Agency Information Collection Activities: Submission for OMB Review; Comment Request, 77353-77354 [2015-31398]
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Federal Register / Vol. 80, No. 239 / Monday, December 14, 2015 / Notices
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/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:
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–R–282 Medicare Advantage Appeals
and Grievance Data Disclosure
Requirements and Supporting
Regulations (42 CFR 422.111)
CMS–10597 CMS Healthcare.gov Site Wide
Online Survey
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.
mstockstill on DSK4VPTVN1PROD with NOTICES
Information Collection
1. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Medicare
Advantage Appeals and Grievance Data
Disclosure Requirements (42 CFR
422.111); Use: Medicare Advantage
(MA) organizations and demonstrations
are required to collect and disclose
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17:36 Dec 11, 2015
Jkt 238001
information pertaining to the number of
disputes, and their disposition in the
aggregate, with the categories of
grievances and appeals to any
individual eligible to elect an MA
organization who requests this
information. The CMS continues to
need the same format and form for
reporting. Form Number: CMS–R–282
(OMB control number: 0938–0778);
Frequency: Annually and semiannually; Affected Public: Private Sector
(Business or other for-profit and Not-forprofit institutions); Number of
Respondents: 53,730; Total Annual
Responses: 54,460; Total Annual Hours:
5,700. (For policy questions regarding
this collection contact Stephanie
Simons at 206–615–2420.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number; Title of
Information Collection: CMS
Healthcare.gov Site Wide Online
Survey; Use: The purpose of the survey
is to gain an understanding of user
experience, comprehension, and
satisfaction with using the Federal
Health Insurance Marketplace Web site
established by the Affordable Care Act.
The Marketplace provides coverage to
uninsured Americans, as well as those
already enrolled in Marketplace health
insurance. One of the ways to purchase
Marketplace insurance is through the
online tools on HealthCare.gov. We have
developed a survey to be administered
to consumers while they are using the
Web site. This survey is part of a
continuing data collection program
mandated by the ACA. It is designed to
support the program goal to provide
tools and information to help consumers
to successfully find health insurance
that they may not otherwise qualify for
or find. Monitoring usability and the
user experience through this ongoing
survey provides the Web site developers
with valuable information for use in
continuous improvement of the Web
site. The Web site survey is part of a
larger research program to inform the
development and enhancement of web
tools for CMS programs such as the
Health Insurance Marketplace. Form
Number: CMS–10597 (OMB control
number: 0938—New); Frequency:
Weekly, Monthly, Occasionally;
Affected Public: Individuals or
Households; Number of Respondents:
14,000; Total Annual Responses:
14,000; Total Annual Hours: 933. (For
policy questions regarding this
collection contact Frank Funderburk at
410–786–1820.)
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77353
Dated: December 9, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–31399 Filed 12–11–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10555]
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 January 13, 2016.
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
SUMMARY:
E:\FR\FM\14DEN1.SGM
14DEN1
77354
Federal Register / Vol. 80, No. 239 / Monday, December 14, 2015 / Notices
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/Paperwork
ReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Small Business
Health Options Program (SHOP)
Effective Date and Termination Notice
Requirements; Use: The CMS is
requiring for plan years beginning on or
after January 1, 2016, the SHOP must
ensure that a QHP issuer notifies
qualified employees, enrollees, and new
enrollees in a QHP through the Small
Business Health Options Program
(SHOP) of the effective date of coverage.
As required by the Patient Protection
and Affordable Care Act; HHS Notice of
Benefit and Payment Parameter for 2016
(CMS–9944–F), which went on display
on February 20, 2015, if any enrollee’s
coverage through the SHOP is
terminated due to non-payment of
premiums or a loss of the enrollee’s or
employer group’s eligibility to
participate in the SHOP, the SHOP must
notify the enrollee or the qualified
employer of the termination of such
coverage. In the termination of coverage,
the SHOP must include the termination
date and reason for termination to the
enrollee or qualified employer.
To aid in understanding levels of
awareness and customer services needs
associated with the SHOP associated
with the Exchanges established by the
Affordable Care Act, CMS will engage in
collecting primary qualitative and
quantitative research from Exchange
target audiences. These surveys are part
of a broader data collection effort
designed to support the program goal to
improve customer satisfaction for
people and small businesses that are
eligible for coverage through the SHOP.
