Agency Information Collection Activities; Proposed Collection; Public Comment Request; Performance (Progress) Report for AoA Grantees, 9528-9529 [2019-04829]
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Federal Register / Vol. 84, No. 51 / Friday, March 15, 2019 / Notices
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: National
Implementation of the Hospital CAHPS
Survey; Use: The HCAHPS (Hospital
Consumer Assessment of Healthcare
Providers and Systems) Survey, also
known as the CAHPS® Hospital Survey
or Hospital CAHPS®, is a standardized
survey instrument and data collection
methodology that has been in use since
2006 to measure patients’ perspectives
of hospital care. While many hospitals
collect information on patient
satisfaction, HCAHPS created a national
standard for the collection and public
reporting of information that enables
valid comparisons to be made across all
hospitals to support consumer choice.
In the FY 2018 IPPS/LTCH PPS final
rule (82 FR 38328 through 38342), out
of an abundance of caution, in the face
of a nationwide epidemic of opioid over
prescription, we finalized a refinement
to the HCAHPS Survey measure as used
in the Hospital Inpatient Quality
Reporting Program by removing the
previously adopted Pain Management
questions and incorporating new
Communication About Pain questions
beginning with patients discharged in
January 2018. As discussed in the CY
2019 OPPS/ASC proposed rule (83 FR
37218), since finalization of the
Communication About Pain questions,
we have received feedback that some
stakeholders are concerned that,
although the revised questions focus on
communications with patients about
their pain and treatment of that pain,
rather than how well their pain was
controlled, the questions still could
potentially impose pressure on hospital
staff to prescribe more opioids in order
to achieve higher scores on the HCAHPS
Survey.
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In response to stakeholder feedback,
recommendations from the President’s
Commission on Combatting Drug
Addiction and the Opioid Crisis, to
comply with the requirements of the
Substance Use-Disorder Prevention that
Promotes Opioid Recovery and
Treatment (SUPPORT) for Patients and
Communities Act (Pub. L. 115–271), and
to avoid any potential unintended
consequences under the Hospital
Inpatient Quality Reporting (IQR)
Program, CMS is revising the HCAHPS
survey by removing the three recently
revised pain communication questions.
The removal of these questions is
effective with October 2019 discharges.
At that point, the HCAHPS survey will
consist of 29 questions which will result
in a burden decrease. Form Number:
CMS–10102 (OMB control number
0938–0981); Frequency: Occasionally;
Affected Public: Private sector (Business
or other for-profits and Not-for-profit
institutions); Number of Respondents:
4,200; Total Annual Responses:
3,104,200; Total Annual Hours: 379,290.
(For policy questions regarding this
collection contact William Lehrman at
410–786–1037.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Home and
Community Based Services (HCBS)
Incident Management Survey; Use: The
Survey will be disseminated to all 51
state Medicaid agencies (including the
District of Columbia) to assess incident
management systems in 1915(c)
waivers. States will be surveyed to
identify methods and promising
practices for identifying, reporting,
tracking, and resolving incidents of
abuse, neglect, and exploitation. The
survey results will also be used to
review the strengths and weaknesses of
each state’s incident management
system and will inform guidance to help
ensure compliance with sections
1902(a)(30(A) and 1915(c)(2)(A) of the
Social Security Act. Form Number:
CMS–10692 (OMB control number:
0938–TBD); Frequency: Once and on
occasion; Affected Public: State, Local,
or Tribal Governments; Number of
Respondents: 51; Total Annual
Responses: 102; Total Annual Hours:
153. (For policy questions regarding this
collection contact Ryan Shannahan at
410–786–0295.)
3. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: The State
Flexibility to Stabilize the Market Grant
Program Reporting; Use: Section 1003 of
the Affordable Care Act (ACA) adds a
new section 2794 to the PHS Act
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entitled, ‘‘Ensuring That Consumers Get
Value for Their Dollars.’’ Specifically,
section 2794(a) requires the Secretary of
the Department of Health and Human
Services (the Secretary) (HHS), in
conjunction with the States, to establish
a process for the annual review of health
insurance premiums to protect
consumers from unreasonable rate
increases. Section 2794(c) directs the
Secretary to carry out a program to
award grants to States. Section
2794(c)(2)(B) specifies that any
appropriated Rate Review Grant funds
that are not fully obligated by the end
of FY 2014 shall remain available to the
Secretary for grants to States for
planning and implementing the
insurance market reforms and consumer
protections under Part A of title XXVII
of the Public Health Service Act (PHS
Act). States that are awarded funds
under this funding opportunity are
required to provide CMS with four
quarterly reports and one annual report
(except for the last year of the grant)
until the end of the grant period
detailing the state’s progression towards
planning and/or implementing the preselected market reforms under Part A of
Title XXVII of the PHS Act. A final
report is due at the end of the grant
period. Form Number: CMS–10657
(OMB control number: 0938–NEW);
Frequency: Annually and Quarterly;
Affected Public: State, Local or Tribal
Governments; Number of Respondents:
31; Total Annual Responses: 155; Total
Annual Hours: 2,108. (For policy
questions regarding this collection
contact Jim Taing at 301–492–4182.)
