Agency Information Collection Activities: Proposed Collection; Comment Request, 16843-16844 [2017-06830]
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16843
Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
questionnaire is referred to as the
Standardized National Hypothesis
Generating Questionnaire (SNHGQ).
However, not all of the data elements in
the SNHGQ are relevant to the parasite
Cyclospora (e.g., questions about
consumption of meat and dairy
products); on the other hand, additional
data elements (besides those in the
SNHGQ) are needed to capture
information pertinent to Cyclospora and
to fresh produce vehicles of infection.
Therefore, the Cyclosporiasis National
Hypothesis Generating Questionnaire
(CNHGQ) has been developed, by using
core data elements from the SNHGQ and
incorporating modifications pertinent to
Cyclospora.
The core data elements from the
SNHGQ were developed by a series of
working groups comprised of local,
state, and federal public health partners.
Subject matter experts at CDC have
developed the CNHGQ, by modifying
the SNHGQ to include and focus on
data elements pertinent to Cyclospora/
cyclosporiasis. Input also was solicited
from state public health partners.
Because relatively few data elements in
the SNHGQ needed to be modified, a
full vetting process was determined not
to be necessary. The CNHGQ has been
designed for administration over the
telephone by public health officials, to
collect data elements from case-patients
or their proxies. The data that is
collected will be pooled and analyzed at
CDC, to generate hypotheses about
potential vehicles/sources of infection.
CDC requests OMB approval to collect
information via the CNHGQ from
persons who have developed
symptomatic cases of Cyclospora
infection during periods in which
increased numbers of such cases are
reported (typically, during spring and
summer months). In part because
molecular typing methods are not yet
available for C. cayetanensis, it is
important to interview all case-patients
identified during periods of increased
reporting, to help determine if their
cases could be part of an outbreak(s).
The CNHGQ is not expected to entail
substantial burden for respondents. The
estimated total annualized burden
associated with administering the
CNHGQ is 750 hours (approximately
1,000 individuals interviewed x 45
minutes/response). There will be no
costs to respondents other than their
time.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondents
Form name
Individuals .....................
Cyclosporiasis National Hypothesis Generating Questionnaire ......
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. 2017–06869 Filed 4–5–17; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10147, CMS–
10203, CMS–R–21, and CMS–R–148]
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
concerning each proposed collection of
information (including each proposed
extension or reinstatement of an existing
collection of information) and to allow
mstockstill on DSK3G9T082PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
18:51 Apr 05, 2017
Jkt 241001
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
June 5, 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
PO 00000
Frm 00065
Fmt 4703
Sfmt 4703
1,000
Number of
responses per
respondent
1
Average
burden per
response
(hours)
45/60
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-andGuidance/Legislation/Paperwork
ReductionActof1995/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:
William Parham at (410) 786–4669.
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–10147 Medicare Prescription
Drug Coverage and Your Rights
CMS–10203 Medicare Health
Outcomes Survey (HOS)
CMS–R–21 Withholding Medicare
Payments to Recover Medicaid
E:\FR\FM\06APN1.SGM
06APN1
16844
Federal Register / Vol. 82, No. 65 / Thursday, April 6, 2017 / Notices
mstockstill on DSK3G9T082PROD with NOTICES
Overpayments and Supporting
Regulations in 42 CFR 447.31
CMS–R–148 Limitations on Provider
Related Donations and Health Care
Related Taxes; Limitation on Payment
to Disproportionate Share Hospitals;
Medicaid and Supporting Regulations
in 42 CFR 433.68, 433.74 and 447.272
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: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Prescription Drug Coverage and Your
Rights; Use: Through the delivery of this
standardized notice, Part D plan
sponsors’ network pharmacies are in the
best position to inform enrollees (at the
point of sale) about how to contact their
Part D plan if their prescription cannot
be filled and how to request an
exception to the Part D plan’s formulary.
