Agency Information Collection Activities: Submission for OMB Review; Comment Request, 38189-38190 [2016-13916]
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Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices
Advantage, Medicare Part D, and
Medicare Fee-For-Service Consumer
Assessment of Healthcare Providers and
Systems (CAHPS) Survey; Use: The
primary purpose of the Medicare
consumer assessment of healthcare
providers and systems (CAHPS) surveys
is to provide information to Medicare
beneficiaries to help them make more
informed choices among health and
prescription drug plans available to
them. The surveys also provides data to
help CMS and others monitor the
quality and performance of Medicare
health and prescription drug plans and
identify areas to improve the quality of
care and services provided to enrollees
of these plans. Form Number: CMS–R–
246 (OMB control number: 0938–0732);
Frequency: Yearly; Affected Public:
Individuals and households; Number of
Respondents: 799,650; Total Annual
Responses: 799,650; Total Annual
Hours: 192,113 (For policy questions
regarding this collection contact Sarah
Gaillot at 410–786–4637).
Dated: June 8, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–13917 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–10066, CMS–
R–193, and CMS–R–282]
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 a 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
srobinson on DSK5SPTVN1PROD with NOTICES
SUMMARY:
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20:48 Jun 10, 2016
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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:
SUPPLEMENTARY INFORMATION:
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
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 July 13, 2016.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–5806 OR Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
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.
PO 00000
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38189
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Detailed Notice
of Discharge (DND) and Supporting
Regulations in 42 CFR 405.1206 and
422.622; Use: A beneficiary or enrollee
who wishes to appeal a determination
by a Medicare health plan (for a
managed care enrollee) or hospital (for
an original Medicare beneficiary) that
inpatient care is no longer necessary
may request Quality Improvement
Organization (QIO) review of the
determination. On the date the QIO
receives the beneficiary’s/enrollee’s
request, it must notify the plan and
hospital that the beneficiary/enrollee
has filed a request for an expedited
determination. The plan or hospital, in
turn, must deliver a DND to the
enrollee/beneficiary. In this iteration the
DND has been minimally changed to
include language informing
beneficiaries of their rights under the
Rehabilitation Act of 1973 (section 504),
by alerting the beneficiary to CMS’s
nondiscrimination practices and the
availability of alternate forms of this
notice if needed. There are no
substantive changes to the DND form
and instructions. Form Number: CMS–
10066 (OMB control number: 0938–
1019); Frequency: Occasionally;
Affected Public: Private sector (Business
or other for-profit and Not-for-profit
institutions); Number of Respondents:
6,137; Total Annual Responses: 22,515;
Total Annual Hours: 22,515. (For policy
questions regarding this collection
contact Janet Miller at 404–562–1799.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Important
Message from Medicare (IM); Use:
Hospitals have used the IM to inform
original Medicare, Medicare Advantage,
and other Medicare plan beneficiaries
who are hospital inpatients about their
hospital rights and discharge rights. In
particular, the IM provides information
about when a beneficiary will and will
not be liable for charges for a continued
stay in a hospital and offers a detailed
description of the Quality Improvement
Organization review process. Please
note that this iteration proposes nonsubstantive changes to the form. Form
Number: CMS–R–193 (OMB control
number: 0938–0692). Frequency: Yearly;
Affected Public: Private sector (Business
or other for-profit and Not-for-profit
institutions); Number of Respondents:
6,142; Total Annual Responses:
23,680,000; Total Annual Hours:
3,404,000. (For policy questions
E:\FR\FM\13JNN1.SGM
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38190
Federal Register / Vol. 81, No. 113 / Monday, June 13, 2016 / Notices
regarding this collection contact Janet
Miller at 404–562–1799.)
3. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Medicare
Advantage Appeals and Grievance Data
Disclosure Requirements (42 CFR
422.111); Use: Medicare Advantage
(MA) organizations and demonstrations
are required to collect and disclose
information pertaining to the number of
disputes, and their disposition in the
aggregate, with the categories of
grievances and appeals to any
individual eligible to elect an MA
organization who requests this
information. The CMS continues to
need the same format and form for
reporting. Form Number: CMS–R–282
(OMB control number: 0938–0778);
Frequency: Annually and semiannually; Affected Public: Private Sector
(Business or other for-profit and Not-forprofit institutions); Number of
Respondents: 741; Total Annual
Responses: 55,300; Total Annual Hours:
5,906. (For policy questions regarding
this collection contact Stephanie
Simons at 206–615–2420.)
Dated: June 8, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–13916 Filed 6–10–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
[OMB No.: 0970–0307]
Submission for OMB Review;
Comment Request; State Court
Improvement Program
The Court Improvement Program
(CIP) is a mandatory formula grant
funded under section 438 of the Social
Security Act, and most recently
reauthorized under the Child and
Family Services Improvement and
Innovation Act of 2012 (Pub. L. 112–34).
The purpose of the CIP is to facilitate
the handling of child welfare cases in
the courts. All 50 states, Puerto Rico,
and the District of Columbia receive
grants under the program. The program
requires two submissions annually from
grantees that constitute information
collections under the Paperwork
Reduction Act.
The purpose of this notice is to
request an extension of the Office of
Management and Budget Control
Number 0907–0307 permitting
continued use of the information
collections required by ACF–CB–PI–12–
02. The burden estimates are provided
below. The Administration on Children,
Youth, and Families anticipates issuing
a new Program Instruction for federal
fiscal year 2017.
Following the publication of the first
Federal Register notice, the Children’s
Bureau engaged in a number of outreach
activities to seek additional input from
grantees and experts in the field on how
best to reduce grantee burden, ensure
that the reporting process was useful to
grantees, and maximize the ability to
evaluate the program overall. These
efforts have resulted in the decision to
require one annual submission, as
opposed to two submissions.