Dated: March 12, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–04902 Filed 3–14–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Community Living
[OMB No. 0985–0006]
Agency Information Collection
Activities; Proposed Collection; Public
Comment Request; Performance
(Progress) Report for AoA Grantees
Administration for Community
Living, HHS.
ACTION: Notice.
AGENCY:
The Administration for
Community Living (ACL) is announcing
an opportunity for the public to
comment on the proposed collection of
SUMMARY:
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9529
Federal Register / Vol. 84, No. 51 / Friday, March 15, 2019 / Notices
information listed above. Under the
Paperwork Reduction Act of 1995 (the
PRA), Federal agencies are required to
publish a notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension of an existing collection of
information, and to allow 60 days for
public comment in response to the
notice. This Extension Without Changes
(ICR Ext); solicits comments on the
information collection requirements
related to the Performance (Progress)
Report for AoA Grantees under the
Older Americans Act Public Law 109–
365 Section 411.
DATES: Comments on the collection of
information must be submitted
electronically by 11:59 p.m. (EST) or
postmarked by May 14, 2019.
ADDRESSES: Submit electronic
comments on the collection of
information to: Tomakie Washington
tomakie.washington@acl.hhs.gov.
Submit written comments on the
collection of information to
Administration for Community Living,
Washington, DC 20201, Attention:
Tomakie Washington.
FOR FURTHER INFORMATION CONTACT:
Tomakie Washington, Administration
for Community Living, Washington, DC
20201, 202–795–7336,
tomakie.washington@acl.hhs.gov.
SUPPLEMENTARY INFORMATION: 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.
‘‘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.
requirements. Under the PRA, a
‘‘Generic Clearance’’ is approved by
OMB for conducting more than one
information collection (IC) using very
similar methods and set protocols of
questions that are approved for multiple
ICs. AoA uses the generic clearance
mechanism to collect performance data
for a number of its smaller programs.
The information submitted by ACL
discretionary grantees is used by AoA
to: (a) Review and monitor the grantee’s
progress in achieving project objectives;
(b) identify significant findings,
products, and practices of the project;
and (c) identify areas of performance
that may benefit from advice and
assistance from ACL and, in rare
instances, take corrective action.
The current AoA Grantee Performance
Report Instrument and Instructions will
expire on April 30, 2019. Under this
request, ACL would request that OMB
approve an extension without change of
this information collection mechanism
for 18 months after expiration. During
this extension period, ACL plans to
substantively revise and submit a
Generic Clearance request covering
discretionary grant ICs across ACL, not
just under the Older Americans Act.
The proposed data collection
instruments may be found on the ACL
website for review at https://
www.acl.gov/about-acl/public-input.
Section 3506(c)(2)(A) of the PRA (44
U.S.C. 3506(c)(2)(A)) requires Federal
agencies to provide a 60-day notice in
the Federal Register concerning each
proposed collection of information,
including each proposed extension of an
existing collection of information,
before submitting the collection to OMB
for approval. To comply with this
requirement, ACL is publishing a notice
of the proposed collection of
information set forth in this document.
With respect to the following
collection of information, ACL invites
comments on our burden estimates or
any other aspect of this collection of
information, including:
(1) Whether the proposed collection
of information is necessary for the
proper performance of ACL’s functions,
including whether the information will
have practical utility;
(2) the accuracy of ACL’s estimate of
the burden of the proposed collection of
information, including the validity of
the methodology and assumptions used
to determine burden estimates;
(3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and
(4) ways to minimize the burden of
the collection of information on
respondents, including through the use
of automated collection techniques
when appropriate, and other forms of
information technology.
This request proposes no changes to
the currently approved 0985–0006. The
Administration for Community Living
(ACL) requires grantees funded under
its discretionary grants programs to
report on the performance of their
projects. This request is for an extension
without change of the generic clearance
mechanism currently in use to meet
AoA’s performance reporting
Estimated Program Burden
ACL estimates the annual burden
hours associated with this collection as
follows. The burden estimate is specific
to the type of work done by the grantees
that use this reporting format. Based on
266 respondents taking an average
estimate of 20 hours per response twice
a year the annual burden hours total
10,460.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
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Type of respondent
Annual
number
responses per
respondent
Average
burden hours
per response
Total annual
burden hours
ACL Grantee ....................................................................................................
266
2
20
40
Total ..........................................................................................................
