Agency Information Collection Activities: Submission for OMB Review; Comment Request, 71101-71102 [2016-24814]
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rmajette on DSK2TPTVN1PROD with NOTICES
Federal Register / Vol. 81, No. 199 / Friday, October 14, 2016 / Notices
new OMB control number); Title of
Information Collection: Evaluating a
Pilot Mobile Health Program; Use: CMS
is supporting a pilot mobile health
(mHealth) program in California,
Louisiana, Ohio, and Oklahoma. The
three-year mHealth project is being
conducted to complement existing
CMCS measurement, data collection,
and reporting activities to monitor,
track, and assess state’s maternal and
infant health efforts in Medicaid and
CHIP populations. This information
collection request supports the
evaluation of the pilot mHealth program
and will be used to assist CMS in
tracking maternal and infant health
outcomes in the Medicaid population.
The methods used for collection and
analysis of the data may be useful to
states and serve to increase reporting of
perinatal core set measures and
monitoring and interpretation of statelevel maternal and infant health efforts.
Results from the evaluation will help
CMS understand the usefulness of
mobile technology for conveying health
information to pregnant women and
new mothers enrolled in Medicaid/
CHIP, as well as the influence this
information has on health behaviors and
outcomes. Form Number: CMS–10634
(OMB control number: 0938—New);
Frequency: Once; Affected Public:
Individuals and households, Business or
other for-profits and Not-for-profits
institutions, State, local, or Tribal
Governments; Number of Respondents:
1,679; Total Annual Responses: 1,679;
Total Annual Hours: 962. (For policy
questions regarding this collection
contact Lekisha Daniel-Robinson at
410–786–8618.)
2. Type of Information Collection
Request: Revision of a previously
approved collection; Title of
Information Collection: Durable Medical
Equipment, Prosthetics, Orthotics, and
Supplies (DMEPOS) Competitive
Bidding Program; Change of Ownership
Forms; Use: The Medicare Prescription
Drug, Improvement, and Modernization
Act of 2003 (MMA) requires the
Secretary to recompete contracts not
less often than once every 3 years. The
Round 1 Rebid contract period for all
product categories except mail-order
diabetic supplies expired on December
31, 2013. (Round 1 Rebid contracts for
mail-order diabetic testing supplies
ended on December 31, 2012.) The
competition for the Round 1 Recompete
began in August of 2012. The Round 1
Recompete contracts and prices became
effective on January 1, 2014 and will
expire on December 31, 2016. Round 2
and National Mail-Order contracts and
prices will expire on June 30, 2016. The
VerDate Sep<11>2014
14:29 Oct 13, 2016
Jkt 241001
most recent approval for this
information collection request (ICR) was
issued by OMB on June 10, 2013. That
ICR included the estimated burden to
collect the information in bidding
Forms A and B for the Round 1
Recompete. We are now seeking
approval to collect the information in
Forms A and B for competitions that
will occur before 2017. For these
upcoming competitions CMS will
publish a slightly modified version of
the RFB instructions and accompanying
Forms A and B so that suppliers will be
better able to identify and understand
the requirements of the program. We
decided to modify the RFB instructions
and forms based on our experience from
the last round of competition. The end
result is expected to produce more
complete and accurate information to
evaluate suppliers. No new collection
requirements have been added to the
modified RFB instructions or Form A or
B. Finally, we are retaining without
change the Change of Ownership
(CHOW) Purchaser Form and the CHOW
Contract Supplier Notification Form, the
Subcontracting Disclosure Form, and
Forms C, and D and their associated
burden under this ICR. We intend to
continue use of these Forms on an
ongoing basis. Form Number: CMS–
10169 (OMB control number: 0938–
1016); Frequency: Yearly; Affected
Public: Private Sector; Business or other
for-profit, Not-for-profit institutions;
Number of Respondents: 70,213; Total
Annual Responses: 53,811; Total
Annual Hours: 162,134. (For policy
questions regarding this collection
contact Djanira Rivera at 410–786–
8646.)
Dated: October 11, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–24910 Filed 10–13–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10598 and
CMS–10597]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services HHS.
ACTION: Notice.
AGENCY:
PO 00000
Frm 00063
Fmt 4703
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71101
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: (1) The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; (2) the accuracy
of the estimated burden; (3) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(4) the use of automated collection
techniques or other forms of information
technology to minimize the information
collection burden.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by November 14,
2016.
SUMMARY:
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.
ADDRESSES:
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
SUPPLEMENTARY INFORMATION:
E:\FR\FM\14OCN1.SGM
14OCN1
rmajette on DSK2TPTVN1PROD with NOTICES
71102
Federal Register / Vol. 81, No. 199 / Friday, October 14, 2016 / Notices
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: New collection of information;
Title of Information Collection: Generic
Clearance for Evaluation of Stakeholder
Training—Health Insurance
Marketplace and Market Stabilization
Programs; Use: CMS is strongly
committed to providing appropriate
education and technical outreach to
States, issuers, self-insured group health
plans and third-party administrators
(TPA) participating in the Marketplace
and/or market stabilization programs
mandated by the ACA. CMS continues
to engage with stakeholders in the
Marketplace to obtain input through
Satisfaction Surveys following
Stakeholder Training events. The survey
results will help to determine
stakeholders’ level of satisfaction with
trainings, identify any issues with
training and technical assistance
delivery, clarify stakeholders’ needs and
preferences, and define best practices
for training and technical assistance.
