Agency Information Collection Activities: Submission for OMB Review; Comment Request, 79045-79046 [2015-31887]
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Federal Register / Vol. 80, No. 243 / Friday, December 18, 2015 / Notices
Community Network (MCCN) Medical
Director, Advocate Physician Partners,
Carla Smith, Executive Vice President,
Healthcare Information and
Management Systems Society (HIMSS);
Tobin Van Ostern, Vice President and
Co-Founder, Young Invincibles
Advisors; and Paula Villescaz, Senior
Consultant, Assembly Health
Committee.
II. Provisions of This Notice
In accordance with section 10(a) of
the FACA, this notice announces a
meeting of the APOE. The agenda for
the January 13, 2016 meeting will
include the following:
• Welcome and listening session with
CMS leadership
• Recap of the previous (October 7,
2015) meeting
• Affordable Care Act initiatives
• An opportunity for public comment
• Meeting summary, review of
recommendations, and next steps
Individuals or organizations that wish
to make a 5-minute oral presentation on
an agenda topic should submit a written
copy of the oral presentation to the DFO
at the address listed in the ADDRESSES
section of this notice by the date listed
in the DATES section of this notice. The
number of oral presentations may be
limited by the time available.
Individuals not wishing to make an oral
presentation may submit written
comments to the DFO at the address
listed in the ADDRESSES section of this
notice by the date listed in the DATES
section of this notice.
Authority: Sec. 222 of the Public Health
Service Act (42 U.S.C. 217a) and sec. 10(a)
of Pub. L. 92–463 (5 U.S.C. App. 2, sec. 10(a)
and 41 CFR 102–3).
Dated: December 10, 2015.
Andrew M. Slavitt,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. 2015–31861 Filed 12–17–15; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
mstockstill on DSK4VPTVN1PROD with NOTICES
[Document Identifiers: CMS–855S, CMS–
10142 and CMS–R–262]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
The Centers for Medicare &
Medicaid Services (CMS) is announcing
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19:20 Dec 17, 2015
Jkt 238001
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
SUPPLEMENTARY INFORMATION:
Notice.
SUMMARY:
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 19, 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
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.
PO 00000
Frm 00018
Fmt 4703
Sfmt 4703
79045
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—Durable
Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS)
Suppliers; Use: The primary function of
the CMS 855S Durable Medical
Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS) supplier
enrollment application is to gather
information from a supplier that tells us
who it is, whether it meets certain
qualifications to be a health care
supplier, where it renders its services or
supplies, the identity of the owners of
the enrolling entity, and information
necessary to establish correct claims
payment.
The goal of this revision of the CMS–
855S is to simplify and clarify the
current data collection and to remove
obsolete and/or redundant questions.
Grammar and spelling errors were
corrected. Limited informational text
has been added within the application
form and instructions in conjunction
with links to Web sites when detail is
needed by the supplier. To clarify
current data collection differentiations
and to be in sync with accreditation
coding, section 3D (‘‘Products and
Services Furnished by This Supplier’’)
has been updated. This revision does
not offer any new material data
collection. CMS received one comment
in response to the 60-day notice. Form
Number: CMS–855S (OMB Control
Number: 0938–1056); Frequency:
Annually; Affected Public: Private
sector (, Business or other for-profits
and Not-for-profit institutions); Number
of Respondents: 31,915; Total Annual
Responses: 31,915; Total Annual Hours:
36,842. (For policy questions regarding
this collection contact Kimberly
McPhillips at 410–786–5374.)
2. Type of Information Collection
Request: Revision of a currently
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18DEN1
79046
Federal Register / Vol. 80, No. 243 / Friday, December 18, 2015 / Notices
approved collection; Title of
Information Collection: Bid Pricing Tool
(BPT) for Medicare Advantage (MA)
Plans and Prescription Drug Plans
(PDP); Use: We require that Medicare
Advantage organizations and
Prescription Drug Plans complete the
BPT as part of the annual bidding
process. During this process,
organizations prepare their proposed
actuarial bid pricing for the upcoming
contract year and submit them to us for
review and approval. The purpose of the
BPT is to collect the actuarial pricing
information for each plan. The BPT
calculates the plan’s bid, enrollee
premiums, and payment rates. We
publish beneficiary premium
information using a variety of formats
(www.medicare.gov, the Medicare & You
handbook, Summary of Benefits
marketing information) for the purpose
of beneficiary education and
enrollment. The package has been
revised subsequent to the publication of
the 60-day Federal Register notice
(September 24, 2015; 80 FR 57619).
