Agency Information Collection Activities: Submission for OMB Review; Comment Request, 22850-22851 [2019-10349]
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Federal Register / Vol. 84, No. 97 / Monday, May 20, 2019 / Notices
Engineering, and Health Services
Research (R18).’’
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open session before closing to the public
for the duration of the meeting. The SEP
meeting referenced above will be closed
to the public in accordance with the
provisions set forth in 5 U.S.C. App. 2,
section 10(d), 5 U.S.C. 552b(c)(4), and 5
U.S.C. 552b(c)(6). Grant applications for
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Learning Laboratories (2019): Pursuing
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Gopal Khanna,
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[FR Doc. 2019–10452 Filed 5–17–19; 8:45 am]
BILLING CODE 4160–90–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10455 and CMS–
10379]
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
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
khammond on DSKBBV9HB2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
16:41 May 17, 2019
Jkt 247001
1. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Report of a
Hospital Death Associated with
Restraint or Seclusion; Use: The final
rule, which finalized the regulations at
42 CFR 482.13(g), published on May, 16,
2012 (77 FR 29074) included a
DATES: Comments on the collection(s) of
reduction in the reporting requirements
information must be received by the
related to hospital deaths associated
OMB desk officer by June 19, 2019.
with the use of restraint or seclusion.
ADDRESSES: When commenting on the
Section § 482.13(g) requires that
proposed information collections,
hospitals must use form CMS–10455 to
please reference the document identifier report those deaths associated with
or OMB control number. To be assured
restraint and/or seclusion directly to the
consideration, comments and
Centers for Medicare & Medicaid
recommendations must be received by
Services (CMS) Regional Office (RO). In
the OMB desk officer via one of the
addition, the final rule replaced the
following transmissions: OMB, Office of previous requirement for reporting via
Information and Regulatory Affairs,
telephone to CMS, which proved to be
Attention: CMS Desk Officer, Fax
cumbersome for both CMS and
Number: (202) 395–5806 OR Email:
hospitals, with a requirement that
OIRA_ submission@omb.eop.gov.
allows the submission of reports on the
To obtain copies of a supporting
form CMS–10455 via facsimile or
statement and any related forms for the
electronically, as determined by CMS.
proposed collection(s) summarized in
This reporting requirement applies to
this notice, you may make your request
hospitals, Critical Access Hospitals
using one of following:
(CAHs) and rehabilitation or psychiatric
1. Access CMS’ website address at
distinct part units (DPUs) in hospitals
website address at https://www.cms.gov/ and CAHs. Currently, the hospital, CAH,
Regulations-and-Guidance/Legislation/
or rehabilitation or psychiatric DPU
PaperworkReductionActof1995/PRAmust submit the form CMS–10455 to the
Listing.html.
CMS RO via fax or email, based on RO’s
1. Email your request, including your
preference. Beginning on May 9, 2014,
address, phone number, OMB number,
hospitals were no longer required to
and CMS document identifier, to
report to CMS, those deaths that were
Paperwork@cms.hhs.gov.
not associated with the use of seclusion
2. Call the Reports Clearance Office at and where the only restraints used were
(410) 786–1326.
2-point soft wrist restraints. This
FOR FURTHER INFORMATION CONTACT:
reporting requirement change resulted
William Parham at (410) 786–4669.
in no necessary edits to the form CMS–
10455. However, despite the change in
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA) reporting requirements, hospitals and
CAHs continued to submit unnecessary
(44 U.S.C. 3501–3520), federal agencies
CMS–10455 forms when there was only
must obtain approval from the Office of
Management and Budget (OMB) for each use of 2-point soft wrist restraints
without the use of seclusion. Therefore,
collection of information they conduct
form CMS–10455 was modified in July
or sponsor. The term ‘‘collection of
2018 to include instructions stating that
information’’ is defined in 44 U.S.C.
the submission of this form is not
3502(3) and 5 CFR 1320.3(c) and
required for deaths associated with the
includes agency requests or
requirements that members of the public use of only 2-point soft wrist restraints
submit reports, keep records, or provide without seclusion. It was estimated that
this change would reduce the volume of
information to a third party. Section
reports to be submitted by 90 percent for
3506(c)(2)(A) of the PRA (44 U.S.C.
hospitals.
3506(c)(2)(A)) requires federal agencies
In this information collection request,
to publish a 30-day notice in the
CMS is seeking OMB approval for an
Federal Register concerning each
electronically submitted version of the
proposed collection of information,
currently approved paper version of
including each proposed extension or
form CMS–10455. Form Number: CMS–
reinstatement of an existing collection
10455 (OMB control number: 0938–
of information, before submitting the
1210); Frequency: Occasionally;
collection to OMB for approval. To
Affected Public: Private Sector; Number
comply with this requirement, CMS is
of Respondents: 6,389; Number of
publishing this notice that summarizes
Responses: 6,389; Total Annual Hours:
the following proposed collection(s) of
6,389. (For policy questions regarding
information for public comment:
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.
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22851
Federal Register / Vol. 84, No. 97 / Monday, May 20, 2019 / Notices
this collection contact Caroline Gallaher
at 410–786–8705.)
