Agency Information Collection Activities: Proposed Collection; Comment Request, 17997-17998 [2017-07568]
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Federal Register / Vol. 82, No. 71 / Friday, April 14, 2017 / Notices
before the call. If CDC is unable to post
the background material on the HICPAC
site prior to the meeting, the background
material will be posted on HICPAC’s
Web site after the meeting. Background
material is available at https://
www.cdc.gov/hicpac.
Agenda items are subject to change as
priorities dictate.
Contact Person for More Information:
Erin Stone, M.A., HICPAC, Division of
Healthcare Quality Promotion, NCEZID,
CDC, 1600 Clifton Road NE., Mailstop
A–31, Atlanta, Georgia 30333; Email:
HICPAC@cdc.gov.
The Director, Management Analysis
and Services Office, has been delegated
the authority to sign Federal Register
notices pertaining to announcements of
meetings and other committee
management activities, for both the
Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 2017–07594 Filed 4–13–17; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–1561/1561A,
CMS–370 and CMS–377, CMS–10488, and
CMS–10393]
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
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,
sradovich on DSK3GMQ082PROD with NOTICES
SUMMARY:
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16:21 Apr 13, 2017
Jkt 241001
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 13, 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 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.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–1561/1561A Health Insurance
Benefit Agreement
CMS–370 and CMS–377 ASC Forms
for Medicare Program Certification
CMS–10488 Consumer Experience
Survey Data Collection
CMS–10393 Beneficiary and Family
Centered Data Collection
Under the PRA (44 U.S.C. 3501–
3520), federal agencies must obtain
PO 00000
Frm 00031
Fmt 4703
Sfmt 4703
17997
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: Extension of a currently
approved collection; Title of
Information Collection: Health
Insurance Benefit Agreement; Use:
Applicants to the Medicare program are
required to agree to provide services in
accordance with federal requirements.
The CMS–1561/1561A is essential in
that is allows us to ensure that
applicants are in compliance with the
requirements. Applicants will be
required to sign the completed form and
provide operational information to us to
assure that they continue to meet the
requirements after approval. Form
Number: CMS–1561/1561A (OMB
control number: 0938–0832); Frequency:
Yearly; Affected Public: Private sector—
(Business or other for-profits and Notfor-profit institutions); Number of
Respondents: 2,400; Total Annual
Responses: 2,400; Total Annual Hours:
400. (For policy questions regarding this
collection contact Shonte Carter at 410–
786–3532).
2. Type of Information Collection
Request: Extension of a currently
approved collection; Titles of
Information Collection: ASC Forms for
Medicare Program Certification; Use:
The CMS–370 is used to establish
eligibility for payment. This agreement,
upon submission by the ambulatory
surgical center (ASC) and acceptance for
filing by the Secretary of Health &
Human Services, shall be binding on
both the ASC and the Secretary. The
agreement may be terminated by either
party in accordance with regulations. In
the event of termination, payment will
not be available for ASC services
furnished on or after the effective date
of termination.
The Request for Certification or
Update of Certification Information in
the Medicare Program Form (CMS–377)
E:\FR\FM\14APN1.SGM
14APN1
sradovich on DSK3GMQ082PROD with NOTICES
17998
Federal Register / Vol. 82, No. 71 / Friday, April 14, 2017 / Notices
is used by State agencies who conduct
certification surveys on CMS’ behalf to
maintain information on the facility’s
characteristics that facilitate conducting
surveys, e.g., determining the size and
the composition of the survey team on
the basis of the number of ORs/
procedure rooms and the types of
surgical procedures performed in the
ASC. Form Numbers: CMS–370 and
CMS–377 (OMB control number: 0938–
0266); Frequency: Occasionally;
Affected Public: Private Sector—
Business or other for-profit and Not-forprofit institutions; Number of
Respondents: 5,694; Total Annual
Responses: 1,898; Total Annual Hours:
627. (For policy questions regarding this
collection contact Erin McCoy at 410–
786–2337.)
3. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Consumer
Experience Survey Data Collection; Use:
Section 1311(c)(4) of the Affordable
Care Act requires the Department of
Health and Human Services (HHS) to
develop an enrollee satisfaction survey
system that assesses consumer
experience with qualified health plans
(QHPs) offered through an Exchange. It
also requires public display of enrollee
satisfaction information by the
Exchange to allow individuals to easily
compare enrollee satisfaction levels
between comparable plans. HHS
established the QHP Enrollee
Experience Survey (QHP Enrollee
Survey) to assess consumer experience
with the QHPs offered through the
Marketplaces. The survey include topics
to assess consumer experience with the
health care system such as
communication skills of providers and
ease of access to health care services.
CMS developed the survey using the
Consumer Assessment of Health
Providers and Systems (CAHPS®)
principles (https://www.ahrq.gov/
cahps/about-cahps/principles/
index.html) and established an
application and approval process for
survey vendors who want to participate
in collecting QHP enrollee experience
data.
The QHP Enrollee Survey, which is
based on the CAHPS® Health Plan
Survey, will be used to (1) help
consumers choose among competing
health plans, (2) provide actionable
information that the QHPs can use to
improve performance, (3) provide
information that regulatory and
accreditation organizations can use to
regulate and accredit plans, and (4)
provide a longitudinal database for
consumer research. CMS completed two
rounds of developmental testing
VerDate Sep<11>2014
16:21 Apr 13, 2017
Jkt 241001
including 2014 psychometric testing
and 2015 beta testing of the QHP
Enrollee Survey. The psychometric
testing helped determine psychometric
properties and provided an initial
measure of performance for
Marketplaces and QHPs to use for
quality improvement. Based on
psychometric test results, CMS further
refined the questionnaire and sampling
design to conduct the 2015 beta test of
the QHP Enrollee Survey. CMS
previously obtained clearance for the
2016 and 2017 administrations of the
QHP Enrollee Survey.
At this time, CMS is requesting to
renew approval for the information
collection related to the QHP Enrollee
Experience Survey in 2018–2020. These
activities are necessary to ensure that
CMS fulfills legislative mandates
established by section 1311(c)(4) of the
Affordable Care Act to develop an
‘‘enrollee satisfaction survey system’’
and provide such information on
Marketplace Web sites. CMS is also
seeking approval to remove eight survey
questions beginning with the 2018
survey administration. With the removal
of these eight questions, the revised
total estimated annual burden hours of
national implementation of the QHP
Enrollee Survey is 22,523 hours with
90,015 responses. The revised total
annualized burden over three years for
this requested information collection is
67,569 hours and the total average
annualized number of responses is
270,045 responses. Form Number:
CMS–10488 (OMB Control Number:
0938–1221); Frequency: Annually;
Affected Public: Public sector
(Individuals and Households), Private
sector (Business or other for-profits and
Not-for-profit institutions); Number of
Respondents: 90,015; Total Annual
Responses: 90,015; Total Annual Hours:
22,523; (For policy questions regarding
this collection contact Nidhi SinghShah at 301–492–5110.)
4. Type of Information Collection
Request: Revision of a previously
approved collection; Title of
Information Collection: Beneficiary and
Family Centered Data Collection; Use:
The CMS Quality Improvement
Organization (QIO) Program includes
Beneficiary and Family Centered Care
(BFCC) QIOs whose functions, as set
forth in Section 1862(g) of the Social
Security Act, are to improve the
effectiveness, efficiency, economy, and
quality of services delivered to Medicare
beneficiaries. To accomplish these
goals, the QIOs review health care
services funded under Medicare to
determine whether those services are
reasonable, medically necessary,
furnished in the appropriate setting, and
PO 00000
Frm 00032
Fmt 4703
Sfmt 4703
meet professionally recognized
standards of quality. The QIOs also
review health care services where the
beneficiary or a representative has
complained about the quality of those
services or is appealing alleged
premature discharge.
Under the current 11th QIO Statement
of Work (SOW), two organizations are
providing services as BFCC QIOs across
all of the United States. The QIO
evaluation criteria have been revised to
reflect this national regionalization and
it is important for CMS to understand
the impact on beneficiaries from this
reorganization. The information will be
used to evaluate the success of each QIO
in meeting its contractual requirements
and to understand the experience of
Medicare beneficiaries and/or their
representative with QIO contract
mandated work. Form Number: CMS–
10393 (OMB Control number: 0938–
1177); Frequency: Once; Affected
Public: Individuals or households;
Number of Respondents: 24,970;
Number of Responses: 24,970; Total
Annual Hours: 2,899. (For policy
questions regarding this collection,
contact David Russo at 617–565–1310.)
