Agency Information Collection Activities: Submission for OMB Review; Comment Request, 21721-21723 [2015-09009]
Download as PDF
Federal Register / Vol. 80, No. 75 / Monday, April 20, 2015 / Notices
CMS–179 State Plan Under Title XIX
of the Social Security Act (Base Plan
Pages, Attachments, Supplements to
Attachments)
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
approval from the Office of Management
and Budget (OMB) for each collection of
information they conduct or sponsor.
The term ‘‘collection of information’’ is
defined in 44 U.S.C. 3502(3) and 5 CFR
1320.3(c) and includes agency requests
or requirements that members of the
public submit reports, keep records, or
provide information to a third party.
Section 3506(c)(2)(A) of the PRA
requires federal agencies to publish a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, before
submitting the collection to OMB for
approval. To comply with this
requirement, CMS is publishing this
notice.
Information Collection
mstockstill on DSK4VPTVN1PROD with NOTICES
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicaid State
Plan Base Plan Pages; Use: State
Medicaid agencies complete the plan
pages while we review the information
to determine if the state has met all of
the requirements of the provisions the
states choose to implement. If the
requirements are met, we will approve
the amendments to the state’s Medicaid
plan giving the state the authority to
implement the flexibilities. For a state to
receive Medicaid Title XIX funding,
there must be an approved Title XIX
state plan. Form Number: CMS–179
(OMB control number 0938–0193);
Frequency: Occasionally; Affected
Public: State, Local, and Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 1,120;
Total Annual Hours: 22,400. (For policy
questions regarding this collection
contact Annette Pearson at 410–786–
6958.)
Dated: April 15, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–09008 Filed 4–17–15; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–855R, CMS–
10394, CMS–10371, CMS–10472 and CMS–
10494]
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 May 20, 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,
SUMMARY:
PO 00000
Frm 00018
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21721
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: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Enrollment Application: Reassignment
of Medicare Benefits; Use: The primary
function of the CMS 855R enrollment
application is to allow physicians and
non-physician practitioners to reassign
their Medicare benefits to a group
practice and to gather information from
the individual that tells us who he/she
is, where he or she renders services, and
information necessary to establish
correct claims payment. The goal of
periodically evaluating and revising the
CMS–855R enrollment application is to
simplify and clarify the information
collection without jeopardizing our
need to collect specific information. At
this time, CMS is making very few
minor revisions to the CMS–855R
(Reassignment of Benefits) Medicare
enrollment application (OMB No. 0938–
1179). Two sections within the form are
being reversed to maintain sync with
online and paper forms. The previously
approved CMS 855R section 2 collected
information regarding the individual
practitioner who is reassigning benefits
and section 3 collected information
regarding the organization/group
receiving the reassigned benefits. These
two sections have been reversed so that
section 2 now collects information on
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21722
Federal Register / Vol. 80, No. 75 / Monday, April 20, 2015 / Notices
the regarding the organization/group
receiving the reassigned benefits and
section 3 now collects information on
the individual practitioner who is
reassigning benefits. No information or
data collection within these sections
was revised. The sections were merely
re-sequenced and re-numbered to
maintain sync between online and
paper forms. With the exception of this
section reversal and adding the word
‘‘optional’’ to sections 4 and 5 (primary
practice location and contact person
information), there are no other
revisions. These revisions offer no new
data collection in this revision package.
The addition of the optional choice in
sections 4 and 5 could potentially
reduce the burden to providers who
choose not to complete either or both
optional sections. Form Number: CMS–
855R (OMB control number 0938–1179);
Frequency: Occasionally; Affected
Public: State, Local, or Tribal
Governments, Private sector (For-profit
and Not-for-profit institutions); Number
of Respondents: 379,619; Total Annual
Responses: 379,619; Total Annual
Hours: 94,905. (For policy questions
regarding this collection contact Kim
McPhillips at 410–786–7278).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Application to
Be a Qualified Entity to Receive
Medicare Data for Performance
Measurement; Use: Section 10332 of the
Patient Protection and Affordable Care
Act (ACA) requires the Secretary to
make standardized extracts of Medicare
claims data under parts A, B, and D
available to ‘‘qualified entities’’ for the
evaluation of the performance of
providers of services and suppliers. The
statute provides the Secretary with
discretion to establish criteria to
determine whether an entity is qualified
to use claims data to evaluate the
performance of providers of services
and suppliers. We are proposing at
section 42 CFR 401.703 to evaluate an
organization’s eligibility across three
areas: Organizational and governance
capabilities, addition of claims data
from other sources (as required in the
statute), and data privacy and security.