2. Type of Information Collection
Request: Revision of a previously
approved information collection; Title
of Information Collection: Rate Increase
Disclosure and Review Requirements
(45 CFR part 154); Use: 45 CFR part 154
implements the annual review of
unreasonable increases in premiums for
health insurance coverage called for by
section 2794. The regulation established
a rate review program to ensure that all
rate increases that meet or exceed an
established threshold are reviewed by a
state or the Centers for Medicare and
Medicaid Services (CMS) to determine
whether the rate increases are
unreasonable. Accordingly, issuers
offering non-grandfathered health
insurance coverage in the individual
and/or small group markets are required
to submit Rate Filing Justifications to
CMS. Section 154.103(b) exempts
grandfathered health plan coverage as
defined in 45 CFR 147.140 and excepted
benefits as described in section 2791(c)
of the PHS Act. In the Notice of Benefit
and Payment Parameters for 2019 (2019
Payment Notice) (83 FR 74, April 17,
2018), Section 154.103 was modified so
that student health insurance coverage,
as defined in § 147.145, is also
exempted from Federal rate review
requirements for plans beginning on or
after July 1, 2018.
Section 154.200(a)(1) previously
provided that a rate increase for single
risk pool coverage beginning on or after
January 1, 2017 was subject to a
reasonableness review if: (1) The
average increase, including premium
rating factors described in § 147.102, for
all enrollees, weighted by premium
volume for any plan within the product,
meets or exceeds 10 percent; or (2) the
increase exceeds a state-specific
threshold approved by the Secretary. In
the 2019 Payment Notice, this provision
was amended to establish a 15 percent
federal default threshold for
reasonableness review beginning with
single risk pool rate filings submitted by
issuers for plan or policy years
beginning on or after January 1, 2019.
The Rate Filing Justification consists
of three parts. All issuers must continue
to submit a Uniform Rate Review
Template (URRT) (Part I of the Rate
Filing Justification) for all single risk
pool plans. Issuers that submit a rate
filing that includes a plan that meets or
exceeds the threshold must include a
written description justifying the rate
increase, also known as the consumer
justification narrative (Part II of the Rate
Filing Justification). We note that the
threshold set by CMS constitutes a
minimum standard and most states
currently employ stricter rate review
standards and may continue to do so.
Issuers offering a QHP or any single risk
pool submission containing a rate
increase of any size must continue to
submit an actuarial memorandum (Part
III of the Rate Filing Justification). Form
Number: CMS–10379 (OMB control
number: 0938–1141); Frequency:
Annually; Affected Public: Private
Sector; Businesses or other for-profits,
Not-for-profit institutions; Number of
Respondents: 589; Total Annual
Responses: 2,363; Total Annual Hours:
20,240. (For policy questions regarding
this collection contact Lisa Cuozzo at
410–786–1746.)
Dated: May 14, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–10349 Filed 5–17–19; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
OMB No.: 0970–0435.
Description: The federal Office of
Child Support Enforcement’s (OCSE)
Federal Parent Locator Service offers the
Electronic Document Exchange (EDE),
formerly titled ‘‘Child Support
Document Exchange System’’ (CSDES),
application within the OCSE Child
Support Portal. The EDE provides a
centralized, secure system for
authorized users in state child support
agencies to electronically exchange
child support and spousal support case
information with other state child
support agencies. Using the EDE
benefits state child support agencies by
reducing delays, costs, and barriers
associated with interstate case
processing; increasing state collections;
improving document security;
standardizing data sharing; increasing
state participation; and improving case
processing and overall child and
spousal support outcomes.
The activities associated with the EDE
are authorized by (1) 42 U.S.C. 652(a)(7),
which requires OCSE to provide
technical assistance to the states to help
them establish effective systems for
collecting child support and spousal
support; (2) 42 U.S.C. 666(c)(1), which
requires state child support agencies to
have expedited procedures to obtain
and promptly share information with
other state child support agencies; and
(3) 45 CFR 303.7(a)(5), provides the
mechanism for state child support
agencies to fulfill the federal
requirement to transmit requests for
child support case information and
provide requested information
electronically to the greatest extent
possible as required by the regulation.
Respondents: State Child Support
Agencies.
Proposed Projects
Title: Electronic Document Exchange
(formerly titled, ‘‘Child Support
Document Exchange System’’).
khammond on DSKBBV9HB2PROD with NOTICES
ANNUAL BURDEN ESTIMATES
Information collection instrument
Number of
respondents
Number of
responses per
respondent
Average
burden hours
per response
Total burden
hours
Online Data Entry Screens ..............................................................................
38
1,328
* .017
855
* (60 seconds).
Estimated Total Annual Burden
Hours: 855.
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Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
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Children and Families, Office of
Planning, Research and Evaluation, 330
C Street SW, Washington, DC 20201,
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[Federal Register Volume 84, Number 97 (Monday, May 20, 2019)]
[Notices]
[Pages 22850-22851]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-10349]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10455 and CMS-10379]
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.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by June 19, 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_
[email protected].
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 [email protected].
2. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: William 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. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Report of a
Hospital Death Associated with Restraint or Seclusion; Use: The final
rule, which finalized the regulations at 42 CFR 482.13(g), published on
May, 16, 2012 (77 FR 29074) included a reduction in the reporting
requirements related to hospital deaths associated with the use of
restraint or seclusion. Section Sec. 482.13(g) requires that hospitals
must use form CMS-10455 to report those deaths associated with
restraint and/or seclusion directly to the Centers for Medicare &
Medicaid Services (CMS) Regional Office (RO). In addition, the final
rule replaced the previous requirement for reporting via telephone to
CMS, which proved to be cumbersome for both CMS and hospitals, with a
requirement that allows the submission of reports on the form CMS-10455
via facsimile or electronically, as determined by CMS. This reporting
requirement applies to hospitals, Critical Access Hospitals (CAHs) and
rehabilitation or psychiatric distinct part units (DPUs) in hospitals
and CAHs. Currently, the hospital, CAH, or rehabilitation or
psychiatric DPU must submit the form CMS-10455 to the CMS RO via fax or
email, based on RO's preference. Beginning on May 9, 2014, hospitals
were no longer required to report to CMS, those deaths that were not
associated with the use of seclusion and where the only restraints used
were 2-point soft wrist restraints. This reporting requirement change
resulted in no necessary edits to the form CMS-10455. However, despite
the change in reporting requirements, hospitals and CAHs continued to
submit unnecessary CMS-10455 forms when there was only use of 2-point
soft wrist restraints without the use of seclusion. Therefore, form
CMS-10455 was modified in July 2018 to include instructions stating
that the submission of this form is not required for deaths associated
with the use of only 2-point soft wrist restraints without seclusion.
It was estimated that this change would reduce the volume of reports to
be submitted by 90 percent for hospitals.
In this information collection request, CMS is seeking OMB approval
for an electronically submitted version of the currently approved paper
version of form CMS-10455. Form Number: CMS-10455 (OMB control number:
0938-1210); Frequency: Occasionally; Affected Public: Private Sector;
Number of Respondents: 6,389; Number of Responses: 6,389; Total Annual
Hours: 6,389. (For policy questions regarding
[[Page 22851]]
this collection contact Caroline Gallaher at 410-786-8705.)
2. Type of Information Collection Request: Revision of a previously
approved information collection; Title of Information Collection: Rate
Increase Disclosure and Review Requirements (45 CFR part 154); Use: 45
CFR part 154 implements the annual review of unreasonable increases in
premiums for health insurance coverage called for by section 2794. The
regulation established a rate review program to ensure that all rate
increases that meet or exceed an established threshold are reviewed by
a state or the Centers for Medicare and Medicaid Services (CMS) to
determine whether the rate increases are unreasonable. Accordingly,
issuers offering non-grandfathered health insurance coverage in the
individual and/or small group markets are required to submit Rate
Filing Justifications to CMS. Section 154.103(b) exempts grandfathered
health plan coverage as defined in 45 CFR 147.140 and excepted benefits
as described in section 2791(c) of the PHS Act. In the Notice of
Benefit and Payment Parameters for 2019 (2019 Payment Notice) (83 FR
74, April 17, 2018), Section 154.103 was modified so that student
health insurance coverage, as defined in Sec. 147.145, is also
exempted from Federal rate review requirements for plans beginning on
or after July 1, 2018.
Section 154.200(a)(1) previously provided that a rate increase for
single risk pool coverage beginning on or after January 1, 2017 was
subject to a reasonableness review if: (1) The average increase,
including premium rating factors described in Sec. 147.102, for all
enrollees, weighted by premium volume for any plan within the product,
meets or exceeds 10 percent; or (2) the increase exceeds a state-
specific threshold approved by the Secretary. In the 2019 Payment
Notice, this provision was amended to establish a 15 percent federal
default threshold for reasonableness review beginning with single risk
pool rate filings submitted by issuers for plan or policy years
beginning on or after January 1, 2019.
The Rate Filing Justification consists of three parts. All issuers
must continue to submit a Uniform Rate Review Template (URRT) (Part I
of the Rate Filing Justification) for all single risk pool plans.
Issuers that submit a rate filing that includes a plan that meets or
exceeds the threshold must include a written description justifying the
rate increase, also known as the consumer justification narrative (Part
II of the Rate Filing Justification). We note that the threshold set by
CMS constitutes a minimum standard and most states currently employ
stricter rate review standards and may continue to do so. Issuers
offering a QHP or any single risk pool submission containing a rate
increase of any size must continue to submit an actuarial memorandum
(Part III of the Rate Filing Justification). Form Number: CMS-10379
(OMB control number: 0938-1141); Frequency: Annually; Affected Public:
Private Sector; Businesses or other for-profits, Not-for-profit
institutions; Number of Respondents: 589; Total Annual Responses:
2,363; Total Annual Hours: 20,240. (For policy questions regarding this
collection contact Lisa Cuozzo at 410-786-1746.)
Dated: May 14, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-10349 Filed 5-17-19; 8:45 am]
BILLING CODE 4120-01-P
