Agency Information Collection Activities: Proposed Collection; Comment Request, 10625-10627 [2016-04463]
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10625
Federal Register / Vol. 81, No. 40 / Tuesday, March 1, 2016 / Notices
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information.
Proposed Project
2017 and 2019 National Youth Risk
Behavior Surveys (OMB Control No.
0920–0493)—Reinstatement with
change—National Center for HIV/AIDS,
Viral Hepatitis, STD, and TB Prevention
(NCHHSTP), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
The purpose of this request is to
obtain OMB approval to reinstate with
change, the data collection for the
National Youth Risk Behavior Survey
(YRBS), a school-based survey that has
been conducted biennially since 1991.
OMB approval for the 2013 YRBS and
2015 YRBS expired September 30, 2015
(OMB Control No. 0920–0493). CDC
seeks a three-year approval to conduct
the YRBS in Spring 2017 and Spring
2019. Minor changes incorporated into
this reinstatement request include: An
updated title for the information
collection to accurately reflect the years
in which the survey will be conducted,
minor changes to the data collection
instrument, and a reclassification of
urban status for schools based on a
different variable now present in the
commercially available sampling frame.
The YRBS assesses priority health risk
behaviors related to the major
preventable causes of mortality,
morbidity, and social problems among
both youth and young adults in the
United States. Data on health risk
behaviors of adolescents are the focus of
approximately 65 national health
objectives in Healthy People 2020, an
initiative of the U.S. Department of
Health and Human Services (HHS). The
YRBS provides data to measure 20 of
the health objectives and 1 of the
Leading Health Indicators established
by Healthy People 2020. In addition, the
YRBS can identify racial and ethnic
disparities in health risk behaviors. No
other national source of data measures
as many of the Healthy People 2020
objectives addressing adolescent health
risk behaviors as the YRBS. The data
also will have significant implications
for policy and program development for
school health programs nationwide.
In Spring 2017 and Spring 2019, the
YRBS will be conducted among
nationally representative samples of
students attending public and private
schools in grades 9–12. Information
supporting the YRBS also will be
collected from state-, district-, and
school-level administrators and
teachers. The table below reports the
number of respondents annualized over
the 3-year project period.
There are no costs to respondents
except their time. The total estimated
annualized burden hours are 7,822.
ESTIMATED ANNUALIZED BURDEN HOURS
Number
of
respondents
Type of respondent
Form name
State Administrators ..........................
Students ............................................
State-level Recruitment Script for
the Youth Risk Behavior Survey.
District-level Recruitment Script for
the Youth Risk Behavior Survey.
District-level Recruitment Script for
the Youth Risk Behavior Survey.
Data Collection Checklist for the
Youth Risk Behavior Survey.
Youth Risk Behavior Survey ............
Total ...........................................
...........................................................
District Administrators .......................
School Administrators .......................
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Teachers ...........................................
30/60
9
80
1
30/60
40
133
1
30/60
67
435
1
15/60
109
10,129
1
45/60
7,597
........................
........................
........................
7,822
[FR Doc. 2016–04431 Filed 2–29–16; 8:45 am]
[Document Identifier: CMS–685, CMS–576A,
CMS–10601, and CMS–R–199]
Centers for Medicare & Medicaid
Services
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
AGENCY:
20:18 Feb 29, 2016
Jkt 238001
PO 00000
Frm 00061
Fmt 4703
Total
burden
hours
1
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
VerDate Sep<11>2014
Average burden per response
(in hours)
17
Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
BILLING CODE 4163–18–P
Number of
responses
per
respondent
Sfmt 4703
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 (the
PRA), federal agencies are require; 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
SUMMARY:
E:\FR\FM\01MRN1.SGM
01MRN1
10626
Federal Register / Vol. 81, No. 40 / Tuesday, March 1, 2016 / Notices
60 days for public comment on the
proposed action. Interested persons are
invited to send comments regarding our
burden estimates or any other aspect of
this collection of information, including
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
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.
Comments must be received by
May 2, 2016.
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.
asabaliauskas on DSK5VPTVN1PROD with NOTICES
DATES:
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
VerDate Sep<11>2014
20:18 Feb 29, 2016
Jkt 238001
and associated materials (see
ADDRESSES).