This is the application through which
organizations will provide information
to CMS to determine whether they will
be approved as a qualified entity. Form
Number: CMS–10394 (OMB control
number: 0938–1144); Frequency:
Occasionally; Affected Public: Private
sector—Business or other for-profits and
Not-for-profit institutions; Number of
Respondents: 35; Total Annual
Responses: 35; Total Annual Hours:
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17:56 Apr 17, 2015
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6,833. (For policy questions regarding
this collection contact Kari Gaare at
410–786–8612).
3. Type of Information Collection
Request: Revision of a currently
approved information collection; Title
of Information Collection: Cooperative
Agreements to Support Establishment of
State-Operated Health Insurance
Exchanges; Use: All States (including
the 50 States, consortia of States, and
the District of Columbia herein referred
to as States) had the opportunity under
section 1311(b) of the Affordable Care to
apply for three types of grants: (1)
Planning grants; (2) Early Innovator
grants for early development of
information technology; and (3)
Establishment grants to develop,
implement and start-up Marketplaces.
As of January 1st, 2015, the Secretary
has disbursed over $5.4 billion under
this grant program and, as of that date,
there were 79 active establishment
grants awarded to 28 states. As the
State-Based Marketplaces (SBM) and
Small Business Health Options Program
(SHOP) have matured and moved from
the developmental phases to fulloperation, the reporting requirements
for the states have been modified and
streamlined to insure only information
necessary to provide effective oversight
of their operations by CMS is collected.
Given the innovative nature of
Exchanges and the statutorilyprescribed relationship between the
Secretary and States in their
development and operation, it is critical
that the Secretary work closely with
States to provide necessary guidance
and technical assistance to ensure that
States can meet the prescribed
timelines, federal requirements, and
goals of the statute and the grants
awarded to them. Form Number: CMS–
10371 (OMB control number: 0938–
1119); Frequency: Once; Affected
Public: State Government agencies,
Private sector (Not-for-profit
institutions); Number of Respondents:
28; Number of Responses: 48; Total
Annual Hours: 31,404. (For policy
questions regarding this collection,
contact Dena Puskin at (301) 492–4342.)
4. Type of Information Collection
Request: Revision of a previously
approved information collection; Title
of Information Collection: Exchange
Functions: Standards for Navigators and
Non-Navigator Assistance Personnel;
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,
PO 00000
Frm 00019
Fmt 4703
Sfmt 4703
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 survey
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,
contact Heather Raeburn at 301–492–
4224.)
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 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:
35,000; Number of Responses: 190,000;
Total Annual Hours: 27,110. (For policy
questions regarding this collection,
contact Tricia Beckmann at 301–492–
4328.)
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Federal Register / Vol. 80, No. 75 / Monday, April 20, 2015 / Notices
Dated: April 15, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–09009 Filed 4–17–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
Applications for New Awards; National
Institute on Disability, Independent
Living, and Rehabilitation Research—
Rehabilitation Research and Training
Centers
Administration for Community
Living, Department of Health and
Human Services.
ACTION: Notice.
AGENCY:
Overview Information: National
Institute on Disability, Independent
Living, and Rehabilitation Research
(NIDILRR)—Rehabilitation Research and
Training Centers (RRTC)—Employer
Practices Leading to Successful
Employment Outcomes for Individuals
with Disabilities.
Notice inviting applications for new
awards for fiscal year (FY) 2015.
Catalog of Federal Domestic Assistance
(CFDA) Number: 84.133B–1.
DATES:
Applications Available: April 20,
mstockstill on DSK4VPTVN1PROD with NOTICES
2015.
Note: On July 22, 2014, President Obama
signed the Workforce Innovation
Opportunity Act (WIOA). WIOA was
effective immediately. One provision of
WIOA transferred the National Institute on
Disability and Rehabilitation Research
(NIDRR) from the Department of Education to
the Administration for Community Living
(ACL) in the Department of Health and
Human Services. In addition, NIDRR’s name
was changed to the Institute on Disability,
Independent Living, and Rehabilitation
Research (NIDILRR). For FY 2015, all
NIDILRR priority notices will be published as
ACL notices, and ACL will make all NIDILRR
awards. During this transition period,
however, NIDILRR will continue to review
grant applications using Department of
Education tools. NIDILRR will post
previously-approved application kits to
grants.gov, and NIDILRR applications
submitted to grants.gov will be forwarded to
the Department of Education’s G–5 system
for peer review. We are using Department of
Education application kits and peer review
systems during this transition year in order
to provide for a smooth and orderly process
for our applicants.
Date of Pre-Application Meeting: May 11,
2015.
Deadline for Notice of Intent to
Apply: May 26, 2015.
VerDate Sep<11>2014
17:56 Apr 17, 2015
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Deadline for Transmittal of
Applications: June 19, 2015.