Dated: April 11, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2017–07568 Filed 4–13–17; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–5523–N]
Medicare Program; Funding in Support
of the Pennsylvania Rural Health
Model—Cooperative Agreement
Centers for Medicare &
Medicaid Services (CMS), Department
of Health and Human Services (HHS).
ACTION: Notice.
AGENCY:
This notice announces the
issuance of the January 12, 2017 singlesource cooperative agreement funding
opportunity announcement to begin the
Pennsylvania Rural Health Model’s
implementation activities, titled
‘‘Funding in Support of the
Pennsylvania Rural Health Model
Cooperative Agreement’’ (the ‘‘Funding
Opportunity’’). This Funding
Opportunity is available solely to the
Commonwealth of Pennsylvania acting
through the Pennsylvania Department of
Health (the ‘‘Commonwealth’’). This
SUMMARY:
E:\FR\FM\14APN1.SGM
14APN1
Agencies
[Federal Register Volume 82, Number 71 (Friday, April 14, 2017)]
[Notices]
[Pages 17997-17998]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-07568]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1561/1561A, CMS-370 and CMS-377, CMS-10488,
and CMS-10393]
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 13, 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-1561/1561A Health Insurance Benefit Agreement
CMS-370 and CMS-377 ASC Forms for Medicare Program Certification
CMS-10488 Consumer Experience Survey Data Collection
CMS-10393 Beneficiary and Family Centered Data Collection
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: Extension of a currently
approved collection; Title of Information Collection: Health Insurance
Benefit Agreement; Use: Applicants to the Medicare program are required
to agree to provide services in accordance with federal requirements.
The CMS-1561/1561A is essential in that is allows us to ensure that
applicants are in compliance with the requirements. Applicants will be
required to sign the completed form and provide operational information
to us to assure that they continue to meet the requirements after
approval. Form Number: CMS-1561/1561A (OMB control number: 0938-0832);
Frequency: Yearly; Affected Public: Private sector--(Business or other
for-profits and Not-for-profit institutions); Number of Respondents:
2,400; Total Annual Responses: 2,400; Total Annual Hours: 400. (For
policy questions regarding this collection contact Shonte Carter at
410-786-3532).
2. Type of Information Collection Request: Extension of a currently
approved collection; Titles of Information Collection: ASC Forms for
Medicare Program Certification; Use: The CMS-370 is used to establish
eligibility for payment. This agreement, upon submission by the
ambulatory surgical center (ASC) and acceptance for filing by the
Secretary of Health & Human Services, shall be binding on both the ASC
and the Secretary. The agreement may be terminated by either party in
accordance with regulations. In the event of termination, payment will
not be available for ASC services furnished on or after the effective
date of termination.
The Request for Certification or Update of Certification
Information in the Medicare Program Form (CMS-377)
[[Page 17998]]
is used by State agencies who conduct certification surveys on CMS'
behalf to maintain information on the facility's characteristics that
facilitate conducting surveys, e.g., determining the size and the
composition of the survey team on the basis of the number of ORs/
procedure rooms and the types of surgical procedures performed in the
ASC. Form Numbers: CMS-370 and CMS-377 (OMB control number: 0938-0266);
Frequency: Occasionally; Affected Public: Private Sector--Business or
other for-profit and Not-for-profit institutions; Number of
Respondents: 5,694; Total Annual Responses: 1,898; Total Annual Hours:
627. (For policy questions regarding this collection contact Erin McCoy
at 410-786-2337.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Consumer
Experience Survey Data Collection; Use: Section 1311(c)(4) of the
Affordable Care Act requires the Department of Health and Human
Services (HHS) to develop an enrollee satisfaction survey system that
assesses consumer experience with qualified health plans (QHPs) offered
through an Exchange. It also requires public display of enrollee
satisfaction information by the Exchange to allow individuals to easily
compare enrollee satisfaction levels between comparable plans. HHS
established the QHP Enrollee Experience Survey (QHP Enrollee Survey) to
assess consumer experience with the QHPs offered through the
Marketplaces. The survey include topics to assess consumer experience
with the health care system such as communication skills of providers
and ease of access to health care services. CMS developed the survey
using the Consumer Assessment of Health Providers and Systems
(CAHPS[supreg]) principles (https://www.ahrq.gov/cahps/about-cahps/principles/) and established an application and approval
process for survey vendors who want to participate in collecting QHP
enrollee experience data.