The notice restates certain rights and
protections related to the enrollees
Medicare prescription drug benefits,
including the right to receive a written
explanation from the drug plan about
why a prescription drug is not covered;
Form Number: CMS–10147 (OMB
control number: 0938–0975); Frequency:
Occasionally; Affected Public: Private
sector (business or other for-profits);
Number of Respondents: 62,000; Total
Annual Responses: 40,100,000; Total
Annual Hours: 668,066. (For policy
questions regarding this collection
contact Sabrina Sparkman at 410–786–
3209.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare Health
Outcomes Survey (HOS); Use: The
collection is necessary to hold Medicare
managed care contracts accountable for
the quality of care they deliver to
VerDate Sep<11>2014
18:51 Apr 05, 2017
Jkt 241001
beneficiaries. This reporting
requirement allows us to obtain the
information necessary for proper
oversight of the Medicare Advantage
program. It is critical to our mission that
we collect and disseminate valid and
reliable information that can be used to
improve quality of care through
identification of quality improvement
opportunities, assist us in carrying out
our oversight responsibilities, and help
beneficiaries make an informed choice
among health plans. Form Number:
CMS–10203 (OMB control number:
0938–0701); Frequency: Yearly; Affected
Public: Individuals and households;
Number of Respondents: 739,959; Total
Annual Responses: 554,895; Total
Annual Hours: 183,115. (For policy
questions regarding this collection
contact Kimberly DeMichele at 410–
786–4286.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Withholding
Medicare Payments to Recover
Medicaid Overpayments and
Supporting Regulations in 42 CFR
447.31; Use: Certain Medicaid providers
that are subject to offsets for the
collection of Medicaid overpayments
may terminate or substantially reduce
their participation in Medicaid, leaving
the state Medicaid agency unable to
recover the amounts due. Recovery
procedures allow for determining the
amount of overpayments and offsetting
the overpayments by withholding the
provider’s Medicare payments. To
effectuate the withholding, the state
agency must provide their respective
CMS regional office with certain
documentation that identifies the
provider and the Medicaid overpayment
amount. The agency must also
demonstrate that the provider was
notified of the overpayment and that
demand for the overpayment was made.
An opportunity to appeal the
overpayment determination must be
afforded to the provider by the Medicaid
state agency. Lastly, Medicaid state
agencies must notify CMS when to
terminate the withholding; Form
Number: CMS–R–21 (OMB control
number: 0938–0287); Frequency:
Occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 54; Total Annual
Responses: 27; Total Annual Hours: 81.
(For policy questions regarding this
collection contact Stuart Goldstein at
410–786–0694.)
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Limitations on
Provider Related Donations and Health
PO 00000
Frm 00066
Fmt 4703
Sfmt 4703
Care Related Taxes; Limitation on
Payment to Disproportionate Share
Hospitals; Medicaid and Supporting
Regulations in 42 CFR 433.68, 433.74
and 447.272; Use: States may request a
waiver of the broad based and
uniformity tax program requirements.
Each state must demonstrate that its tax
program(s) do not violate the hold
harmless provision. Additionally, state
Medicaid agencies must report
(quarterly) on health care related taxes
collected and the source of provider
related donations received by the state
or unit of local government. Each state
must maintain, in readily reviewable
form, supporting documentation that
provides a detailed description of each
donation and tax program being
reported, as well as the source and use
of all donations received and collected.
Without this information, the amount of
Federal financial participation payable
to a state cannot be determined; Form
Number: CMS–R–148 (OMB control
number: 0938–0618); Frequency:
Quarterly and occasionally; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
50; Total Annual Responses: 40; Total
Annual Hours: 3,200. (For policy
questions regarding this collection
contact Stuart Goldstein at 410–786–
0694.)
Dated: April 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–06830 Filed 4–5–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10501 and
CMS–10635]
Agency Information Collection
Activities: Submission for OMB
Review; 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
(PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
SUMMARY:
E:\FR\FM\06APN1.SGM
06APN1
]]>Agencies
[Federal Register Volume 82, Number 65 (Thursday, April 6, 2017)]
[Notices]
[Pages 16843-16844]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-06830]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10147, CMS-10203, CMS-R-21, and CMS-R-148]
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 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 June 5, 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: William Parham at (410) 786-4669.
