Agency Information Collection Activities: Submission for OMB Review; Comment Request, 27447-27449 [2016-10704]
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Federal Register / Vol. 81, No. 88 / Friday, May 6, 2016 / Notices
population, pursuant to section
225.28(b)(11)(iii).
Board of Governors of the Federal Reserve
System, May 3, 2016.
Michael J. Lewandowski,
Associate Secretary of the Board.
Board of Governors of the Federal Reserve
System, May 3, 2016.
Michael J. Lewandowski,
Associate Secretary of the Board.
[FR Doc. 2016–10694 Filed 5–5–16; 8:45 am]
BILLING CODE 6210–01–P
[FR Doc. 2016–10695 Filed 5–5–16; 8:45 am]
BILLING CODE 6210–01–P
FEDERAL RESERVE SYSTEM
FEDERAL RESERVE SYSTEM
Change in Bank Control Notices;
Acquisitions of Shares of a Bank or
Bank Holding Company
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Formations of, Acquisitions by, and
Mergers of Bank Holding Companies
The companies listed in this notice
have applied to the Board for approval,
pursuant to the Bank Holding Company
Act of 1956 (12 U.S.C. 1841 et seq.)
(BHC Act), Regulation Y (12 CFR part
225), and all other applicable statutes
and regulations to become a bank
holding company and/or to acquire the
assets or the ownership of, control of, or
the power to vote shares of a bank or
bank holding company and all of the
banks and nonbanking companies
owned by the bank holding company,
including the companies listed below.
The applications listed below, as well
as other related filings required by the
Board, are available for immediate
inspection at the Federal Reserve Bank
indicated. The applications will also be
available for inspection at the offices of
the Board of Governors. Interested
persons may express their views in
writing on the standards enumerated in
the BHC Act (12 U.S.C. 1842(c)). If the
proposal also involves the acquisition of
a nonbanking company, the review also
includes whether the acquisition of the
nonbanking company complies with the
standards in section 4 of the BHC Act
(12 U.S.C. 1843). Unless otherwise
noted, nonbanking activities will be
conducted throughout the United States.
Unless otherwise noted, comments
regarding each of these applications
must be received at the Reserve Bank
indicated or the offices of the Board of
Governors not later than June 2, 2016.
A. Federal Reserve Bank of
Minneapolis (Jacquelyn K. Brunmeier,
Assistant Vice President), 90 Hennepin
Avenue, Minneapolis, Minnesota
55480–0291:
1. Bank Forward Employee Stock
Ownership Plan and Trust, Fargo, North
Dakota; to acquire additional voting
shares of Security State Bank Holding
Company, Fargo, North Dakota, and
thereby indirectly acquire additional
voting shares of Bank Forward,
Hannaford, North Dakota.
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17:20 May 05, 2016
Jkt 238001
The notificants listed below have
applied under the Change in Bank
Control Act (12 U.S.C. 1817(j)) and
§ 225.41 of the Board’s Regulation Y (12
CFR 225.41) to acquire shares of a bank
or bank holding company. The factors
that are considered in acting on the
notices are set forth in paragraph 7 of
the Act (12 U.S.C. 1817(j)(7)).
The notices are available for
immediate inspection at the Federal
Reserve Bank indicated. The notices
also will be available for inspection at
the offices of the Board of Governors.
Interested persons may express their
views in writing to the Reserve Bank
indicated for that notice or to the offices
of the Board of Governors. Comments
must be received not later than May 23,
2016.
A. Federal Reserve Bank of Atlanta
(Chapelle Davis, Assistant Vice
President), 1000 Peachtree Street NE.,
Atlanta, Georgia 30309. Comments can
also be sent electronically to
Applications.Comments@atl.frb.org:
1. Eslick E. Daniel, individually and
as Custodian under the Tennessee
Uniform Transfers to Minors Act
(TNUTMA) for each of the Crockett
Wilson Daniel Trust, the McClain Cherry
Daniel Trust, the Anne Eslick Jewell
Trust, the Elizabeth Wilson Jewell Trust,
the John Berry Jewell V Trust and as
Custodian for Hardin Herbert Daniel
and the Elizabeth Daniel Jewell; and
Anne Herbert Daniel, all of
Williamsport, Tennessee; the Daniel
Family Partnership of Williamsport,
Tennessee; Robert E. Daniel,
individually and as Custodian under the
TNUTMA for the Fletcher Ewing Daniel
Trust, and Amy Cherry Daniel, all of
Thompsons Station, Tennessee; Hardin
Herbert Daniel, individually and as
Custodian under the TNUTMA for the
Lola Lucas Daniel Trust and the Evalyn
Rose Daniel Trust, and Mary Jacqueline
Daniel, all of Nashville, Tennessee; and
Elizabeth Ann Daniel Jewell and John
Berry Jewel IV, both of Franklin,
Tennessee; to acquire voting shares of
Community First, Inc., and thereby
indirectly acquire voting shares of
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27447
Community First Bank & Trust, both in
Columbia, Tennessee.
