Agency Information Collection Activities: Submission for OMB Review; Comment Request, 5120-5122 [2015-01777]
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Federal Register / Vol. 80, No. 20 / Friday, January 30, 2015 / Notices
adjustment, and risk corridors. The 2014
MLR Reporting Form and instructions
are also modified to include the
reporting elements required under the
risk corridors data submission
requirements in 45 CFR 153.530. In
2015, it is expected that issuers will
send fewer notices and rebate checks to
policyholders and subscribers, which
will reduce burden on issuers. On the
other hand, the requirement to report
the risk corridors data will increase
burden for QHP issuers. It is estimated
that there will be a net reduction in total
burden from 294,911 to 271,600. Form
Number: CMS–10418 (OMB control
number: 0938–1164); Frequency:
Annually; Affected Public: Private
Sector, Business or other for-profits and
not-for-profit institutions; Number of
Respondents: 517; Number of
Responses: 3,307; Total Annual Hours:
271,600. (For policy questions regarding
this collection, contact Julie McCune at
(301) 492–4196.)
5. Type of Information Collection
Request: Revision of a previously
approved information collection; Title
of Information Collection: Patient
Protection and Affordable Care Act;
Consumer Assistance Tools and
Programs of an Exchange and Certified
Application Counselors; Exchange and
Insurance Market Standards for 2015;
Use: Section 1321(a)(1) of the Affordable
Care Act directs and authorizes the
Secretary to issue regulations setting
standards for meeting the requirements
under title I of the Affordable Care Act,
with respect to, among other things, the
establishment and operation of
Exchanges. Pursuant to this authority,
regulations have been finalized at 45
CFR 155.215(b)(1) to require Navigators,
as well as those non-Navigator
personnel to whom 45 CFR 155.215
applies, requires completion of HHS
approved training for initial certification
and annual recertification prior to
providing application and enrollment
assistance. The training will include an
optional training quality questionnaire
providing Navigators and non-Navigator
assistance personnel to whom 45 CFR
155.215 applies, an opportunity to
provide feedback to CMS regarding the
training and any improvements that can
be made in the future. Form Number:
CMS–10472 (OMB Control Number:
0938–1220); Frequency: On Occasion;
Affected Public: State, Local, or Tribal
Governments, Private Sector (not-forprofit institutions); individuals or
households; Number of Respondents:
5,610; Number of Responses: 5,610;
Total Annual Hours: 37,036. (For policy
questions regarding this collection,
VerDate Sep<11>2014
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Jkt 235001
contact Heather Raeburn at 301–492–
4224.)
6. Type of Information Collection
Request: Revision of a previously
approved information collection; Title
of Information Collection: Patient
Protection and Affordable Care Act;
Consumer Assistance Tools and
Programs of an Exchange and Certified
Application Counselors; Exchange and
Insurance Market Standards for 2015;
Use: Section 1321(a)(1) of the Affordable
Care Act directs and authorizes the
Secretary to issue regulations setting
standards for meeting the requirements
under title I of the Affordable Care Act,
with respect to, among other things, the
establishment and operation of
Exchanges. Pursuant to this authority,
regulations establishing the certified
application counselor program have
been finalized at 45 CFR 155.225. In
accordance with 155.225(d)(1) and (7),
certified application counselors in all
Exchanges are required to be initially
certified and recertified on at least an
annual basis and successfully complete
Exchange-required training. Form
Number: CMS–10494 (OMB Control
Number: 0938–1205); Frequency: On
Occasion; Affected Public: State, Local,
or Tribal Governments, Private Sector
(Not-for-profit institutions); Individuals
or Households; Number of Respondents:
30,000; Number of Responses: 30,000;
Total Annual Hours: 7,500. (For policy
questions regarding this collection,
contact Tricia Beckmann at 301–492–
4328.)
7. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Generic
Clearance for Questionnaire Testing and
Methodological Research for the
Medicare Current Beneficiary Survey
(MCBS); Use: The purpose of this OMB
clearance package is to clear a Generic
Clearance to support an effort to
evaluate the operations and content of
the Medicare Current Beneficiary
Survey (MCBS). The MCBS is a
continuous, multipurpose survey of a
nationally representative sample of
aged, disabled, and institutionalized
Medicare beneficiaries. The MCBS,
which is sponsored by the Centers for
Medicare & Medicaid Services (CMS), is
the only comprehensive source of
information on the health status, health
care use and expenditures, health
insurance coverage, and socioeconomic
and demographic characteristics of the
entire spectrum of Medicare
beneficiaries.