........................
........................
........................
10,640
Dated: March 11, 2019.
Mary Lazare,
Principal Deputy Administrator.
[FR Doc. 2019–04829 Filed 3–14–19; 8:45 am]
BILLING CODE 4154–01–P
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Agencies
[Federal Register Volume 84, Number 51 (Friday, March 15, 2019)]
[Notices]
[Pages 9528-9529]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-04829]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Community Living
[OMB No. 0985-0006]
Agency Information Collection Activities; Proposed Collection;
Public Comment Request; Performance (Progress) Report for AoA Grantees
AGENCY: Administration for Community Living, HHS.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Administration for Community Living (ACL) is announcing an
opportunity for the public to comment on the proposed collection of
[[Page 9529]]
information listed above. Under the Paperwork Reduction Act of 1995
(the PRA), Federal agencies are required to publish a notice in the
Federal Register concerning each proposed collection of information,
including each proposed extension of an existing collection of
information, and to allow 60 days for public comment in response to the
notice. This Extension Without Changes (ICR Ext); solicits comments on
the information collection requirements related to the Performance
(Progress) Report for AoA Grantees under the Older Americans Act Public
Law 109-365 Section 411.
DATES: Comments on the collection of information must be submitted
electronically by 11:59 p.m. (EST) or postmarked by May 14, 2019.
ADDRESSES: Submit electronic comments on the collection of information
to: Tomakie Washington tomakie.washington@acl.hhs.gov. Submit written
comments on the collection of information to Administration for
Community Living, Washington, DC 20201, Attention: Tomakie Washington.
FOR FURTHER INFORMATION CONTACT: Tomakie Washington, Administration for
Community Living, Washington, DC 20201, 202-795-7336,
tomakie.washington@acl.hhs.gov.
SUPPLEMENTARY INFORMATION: 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.
``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 provide a 60-day notice in the Federal
Register concerning each proposed collection of information, including
each proposed extension of an existing collection of information,
before submitting the collection to OMB for approval. To comply with
this requirement, ACL is publishing a notice of the proposed collection
of information set forth in this document.
With respect to the following collection of information, ACL
invites comments on our burden estimates or any other aspect of this
collection of information, including:
(1) Whether the proposed collection of information is necessary for
the proper performance of ACL's functions, including whether the
information will have practical utility;
(2) the accuracy of ACL's estimate of the burden of the proposed
collection of information, including the validity of the methodology
and assumptions used to determine burden estimates;
(3) ways to enhance the quality, utility, and clarity of the
information to be collected; and
(4) ways to minimize the burden of the collection of information on
respondents, including through the use of automated collection
techniques when appropriate, and other forms of information technology.
This request proposes no changes to the currently approved 0985-
0006. The Administration for Community Living (ACL) requires grantees
funded under its discretionary grants programs to report on the
performance of their projects. This request is for an extension without
change of the generic clearance mechanism currently in use to meet
AoA's performance reporting requirements. Under the PRA, a ``Generic
Clearance'' is approved by OMB for conducting more than one information
collection (IC) using very similar methods and set protocols of
questions that are approved for multiple ICs. AoA uses the generic
clearance mechanism to collect performance data for a number of its
smaller programs. The information submitted by ACL discretionary
grantees is used by AoA to: (a) Review and monitor the grantee's
progress in achieving project objectives; (b) identify significant
findings, products, and practices of the project; and (c) identify
areas of performance that may benefit from advice and assistance from
ACL and, in rare instances, take corrective action.
The current AoA Grantee Performance Report Instrument and
Instructions will expire on April 30, 2019. Under this request, ACL
would request that OMB approve an extension without change of this
information collection mechanism for 18 months after expiration. During
this extension period, ACL plans to substantively revise and submit a
Generic Clearance request covering discretionary grant ICs across ACL,
not just under the Older Americans Act.
The proposed data collection instruments may be found on the ACL
website for review at https://www.acl.gov/about-acl/public-input.
Estimated Program Burden
ACL estimates the annual burden hours associated with this
collection as follows. The burden estimate is specific to the type of
work done by the grantees that use this reporting format. Based on 266
respondents taking an average estimate of 20 hours per response twice a
year the annual burden hours total 10,460.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Annual number Average burden
Type of respondent Number of responses per hours per Total annual
respondents respondent response burden hours
----------------------------------------------------------------------------------------------------------------
ACL Grantee..................................... 266 2 20 40
---------------------------------------------------------------
Total....................................... .............. .............. .............. 10,640
----------------------------------------------------------------------------------------------------------------
Dated: March 11, 2019.
Mary Lazare,
Principal Deputy Administrator.
[FR Doc. 2019-04829 Filed 3-14-19; 8:45 am]
BILLING CODE 4154-01-P