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-10147 Medicare Prescription Drug Coverage and Your Rights
CMS-10203 Medicare Health Outcomes Survey (HOS)
CMS-R-21 Withholding Medicare Payments to Recover Medicaid
[[Page 16844]]
Overpayments and Supporting Regulations in 42 CFR 447.31
CMS-R-148 Limitations on Provider Related Donations and Health Care
Related Taxes; Limitation on Payment to Disproportionate Share
Hospitals; Medicaid and Supporting Regulations in 42 CFR 433.68, 433.74
and 447.272
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: Revision of a currently
approved collection; Title of Information Collection: Medicare
Prescription Drug Coverage and Your Rights; Use: Through the delivery
of this standardized notice, Part D plan sponsors' network pharmacies
are in the best position to inform enrollees (at the point of sale)
about how to contact their Part D plan if their prescription cannot be
filled and how to request an exception to the Part D plan's formulary.
The notice restates certain rights and protections related to the
enrollees Medicare prescription drug benefits, including the right to
receive a written explanation from the drug plan about why a
prescription drug is not covered; Form Number: CMS-10147 (OMB control
number: 0938-0975); Frequency: Occasionally; Affected Public: Private
sector (business or other for-profits); Number of Respondents: 62,000;
Total Annual Responses: 40,100,000; Total Annual Hours: 668,066. (For
policy questions regarding this collection contact Sabrina Sparkman at
410-786-3209.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Health
Outcomes Survey (HOS); Use: The collection is necessary to hold
Medicare managed care contracts accountable for the quality of care
they deliver to beneficiaries. This reporting requirement allows us to
obtain the information necessary for proper oversight of the Medicare
Advantage program. It is critical to our mission that we collect and
disseminate valid and reliable information that can be used to improve
quality of care through identification of quality improvement
opportunities, assist us in carrying out our oversight
responsibilities, and help beneficiaries make an informed choice among
health plans. Form Number: CMS-10203 (OMB control number: 0938-0701);
Frequency: Yearly; Affected Public: Individuals and households; Number
of Respondents: 739,959; Total Annual Responses: 554,895; Total Annual
Hours: 183,115. (For policy questions regarding this collection contact
Kimberly DeMichele at 410-786-4286.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Withholding
Medicare Payments to Recover Medicaid Overpayments and Supporting
Regulations in 42 CFR 447.31; Use: Certain Medicaid providers that are
subject to offsets for the collection of Medicaid overpayments may
terminate or substantially reduce their participation in Medicaid,
leaving the state Medicaid agency unable to recover the amounts due.
Recovery procedures allow for determining the amount of overpayments
and offsetting the overpayments by withholding the provider's Medicare
payments. To effectuate the withholding, the state agency must provide
their respective CMS regional office with certain documentation that
identifies the provider and the Medicaid overpayment amount. The agency
must also demonstrate that the provider was notified of the overpayment
and that demand for the overpayment was made. An opportunity to appeal
the overpayment determination must be afforded to the provider by the
Medicaid state agency. Lastly, Medicaid state agencies must notify CMS
when to terminate the withholding; Form Number: CMS-R-21 (OMB control
number: 0938-0287); Frequency: Occasionally; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 54; Total Annual
Responses: 27; Total Annual Hours: 81. (For policy questions regarding
this collection contact Stuart Goldstein at 410-786-0694.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Limitations on
Provider Related Donations and Health Care Related Taxes; Limitation on
Payment to Disproportionate Share Hospitals; Medicaid and Supporting
Regulations in 42 CFR 433.68, 433.74 and 447.272; Use: States may
request a waiver of the broad based and uniformity tax program
requirements. Each state must demonstrate that its tax program(s) do
not violate the hold harmless provision. Additionally, state Medicaid
agencies must report (quarterly) on health care related taxes collected
and the source of provider related donations received by the state or
unit of local government. Each state must maintain, in readily
reviewable form, supporting documentation that provides a detailed
description of each donation and tax program being reported, as well as
the source and use of all donations received and collected. Without
this information, the amount of Federal financial participation payable
to a state cannot be determined; Form Number: CMS-R-148 (OMB control
number: 0938-0618); Frequency: Quarterly and occasionally; Affected
Public: State, Local, or Tribal Governments; Number of Respondents: 50;
Total Annual Responses: 40; Total Annual Hours: 3,200. (For policy
questions regarding this collection contact Stuart Goldstein at 410-
786-0694.)
Dated: April 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-06830 Filed 4-5-17; 8:45 am]
BILLING CODE 4120-01-P
