in 45 CFR
155.335; (2) in accordance with
procedures described in guidance
issued by the Secretary for the coverage
year; or (3) using an alternative
proposed by the Exchange and approved
by the Secretary. The guidance
document ‘‘Guidance on Annual
Redeterminations for Coverage for
2015’’ contains the procedures that the
Secretary is specifying for the 2015
coverage year, as noted in (2) above.
These procedures will be adopted by the
Federally-facilitated Exchange. Under
this option, the Exchange will provide
three notices. These notices may be
combined.
The final rule also amends the
requirements for product renewal and
re-enrollment (or non-renewal) notices
to be sent by Qualified Health Plan
(QHP) issuers in the Exchanges and
specifies content for these notices. The
accompanying guidance document
‘‘Form and Manner of Notices When
Discontinuing or Renewing a Product in
the Group or Individual Market’’
provides standard notices for product
discontinuation and renewal to be sent
by issuers of individual market QHPs
and issuers in the individual market.
Issuers in the small group market may
use the draft Federal standard small
group notices released in the June 26,
2014, bulletin ‘‘Draft Standard Notices
When Discontinuing or Renewing a
Product in the Small Group or
Individual Market’’, or any forms of the
notice otherwise permitted by
applicable laws and regulations. States
that are enforcing the Affordable Care
Act may develop their own standard
notices, for product discontinuances,
renewals, or both, provided the Statedeveloped notices are at least as
protective as the Federal standard
notices. Form Number: CMS–10527;
Frequency: Annual; Affected Public:
Private Sector, State Governments;
Number of Respondents: 2,945; Number
of Responses: 12,224; Total Annual
Hours: 149,186. (For policy questions
regarding this collection, contact Usree
Bandyopadhyay at 410–786–6650.)
Dated: January 20, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–01127 Filed 1–22–15; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\23JAN1.SGM
23JAN1
]]>Agencies
[Federal Register Volume 80, Number 15 (Friday, January 23, 2015)]
[Notices]
[Pages 3603-3604]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-01127]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10538 and CMS-10527]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
[[Page 3604]]
technology to minimize the information collection burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by February 23, 2015.
ADDRESSES: When commenting on the proposed information collections,
please reference the document identifier or OMB control number. To be
assured consideration, comments and recommendations must be received by
the OMB desk officer via one of the following transmissions: OMB,
Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-5806 OR, Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or 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: Prior
Authorization Form for Beneficiaries Enrolled in Hospice; Use: The form
would be completed by the prescriber or the beneficiary's hospice, or
if the prescriber or hospice provides the information verbally to the
Part D sponsor, the form would be completed by the sponsor. Information
provided on the form would be used by the Part D sponsor to establish
coverage of the drug under Medicare Part D. Per statute, drugs that are
necessary for the palliation and management of the terminal illness and
related conditions are not eligible for payment under Part D. The
standard form provides a vehicle for the hospice provider, prescriber
or sponsor to document that the drug prescribed is ``unrelated'' to the
terminal illness and related conditions. It also gives a hospice
organization the option to communicate a beneficiary's change in
hospice status and care plan to Part D sponsors. The package has been
revised subsequent to the publication of the 60-day Federal Register
notice on October 3, 2014 (79 FR 59772). Form Number: CMS-10538 (OMB
control number 0938--New); Frequency: Occasionally; Affected Public:
Private sector (business or other for-profits); Number of Respondents:
424; Total Annual Responses: 376,487; Total Annual Hours: 31,374. (For
policy questions regarding this collection contact Shelly Winston at
410-786-3694).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Annual
Eligibility Redetermination, Product Discontinuation and Renewal
Notices; Use: Section 1411(f)(1)(B) of the Affordable Care Act directs
the Secretary of Health and Human Services (the Secretary) to establish
procedures to redetermine the eligibility of individuals on a periodic
basis in appropriate circumstances. Section 1321(a) of the Affordable
Care Act provides authority for the Secretary to establish standards
and regulations to implement the statutory requirements related to
Exchanges, QHPs and other components of title I of the Affordable Care
Act. Under section 2703 of the PHS Act, as added by the Affordable Care
Act, and sections 2712 and 2741 of the PHS Act, enacted by the Health
Insurance Portability and Accountability Act of 1996, health insurance
issuers in the group and individual markets must guarantee the
renewability of coverage unless an exception applies.
The final rule ``Patient Protection and Affordable Care Act; Annual
Eligibility Redeterminations for Exchange Participation and Insurance
Affordability Programs; Health Insurance Issuer Standards Under the
Affordable Care Act, Including Standards Related to Exchanges'' (79 FR
52994), provides that an Exchange may choose to conduct the annual
redetermination process for a plan year (1) in accordance with the
existing procedures described in 45 CFR 155.335; (2) in accordance with
procedures described in guidance issued by the Secretary for the
coverage year; or (3) using an alternative proposed by the Exchange and
approved by the Secretary. The guidance document ``Guidance on Annual
Redeterminations for Coverage for 2015'' contains the procedures that
the Secretary is specifying for the 2015 coverage year, as noted in (2)
above. These procedures will be adopted by the Federally-facilitated
Exchange. Under this option, the Exchange will provide three notices.
These notices may be combined.
The final rule also amends the requirements for product renewal and
re-enrollment (or non-renewal) notices to be sent by Qualified Health
Plan (QHP) issuers in the Exchanges and specifies content for these
notices. The accompanying guidance document ``Form and Manner of
Notices When Discontinuing or Renewing a Product in the Group or
Individual Market'' provides standard notices for product
discontinuation and renewal to be sent by issuers of individual market
QHPs and issuers in the individual market. Issuers in the small group
market may use the draft Federal standard small group notices released
in the June 26, 2014, bulletin ``Draft Standard Notices When
Discontinuing or Renewing a Product in the Small Group or Individual
Market'', or any forms of the notice otherwise permitted by applicable
laws and regulations. States that are enforcing the Affordable Care Act
may develop their own standard notices, for product discontinuances,
renewals, or both, provided the State-developed notices are at least as
protective as the Federal standard notices. Form Number: CMS-10527;
Frequency: Annual; Affected Public: Private Sector, State Governments;
Number of Respondents: 2,945; Number of Responses: 12,224; Total Annual
Hours: 149,186. (For policy questions regarding this collection,
contact Usree Bandyopadhyay at 410-786-6650.)
Dated: January 20, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-01127 Filed 1-22-15; 8:45 am]
BILLING CODE 4120-01-P