Form Number: CMS–10142 (OMB
control number 0938–0944); Frequency:
Yearly; Affected Public: Private sector
(Business or other for-profits and Notfor-profit institutions); Number of
Respondents: 555; Total Annual
Responses: 4,995; Total Annual Hours:
149,850. (For policy questions regarding
this collection contact Rachel Shevland
at 410–786–3026).
3. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Contract Year
2017 Plan Benefit Package (PBP)
Software and Formulary Submission;
Use: We require that Medicare
Advantage and Prescription Drug Plan
organizations submit a completed PBP
and formulary as part of the annual
bidding process. During this process,
organizations prepare their proposed
plan benefit packages for the upcoming
contract year and submit them to us for
review and approval. We publish
beneficiary education information using
a variety of formats. The specific
education initiatives that utilize PBP
and formulary data include web
application tools on www.medicare.gov
and the plan benefit insert in the
Medicare & You handbook. In addition,
organizations utilize the PBP data to
generate their Summary of Benefits
marketing information. The package has
been revised subsequent to the
publication of the 60-day Federal
Register notice (September 24, 2015; 80
FR 57619). Form Number: CMS–R–262
(OMB control number 0938–0763);
Frequency: Yearly; Affected Public:
Private sector (business or other forprofits and not-for-profit institutions);
Number of Respondents: 552; Total
Annual Responses: 5,448; Total Annual
Hours: 52,902. (For policy questions
regarding this collection contact Kristy
Holtje at 410–786–2209).
Dated: December 15, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2015–31887 Filed 12–17–15; 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: Disaster Information Collection
Form.
OMB No.: 0970—NEW.
Description: This is a request by the
Administration for Children and
Families (ACF) for a generic clearance
for the Disaster Information Collection
Form. An approval for a generic
clearance is being requested because
each of the thirteen program offices
within ACF has a slightly different need
for information about program impact
information collection during a disaster.
Number of
respondents
Instrument
mstockstill on DSK4VPTVN1PROD with NOTICES
Disaster Information Collection Form ....................
An estimate of the number of disasters
that would warrant data collection is
difficult to calculate due to the
unpredictable nature of disasters. For
example, in 2012, there were 95
disasters nationwide but OHSEPR did
not collect data on all of them because
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19:20 Dec 17, 2015
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Number of
responses per
respondent
Burden hours per response
15
0.08 hours (5 minutes) .......
10
they had minimal effects on ACF
programs.
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,
PO 00000
Frm 00019
ACF oversees more than 60 programs
that affect the normal day to day
operations of families, children,
individuals and communities in the
United States. Many of these programs
encourage grantees or state
administrators to develop emergency
preparedness plans, but do not have
statutory authority to require these
plans be in place. ACF facilitates the
inclusion of emergency preparedness
planning and training efforts for ACF
programs.
Presidential Policy Directive–8 (PPD–
8) provides federal guidance and
planning procedures under established
phases—protection, preparedness,
response, recovery, and mitigation. The
Disaster Information Collection Forms
addressed in this clearance process
provide assessment of ACF programs in
disaster response, and recovery.
ACF/Office of Human Services
Emergency Preparedness and Response
(OHSEPR) has a requirement under
PPD–8, the National Response
Framework, and the National Disaster
Recovery Framework to report disaster
impacts to ACF-supported human
services programs to the HHS
Secretary’s Operation Center (SOC) and
interagency partners. ACF/OHSEPR
works in partnership with the Assistant
Secretary for Preparedness and
Response (ASPR), and the Federal
Emergency Management Agency
(FEMA) to report assessments of disaster
impacted ACF programs and the status
of continuity of services and recovery.
Respondents: State administrators,
and/or ACF grantees.
Annual Burden Estimates: The
burden cap for the Disaster Information
Collection Form is estimated based on a
single disaster per year. The estimate is
for approximately 10 state
administrators, or grantees to go through
all of the applicable questions with the
Regional and Central Office staff. Some
ACF programs have more questions and
may have more respondents.
Fmt 4703
Sfmt 4703
Total burden hours
1.25 hours (75 minutes).