The core of the MCBS is a series of
interviews with a stratified random
sample of the Medicare population,
including aged and disabled enrollees,
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residing in the community or in
institutions. Questions are asked about
enrollees’ patterns of health care use,
charges, insurance coverage, and
payments over time. Respondents are
asked about their sources of health care
coverage and payment, their
demographic characteristics, their
health and work history, and their
family living circumstances. In addition
to collecting information through the
core questionnaire, the MCBS collects
information on special topics through
supplements. For example, questions
are asked about enrollees’ income and
assets, access to health care, health and
functional status and satisfaction with
care. Special supplements also focus on
emerging trends in health care. Form
Number: CMS–10549 (OMB control
number 0938–New); Frequency:
Occasionally; Affected Public:
Individuals or Households; Number of
Respondents: 1,500; Total Annual
Responses: 1,500; Total Annual Hours:
1,117. (For policy questions regarding
this collection contact William Long at
410–786–7927.)
Dated: January 27, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–01790 Filed 1–29–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10530, CMS–
1880 and CMS–1882]
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
SUMMARY:
E:\FR\FM\30JAN1.SGM
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Federal Register / Vol. 80, No. 20 / Friday, January 30, 2015 / Notices
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 March 2, 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.
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
asabaliauskas on DSK5VPTVN1PROD with NOTICES
SUPPLEMENTARY INFORMATION:
VerDate Sep<11>2014
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Jkt 235001
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: Ambulatory
Surgical Center Quality Reporting
Program; Use: Our quality reporting
programs promote higher quality, more
efficient health care for Medicare
beneficiaries. We have implemented
quality measure reporting programs for
multiple settings, including for
ambulatory surgical centers. Section
109(b) of the Tax Relief and Health Care
Act of 2006 (TRHCA) (Pub. L. 109–432)
amended section 1833(i) of the Act by
re-designating clause (iv) as clause (v)
and adding new clause (iv) to paragraph
(2)(D) and by adding new paragraph (7).
Section 1833(i)(2)(D)(iv) of the Act
authorizes, but does not require, the
Secretary to implement the revised ASC
payment system ‘‘in a manner so as to
provide for a reduction in any annual
update for failure to report on quality
measures in accordance with paragraph
(7).’’ Section 1833(i)(7)(A) of the Act
states that the Secretary may provide
that any ASC that does not submit
quality measures to the Secretary in
accordance with paragraph (7) will
incur a 2.0 percentage point reduction
to any annual increase provided under
the revised ASC payment system for
such year. Sections 1833(t)(17)(C)(i) and
(ii) of the Act require the Secretary to
develop measures appropriate for the
measurement of the quality of care
furnished in outpatient settings.
Section 3014 of the Affordable Care
Act of 2010 (ACA) modified section
1890(b) of the Social Security Act to
require CMS to develop quality and
efficiency measures through a
‘‘consensus-based entity’’. To fulfill this
requirement, the Measure Applications
Partnership (MAP) was formed to
review measures consistent with these
requirements. The MAP is convened by
the National Quality Forum (NQF), a
national consensus organization. In
implementing this and other quality
reporting programs, our overarching
goal is to support the National Quality
Strategy’s goals of better health for
individuals, better health for
populations, and lower costs for health
care.
This information is used to direct
contractors, including Quality
Improvement Organizations (QIOs), to
focus on particular areas of
improvement, and to develop quality
improvement initiatives. The
information is made available to ASCs
for their use in internal quality
improvement initiatives. Most
importantly, this information is
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5121
available to Medicare beneficiaries, as
well as to the general public, to provide
information to assist them in making
decisions about their health care. Form
Number: CMS–10530 (OMB control
number: 0938–NEW); Frequency:
Annually; Affected Public: Private
sector (business or other for-profits and
not-for-profit institutions); Number of
Respondents: 5,250; Total Annual
Responses: 744,816; Total Annual
Hours: 444,790. (For policy questions
regarding this collection contact Anita
Bhatia at 410–786–7236.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Certification as
a Supplier of Portable X-Ray and
Portable X-Ray Survey Report Form and
Supporting Regulations; Use: CMS–1880
is initially completed by suppliers of
portable X-ray services, expressing an
interest in and requesting participation
in the Medicare program. This form
initiates the process of obtaining a
decision as to whether the conditions of
coverage are met as a portable X-ray
supplier. It also promotes data reduction
or introduction to, and retrieval from,
the Certification and Survey Provider
Enhanced Reporting (CASPER) by the
CMS Regional Offices (ROs).
