Agency Information Collection Activities: Proposed Collection; Comment Request, 13124-13125 [2017-04577]
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Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices
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person participation is required by April
6, 2017. The public is welcome to
participate during the public comment
period, which is tentatively scheduled
from 2:40 p.m. to 2:45 p.m. This
meeting will also be available by
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9970 and enter code 32077657.
Purpose: The Advisory Committee to
the Director, CDC, shall advise the
Secretary, HHS, and the Director, CDC,
on policy and broad strategies that will
enable CDC to fulfill its mission of
protecting health through health
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public sector constituents to make
health protection a practical reality.
Matters for Discussion: The Advisory
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updates from the State, Tribal, Local
and Territorial Subcommittee; the
Health Disparities Subcommittee, the
Global Workgroup, and the Public
Health—Health Care Collaboration
Workgroup, as well as an update from
the Acting CDC Director.
Agenda items are subject to change as
priorities dictate.
Contact Person for More Information:
Sarah Wiley, MPH, Designated Federal
Officer, ACD, CDC, 1600 Clifton Road
NE., M/S D–14, Atlanta, Georgia 30329.
Telephone (404) 498–6482, Email:
ACDirector@cdc.gov. The deadline to
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please send an email to ACDirector@
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Office, Centers for Disease Control and
Prevention (CDC).
[FR Doc. 2017–04618 Filed 3–8–17; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1984–14]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, Department of
Health and Human Services.
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
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
the necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions,
the accuracy of the estimated burden,
ways to enhance the quality, utility, and
clarity of the information to be
collected, and the use of automated
collection techniques or other forms of
information technology to minimize the
information collection burden.
DATES: Comments must be received by
May 8, 2017.
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 llll, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
SUMMARY:
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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.gov/Regulations-andGuidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
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–1984–14 Hospital Facility Cost
Report
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.
Information Collection
1. Type of Information Collection
Request: Reinstatement of a previously
approved collection; Title of
Information Collection: Hospital Facility
Cost Report; Use: Providers of services
participating in the Medicare program
are required under §§ 1815(a), 1833(e),
and 1861(v)(1)(A) of the Social Security
Act (42 U.S.C. 1395g) to submit annual
information to determine costs for
health care services rendered to
Medicare beneficiaries. In addition,
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Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices
regulations at 42 CFR 413.20, 413.24
and 418.310 require adequate cost data
and cost reports from providers on an
annual basis. The Form CMS–1984–14
cost report is needed to determine a
provider’s reasonable costs incurred in
furnishing medical services to Medicare
beneficiaries. The data is used by CMS
to calculate: Market basket weight and
the labor related shares, Rate setting and
payment refinement, and Medicare and
total facility margins for Medicarecovered services by type of service.
Form Number: CMS–1984–14 (OMB
Control Number: 0938–0758);
Frequency: Annually; Affected Public:
Private sector—Business or other forprofit and Not-for-profit institutions;
Number of Respondents: 3,545; Total
Annual Responses: 3,545; Total Annual
Hours: 666,460. (For policy questions
regarding this collection contact Yaakov
Feinstein at 410–786–3137.)
Dated: March 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–04577 Filed 3–8–17; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
[Document Identifier HHS–OS–0990–New–
30D]
Agency Information Collection
Activities; Proposals, Submissions,
and Approvals
Office of the Secretary, HHS.
Notice.
AGENCY:
ACTION:
In compliance with section
3507(a)(1)(D) of the Paperwork
Reduction Act of 1995, the Office of the
Secretary (OS), Department of Health
and Human Services, has submitted an
SUMMARY:
Information Collection Request (ICR),
described below, to the Office of
Management and Budget (OMB) for
review and approval. The ICR is for a
new collection. Comments submitted
during the first public review of this ICR
will be provided to OMB. OMB will
accept further comments from the
public on this ICR during the review
and approval period.
DATES: Comments on the ICR must be
received on or before April 10, 2017.
ADDRESSES: Submit your comments to
OIRA_submission@omb.eop.gov or via
facsimile to (202) 395–5806.
FOR FURTHER INFORMATION CONTACT:
Information Collection Clearance staff,
Information.Collection
Clearance@hhs.gov or (202) 690–5683.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the
Information Collection Request Title
and document identifier 0990–New–
30D for reference.
Information Collection Request Title:
Domestic Violence Housing First
Demonstration Evaluation.