2. Ruskin A. Vest, Jr., Melba R. Vest
and Ruskin A. Vest, III, all of Columbia,
Tennessee; Margaret Anne Vest,
Boulder, Colorado; and Rachel V.
Kennedy, Culleoka, Tennessee; to
acquire voting shares of Community
First, Inc., and thereby indirectly
acquire voting shares of Community
First Bank & Trust, both in Columbia,
Tennessee.
B. Federal Reserve Bank of
Minneapolis (Jacquelyn K. Brunmeier,
Assistant Vice President) 90 Hennepin
Avenue, Minneapolis, Minnesota
55480–0291:
1. Leslie Ann Bebee, Wakefield,
Nebraska; to acquire voting shares of
Citizens Bank Group, Inc., Saint James,
Minnesota, and thereby indirectly
acquire voting shares of Pioneer Bank,
Mapleton, Minnesota.
2. Mark Saliterman, Minnetonka,
Minnesota, Julianne Samuelson,
Chanhassen, Minnesota, Michael
Morton, Minnetonka, Minnesota, Lorilee
Wright, Shorewood, Minnesota; to
acquire voting shares of Vision
Bancshares, Inc., and thereby indirectly
acquire voting shares of Vision Bank,
both in Saint Louis Park, Minnesota.
Board of Governors of the Federal Reserve
System, May 3, 2016.
Michael J. Lewandowski,
Associate Secretary of the Board.
[FR Doc. 2016–10696 Filed 5–5–16; 8:45 am]
BILLING CODE 6210–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–685, CMS–
576A and CMS–10601]
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
SUMMARY:
E:\FR\FM\06MYN1.SGM
06MYN1
asabaliauskas on DSK3SPTVN1PROD with NOTICES
27448
Federal Register / Vol. 81, No. 88 / Friday, May 6, 2016 / Notices
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 June 6, 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 the 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
VerDate Sep<11>2014
17:20 May 05, 2016
Jkt 238001
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 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
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
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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
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 of 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
E:\FR\FM\06MYN1.SGM
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Federal Register / Vol. 81, No. 88 / Friday, May 6, 2016 / Notices
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.)
Dated: May 3, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
FOR FURTHER INFORMATION CONTACT
[FR Doc. 2016–10704 Filed 5–5–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3332–N]
Medicare Program; Meeting of the
Medicare Evidence Development and
Coverage Advisory Committee—July
20, 2016
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice of meeting.
AGENCY:
This notice announces that a
public meeting of the Medicare
Evidence Development & Coverage
Advisory Committee (MEDCAC)
(‘‘Committee’’) will be held on
Wednesday, July 20, 2016. This meeting
will specifically focus on obtaining the
MEDCAC’s recommendations regarding
treatment strategies for patients with
lower extremity chronic venous disease.
This meeting is open to the public in
accordance with the Federal Advisory
Committee Act (5 U.S.C. App. 2, section
10(a)).
DATES:
Meeting Date: The public meeting will
be held on Wednesday, July 20, 2016
from 7:30 a.m. until 4:30 p.m., Eastern
Daylight Time (EDT).
Deadline for Submission of Written
Comments: Written comments must be
received at the address specified in the
ADDRESSES section of this notice by 5:00
p.m., EDT, Monday, June 13, 2016. Once
submitted, all comments are final.
Deadlines for Speaker Registration
and Presentation Materials: The
deadline to register to be a speaker and
to submit PowerPoint presentation
materials and writings that will be used
in support of an oral presentation is 5:00
p.m., EDT on Monday, June 13, 2016.
Speakers may register by phone or via
asabaliauskas on DSK3SPTVN1PROD with NOTICES
SUMMARY:
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17:20 May 05, 2016
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email by contacting the person listed in
the FOR FURTHER INFORMATION CONTACT
section of this notice. Presentation
materials must be received at the
address specified in the ADDRESSES
section of this notice.
Deadline for All Other Attendees
Registration: Individuals may register
online at https://www.cms.gov/apps/
events/upcomingevents.
asp?strOrderBy=1&type=3 or by phone
by contacting the person listed in the
section of this notice by 5:00 p.m. EDT,
Wednesday, July 13, 2016.