The QHP Enrollee Survey, which is based on the CAHPS[supreg] Health
Plan Survey, will be used to (1) help consumers choose among competing
health plans, (2) provide actionable information that the QHPs can use
to improve performance, (3) provide information that regulatory and
accreditation organizations can use to regulate and accredit plans, and
(4) provide a longitudinal database for consumer research. CMS
completed two rounds of developmental testing including 2014
psychometric testing and 2015 beta testing of the QHP Enrollee Survey.
The psychometric testing helped determine psychometric properties and
provided an initial measure of performance for Marketplaces and QHPs to
use for quality improvement. Based on psychometric test results, CMS
further refined the questionnaire and sampling design to conduct the
2015 beta test of the QHP Enrollee Survey. CMS previously obtained
clearance for the 2016 and 2017 administrations of the QHP Enrollee
Survey.
At this time, CMS is requesting to renew approval for the
information collection related to the QHP Enrollee Experience Survey in
2018-2020. These activities are necessary to ensure that CMS fulfills
legislative mandates established by section 1311(c)(4) of the
Affordable Care Act to develop an ``enrollee satisfaction survey
system'' and provide such information on Marketplace Web sites. CMS is
also seeking approval to remove eight survey questions beginning with
the 2018 survey administration. With the removal of these eight
questions, the revised total estimated annual burden hours of national
implementation of the QHP Enrollee Survey is 22,523 hours with 90,015
responses. The revised total annualized burden over three years for
this requested information collection is 67,569 hours and the total
average annualized number of responses is 270,045 responses. Form
Number: CMS-10488 (OMB Control Number: 0938-1221); Frequency: Annually;
Affected Public: Public sector (Individuals and Households), Private
sector (Business or other for-profits and Not-for-profit institutions);
Number of Respondents: 90,015; Total Annual Responses: 90,015; Total
Annual Hours: 22,523; (For policy questions regarding this collection
contact Nidhi Singh-Shah at 301-492-5110.)
4. Type of Information Collection Request: Revision of a previously
approved collection; Title of Information Collection: Beneficiary and
Family Centered Data Collection; Use: The CMS Quality Improvement
Organization (QIO) Program includes Beneficiary and Family Centered
Care (BFCC) QIOs whose functions, as set forth in Section 1862(g) of
the Social Security Act, are to improve the effectiveness, efficiency,
economy, and quality of services delivered to Medicare beneficiaries.
To accomplish these goals, the QIOs review health care services funded
under Medicare to determine whether those services are reasonable,
medically necessary, furnished in the appropriate setting, and meet
professionally recognized standards of quality. The QIOs also review
health care services where the beneficiary or a representative has
complained about the quality of those services or is appealing alleged
premature discharge.
Under the current 11th QIO Statement of Work (SOW), two
organizations are providing services as BFCC QIOs across all of the
United States. The QIO evaluation criteria have been revised to reflect
this national regionalization and it is important for CMS to understand
the impact on beneficiaries from this reorganization. The information
will be used to evaluate the success of each QIO in meeting its
contractual requirements and to understand the experience of Medicare
beneficiaries and/or their representative with QIO contract mandated
work. Form Number: CMS-10393 (OMB Control number: 0938-1177);
Frequency: Once; Affected Public: Individuals or households; Number of
Respondents: 24,970; Number of Responses: 24,970; Total Annual Hours:
2,899. (For policy questions regarding this collection, contact David
Russo at 617-565-1310.)
Dated: April 11, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-07568 Filed 4-13-17; 8:45 am]
BILLING CODE 4120-01-P