The annual submission will include:
(1) A self-assessment, and (2) a strategic
plan. The self-assessment requires the
grantees to identify the topical work
areas of the last year, identify strengths,
challenges and need for technical
assistance. The self-assessment has been
designed with user/grantee input with
the intention of minimizing burden and
maximizing usefulness of the process
and product to the grantee. The strategic
plan identifies projects and activities
and intended results for the coming
year. The strategic plan was also
developed with grantee input. A full
application will be due once every five
years. The full application will require
a five year strategic plan, letters of
commitment from the highest court of
appeal and state title IV–E/IV–B agency,
a budget narrative, and a list of all
statewide task force members.
Taken together, the changes reduce
the overall burden hours from years past
and those anticipated in the previous
Federal Register notice by
approximately 50%.
Respondents: Highest State Court.
ANNUAL BURDEN ESTIMATES
Number of
respondents
Instrument
srobinson on DSK5SPTVN1PROD with NOTICES
Full Application ................................................................................................
Updated Strategic Plan ....................................................................................
Self-Assessment ..............................................................................................
Estimated Total Annual Burden
Hours: 4476.
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, 330
C Street SW., Washington, DC 20201.
Attention 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
and 60 days after publication of this
document in the Federal Register.
Therefore, a comment is best assured of
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52
52
52
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Email: OIRA_
SUBMISSION@OMB.EOP.GOV, Attn:
Desk Officer for the Administration for
Children and Families.
Robert Sargis,
Reports Clearance Officer.
[FR Doc. 2016–13928 Filed 6–10–16; 8:45 am]
BILLING CODE 4184–01–P
PO 00000
Frm 00064
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Number of
responses per
respondent
1
1
1
Average
burden hours
per response
Total burden
hours
40
12
36
2080
624
1772
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission to OMB for
Review and Approval; Public Comment
Request
Health Resources and Services
Administration, HHS.
ACTION: Notice.
AGENCY:
In compliance with Section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Health
Resources and Services Administration
SUMMARY:
E:\FR\FM\13JNN1.SGM
13JNN1
]]>Agencies
[Federal Register Volume 81, Number 113 (Monday, June 13, 2016)]
[Notices]
[Pages 38189-38190]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13916]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10066, CMS-R-193, and CMS-R-282]
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 a 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 July 13, 2016.
ADDRESSES: When commenting on the proposed information collections,
please reference the document identifier or OMB control number. To be
assured consideration, comments and recommendations must be received by
the OMB desk officer via one of the following transmissions: OMB,
Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-5806 OR Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in 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: Extension of a currently
approved collection; Title of Information Collection: Detailed Notice
of Discharge (DND) and Supporting Regulations in 42 CFR 405.1206 and
422.622; Use: A beneficiary or enrollee who wishes to appeal a
determination by a Medicare health plan (for a managed care enrollee)
or hospital (for an original Medicare beneficiary) that inpatient care
is no longer necessary may request Quality Improvement Organization
(QIO) review of the determination. On the date the QIO receives the
beneficiary's/enrollee's request, it must notify the plan and hospital
that the beneficiary/enrollee has filed a request for an expedited
determination. The plan or hospital, in turn, must deliver a DND to the
enrollee/beneficiary. In this iteration the DND has been minimally
changed to include language informing beneficiaries of their rights
under the Rehabilitation Act of 1973 (section 504), by alerting the
beneficiary to CMS's nondiscrimination practices and the availability
of alternate forms of this notice if needed. There are no substantive
changes to the DND form and instructions. Form Number: CMS-10066 (OMB
control number: 0938-1019); Frequency: Occasionally; Affected Public:
Private sector (Business or other for-profit and Not-for-profit
institutions); Number of Respondents: 6,137; Total Annual Responses:
22,515; Total Annual Hours: 22,515. (For policy questions regarding
this collection contact Janet Miller at 404-562-1799.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Important Message
from Medicare (IM); Use: Hospitals have used the IM to inform original
Medicare, Medicare Advantage, and other Medicare plan beneficiaries who
are hospital inpatients about their hospital rights and discharge
rights. In particular, the IM provides information about when a
beneficiary will and will not be liable for charges for a continued
stay in a hospital and offers a detailed description of the Quality
Improvement Organization review process. Please note that this
iteration proposes non-substantive changes to the form. Form Number:
CMS-R-193 (OMB control number: 0938-0692). Frequency: Yearly; Affected
Public: Private sector (Business or other for-profit and Not-for-profit
institutions); Number of Respondents: 6,142; Total Annual Responses:
23,680,000; Total Annual Hours: 3,404,000. (For policy questions
[[Page 38190]]
regarding this collection contact Janet Miller at 404-562-1799.)
3. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Medicare Advantage Appeals and Grievance Data Disclosure Requirements
(42 CFR 422.111); Use: Medicare Advantage (MA) organizations and
demonstrations are required to collect and disclose information
pertaining to the number of disputes, and their disposition in the
aggregate, with the categories of grievances and appeals to any
individual eligible to elect an MA organization who requests this
information. The CMS continues to need the same format and form for
reporting. Form Number: CMS-R-282 (OMB control number: 0938-0778);
Frequency: Annually and semi-annually; Affected Public: Private Sector
(Business or other for-profit and Not-for-profit institutions); Number
of Respondents: 741; Total Annual Responses: 55,300; Total Annual
Hours: 5,906. (For policy questions regarding this collection contact
Stephanie Simons at 206-615-2420.)
Dated: June 8, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-13916 Filed 6-10-16; 8:45 am]
BILLING CODE 4120-01-P