DC 20447, Attn: ACF Reports Clearance
Officer. All requests should be
identified by the title of the information
collection. Email address:
infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
E:\FR\FM\18DEN1.SGM
18DEN1
]]>Agencies
[Federal Register Volume 80, Number 243 (Friday, December 18, 2015)]
[Notices]
[Pages 79045-79046]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-31887]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-855S, CMS-10142 and CMS-R-262]
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 19, 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 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--Durable Medical Equipment, Prosthetics,
Orthotics and Supplies (DMEPOS) Suppliers; Use: The primary function of
the CMS 855S Durable Medical Equipment, Prosthetics, Orthotics and
Supplies (DMEPOS) supplier enrollment application is to gather
information from a supplier that tells us who it is, whether it meets
certain qualifications to be a health care supplier, where it renders
its services or supplies, the identity of the owners of the enrolling
entity, and information necessary to establish correct claims payment.
The goal of this revision of the CMS-855S is to simplify and
clarify the current data collection and to remove obsolete and/or
redundant questions. Grammar and spelling errors were corrected.
Limited informational text has been added within the application form
and instructions in conjunction with links to Web sites when detail is
needed by the supplier. To clarify current data collection
differentiations and to be in sync with accreditation coding, section
3D (``Products and Services Furnished by This Supplier'') has been
updated. This revision does not offer any new material data collection.
CMS received one comment in response to the 60-day notice. Form Number:
CMS-855S (OMB Control Number: 0938-1056); Frequency: Annually; Affected
Public: Private sector (, Business or other for-profits and Not-for-
profit institutions); Number of Respondents: 31,915; Total Annual
Responses: 31,915; Total Annual Hours: 36,842. (For policy questions
regarding this collection contact Kimberly McPhillips at 410-786-5374.)
2. Type of Information Collection Request: Revision of a currently
[[Page 79046]]
approved collection; Title of Information Collection: Bid Pricing Tool
(BPT) for Medicare Advantage (MA) Plans and Prescription Drug Plans
(PDP); Use: We require that Medicare Advantage organizations and
Prescription Drug Plans complete the BPT as part of the annual bidding
process. During this process, organizations prepare their proposed
actuarial bid pricing for the upcoming contract year and submit them to
us for review and approval. The purpose of the BPT is to collect the
actuarial pricing information for each plan. The BPT calculates the
plan's bid, enrollee premiums, and payment rates. We publish
beneficiary premium information using a variety of formats
(www.medicare.gov, the Medicare & You handbook, Summary of Benefits
marketing information) for the purpose of beneficiary education and
enrollment. The package has been revised subsequent to the publication
of the 60-day Federal Register notice (September 24, 2015; 80 FR
57619). Form Number: CMS-10142 (OMB control number 0938-0944);
Frequency: Yearly; Affected Public: Private sector (Business or other
for-profits and Not-for-profit institutions); Number of Respondents:
555; Total Annual Responses: 4,995; Total Annual Hours: 149,850. (For
policy questions regarding this collection contact Rachel Shevland at
410-786-3026).
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Contract Year
2017 Plan Benefit Package (PBP) Software and Formulary Submission; Use:
We require that Medicare Advantage and Prescription Drug Plan
organizations submit a completed PBP and formulary as part of the
annual bidding process. During this process, organizations prepare
their proposed plan benefit packages for the upcoming contract year and
submit them to us for review and approval. We publish beneficiary
education information using a variety of formats. The specific
education initiatives that utilize PBP and formulary data include web
application tools on www.medicare.gov and the plan benefit insert in
the Medicare & You handbook. In addition, organizations utilize the PBP
data to generate their Summary of Benefits marketing information. The
package has been revised subsequent to the publication of the 60-day
Federal Register notice (September 24, 2015; 80 FR 57619). Form Number:
CMS-R-262 (OMB control number 0938-0763); Frequency: Yearly; Affected
Public: Private sector (business or other for-profits and not-for-
profit institutions); Number of Respondents: 552; Total Annual
Responses: 5,448; Total Annual Hours: 52,902. (For policy questions
regarding this collection contact Kristy Holtje at 410-786-2209).
Dated: December 15, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-31887 Filed 12-17-15; 8:45 am]
BILLING CODE 4120-01-P