CMS–685 End Stage Renal Disease (ESRD)
Network Semi-Annual Cost Report Forms
and Supporting Regulations
CMS–576A Organ Procurement
Organization’s (OPOs) Health Insurance
Benefits Agreement and Supporting
Regulations
CMS–10601 CMS Innovation Partners
Program Applications and Surveys
CMS–R–199 Medicaid Report on Payables
and Receivables
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.
1. Type of Information Collection
Request: Revision of a previously
approved collection; Title of
Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual
Cost Report Forms and Supporting
Regulations; Use: Section 1881(c) of the
Social Security Act establishes End
Stage Renal Disease (ESRD) Network
contracts. The regulations found at 42
CFR 405.2110 and 405.2112 designated
18 ESRD Networks which are funded by
renewable contracts. These contracts are
on 3-year cycles. To better administer
the program, CMS is requiring
contractors to submit semi-annual cost
reports. The purpose of the cost reports
is to enable the ESRD Networks to
report costs in a standardized manner.
This will allow CMS to review, compare
and project ESRD Network costs during
the life of the contract. Form Number:
CMS–685 (OMB Control Number: 0938–
0657); Frequency: Reporting—Semiannually; Affected Public: Not-for-profit
institutions; Number of Respondents:
18; Total Annual Responses: 36; Total
Annual Hours: 144. (For policy
questions regarding this collection
contact Etleva Davis at 410–786–4013)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Organ
PO 00000
Frm 00062
Fmt 4703
Sfmt 4703
Procurement Organization’s (OPOs)
Health Insurance Benefits Agreement
and Supporting Regulations; Use: The
Medicare and Medicaid Programs final
conditions for coverage for Organ
Procurement Organizations (OPOs)
require OPOs to sign agreements with
the Center for Medicare and Medicaid
Services (CMS) in order to be
reimbursed and perform their services.
The information provided on this form
serves as a basis for continuing the
agreements with CMS and the OPOs for
participation in the Medicare and
Medicaid programs for reimbursement
of service. Form Number: CMS–576A
(OMB Control Number: 0938–0512);
Frequency: Occasionally; Affected
Public: Private Sector: Business or other
for-profit and not-for-profit institutions;
Number of Respondents: 58; Total
Annual Responses: 58; Total Annual
Hours: 116. (For policy questions
regarding this collection contact Melissa
Rice at 410–786–3270.)
3. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: CMS Innovation
Partners Program Applications and
Surveys; Use: The CMS Innovation
Center (CMMI) has a significant role in
supporting the goals set by the Secretary
of Health and Human Services to move
30 percent of Medicare fee-for-service
payments to alternate payment models
by the end of 2016 and ultimately 50
percent by the end of 2018. A multipronged approach is necessary to
achieve these ambitious goals and
includes the testing of innovative
models around design of both payment
and care delivery, the Health Care
Payment and Learning Action Network
(HCPLAN) and value and quality based
initiatives through the Medicare Access
and CHIP Reauthorization Act of 2015
(MACRA) and Merit-based Incentive
Payment System (MIPS). In addition to
these key strategies, CMS seeks to
engage individuals from the front lines
of health care, who are actively
supporting delivery system
transformation at local and regional
levels, in order to support and
accelerate adoption of alternate payment
models developed through the
Innovation Center. This will be
accomplished through the Innovation
Partners Program (IPP).
The IPP will provide an opportunity
for 100 selected individuals from
around the country who are already
leading and participating in delivery
reform initiatives with local and
regional networks to engage in a deeper
way with CMS to enhance these efforts.
During the course of one year, the IPP
will immerse individuals in the strategy
E:\FR\FM\01MRN1.SGM
01MRN1
asabaliauskas on DSK5VPTVN1PROD with NOTICES
Federal Register / Vol. 81, No. 40 / Tuesday, March 1, 2016 / Notices
and innovation work of CMS through
intensive webinars and small group
discussions. Program participants will
engage with CMS staff in the Innovation
Center and Regional Offices to inform
and support regional activities
supporting innovation models. In
collaboration with CMS and fellow
program participants, they will create
partnerships regionally and across the
United States.
An application process is necessary to
select the individuals who will
participate in IPP and is the first
component of this data collection.
