Agency Information Collection Activities: Submission for OMB Review; Comment Request, 4073-4075 [2019-02235]

Download as PDF Federal Register / Vol. 84, No. 31 / Thursday, February 14, 2019 / Notices The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and Determination of the Chief Operating Officer, CDC, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP)—DP19–003, Epidemiology of Lupus: Longitudinal Studies in Population-Based Cohorts. Dates: May 8, 2019. Times: 11:00 a.m.–6:30 p.m., EDT. Place: Teleconference. Agenda: To review and evaluate grant applications. For Further Information Contact: Jaya Raman, Ph.D., Scientific Review Officer, CDC, 4770 Buford Highway, Mailstop, F80, Atlanta, Georgia 30341, Telephone: (770) 488–6511, kva5@cdc.gov. The Chief Operating Officer, Centers for Disease Control and Prevention, 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. Sherri Berger, Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2019–02296 Filed 2–13–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and Determination of the Chief Operating Officer, CDC, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with VerDate Sep<11>2014 19:08 Feb 13, 2019 Jkt 247001 the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP)—SIP19–009, Assessing the Lifetime Economic Burden in Men with Metastatic Prostate Cancer, including Pain Management. Dates: May 9, 2019. Times: 11:00 a.m.–6:30 p.m., EDT. Place: Teleconference. Agenda: To review and evaluate grant applications. For Further Information Contact: Jaya Raman Ph.D., Scientific Review Officer, CDC, 4770 Buford Highway, Mailstop F80, Atlanta, Georgia 30341, Telephone: (770) 488–6511, kva5@cdc.gov. The Chief Operating Officer, Centers for Disease Control and Prevention, 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. Sherri Berger, Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2019–02298 Filed 2–13–19; 8:45 am] 4073 Time: 1:00 p.m.–4:00 p.m. EDT. Place: Teleconference. Agenda: To review and evaluate grant applications. For Further Information Contact: Nina Turner, Ph.D., Scientific Review Officer, Office of Extramural Programs, 1095 Willowdale Road, Morgantown, West Virginia, 26506, (304) 285–5976; nxt2@ cdc.gov. The Chief Operating Officer, Centers for Disease Control and Prevention, 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. Sherri Berger, Chief Operating Officer, Centers for Disease Control and Prevention. [FR Doc. 2019–02301 Filed 2–13–19; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10680, CSM– 10180 and CMS–10440] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Disease Control and Prevention Centers for Medicare & Medicaid Services, HHS. ACTION: Notice. Notice of Closed Meeting SUMMARY: AGENCY: Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended, notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended, and the Determination of the Chief Operating Officer, CDC, pursuant to Public Law 92–463. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP)—RFA–OH–19–002, NIOSH Occupational Safety and Health Surveillance Collaboration, Education and Translation Special Emphasis Panel. Date: April 11, 2019. PO 00000 Frm 00033 Fmt 4703 Sfmt 4703 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 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. E:\FR\FM\14FEN1.SGM 14FEN1 4074 Federal Register / Vol. 84, No. 31 / Thursday, February 14, 2019 / Notices Comments on the collection(s) of information must be received by the OMB desk officer by March 18, 2019. 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’ website address at website address at https://www.cms.gov/ Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/PRAListing.html 1. Email your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@cms.hhs.gov. 2. Call the Reports Clearance Office at (410) 786–1326. FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786–4669. 