Agency Information Collection Activities: Proposed Collection; Comment Request, 38186-38187 [2016-13800]
Download as PDF
<![CDATA[
38186
Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondent
Form name
Parent/guardian of children aged 6–12 years
Child participants aged 6–12 years ................
Screener Script Guide ....................................
Seat Belt Fit Measurements ..........................
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.
[FR Doc. 2016–13849 Filed 6–10–16; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–R–142 and
CMS–588]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
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
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
August 9, 2016.
ADDRESSES: When commenting, please
reference the document identifier or
srobinson on DSK5SPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
20:48 Jun 10, 2016
Jkt 238001
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 lll, 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/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–142 Examination and
Treatment for Emergency Medical
Conditions and Women in Labor;
CMS–588 Electronic Funds Transfer
Authorization Agreement
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
PO 00000
Frm 00060
Fmt 4703
Sfmt 4703
667
142
Number of
responses per
respondent
1
1
Average
burden per
response
(in hours)
10/60
2.5
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: Extension of a currently
approved collection; Title of
Information Collection: Examination
and Treatment for Emergency Medical
Conditions and Women in Labor; Use:
In accordance with to regulation
sections 488.18, 489.20 and 489.24,
during Medicare surveys of hospitals
and State agencies CMS will review
hospital records for lists of on-call
physicians, and will review and obtain
the information which must be recorded
on hospital medical records for
individuals with emergency medical
conditions and women in labor, and the
emergency department reporting
information Medicare participating
hospitals and Medicare State survey
agencies must pass on to CMS.
Additionally, CMS will use the QIO
Report assessing whether an individual
had an emergency condition and
whether the individual was stabilized to
determine whether to impose a CMP or
physician exclusion sanctions. Without
such information, CMS will be unable to
make the hospital emergency services
compliance determinations that
Congress expects CMS to make under
sections 1154, 1866 and 1867 of the Act.
Form Number: CMS–R–142 (OMB
control number: 0938–0667); Frequency:
Occasionally; Affected Public: Private
Sector; Number of Respondents: 6,149;
Total Annual Responses: 6,149; Total
Annual Hours: 1. (For policy questions
regarding this collection contact Renate
Dombrowski at 410–786–4645.)
E:\FR\FM\13JNN1.SGM
13JNN1
Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Electronic
Funds Transfer Authorization
Agreement; Use: The information is
needed to allow providers to receive
funds electronically in their bank
accounts. Form Number: CMS–588
(OMB control number: 0938–0626);
Frequency: On occasion; Affected
Public: Business or other for-profit, Notfor-profit institutions; Number of
Respondents: 45,807; Total Annual
Responses: 45,807; Total Annual Hours:
22,543. (For policy questions regarding
this collection contact Kimberly
McPhillips at 410–786–4645.)
Dated: June 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–13800 Filed 6–10–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10105, CMS–
10191, CMS–10525, CMS–10623, and CMS–
R–246]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
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
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
srobinson on DSK5SPTVN1PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
20:48 Jun 10, 2016
Jkt 238001
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments must be received by
August 12, 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–10105 National Implementation of
In-Center Hemodialysis CAHPS
Survey
CMS–10191 Medicare Parts C and D
Program Audit Protocols and Data
Requests
CMS–10525 Program of all-Inclusive
Care for the Elderly (PACE) Quality
Data Entry in CMS Health Plan
Monitoring System
CMS–10623 Testing Experience and
Functional Tools Demonstration:
PO 00000
Frm 00061
Fmt 4703
Sfmt 4703
38187
Personal Health Record (PHR) User
Survey
CMS–R–246 Medicare Advantage,
Medicare Part D, and Medicare FeeFor-Service Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) 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.
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: National
Implementation of the In-Center
Hemodialysis CAHPS Survey; Use: Data
collected in the national
implementation of the In-center
Hemodialysis Consumer Assessment of
Healthcare Providers and Systems
(CAHPS) Survey will be used to: (1)
Provide a source of information from
which selected measures can be
publicly reported to beneficiaries as a
decision aid for dialysis facility
selection, (2) aid facilities with their
internal quality improvement efforts
and external benchmarking with other
facilities, (3) provide CMS with
information for monitoring and public
reporting purposes, and (4) support the
end-stage renal disease value-based
purchasing program. Form Number:
CMS–10105 (OMB control number:
0938–0926). Frequency: Occasionally;
Affected Public: Individuals or
households; Number of Respondents:
109,328; Total Annual Responses:
109,328; Total Annual Hours: 59,037.
(For policy questions regarding this
collection contact Elizabeth Goldstein at
410–786–6665.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare Parts
C and D Program Audit Protocols and
Data Requests; Use: Under the Medicare
Prescription Drug, Improvement, and
E:\FR\FM\13JNN1.SGM
13JNN1
]]>Agencies
[Federal Register Volume 81, Number 113 (Monday, June 13, 2016)]
[Notices]
[Pages 38186-38187]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13800]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-R-142 and CMS-588]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
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 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 August 9, 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-R-142 Examination and Treatment for Emergency Medical Conditions
and Women in Labor;
CMS-588 Electronic Funds Transfer Authorization Agreement
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: Extension of a currently
approved collection; Title of Information Collection: Examination and
Treatment for Emergency Medical Conditions and Women in Labor; Use: In
accordance with to regulation sections 488.18, 489.20 and 489.24,
during Medicare surveys of hospitals and State agencies CMS will review
hospital records for lists of on-call physicians, and will review and
obtain the information which must be recorded on hospital medical
records for individuals with emergency medical conditions and women in
labor, and the emergency department reporting information Medicare
participating hospitals and Medicare State survey agencies must pass on
to CMS. Additionally, CMS will use the QIO Report assessing whether an
individual had an emergency condition and whether the individual was
stabilized to determine whether to impose a CMP or physician exclusion
sanctions. Without such information, CMS will be unable to make the
hospital emergency services compliance determinations that Congress
expects CMS to make under sections 1154, 1866 and 1867 of the Act. Form
Number: CMS-R-142 (OMB control number: 0938-0667); Frequency:
Occasionally; Affected Public: Private Sector; Number of Respondents:
6,149; Total Annual Responses: 6,149; Total Annual Hours: 1. (For
policy questions regarding this collection contact Renate Dombrowski at
410-786-4645.)
[[Page 38187]]
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Electronic Funds
Transfer Authorization Agreement; Use: The information is needed to
allow providers to receive funds electronically in their bank accounts.
Form Number: CMS-588 (OMB control number: 0938-0626); Frequency: On
occasion; Affected Public: Business or other for-profit, Not-for-profit
institutions; Number of Respondents: 45,807; Total Annual Responses:
45,807; Total Annual Hours: 22,543. (For policy questions regarding
this collection contact Kimberly McPhillips at 410-786-4645.)
Dated: June 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-13800 Filed 6-10-16; 8:45 am]
BILLING CODE 4120-01-P