The CMS–1882 is used by the State
survey agency to provide data collected
during an on-site survey of a supplier of
portable X-ray services to determine
compliance with the applicable
conditions of participation and to report
this information to the Federal
Government. The form is primarily a
coding worksheet designed to facilitate
data reduction and retrieval into the
ASPEN system at the CMS Regional
Offices. The form includes basic
information on compliance (i.e., met,
not met, explanatory statements) and
does not require any descriptive
information regarding the survey
activity itself. We have the
responsibility and authority for
certification decisions which are based
on supplier compliance with the
applicable conditions of participation.
The information needed to make these
decisions is available to us only through
the use of information abstracted from
the survey report form. Form Numbers:
CMS–1880 and CMS–1882 (OMB
control number: 0938–0027); Frequency:
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 579; Total Annual
Responses: 86; Total Annual Hours:
151. (For policy questions regarding this
collection contact James Cowher at 410–
786–1948.)
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Federal Register / Vol. 80, No. 20 / Friday, January 30, 2015 / Notices
Dated: January 27, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–01777 Filed 1–29–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Child Care and Development
Fund Plan for States/Territories for FFY
2016–2018 (ACF–118).
OMB No.: 0970–0114.
Description: The Child Care and
Development Fund (CCDF) Plan (the
Plan) for States and Territories is
required from each CCDF Lead agency
in accordance with Section 658E of the
Child Care and Development Block
Grant Act of 1990, (CCDBG Act), as
amended, CCDBG Act of 2014 (Pub. L.
113–186), and 42 U.S.C 9858. The Plan
provides ACF and the public with a
description of, and assurance about, the
States’ and Territories’ child care
programs. States must submit Plans to
ACF on July 1, 2015 for approval in
order to receive funding on October 1,
2015 for FY 2016.
The Office of Child Care (OCC) has
revised the FY 2016–2018 Plan to align
with the new program requirements
made under the CCDBG Act of 2014,
which was signed into law on
November 19, 2014. The revised Plan
(ACF–118) has been organized into eight
critical areas:
• Define CCDF Leadership and
Coordination with Relevant Systems
• Promote Family Engagement through
Outreach and Consumer Education
• Provide Stable Child Care Financial
Assistance to Families
• Ensure Equal Access to High Quality
Child Care for Children in LowIncome Families
• Establish Standards and Monitoring
Processes to Ensure the Health and
Safety of Child Care Settings
• Recruit and Retain a Qualified and
Effective Child Care Workforce
• Support Continuous Quality
Improvement
• Ensure Grantee Accountability
In making the revisions, consideration
was given to minimize the burden of the
collection of information on
respondents. The Plan, submitted on the
ACF–118, is now required triennially,
and will remain in effect for three years.
Due to the pending outcome of the
CCDBG reauthorization bill, which was
introduced in September and signed
into law in November, the Office of
Child Care (OCC) was unable to
complete the regular Paperwork
Reduction Act clearance process that
calls for two Federal Register notices
and comment periods. Given that OCC
must consult with the CCDF
administrators and the general public,
and the limited amount of time before
the States and Territories must submit
their plans to ACF (July 1, 2015), the
Office of Management and Budget
(OMB) has granted OCC an emergency
clearance of the FY 2016–2018 CCDF
State/Territory Plan Preprint. This
emergency clearance provides for a
single 30-day comment period.
Consistent with the statute and
regulations, ACF requests revision of the
ACF–118 to align with the requirements
of the CCDBG Act of 2014. The Tribal
Plan (ACF–118a) will be addressed
under a separate notice.
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
Families, Office of Administration,
Office of Information Services, 370
L’Enfant Promenade SW., Washington,
DC 20447, Attn: ACF Reports Clearance
Officer. All requests should be
identified by the title of the information
collection. Email address:
infocollection@acf.hhs.gov.
Respondents: State and Territory
CCDF Lead Agencies (56).
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
asabaliauskas on DSK5VPTVN1PROD with NOTICES
ACF–118 ..........................................................................................................
Estimated Total Annual Burden
Hours: 4,550.
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Planning, Research and Evaluation, 370
L’Enfant Promenade SW., Washington,
DC 20447, Attn: ACF Reports Clearance
Officer. All requests should be
identified by the title of the information
collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
VerDate Sep<11>2014
18:50 Jan 29, 2015
Jkt 235001
56
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Fax: 202–395–7285,
Email: OIRA_SUBMISSION@
OMB.EOP.GOV, Attn: Desk Officer for
the Administration for Children and
Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2015–01723 Filed 1–29–15; 8:45 am]
BILLING CODE 4184–01–P
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Number of
responses per
respondent
0.50
Average
burden hours
per response
Total burden
hours
162.50
4,550
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
National Institute of Allergy and
Infectious Diseases; Notice of Closed
Meeting
Pursuant to section 10(d) of the
Federal Advisory Committee Act, as
amended (5 U.S.C. App.), notice is
hereby given of the following meeting.