Full Text of Announcement
I. Funding Opportunity Description
Purpose of Program: The purpose of
the Disability and Rehabilitation
Research Projects and Centers Program
is to plan and conduct research,
demonstration projects, training, and
related activities, including
international activities to develop
methods, procedures, and rehabilitation
technology. The Program’s activities are
designed to maximize the full inclusion
and integration into society,
employment, independent living, family
support, and economic and social selfsufficiency of individuals with
disabilities, especially individuals with
the most severe disabilities, and to
improve the effectiveness of services
authorized under the Rehabilitation Act
of 1973, as amended (Rehabilitation
Act).
Rehabilitation Research and Training
Centers
The purpose of the RRTCs, which are
funded through the Disability and
Rehabilitation Research Projects and
Centers Program, is to achieve the goals
of, and improve the effectiveness of,
services authorized under the
Rehabilitation Act through welldesigned research, training, technical
assistance, and dissemination activities
in important topical areas as specified
by NIDILRR. These activities are
designed to benefit rehabilitation
service providers, individuals with
disabilities, family members,
policymakers and other research
stakeholders. Additional information on
the RRTC program can be found at:
https://www2.ed.gov/programs/rrtc/
index.html#types.
Priorities: There are two priorities for
the grant competition announced in this
notice. The General RRTC Requirements
priority is from the notice of final
priorities for the Rehabilitation Research
and Training Centers, published in the
Federal Register on February 1, 2008
(73 FR 6132). Priority two is from the
notice of final priority for this program,
published elsewhere in this issue of the
Federal Register.
Absolute Priorities: For FY 2015 and
any subsequent year in which we make
awards from the list of unfunded
applicants from this competition, these
priorities are absolute priorities. Under
45 CFR part 75 we consider only
applications that meet these program
priorities.
These priorities are:
Priority 1—General RRTC
Requirements.
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21723
Note: The full text of this priority is
included in the notice of final priorities for
the Rehabilitation Research and Training
Centers, published in the Federal Register on
February 1, 2008 (73 FR 6132) and in the
application package for this competition.
Priority 2—RRTC on Employer
Practices Leading to Successful
Employment Outcomes for Individuals
with Disabilities.
Note: The full text of this priority is
included in the notice of final priority
published elsewhere in this issue of the
Federal Register and in the application
package for this competition.
Program Authority: 29 U.S.C. 762(g) and
764(b)(2).
Applicable Regulations: (a) The
Department of Health and Human
Services General Administrative
Regulations in 45 CFR part 75; (b) Audit
Requirements for Federal Awards in 45
CFR part 75 Subpart F; (c) 45 CFR part
75 Non-procurement Debarment and
Suspension; (d) 45 CFR part 75
Requirement for Drug-Free Workplace
(Financial Assistance); (e) The
regulations for this program in 34 CFR
part 350; (f) The notice of final priorities
for the RRTC Program published in the
Federal Register on February 1, 2008
(73 FR 6132); and (g) The notice of final
priority for this program, published
elsewhere in this issue of the Federal
Register.
II. Award Information
Type of Award: Discretionary grants.
Estimated Available Funds: $875,000.
Contingent upon the availability of
funds and the quality of applications,
we may make additional awards in FY
2015 and any subsequent year from the
list of unfunded applicants from this
competition.
Maximum Award: $875,000.
We will reject any application that
proposes a budget exceeding the
Maximum Amount for a single budget
period of 12 months. The Administrator
of the Administration for Community
Living may change the maximum
amount through a notice published in
the Federal Register.
Estimated Number of Awards: 1.
The Department is not bound by any
estimates in this notice.
Project Period: 60 months.
We will reject any application that
proposes a project period exceeding 60
months. The Administrator of the
Administration for Community Living
may change the project period through
a notice published in the Federal
Register.