Applicants shall likely include
physicians, nurses and other clinical
staff in leadership roles from various
health care delivery, public health and
community health organizations. The
second data collection component is a
set surveys and the respondents shall be
only those who are participating in the
program. Data from these surveys will
be used to design program activities and
to identify opportunities for
improvement to both activities and the
program overall. This data collection is
necessary in order to launch and
implement the IPP—a key initiative in
the efforts of CMS to support the
Secretary’s goals. Form Number: CMS–
10601 (OMB control number: 0938—
NEW); Frequency: Annually; Affected
Public: Individuals and Households;
Number of Respondents: 850; Total
Annual Responses: 850; Total Annual
Hours: 1,700. (For policy questions
regarding this collection contact Fran
Griffin at 212–616–2370).
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicaid Report
on Payables and Receivables; Use: The
Government Management and Reform
Act of 1994 requires that all offices,
bureaus and associated activities of the
24 CFO Act agencies must be covered in
an agency-wide, audited financial
statement. Collection of Medicaid data
and the calculation of the Medicaid
Incurred But Not Reported (IBNR)
estimate are pertinent to CMS’ financial
audit. The Medicaid Report on Payables
and Receivables will provide the
information needed to calculate the
Medicaid IBNR. Failure to collect this
information could result in noncompliance with the law. Form Number:
CMS–R–199 (OMB Control Number:
0938–0697); Frequency: Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Annual Hours: 392. (For policy
questions regarding this collection
contact Beverly Boher at 410–786–
7806.)
VerDate Sep<11>2014
20:18 Feb 29, 2016
Jkt 238001
Dated: February 25, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–04463 Filed 2–29–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–3427 and CMS–
10430]
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: The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; the accuracy of
the estimated burden; ways to enhance
the quality, utility, and clarity of the
information to be collected; and 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 March 31, 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
SUMMARY:
PO 00000
Frm 00063
Fmt 4703
Sfmt 4703
10627
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: Reinstatement with change of a
previously approved collection; Title of
Information Collection: End Stage Renal
Disease Application and Survey and
Certification Report; Use: Part I of this
form is a facility identification and
screening measurement used to initiate
the certification and recertification of
ESRD facilities. Part II is completed by
the Medicare/Medicaid State survey
agency to determine facility compliance
with ESRD conditions for coverage.
Form Number: CMS–3427 (OMB control
number: 0938–0360); Frequency: Every
three years; Affected Public: Private
sector (Business or other for-profit and
Not-for profit institutions); Number of
Respondents: 6,138; Total Annual
Responses: 2,046; Total Annual Hours:
682. (For policy questions regarding this
collection contact Judith Kari at 410–
786–6829).
2. Type of Information Collection
Request: Revision of a currently
approved information collection; Title
of Information Collection: Information
E:\FR\FM\01MRN1.SGM
01MRN1
]]>Agencies
[Federal Register Volume 81, Number 40 (Tuesday, March 1, 2016)]
[Notices]
[Pages 10625-10627]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-04463]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-685, CMS-576A, CMS-10601, and CMS-R-199]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
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 (the PRA), federal agencies are require; 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
[[Page 10626]]
60 days for public comment on the proposed action. Interested persons
are invited to send comments regarding our burden estimates or any
other aspect of this collection of information, including any of the
following subjects: (1) The necessity and utility of the proposed
information collection for the proper performance of the agency's
functions; (2) the accuracy of the estimated burden; (3) ways to
enhance the quality, utility, and clarity of the information to be
collected; and (4) the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by May 2, 2016.
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.
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-685 End Stage Renal Disease (ESRD) Network Semi-Annual Cost
Report Forms and Supporting Regulations
CMS-576A Organ Procurement Organization's (OPOs) Health Insurance
Benefits Agreement and Supporting Regulations
CMS-10601 CMS Innovation Partners Program Applications and Surveys
CMS-R-199 Medicaid Report on Payables and Receivables
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.
1. Type of Information Collection Request: Revision of a previously
approved collection; Title of Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting
Regulations; Use: Section 1881(c) of the Social Security Act
establishes End Stage Renal Disease (ESRD) Network contracts. The
regulations found at 42 CFR 405.2110 and 405.2112 designated 18 ESRD
Networks which are funded by renewable contracts. These contracts are
on 3-year cycles. To better administer the program, CMS is requiring
contractors to submit semi-annual cost reports. The purpose of the cost
reports is to enable the ESRD Networks to report costs in a
standardized manner. This will allow CMS to review, compare and project
ESRD Network costs during the life of the contract. Form Number: CMS-
685 (OMB Control Number: 0938-0657); Frequency: Reporting--Semi-
annually; Affected Public: Not-for-profit institutions; Number of
Respondents: 18; Total Annual Responses: 36; Total Annual Hours: 144.