Abstract: The Office of the Assistant
Secretary for Planning and Evaluation
(ASPE) within the U.S. Department of
Health and Human Services, in
partnership with the Office for Victims
of Crimes within the U.S. Department of
Justice, is seeking approval by OMB for
a new information collection request
entitled, ‘‘Domestic Violence Housing
First (DVHF) Demonstration
Evaluation.’’ The Washington State
Coalition Against Domestic Violence
(WSCADV) is overseeing and
coordinating an evaluation of the DVHF
Demonstration project through a
contract with ASPE. This quasiexperimental research study involves
longitudinally examining the program
effects of DVHF on domestic violence
survivors’ safety and housing stability.
The findings will be of interest to the
general public, to policy-makers, and to
organizations working with domestic
violence survivors.
Data collection will include in-depth,
private interviews with 320 domestic
violence survivors conducted by trained
professional staff. At Time 1 study
enrollment, they will be interviewed
about their backgrounds, housing and
safety obstacles, and services desired.
There will be three follow-up interviews
with them every six months after the
Time 1 Interview (i.e., 6, 12, and 18
months) to examine the match between
needs and services, as well as their
safety and housing stability. Study
enrollment will take place over 15
months, so the annualized burden for
the Time 1 and follow-up surveys is
based on 12/15 (256) of the expected
sample (320).
The primary service providers
working with the domestic violence
survivors will complete selfadministered online questionnaires to
provide more detailed program
implementation data. Service providers
will complete a survey about their work
history and demographics and a survey
about the services provided for each
domestic violence survivor in their
caseload that is a participant in the
study (approximately 16 survivors per
provider). This latter data collection
will occur six months after a domestic
violence survivor enrolls in the study
over 15 months to correspond to the
study enrollment period. Finally, the
study will also include monthly data
collection for 19 months from an agency
point of contact (POC) in order to verify
agency information (e.g., the number of
advocates working in the agency,
advocate caseloads, dates of study
participants’ receipt of services).
Likely Respondents: The respondents
are domestic violence survivors,
primary service providers, and
community agency points of contact
who work with their agency data
systems.
ANNUALIZED REPORTING BURDEN ON STUDY PARTICIPANTS
Number of
responses
per
respondent
Annual
number of
respondents
Average
burden hours
per
response
Total annual
burden hours
asabaliauskas on DSK3SPTVN1PROD with NOTICES
Form name
Type of respondent
Time 1 (Baseline) Interview ..............
Follow-up Interviews .........................
Online survey about advocates’ work
history and demographics.
Online survey of advocates’ work
with survivors.
Form for community agency points
of contact to verify agency information (monthly).
Domestic violence survivors ............
Domestic violence survivors ............
Victim service advocates .................
256
256
20
1
2
1
1
1
15/60
256
512
5
Victim service advocates .................
20
13
20/60
86
Community agency point of contact
4
12
15/60
12
Total ...........................................
...........................................................
........................
........................
........................
871
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Agencies
[Federal Register Volume 82, Number 45 (Thursday, March 9, 2017)]
[Notices]
[Pages 13124-13125]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-04577]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1984-14]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (the PRA), federal agencies are 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 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 the necessity and utility of the
proposed information collection for the proper performance of the
agency's functions, the accuracy of the estimated burden, ways to
enhance the quality, utility, and clarity of the information to be
collected, and the use of automated collection techniques or other
forms of information technology to minimize the information collection
burden.
DATES: Comments must be received by May 8, 2017.
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.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
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-1984-14 Hospital Facility Cost Report
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.
Information Collection
1. Type of Information Collection Request: Reinstatement of a
previously approved collection; Title of Information Collection:
Hospital Facility Cost Report; Use: Providers of services participating
in the Medicare program are required under Sec. Sec. 1815(a), 1833(e),
and 1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to
submit annual information to determine costs for health care services
rendered to Medicare beneficiaries. In addition,
[[Page 13125]]
regulations at 42 CFR 413.20, 413.24 and 418.310 require adequate cost
data and cost reports from providers on an annual basis. The Form CMS-
1984-14 cost report is needed to determine a provider's reasonable
costs incurred in furnishing medical services to Medicare
beneficiaries. The data is used by CMS to calculate: Market basket
weight and the labor related shares, Rate setting and payment
refinement, and Medicare and total facility margins for Medicare-
covered services by type of service. Form Number: CMS-1984-14 (OMB
Control Number: 0938-0758); Frequency: Annually; Affected Public:
Private sector--Business or other for-profit and Not-for-profit
institutions; Number of Respondents: 3,545; Total Annual Responses:
3,545; Total Annual Hours: 666,460. (For policy questions regarding
this collection contact Yaakov Feinstein at 410-786-3137.)
Dated: March 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-04577 Filed 3-8-17; 8:45 am]
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