Submission for OMB Review; Comment Request, 53517-53518 [2015-22014]

Download as PDF Federal Register / Vol. 80, No. 172 / Friday, September 4, 2015 / Notices minimize the information collection burden. Comments must be received by November 3, 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 ____, 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. DATES: SUPPLEMENTARY INFORMATION: mstockstill on DSK4VPTVN1PROD with NOTICES 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–10387 Skilled Nursing Facility (SNF) Prospective Payment System and Consolidated Billing CMS–2567 Statement of Deficiencies and Plan of Correction and Supporting Regulations 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 VerDate Sep<11>2014 16:57 Sep 03, 2015 Jkt 235001 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. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Home Health Agency Cost Report; Use: Providers of Services participating in the Medicare program are required under sections 1815(a), 1833(e) and 1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to submit annual information to achieve settlement of costs for health care services rendered to Medicare beneficiaries. In addition, regulations at 42 CFR 413.20 and 413.24 require adequate cost data and cost reports from providers on an annual basis. The Form CMS–1728–94 cost report is needed to determine a provider’s reasonable cost incurred in furnishing medical services to Medicare beneficiaries and reimbursement due to or from a provider. Form Number: CMS–1728–94 (OMB control number: 0938–0022); Frequency: Annually; Affected Public: Private sector (Business or other forprofits and Not-for-profit institutions); Number of Respondents: 11,352; Total Annual Responses: 11,352; Total Annual Hours: 2,576,904. (For policy questions regarding this collection contact Angela DiGorgio at 410–786– 4516.) 2. Type of Information Collection Request: Extension without change of a currently approved collection; Title of Information Collection: Statement of Deficiencies and Plan of Correction Supporting Regulations; Use: Section 1864(a) of the Social Security Act requires that the Secretary use state survey agencies to conduct surveys to determine whether health care facilities meet Medicare and Clinical Laboratory Improvement Amendments participation requirements. The Form CMS–2567 is the means by which the survey findings are documented. This section of the law further requires that compliance findings resulting from these surveys be made available to the public within 90 days of such surveys. The Form CMS–2567 is the vehicle for PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 53517 this disclosure. The form is also used by health care facilities to document their plan of correction and by CMS, the states, facilities, purchasers, consumers, advocacy groups, and the public as a source of information about quality of care and facility compliance. The regulations at 42 CFR 488.18 require that state survey agencies document all deficiency findings on a statement of deficiencies and plan of correction, which is the CMS–2567. Sections 488.26 and 488.28 further delineate how compliance findings must be recorded and that CMS prescribed forms must be used. Form Number: CMS–2567 (OMB Control Number: 0938–0391); Frequency: Yearly and occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 64,500; Total Annual Responses: 64,500; Total Annual Hours: 128,083. (For policy questions regarding this collection contact Sharon Lash at 410– 786–9457.) Dated: September 1, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015–22033 Filed 9–3–15; 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: Assets for Independence (AFI) Program Evaluation. OMB No.: 0970–0414. Description: The U.S. Department of Health and Human Services, Administration for Children and Families (ACF) is proposing a data collection activity as part of an experimental evaluation of the Assets for Independence (AFI) Program. The purpose of this study is to assess the impact of participation in AFI-funded individual development account (IDA) projects on the savings, asset purchases, and economic well-being of low-income individuals and families. While some evaluations suggest that IDAs help lowincome families save, rigorous experimental research is limited. Few studies have focused on AFI-funded IDAs, and few have tested alternative design features. The Assets for Independence Evaluation is the first experimental evaluation of IDA projects operating under the Assets for E:\FR\FM\04SEN1.SGM 04SEN1 53518 Federal Register / Vol. 80, No. 172 / Friday, September 4, 2015 / Notices Independence Act, and will contribute importantly to understanding the effects of IDA project participation on project participants. The evaluation was launched in fall 2011 in two sites, with the random assignment of AFI-eligible cases to program and control groups. OMB approved three data collection efforts related to this project in October 2012, including approval of a baseline survey, 12-month follow-up survey, and implementation study protocols. This Federal Register Notice provides the opportunity to comment on a proposed new information collection activity: The AFI Evaluation second follow-up survey (at 36 months postrandom assignment) of both treatment and control group members. The content of this survey is the same as the content approved for the 12-month follow-up. The purpose of the AFI Evaluation 36-month follow-up survey is to follow-up with study participants to document their intermediate savings and savings patterns, asset purchases, and other economic outcomes. The evaluation consists of both an impact study and an implementation study. Data collection activities will span a three-year period. Data collection activities to submit in a future information collection request include a third follow-up survey for AFI Evaluation study participants approximately 60 months after study enrollment. Respondents: Individuals enrolled in AFI programs, individuals who have left AFI programs, and control group members. ANNUAL BURDEN ESTIMATES Instrument Total number of respondents Annual number of respondents Number of responses per respondent Average burden hours per response Annual burden hours Follow-Up Survey: AFI-eligible participants ......................... 814 271 1 1 271 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: OPRE Reports Clearance Officer. All requests should be identified by the title of the information collection. Email address: OPREinfocollection@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 be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA_ SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration for Children and Families. Robert Sargis, ACF Reports Clearance Officer. [FR Doc. 2015–22014 Filed 9–3–15; 8:45 am] mstockstill on DSK4VPTVN1PROD with NOTICES BILLING CODE 4184–26–P VerDate Sep<11>2014 16:57 Sep 03, 2015 Jkt 235001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Health Resources and Services Administration Notice of Meeting: Advisory Committee on the Maternal, Infant and Early Childhood Home Visiting Program Evaluation Notice of meeting: Advisory Committee on the Maternal, Infant and Early Childhood Home Visiting Program Evaluation (MIECHVPE). ACTION: Authority: Section 511(g)(1) of the Social Security Act (42 U.S.C. 711(g)) and Section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92– 463). Name: Advisory Committee on the Maternal, Infant, and Early Childhood Home Visiting Program Evaluation. Date and Time: Monday, September 21, 2015, 11 a.m.–6 p.m. EST. Place: Webinar. The Advisory Committee on the Maternal, Infant and Early Childhood Home Visiting Program Evaluation (Committee) will meet for its fifth session on Monday, September 21, 2015, 11 a.m.–6 p.m. ET. The purpose of the meeting is to allow the Committee to comment on the analysis plan of the MIHOPE project. The general public (‘‘attendees’’) can join the meeting via webinar by logging onto https:// attendee.gotowebinar.com/register/ 8910471186935462146, and then follow the instructions for registering. Attendees should launch the webinar no later than 10:45 a.m. ET in order for the PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 logistics to be established for participation in the call. If there are technical problems gaining access to the call or webinar, please call 888–569– 3848 or press *0, and for GoToWebinar technical support call 800–263–6317. Meeting Registration: Attendees are asked to register for the conference by going to the registration Web site at https://attendee.gotowebinar.com/ register/8910471186935462146. Special Accommodations: Attendees with special needs requiring accommodations such as large print materials or other accommodations may make requests when registering at the online Web site by answering the ‘‘Special accommodations’’ question on the registration page: https:// attendee.gotowebinar.com/register/ 8910471186935462146. Agenda: The meeting will include updates on the progress of the evaluation and will present the evaluation’s impact, implementation, impact variation, and cost data analysis plans. Agenda items are subject to change as priorities dictate. Public Comments: Members of the public may submit written comments that will be distributed to Committee members prior to the meeting. Written comments must be received by Monday, September 14, 2015 for consideration. Comments can be submitted to Nancy Margie at Nancy.Margie@acf.hhs.gov. FOR FURTHER INFORMATION CONTACT: Any person interested in obtaining other information relevant to joining the webinar can contact Carolyn Swaney at Carolyn.Swaney@icfi.com. SUPPLEMENTARY INFORMATION: The Advisory Committee on the Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program Evaluation E:\FR\FM\04SEN1.SGM 04SEN1