III. Eligibility Information
1. Eligible Applicants: States; public
or private agencies, including for-profit
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Agencies
[Federal Register Volume 80, Number 75 (Monday, April 20, 2015)]
[Notices]
[Pages 21721-21723]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2015-09009]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-855R, CMS-10394, CMS-10371, CMS-10472 and
CMS-10494]
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 May 20, 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: Revision of a currently
approved collection; Title of Information Collection: Medicare
Enrollment Application: Reassignment of Medicare Benefits; Use: The
primary function of the CMS 855R enrollment application is to allow
physicians and non-physician practitioners to reassign their Medicare
benefits to a group practice and to gather information from the
individual that tells us who he/she is, where he or she renders
services, and information necessary to establish correct claims
payment. The goal of periodically evaluating and revising the CMS-855R
enrollment application is to simplify and clarify the information
collection without jeopardizing our need to collect specific
information. At this time, CMS is making very few minor revisions to
the CMS-855R (Reassignment of Benefits) Medicare enrollment application
(OMB No. 0938-1179). Two sections within the form are being reversed to
maintain sync with online and paper forms. The previously approved CMS
855R section 2 collected information regarding the individual
practitioner who is reassigning benefits and section 3 collected
information regarding the organization/group receiving the reassigned
benefits. These two sections have been reversed so that section 2 now
collects information on
[[Page 21722]]
the regarding the organization/group receiving the reassigned benefits
and section 3 now collects information on the individual practitioner
who is reassigning benefits. No information or data collection within
these sections was revised. The sections were merely re-sequenced and
re-numbered to maintain sync between online and paper forms. With the
exception of this section reversal and adding the word ``optional'' to
sections 4 and 5 (primary practice location and contact person
information), there are no other revisions. These revisions offer no
new data collection in this revision package. The addition of the
optional choice in sections 4 and 5 could potentially reduce the burden
to providers who choose not to complete either or both optional
sections. Form Number: CMS-855R (OMB control number 0938-1179);
Frequency: Occasionally; Affected Public: State, Local, or Tribal
Governments, Private sector (For-profit and Not-for-profit
institutions); Number of Respondents: 379,619; Total Annual Responses:
379,619; Total Annual Hours: 94,905. (For policy questions regarding
this collection contact Kim McPhillips at 410-786-7278).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Application to Be
a Qualified Entity to Receive Medicare Data for Performance
Measurement; Use: Section 10332 of the Patient Protection and
Affordable Care Act (ACA) requires the Secretary to make standardized
extracts of Medicare claims data under parts A, B, and D available to
``qualified entities'' for the evaluation of the performance of
providers of services and suppliers. The statute provides the Secretary
with discretion to establish criteria to determine whether an entity is
qualified to use claims data to evaluate the performance of providers
of services and suppliers. We are proposing at section 42 CFR 401.703
to evaluate an organization's eligibility across three areas:
Organizational and governance capabilities, addition of claims data
from other sources (as required in the statute), and data privacy and
security. This is the application through which organizations will
provide information to CMS to determine whether they will be approved
as a qualified entity. Form Number: CMS-10394 (OMB control number:
0938-1144); Frequency: Occasionally; Affected Public: Private sector--
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 35; Total Annual Responses: 35; Total Annual Hours:
6,833. (For policy questions regarding this collection contact Kari
Gaare at 410-786-8612).
3. Type of Information Collection Request: Revision of a currently
approved information collection; Title of Information Collection:
Cooperative Agreements to Support Establishment of State-Operated
Health Insurance Exchanges; Use: All States (including the 50 States,
consortia of States, and the District of Columbia herein referred to as
States) had the opportunity under section 1311(b) of the Affordable
Care to apply for three types of grants: (1) Planning grants; (2) Early
Innovator grants for early development of information technology; and
(3) Establishment grants to develop, implement and start-up
Marketplaces. As of January 1st, 2015, the Secretary has disbursed over
$5.4 billion under this grant program and, as of that date, there were
79 active establishment grants awarded to 28 states. As the State-Based
Marketplaces (SBM) and Small Business Health Options Program (SHOP)
have matured and moved from the developmental phases to full-operation,
the reporting requirements for the states have been modified and
streamlined to insure only information necessary to provide effective
oversight of their operations by CMS is collected.
Given the innovative nature of Exchanges and the statutorily-
prescribed relationship between the Secretary and States in their
development and operation, it is critical that the Secretary work
closely with States to provide necessary guidance and technical
assistance to ensure that States can meet the prescribed timelines,
federal requirements, and goals of the statute and the grants awarded
to them. Form Number: CMS-10371 (OMB control number: 0938-1119);
Frequency: Once; Affected Public: State Government agencies, Private
sector (Not-for-profit institutions); Number of Respondents: 28; Number
of Responses: 48; Total Annual Hours: 31,404. (For policy questions
regarding this collection, contact Dena Puskin at (301) 492-4342.)
4. Type of Information Collection Request: Revision of a previously
approved information collection; Title of Information Collection:
Exchange Functions: Standards for Navigators and Non-Navigator
Assistance Personnel; 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 survey 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-for-profit 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, contact Heather Raeburn at 301-492-4224.)
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 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: 35,000; Number of Responses:
190,000; Total Annual Hours: 27,110. (For policy questions regarding
this collection, contact Tricia Beckmann at 301-492-4328.)
[[Page 21723]]
Dated: April 15, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-09009 Filed 4-17-15; 8:45 am]
BILLING CODE 4120-01-P