The CMS has designed three surveys to
target different audiences, specifically
agents and brokers, employers, and
employees. Form Number: CMS–10555
(OMB Control Number: 0938–New);
Frequency: Annually; biannually;
Affected Public: Federal Government,
State Governments, Private Sector
(Business or other for-profits and Notfor-profit institutions); Number of
Respondents: 2,885; Total Annual
Responses: 5,770; Total Annual Hours:
50,425. (For policy questions regarding
this collection contact Christelle Jang at
(410) 786–8438.)
Dated: December 9, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–31398 Filed 12–11–15; 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: Administration for Native
Americans Annual Data Collection
(Annual Data Report).
OMB No.: New collection.
Description: Content and formatting
changes are being made to the Objective
Progress Report (OPR). Content changes
are being made to the OPR, now known
as the Annual Data Report (ADR)
previously approved under information
collection OMB No. 0980–0204. ANA
has determined that the requirement for
ANA grantees to submit information
about the project activities on quarterly
basis creates undue burden for Grantees.
Therefore, ANA has reformatted the
OPR to require Grantees submit an
annual report instead of quarterly report
when reporting on partnerships, youth
and elder engagement, impact
indicators, community involvement etc.
This will reduce the administrative
burden on Grantees, especially the
smaller organizations. The majority of
content being requested from the
grantees essentially remain same except
for the frequency of reporting. The other
sections of the document with reference
to ‘‘quarterly’’ information will be
changed to reflect the shift from fourtimes a year reporting requirement to
once per year and once at the end of the
project period.
Respondents: Tribal Government,
Native non-profit organizations, Tribal
Colleges & Universities receiving ANA
funding.
Annual Burden Estimates
The following is the hour of burden
estimate for this information collection:
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
ADR .................................................................................................................
mstockstill on DSK4VPTVN1PROD with NOTICES
Instrument
275
2
2
275
Estimated Total Annual Burden
Hours: 275.
Additional Information
Copies of the proposed collection may
be obtained by writing to the
Administration for Children and
Families, Office of Planning, Research
VerDate Sep<11>2014
17:36 Dec 11, 2015
Jkt 238001
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.
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
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
E:\FR\FM\14DEN1.SGM
14DEN1
]]>Agencies
[Federal Register Volume 80, Number 239 (Monday, December 14, 2015)]
[Notices]
[Pages 77353-77354]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31398]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10555]
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 January 13, 2016.
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
[[Page 77354]]
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: Small
Business Health Options Program (SHOP) Effective Date and Termination
Notice Requirements; Use: The CMS is requiring for plan years beginning
on or after January 1, 2016, the SHOP must ensure that a QHP issuer
notifies qualified employees, enrollees, and new enrollees in a QHP
through the Small Business Health Options Program (SHOP) of the
effective date of coverage. As required by the Patient Protection and
Affordable Care Act; HHS Notice of Benefit and Payment Parameter for
2016 (CMS-9944-F), which went on display on February 20, 2015, if any
enrollee's coverage through the SHOP is terminated due to non-payment
of premiums or a loss of the enrollee's or employer group's eligibility
to participate in the SHOP, the SHOP must notify the enrollee or the
qualified employer of the termination of such coverage. In the
termination of coverage, the SHOP must include the termination date and
reason for termination to the enrollee or qualified employer.
To aid in understanding levels of awareness and customer services
needs associated with the SHOP associated with the Exchanges
established by the Affordable Care Act, CMS will engage in collecting
primary qualitative and quantitative research from Exchange target
audiences. These surveys are part of a broader data collection effort
designed to support the program goal to improve customer satisfaction
for people and small businesses that are eligible for coverage through
the SHOP. The CMS has designed three surveys to target different
audiences, specifically agents and brokers, employers, and employees.
Form Number: CMS-10555 (OMB Control Number: 0938-New); Frequency:
Annually; biannually; Affected Public: Federal Government, State
Governments, Private Sector (Business or other for-profits and Not-for-
profit institutions); Number of Respondents: 2,885; Total Annual
Responses: 5,770; Total Annual Hours: 50,425. (For policy questions
regarding this collection contact Christelle Jang at (410) 786-8438.)
Dated: December 9, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-31398 Filed 12-11-15; 8:45 am]
BILLING CODE 4120-01-P