The meeting will be closed to the
public in accordance with the
provisions set forth in sections
552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,
as amended. The grant applications and
the discussions could disclose
confidential trade secrets or commercial
property such as patentable material,
and personal information concerning
individuals associated with the grant
E:\FR\FM\30JAN1.SGM
30JAN1
]]>Agencies
[Federal Register Volume 80, Number 20 (Friday, January 30, 2015)]
[Notices]
[Pages 5120-5122]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-01777]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10530, CMS-1880 and CMS-1882]
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
[[Page 5121]]
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 March 2, 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:
Ambulatory Surgical Center Quality Reporting Program; Use: Our quality
reporting programs promote higher quality, more efficient health care
for Medicare beneficiaries. We have implemented quality measure
reporting programs for multiple settings, including for ambulatory
surgical centers. Section 109(b) of the Tax Relief and Health Care Act
of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(i) of the Act by
re-designating clause (iv) as clause (v) and adding new clause (iv) to
paragraph (2)(D) and by adding new paragraph (7). Section
1833(i)(2)(D)(iv) of the Act authorizes, but does not require, the
Secretary to implement the revised ASC payment system ``in a manner so
as to provide for a reduction in any annual update for failure to
report on quality measures in accordance with paragraph (7).'' Section
1833(i)(7)(A) of the Act states that the Secretary may provide that any
ASC that does not submit quality measures to the Secretary in
accordance with paragraph (7) will incur a 2.0 percentage point
reduction to any annual increase provided under the revised ASC payment
system for such year. Sections 1833(t)(17)(C)(i) and (ii) of the Act
require the Secretary to develop measures appropriate for the
measurement of the quality of care furnished in outpatient settings.
Section 3014 of the Affordable Care Act of 2010 (ACA) modified
section 1890(b) of the Social Security Act to require CMS to develop
quality and efficiency measures through a ``consensus-based entity''.
To fulfill this requirement, the Measure Applications Partnership (MAP)
was formed to review measures consistent with these requirements. The
MAP is convened by the National Quality Forum (NQF), a national
consensus organization. In implementing this and other quality
reporting programs, our overarching goal is to support the National
Quality Strategy's goals of better health for individuals, better
health for populations, and lower costs for health care.
This information is used to direct contractors, including Quality
Improvement Organizations (QIOs), to focus on particular areas of
improvement, and to develop quality improvement initiatives. The
information is made available to ASCs for their use in internal quality
improvement initiatives. Most importantly, this information is
available to Medicare beneficiaries, as well as to the general public,
to provide information to assist them in making decisions about their
health care. Form Number: CMS-10530 (OMB control number: 0938-NEW);
Frequency: Annually; Affected Public: Private sector (business or other
for-profits and not-for-profit institutions); Number of Respondents:
5,250; Total Annual Responses: 744,816; Total Annual Hours: 444,790.
(For policy questions regarding this collection contact Anita Bhatia at
410-786-7236.)
2. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey
Report Form and Supporting Regulations; Use: CMS-1880 is initially
completed by suppliers of portable X-ray services, expressing an
interest in and requesting participation in the Medicare program. This
form initiates the process of obtaining a decision as to whether the
conditions of coverage are met as a portable X-ray supplier. It also
promotes data reduction or introduction to, and retrieval from, the
Certification and Survey Provider Enhanced Reporting (CASPER) by the
CMS Regional Offices (ROs).
The CMS-1882 is used by the State survey agency to provide data
collected during an on-site survey of a supplier of portable X-ray
services to determine compliance with the applicable conditions of
participation and to report this information to the Federal Government.
The form is primarily a coding worksheet designed to facilitate data
reduction and retrieval into the ASPEN system at the CMS Regional
Offices. The form includes basic information on compliance (i.e., met,
not met, explanatory statements) and does not require any descriptive
information regarding the survey activity itself. We have the
responsibility and authority for certification decisions which are
based on supplier compliance with the applicable conditions of
participation. The information needed to make these decisions is
available to us only through the use of information abstracted from the
survey report form. Form Numbers: CMS-1880 and CMS-1882 (OMB control
number: 0938-0027); Frequency: Occasionally; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 579; Total Annual
Responses: 86; Total Annual Hours: 151. (For policy questions regarding
this collection contact James Cowher at 410-786-1948.)
[[Page 5122]]
Dated: January 27, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-01777 Filed 1-29-15; 8:45 am]
BILLING CODE 4120-01-P