(For policy questions regarding this collection contact Etleva Davis at
410-786-4013)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Organ Procurement
Organization's (OPOs) Health Insurance Benefits Agreement and
Supporting Regulations; Use: The Medicare and Medicaid Programs final
conditions for coverage for Organ Procurement Organizations (OPOs)
require OPOs to sign agreements with the Center for Medicare and
Medicaid Services (CMS) in order to be reimbursed and perform their
services. The information provided on this form serves as a basis for
continuing the agreements with CMS and the OPOs for participation in
the Medicare and Medicaid programs for reimbursement of service. Form
Number: CMS-576A (OMB Control Number: 0938-0512); Frequency:
Occasionally; Affected Public: Private Sector: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 58;
Total Annual Responses: 58; Total Annual Hours: 116. (For policy
questions regarding this collection contact Melissa Rice at 410-786-
3270.)
3. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: CMS
Innovation Partners Program Applications and Surveys; Use: The CMS
Innovation Center (CMMI) has a significant role in supporting the goals
set by the Secretary of Health and Human Services to move 30 percent of
Medicare fee-for-service payments to alternate payment models by the
end of 2016 and ultimately 50 percent by the end of 2018. A multi-
pronged approach is necessary to achieve these ambitious goals and
includes the testing of innovative models around design of both payment
and care delivery, the Health Care Payment and Learning Action Network
(HCPLAN) and value and quality based initiatives through the Medicare
Access and CHIP Reauthorization Act of 2015 (MACRA) and Merit-based
Incentive Payment System (MIPS). In addition to these key strategies,
CMS seeks to engage individuals from the front lines of health care,
who are actively supporting delivery system transformation at local and
regional levels, in order to support and accelerate adoption of
alternate payment models developed through the Innovation Center. This
will be accomplished through the Innovation Partners Program (IPP).
The IPP will provide an opportunity for 100 selected individuals
from around the country who are already leading and participating in
delivery reform initiatives with local and regional networks to engage
in a deeper way with CMS to enhance these efforts. During the course of
one year, the IPP will immerse individuals in the strategy
[[Page 10627]]
and innovation work of CMS through intensive webinars and small group
discussions. Program participants will engage with CMS staff in the
Innovation Center and Regional Offices to inform and support regional
activities supporting innovation models. In collaboration with CMS and
fellow program participants, they will create partnerships regionally
and across the United States.
An application process is necessary to select the individuals who
will participate in IPP and is the first component of this data
collection. Applicants shall likely include physicians, nurses and
other clinical staff in leadership roles from various health care
delivery, public health and community health organizations. The second
data collection component is a set surveys and the respondents shall be
only those who are participating in the program. Data from these
surveys will be used to design program activities and to identify
opportunities for improvement to both activities and the program
overall. This data collection is necessary in order to launch and
implement the IPP--a key initiative in the efforts of CMS to support
the Secretary's goals. Form Number: CMS-10601 (OMB control number:
0938--NEW); Frequency: Annually; Affected Public: Individuals and
Households; Number of Respondents: 850; Total Annual Responses: 850;
Total Annual Hours: 1,700. (For policy questions regarding this
collection contact Fran Griffin at 212-616-2370).
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicaid Report
on Payables and Receivables; Use: The Government Management and Reform
Act of 1994 requires that all offices, bureaus and associated
activities of the 24 CFO Act agencies must be covered in an agency-
wide, audited financial statement. Collection of Medicaid data and the
calculation of the Medicaid Incurred But Not Reported (IBNR) estimate
are pertinent to CMS' financial audit. The Medicaid Report on Payables
and Receivables will provide the information needed to calculate the
Medicaid IBNR. Failure to collect this information could result in non-
compliance with the law. Form Number: CMS-R-199 (OMB Control Number:
0938-0697); Frequency: Yearly; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 56; Total Annual Responses: 56;
Total Annual Hours: 392. (For policy questions regarding this
collection contact Beverly Boher at 410-786-7806.)
Dated: February 25, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-04463 Filed 2-29-16; 8:45 am]
BILLING CODE 4120-01-P