We will be broadcasting the meeting
live via Webcast at https://www.cms.gov/
live/.
Deadline for Submitting a Request for
Special Accommodations: Persons
attending the meeting who are hearing
or visually impaired, or have a
condition that requires special
assistance or accommodations, are
asked to contact the Executive Secretary
as specified in the FOR FURTHER
INFORMATION CONTACT section of this
notice no later than 5:00 p.m., EDT
Friday, July 1, 2016.
ADDRESSES:
Meeting Location: The meeting will be
held in the main auditorium of the
Centers for Medicare & Medicaid
Services, 7500 Security Boulevard,
Baltimore, MD 21244.
Submission of Presentations and
Comments: Presentation materials and
written comments that will be presented
at the meeting must be submitted via
email to MedCACpresentations@
cms.hhs.gov or by regular mail to the
contact listed in the FOR FURTHER
INFORMATION CONTACT section of this
notice by the date specified in the DATES
section of this notice.
FOR FURTHER INFORMATION CONTACT:
Maria Ellis, Executive Secretary for
MEDCAC, Centers for Medicare &
Medicaid Services, Center for Clinical
Standards and Quality, Coverage and
Analysis Group, S3–02–01, 7500
Security Boulevard, Baltimore, MD
21244 or contact Ms. Ellis by phone
(410–786–0309) or via email at
Maria.Ellis@cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
I. Background
MEDCAC, formerly known as the
Medicare Coverage Advisory Committee
(MCAC), is advisory in nature, with all
final coverage decisions resting with
CMS. MEDCAC is used to supplement
CMS’ internal expertise. Accordingly,
the advice rendered by the MEDCAC is
most useful when it results from a
process of full scientific inquiry and
thoughtful discussion, in an open
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27449
forum, with careful framing of
recommendations and clear
identification of the basis of those
recommendations. MEDCAC members
are valued for their background,
education, and expertise in a wide
variety of scientific, clinical, and other
related fields. (For more information on
MCAC, see the MEDCAC Charter (https://
www.cms.gov/Regulations-andGuidance/Guidance/FACA/Downloads/
medcaccharter.pdf) and the CMS
Guidance Document, Factors CMS
Considers in Referring Topics to the
MEDCAC (https://www.cms.gov/
medicare-coverage-database/details/
medicare-coverage-documentdetails.aspx?MCDId=10).)
II. Meeting Topic and Format
This notice announces the
Wednesday, July 20, 2016, public
meeting of the Committee. During this
meeting, the Committee will discuss
recommendations regarding treatment
strategies for patients with lower
extremity chronic venous disease.
Background information about this
topic, including panel materials, is
available at https://www.cms.gov/
medicare-coverage-database/indexes/
medcac-meetings-index.
aspx?bc=BAAAAAAAAAAA&. We will
no longer be providing paper copies of
the handouts for the meeting. Electronic
copies of all the meeting materials will
be on the CMS Web site no later than
2 business days before the meeting. We
encourage the participation of
organizations with expertise in
treatment strategies for patients with
lower extremity chronic venous disease.
This meeting is open to the public. The
Committee will hear oral presentations
from the public for approximately 45
minutes. Time allotted for each
presentation may be limited. If the
number of registrants requesting to
speak is greater than can be reasonably
accommodated during the scheduled
open public hearing session, we may
conduct a lottery to determine the
speakers for the scheduled open public
hearing session. The contact person will
notify interested persons regarding their
request to speak by June 20, 2016. Your
comments should focus on issues
specific to the list of topics that we have
proposed to the Committee. The list of
research topics to be discussed at the
meeting will be available on the
following Web site prior to the meeting:
https://www.cms.gov/medicare-coveragedatabase/indexes/medcac-meetingsindex.aspx?bc=BAAAAAAAAAAA&.
We require that you declare at the
meeting whether you have any financial
involvement with manufacturers (or
their competitors) of any items or
E:\FR\FM\06MYN1.SGM
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]]>Agencies
[Federal Register Volume 81, Number 88 (Friday, May 6, 2016)]
[Notices]
[Pages 27447-27449]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10704]
=======================================================================
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-685, CMS-576A and CMS-10601]
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
[[Page 27448]]
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 June 6, 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 the 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 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 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 of 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
[[Page 27449]]
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.)
Dated: May 3, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-10704 Filed 5-5-16; 8:45 am]
BILLING CODE 4120-01-P