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. Title of Information Collection: Electronic Visit Verification Compliance Survey; Type of Information Collection Request: New collection (request for a new OMB control number); Use: This collection entails an electronic webbased survey that will allow states to DATES: VerDate Sep<11>2014 17:54 Feb 13, 2019 Jkt 247001 self-report their progress in implementing electronic visit verification (EVV) for personal care services (PCS) and home health care services (HHCS), as required by section 1903(l) of the Social Security Act. CMS will use the survey data to assess states’ compliance with section 1903(l) of the Act and levy Federal Medical Assistance Percentage (FMAP) reductions where necessary as required by 1903(l) of the Act. Data collection will begin in November 2019 and will end when all states have fully implemented EVV systems according to the requirements specified at section 1903(l) of the Act. The survey will be disseminated to all 51 state Medicaid agencies (including the District of Columbia) and the Medicaid agencies of five US territories. States will be required to complete the survey in order to demonstrate that they are complaint with Section 1903(l) of the Act by reporting on their EVV implementation status for PCS provided under sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 1115 of the Act; and HHCS provided under 1905(a)(7) of the Act or under a demonstration project or waiver (e.g., 1915(c) or 1115 of the Act). The survey will be a live form, meaning states will have the ability to update their 1903(l) compliance status on a continuous basis. As FMAP reductions are assigned quarterly per 1903(l) of the Act, states who are not in compliance will be asked to review their survey information on a quarterly basis to ensure it is up-to-date and to update their survey responses as needed until they come into compliance. The survey instrument has been revised subsequent to the publication of the 30-day notice (October 5, 2018; 83 FR 50381). Form Number: CMS–10680 (OMB control number: 0938-New); Frequency: On occasion; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 56; Number of Responses: 336; Total Annual Hours: 504. (For questions regarding this collection contact Ryan Shannahan at 410–786–0295.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Home Health Change of Care Notice; Use: The purpose of the Home Health Change of Care Notice (HHCCN) is to notify original Medicare beneficiaries receiving home health care benefits of plan of care changes. Home health agencies (HHAs) are required to provide written notice to Original Medicare beneficiaries under various circumstances involving the reduction PO 00000 Frm 00034 Fmt 4703 Sfmt 4703 or termination of items and/or services consistent with Home Health Agencies Conditions of Participation (COPs). The home health COP requirements are set forth in § 1891[42 U.S.C. 1395bbb] of the Social Security Act (the Act). The implementing regulations under 42 CFR 484.10(c) specify that Medicare patients receiving HHA services have rights. The patient has the right to be informed, in advance about the care to be furnished, and of any changes in the care to be furnished. The HHA must advise the patient in advance of the disciplines that will furnish care, and the frequency of visits proposed to be furnished. The HHA must advise the patient in advance of any change in the plan of care before the change is made.’’ Notification is required for covered and non-covered services listed in the plan of care (POC).The beneficiary will use the information provided to decide whether or not to pursue alternative options to continue receiving the care noted on the HHCCN. Form Number: CMS–10180 (OMB control number: 0938–0988); Frequency: Reporting— Annually; Affected Public: State, Local or Tribal governments; Number of Respondents: 12,149; Total Annual Responses: 13,640,524; Total Annual Hours: 908,459. (For policy questions regarding this collection contact Jennifer McCormick at 410–786–2852.