Agency Information Collection Activities: Submission for OMB Review; Comment Request, 16686-16687 [2015-07219]
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16686
Federal Register / Vol. 80, No. 60 / Monday, March 30, 2015 / Notices
Dated: March 24, 2015.
Sylvia M. Burwell,
Secretary of Health and Human Services.
[FR Doc. 2015–07235 Filed 3–27–15; 8:45 am]
BILLING CODE 4150–28–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–29, CMS–10221
and CMS–R–263]
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
technology to minimize the information
collection burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by April 29, 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
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
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19:57 Mar 27, 2015
Jkt 235001
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: 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
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:
PO 00000
Frm 00071
Fmt 4703
Sfmt 4703
900; Total Annual Responses: 900; Total
Annual Hours: 150. (For policy
questions regarding this collection
´
contact Shonte Carter at 410–786–3532.)
2. 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).
3. 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
E:\FR\FM\30MRN1.SGM
30MRN1
Federal Register / Vol. 80, No. 60 / Monday, March 30, 2015 / Notices
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: March 25, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–07219 Filed 3–27–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10558 and CMS–
10463]
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,
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
19:57 Mar 27, 2015
Jkt 235001
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
May 29, 2015.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number. 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.
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–10558 Information Collection for
Machine Readable Data for Provider
Network and Prescription
Formulary Content for FFM QHPs
CMS–10463 Cooperative Agreement to
Support Navigators in FederallyFacilitated and State Partnership
Exchanges
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
PO 00000
Frm 00072
Fmt 4703
Sfmt 4703
16687
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. Title of Information Collection:
Information Collection for Machine
Readable Data for Provider Network and
Prescription Formulary Content for FFM
QHPs; Type of Information Collection
Request: New collection (Request for a
new OMB control number); Use: For
plan years beginning on or after January
1, 2016, qualified health plan (QHP)
issuers must make available provider
and formulary data in a machinereadable format. As required by the final
rule Patient Protection and Affordable
Care Act; HHS Notice of Benefit and
Payment Parameters for 2016 (CMS–
9944–F), 80 Federal Register 10750
February 27, 2015, QHP issuers in the
Federally-facilitated Marketplaces
(FFMs) are required to publish
information regarding their formulary
drug lists and provider directories on its
Web site in an HHS-specified format, in
a format and at times determined by
HHS. Form Number: CMS–10558 (0938New); Frequency: Monthly; Affected
Public: Private Sector (Business or other
For-profits and Not-for-Profit
institutions); Number of Respondents:
475; Number of Responses: 36; Total
Annual Hours: 79,800. (For questions
regarding this collection, contact LisaAnn Bailey at (301) 492- 4169.)
2. Type of Information Collection
Request: Revision of a currently
approved information collection; Title
of Information Collection: Cooperative
Agreement to Support Navigators in
Federally-facilitated and State
Partnership Exchanges; Use: Section
1311(i) of the Affordable Care Act
requires Exchanges to establish a
Navigator grant program as part of its
function to provide consumers with
assistance when they need it. Navigators
will assist consumers by providing
education about and facilitating
selection of qualified health plans
E:\FR\FM\30MRN1.SGM
30MRN1
]]>Agencies
[Federal Register Volume 80, Number 60 (Monday, March 30, 2015)]
[Notices]
[Pages 16686-16687]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-07219]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-29, CMS-10221 and CMS-R-263]
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
technology to minimize the information collection burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by April 29, 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: 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
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 Shont[eacute] Carter at 410-786-3532.)
2. 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).
3. 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
[[Page 16687]]
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: March 25, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-07219 Filed 3-27-15; 8:45 am]
BILLING CODE 4120-01-P