Agencies

[Federal Register Volume 80, Number 172 (Friday, September 4, 2015)]
[Notices]
[Pages 53517-53518]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22014]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Administration for Children and Families

Submission for OMB Review; Comment Request

Title: Assets for Independence (AFI) Program Evaluation.
OMB No.: 0970-0414.
Description: The U.S. Department of Health and Human Services,
Administration for Children and Families (ACF) is proposing a data
collection activity as part of an experimental evaluation of the Assets
for Independence (AFI) Program. The purpose of this study is to assess
the impact of participation in AFI-funded individual development
account (IDA) projects on the savings, asset purchases, and economic
well-being of low-income individuals and families. While some
evaluations suggest that IDAs help low-income families save, rigorous
experimental research is limited. Few studies have focused on AFI-
funded IDAs, and few have tested alternative design features. The
Assets for Independence Evaluation is the first experimental evaluation
of IDA projects operating under the Assets for

[[Page 53518]]

Independence Act, and will contribute importantly to understanding the
effects of IDA project participation on project participants. The
evaluation was launched in fall 2011 in two sites, with the random
assignment of AFI-eligible cases to program and control groups. OMB
approved three data collection efforts related to this project in
October 2012, including approval of a baseline survey, 12-month follow-
up survey, and implementation study protocols.
This Federal Register Notice provides the opportunity to comment on
a proposed new information collection activity: The AFI Evaluation
second follow-up survey (at 36 months post-random assignment) of both
treatment and control group members. The content of this survey is the
same as the content approved for the 12-month follow-up. The purpose of
the AFI Evaluation 36-month follow-up survey is to follow-up with study
participants to document their intermediate savings and savings
patterns, asset purchases, and other economic outcomes. The evaluation
consists of both an impact study and an implementation study. Data
collection activities will span a three-year period. Data collection
activities to submit in a future information collection request include
a third follow-up survey for AFI Evaluation study participants
approximately 60 months after study enrollment.
Respondents: Individuals enrolled in AFI programs, individuals who
have left AFI programs, and control group members.

Annual Burden Estimates
--------------------------------------------------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Total number of Annual number responses per hours per Annual burden
respondents of respondents respondent response hours
--------------------------------------------------------------------------------------------------------------------------------------------------------
Follow-Up Survey: AFI-eligible participants........................ 814 271 1 1 271
--------------------------------------------------------------------------------------------------------------------------------------------------------

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: OPRE Reports Clearance Officer. All
requests should be identified by the title of the information
collection. Email address: OPREinfocollection@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 be sent directly to the following: Office
of Management and Budget, Paperwork Reduction Project, Email:
OIRA_SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration
for Children and Families.

Robert Sargis,
ACF Reports Clearance Officer.
[FR Doc. 2015-22014 Filed 9-3-15; 8:45 am]
BILLING CODE 4184-26-P

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