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Data Collection to Support Eligibility Determinations for Insurance Affordability Programs and Enrollment through Affordable Insurance Exchanges, Medicaid and Children’s Health Insurance Program Agencies; Use: Information collected by the Marketplace, Medicaid or CHIP agency will be used to determine eligibility for coverage through the Marketplace and insurance affordability programs (i.e., Medicaid, CHIP, and advance payment of the premium tax credits), and assist consumers in enrolling in a QHP if eligible. Applicants include anyone who may be eligible for coverage through any of these programs. The Marketplace verifies the information provided on the application, communicates with the applicant or his/her authorized representative and subsequently provides the information to the health plan selected by the applicant so that it can enroll him/her in a QHP. The Marketplace also uses the information provided in support of its ongoing operations, including activities such as verifying continued eligibility for all programs, processing appeals, reporting E:\FR\FM\14FEN1.SGM 14FEN1 Federal Register / Vol. 84, No. 31 / Thursday, February 14, 2019 / Notices on and managing the insurance affordability programs for eligible individuals, performing oversight and quality control activities, combatting fraud, and responding to any concerns about the security or confidentiality of the information. Form Number: CMS– 10440 (OMB control number: 0938– 1191); Frequency: Annually; Affected Public: Private Sector (Business or other for-profits, Not-for-Profit Institutions); Number of Respondents: 4,662,000; Total Annual Responses: 4,662,000; Total Annual Hours: 946,386. (For policy questions regarding this collection contact Anne Pesto at 410– 786–3492.) Dated: February 8, 2019. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2019–02235 Filed 2–13–19; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–R–284, CMS– R–305, CMS–10455 and CMS–10520] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid 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. SUMMARY: VerDate Sep<11>2014 17:54 Feb 13, 2019 Jkt 247001 Comments must be received by April 15, 2019. 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’ website address at website address at https://www.cms.gov/ Regulations-and-Guidance/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: William N. Parham at (410) 786–4669. SUPPLEMENTARY INFORMATION: DATES: 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–R–284 Transformed—Medicaid Statistical Information System (T– MSIS) CMS–R–305 External Quality Review (EQR) of Medicaid Managed Care Organizations (MCOs) and Supporting Regulations CMS–10455 Report of a Hospital Death Associated with Restraint or Seclusion CMS–10520 Marketplace Quality Standards Under the PRA (44 U.S.C. 3501– 3520), federal agencies must obtain approval from the Office of Management PO 00000 Frm 00035 Fmt 4703 Sfmt 4703 4075 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: Transformed— Medicaid Statistical Information System (T–MSIS); Use: The data reported in T– MSIS are used by federal, state, and local officials, as well as by private researchers and corporations to monitor past and projected future trends in the Medicaid program. The data provide the only national level information available on enrollees, beneficiaries, and expenditures. It also provides the only national level information available on Medicaid utilization. The information is the basis for analyses and for cost savings estimates for the Department’s cost sharing legislative initiatives to Congress. The collected data are also crucial to our actuarial forecasts. Form Number: CMS–R–284 (OMB control number: 0938–0345); Frequency: Quarterly and monthly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 55; Total Annual Responses: 660; Total Annual Hours: 6,600. (For policy questions regarding this collection contact Connie Gibson at 410–786–0755.) 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: External Quality Review (EQR) of Medicaid Managed Care Organizations (MCOs) and Supporting Regulations; Use: State agencies must provide to the external quality review organization (EQRO) information obtained through methods consistent with the protocols specified by CMS. This information is used by the EQRO to determine the quality of care furnished by an MCO. Since the EQR results are made available to the general public, this allows Medicaid/CHIP enrollees and potential enrollees to make informed choices regarding the E:\FR\FM\14FEN1.SGM 14FEN1