Forms being utilized for the 2017
Stakeholder Events have already been
developed. CMS will continue to
modify, enhance and develop forms for
future years based on feedback from
Stakeholders. Form Number: CMS–
10598 (OMB control number: 0938–
NEW); Frequency: Occasionally;
Affected Public: Private Sector; Number
of Respondents: 32,912; Number of
Responses: 32,912; Total Annual Hours:
8,228. (For questions regarding this
collection contact Sonia Henderson at
410–786–1631.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number; Title of
Information Collection: CMS
Healthcare.gov Site Wide Online
Survey; Use: The purpose of the survey
is to gain an understanding of user
experience, comprehension, and
satisfaction with using the Federal
VerDate Sep<11>2014
14:29 Oct 13, 2016
Jkt 241001
Health Insurance Marketplace Web site
established by the Affordable Care Act.
The Marketplace provides coverage to
uninsured Americans, as well as those
already enrolled in Marketplace health
insurance. One of the ways to purchase
Marketplace insurance is through the
online tools on HealthCare.gov. We
have developed a survey to be
administered to consumers while they
are using the Web site. This survey is
part of a continuing data collection
program mandated by the ACA. It is
designed to support the program goal to
provide tools and information to help
consumers to successfully find health
insurance that they may not otherwise
qualify for or find. Monitoring usability
and the user experience through this
ongoing survey provides the Web site
developers with valuable information
for use in continuous improvement of
the Web site. The Web site survey is
part of a larger research program to
inform the development and
enhancement of web tools for CMS
programs such as the Health Insurance
Marketplace. Form Number: CMS–
10597 (OMB control number: 0938New); Frequency: Weekly, Monthly,
Occasionally; Affected Public:
Individuals or Households; Number of
Respondents: 14,000; Total Annual
Responses: 14,000; Total Annual Hours:
933. (For policy questions regarding this
collection contact Frank Funderburk at
410–786–1820.)
Dated: October 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2016–24814 Filed 10–13–16; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–2744]
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 required to
publish notice in the Federal Register
SUMMARY:
PO 00000
Frm 00064
Fmt 4703
Sfmt 4703
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
December 13, 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 ll, 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
E:\FR\FM\14OCN1.SGM
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]]>Agencies
[Federal Register Volume 81, Number 199 (Friday, October 14, 2016)]
[Notices]
[Pages 71101-71102]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-24814]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10598 and CMS-10597]
Agency Information Collection Activities: Submission for OMB
Review; 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 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the burden estimate or any other aspect of this
collection of information, including any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by November 14, 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
[[Page 71102]]
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: New collection of
information; Title of Information Collection: Generic Clearance for
Evaluation of Stakeholder Training--Health Insurance Marketplace and
Market Stabilization Programs; Use: CMS is strongly committed to
providing appropriate education and technical outreach to States,
issuers, self-insured group health plans and third-party administrators
(TPA) participating in the Marketplace and/or market stabilization
programs mandated by the ACA. CMS continues to engage with stakeholders
in the Marketplace to obtain input through Satisfaction Surveys
following Stakeholder Training events. The survey results will help to
determine stakeholders' level of satisfaction with trainings, identify
any issues with training and technical assistance delivery, clarify
stakeholders' needs and preferences, and define best practices for
training and technical assistance. Forms being utilized for the 2017
Stakeholder Events have already been developed. CMS will continue to
modify, enhance and develop forms for future years based on feedback
from Stakeholders. Form Number: CMS-10598 (OMB control number: 0938-
NEW); Frequency: Occasionally; Affected Public: Private Sector; Number
of Respondents: 32,912; Number of Responses: 32,912; Total Annual
Hours: 8,228. (For questions regarding this collection contact Sonia
Henderson at 410-786-1631.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number; Title of Information Collection: CMS
Healthcare.gov Site Wide Online Survey; Use: The purpose of the survey
is to gain an understanding of user experience, comprehension, and
satisfaction with using the Federal Health Insurance Marketplace Web
site established by the Affordable Care Act. The Marketplace provides
coverage to uninsured Americans, as well as those already enrolled in
Marketplace health insurance. One of the ways to purchase Marketplace
insurance is through the online tools on HealthCare.gov. We have
developed a survey to be administered to consumers while they are using
the Web site. This survey is part of a continuing data collection
program mandated by the ACA. It is designed to support the program goal
to provide tools and information to help consumers to successfully find
health insurance that they may not otherwise qualify for or find.
Monitoring usability and the user experience through this ongoing
survey provides the Web site developers with valuable information for
use in continuous improvement of the Web site. The Web site survey is
part of a larger research program to inform the development and
enhancement of web tools for CMS programs such as the Health Insurance
Marketplace. Form Number: CMS-10597 (OMB control number: 0938-New);
Frequency: Weekly, Monthly, Occasionally; Affected Public: Individuals
or Households; Number of Respondents: 14,000; Total Annual Responses:
14,000; Total Annual Hours: 933. (For policy questions regarding this
collection contact Frank Funderburk at 410-786-1820.)
Dated: October 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2016-24814 Filed 10-13-16; 8:45 am]
BILLING CODE 4120-01-P