Agencies

[Federal Register Volume 84, Number 31 (Thursday, February 14, 2019)]
[Notices]
[Pages 4073-4075]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-02235]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10680, CSM-10180 and CMS-10440]


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 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.

[[Page 4074]]


DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by March 18, 2019.

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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

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. Title of Information Collection: Electronic Visit Verification 
Compliance Survey; Type of Information Collection Request: New 
collection (request for a new OMB control number); Use: This collection 
entails an electronic web-based survey that will allow states to self-
report their progress in implementing electronic visit verification 
(EVV) for personal care services (PCS) and home health care services 
(HHCS), as required by section 1903(l) of the Social Security Act. CMS 
will use the survey data to assess states' compliance with section 
1903(l) of the Act and levy Federal Medical Assistance Percentage 
(FMAP) reductions where necessary as required by 1903(l) of the Act. 
Data collection will begin in November 2019 and will end when all 
states have fully implemented EVV systems according to the requirements 
specified at section 1903(l) of the Act.
    The survey will be disseminated to all 51 state Medicaid agencies 
(including the District of Columbia) and the Medicaid agencies of five 
US territories. States will be required to complete the survey in order 
to demonstrate that they are complaint with Section 1903(l) of the Act 
by reporting on their EVV implementation status for PCS provided under 
sections 1905(a)(24), 1915(c), 1915(i), 1915(j), 1915(k), and Section 
1115 of the Act; and HHCS provided under 1905(a)(7) of the Act or under 
a demonstration project or waiver (e.g., 1915(c) or 1115 of the Act).
    The survey will be a live form, meaning states will have the 
ability to update their 1903(l) compliance status on a continuous 
basis. As FMAP reductions are assigned quarterly per 1903(l) of the 
Act, states who are not in compliance will be asked to review their 
survey information on a quarterly basis to ensure it is up-to-date and 
to update their survey responses as needed until they come into 
compliance.
    The survey instrument has been revised subsequent to the 
publication of the 30-day notice (October 5, 2018; 83 FR 50381). Form 
Number: CMS-10680 (OMB control number: 0938-New); Frequency: On 
occasion; Affected Public: State, Local, or Tribal Governments; Number 
of Respondents: 56; Number of Responses: 336; Total Annual Hours: 504. 
(For questions regarding this collection contact Ryan Shannahan at 410-
786-0295.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Home Health 
Change of Care Notice; Use: The purpose of the Home Health Change of 
Care Notice (HHCCN) is to notify original Medicare beneficiaries 
receiving home health care benefits of plan of care changes. Home 
health agencies (HHAs) are required to provide written notice to 
Original Medicare beneficiaries under various circumstances involving 
the reduction or termination of items and/or services consistent with 
Home Health Agencies Conditions of Participation (COPs).
    The home health COP requirements are set forth in Sec.  1891[42 
U.S.C. 1395bbb] of the Social Security Act (the Act). The implementing 
regulations under 42 CFR 484.10(c) specify that Medicare patients 
receiving HHA services have rights. The patient has the right to be 
informed, in advance about the care to be furnished, and of any changes 
in the care to be furnished. The HHA must advise the patient in advance 
of the disciplines that will furnish care, and the frequency of visits 
proposed to be furnished. The HHA must advise the patient in advance of 
any change in the plan of care before the change is made.''
    Notification is required for covered and non-covered services 
listed in the plan of care (POC).The beneficiary will use the 
information provided to decide whether or not to pursue alternative 
options to continue receiving the care noted on the HHCCN. Form Number: 
CMS-10180 (OMB control number: 0938-0988); Frequency: Reporting--
Annually; Affected Public: State, Local or Tribal governments; Number 
of Respondents: 12,149; Total Annual Responses: 13,640,524; Total 
Annual Hours: 908,459. (For policy questions regarding this collection 
contact Jennifer McCormick at 410-786-2852.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Data Collection 
to Support Eligibility Determinations for Insurance Affordability 
Programs and Enrollment through Affordable Insurance Exchanges, 
Medicaid and Children's Health Insurance Program Agencies; Use: 
Information collected by the Marketplace, Medicaid or CHIP agency will 
be used to determine eligibility for coverage through the Marketplace 
and insurance affordability programs (i.e., Medicaid, CHIP, and advance 
payment of the premium tax credits), and assist consumers in enrolling 
in a QHP if eligible. Applicants include anyone who may be eligible for 
coverage through any of these programs.
    The Marketplace verifies the information provided on the 
application, communicates with the applicant or his/her authorized 
representative and subsequently provides the information to the health 
plan selected by the applicant so that it can enroll him/her in a QHP. 
The Marketplace also uses the information provided in support of its 
ongoing operations, including activities such as verifying continued 
eligibility for all programs, processing appeals, reporting

[[Page 4075]]

on and managing the insurance affordability programs for eligible 
individuals, performing oversight and quality control activities, 
combatting fraud, and responding to any concerns about the security or 
confidentiality of the information. Form Number: CMS-10440 (OMB control 
number: 0938-1191); Frequency: Annually; Affected Public: Private 
Sector (Business or other for-profits, Not-for-Profit Institutions); 
Number of Respondents: 4,662,000; Total Annual Responses: 4,662,000; 
Total Annual Hours: 946,386. (For policy questions regarding this 
collection contact Anne Pesto at 410-786-3492.)

    Dated: February 8, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-02235 Filed 2-13-19; 8:45 am]
BILLING CODE 4120-01-P
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