Agency Information Collection Activities: Submission for OMB Review; Comment Request, 30122-30123 [2019-13607]
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30122
Federal Register / Vol. 84, No. 123 / Wednesday, June 26, 2019 / Notices
basic tenets were carried forward and
broadened by the formation of the
Communicable Disease Center (CDC) in
1946. CDC was conceived of as a wellequipped, broadly staffed agency used
to translate facts about analysis of
morbidity and mortality statistics on
communicable diseases and through
field investigations.
It was soon recognized that control
measures (such as the DDT spraying for
malaria) did not alleviate the threat of
disease reintroduction. In 1950, the
Malaria Surveillance Program began,
and in 1952, the National Surveillance
Program started. Both programs were
based on the premise that diseases
cannot be diagnosed, prevented, or
controlled until existing knowledge is
expanded and new ideas developed and
implemented. The original scope of the
National Surveillance Program included
the study of malaria, murine typhus,
smallpox, psittacosis, diphtheria,
leprosy, and sylvatic plague. Over the
years, the mandate of CDC has
broadened in preventive health
activities and the surveillance systems
maintained have expanded. This
program is authorized under the Public
Health Service Act, Section 301 and 306
(42 U.S.C. 241 and 242K).
This ICR covers surveillance activities
for these four, rare diseases:
1. Creutzfeldt-Jakob Disease (CJD)
2. Reye Syndrome
3. Kawasaki syndrome
4. Acute Flaccid Myelitis
Annual burden is estimated to
decrease by 23 hours to 167 total hours
since the last approval. There is no cost
to respondents other than the time to
participate.
ESTIMATED ANNUALIZED BURDEN HOURS
Type of
respondents
Form name
Epidemiologists ...............................................
CJD ................................................................
Kawasaki Syndrome ......................................
Reye Syndrome .............................................
Acute Flaccid Myelitis ....................................
Jeffrey M. Zirger,
Lead, Information Collection Review Office,
Office of Scientific Integrity, Office of Science,
Centers for Disease Control and Prevention.
[FR Doc. 2019–13522 Filed 6–25–19; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10520, CMS–
437A and CMS–437B]
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
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SUMMARY:
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Number of
respondents
10
25
50
100
Number of
responses per
respondent
2
10
1
4
Average
burden per
response
(in hours)
20/60
15/60
20/60
12/60
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
DATES: Comments on the collection(s) of information’’ is defined in 44 U.S.C.
information must be received by the
3502(3) and 5 CFR 1320.3(c) and
OMB desk officer by July 26, 2019.
includes agency requests or
requirements that members of the public
ADDRESSES: When commenting on the
submit reports, keep records, or provide
proposed information collections,
please reference the document identifier information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
or OMB control number. To be assured
3506(c)(2)(A)) requires federal agencies
consideration, comments and
to publish a 30-day notice in the
recommendations must be received by
Federal Register concerning each
the OMB desk officer via one of the
following transmissions: OMB, Office of proposed collection of information,
including each proposed extension or
Information and Regulatory Affairs,
reinstatement of an existing collection
Attention: CMS Desk Officer, Fax
of information, before submitting the
Number: (202) 395–5806 OR, Email:
collection to OMB for approval. To
OIRA_submission@omb.eop.gov.
comply with this requirement, CMS is
To obtain copies of a supporting
publishing this notice that summarizes
statement and any related forms for the
the following proposed collection(s) of
proposed collection(s) summarized in
information for public comment:
this notice, you may make your request
1. Type of Information Collection
using one of following:
Request: Reinstatement of a previously
1. Access CMS’ website address at
website address at https://www.cms.gov/ approved information collection; Title
of Information Collection: Marketplace
Regulations-and-Guidance/Legislation/
Quality Standards; Use: The Patient
PaperworkReductionActof1995/PRAProtection and Affordable Care Act
Listing.html.
establishes requirements to support the
1. Email your request, including your
delivery of quality health care coverage
address, phone number, OMB number,
for health insurance issuers offering
and CMS document identifier, to
Qualified Health Plans (QHPs) in
Paperwork@cms.hhs.gov.
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.
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Federal Register / Vol. 84, No. 123 / Wednesday, June 26, 2019 / Notices
Exchanges. Section 1311(c)(3) of the
Patient Protection and Affordable Care
Act directs the Secretary to develop a
system to rate QHPs on the basis of
quality and price and requires
Exchanges to display this quality rating
information on their respective
websites. Section 1311(c)(4) of the
Patient Protection and Affordable Care
Act requires the Secretary to develop an
enrollee satisfaction survey system to
assess enrollee experience with each
QHP (with more than 500 enrollees in
the previous year) offered through an
Exchange. Section 1311(h) requires
QHPs to contract with certain hospitals
that meet specific patient safety and
health care quality standards.
This collection of information is
necessary to provide adequate and
timely health care quality information
for consumers, regulators, and
Exchanges as well as to collect
information to appropriately monitor
and provide a process for a survey
vendor to appeal HHS’ decision to not
approve a QHP Enrollee Survey vendor
application. Form Number: CMS–10520
(OMB control number: 0938–1249);
Frequency: Annually; Affected Public:
Public sector (Individuals and
Households), Private sector (Business or
other for-profits and Not-for-profit
institutions); Number of Respondents:
264. Total Annual Responses: 264; Total
Annual Hours: 348,764. For policy
questions regarding this collection
contact Nidhi Singh Shah at 301–492–
5110. Type of Information Collection
Request: Revision of a currently
approved collection.
2. Title of Information Collection:
State Agency Sheets for Verifying
Exclusions from the Inpatient
Prospective Payment System and
Supporting Regulations—Rehabilitation
Unit/Rehabilitation Hospital Criteria
Worksheets; Use: The purpose of this
information collection is to renew forms
CMS–437A and 437B. Inpatient
Rehabilitation Facility (IRF) hospitals
and units must initially attest that they
meet the Inpatient Prospective Payment
System (IPPS) exclusion criteria set
forth at 42 CFR 412.20 to 412.29 prior
to being placed into IPPS exempt status.
Form CMS–437A must be completed by
IRF units and form CMS–437B must be
completed by IRF hospitals.
For first time verification requests for
exclusion from the IPPS, an IRF unit or
hospital must notify the Regional Office
(RO) servicing the State in which it is
located that it believes it meets the
criteria for exclusion from the IPPS.
Currently, all new IRF units or hospitals
must provide written certification that
the inpatient population it intends to
serve will meet the requirements of the
VerDate Sep<11>2014
18:47 Jun 25, 2019
Jkt 247001
IPPS exclusion criteria for IRFs. The
completed CMS–437A and 437B forms
are submitted to the State Agency (SA)
no later than 5 months before the date
the IRF unit or hospital would become
subject to Inpatient Rehabilitation
Facility Prospective Payment System
(IRF–PPS). For IRF units and hospitals
already excluded from the IPPS, annual
onsite re-verification surveys by the SA
are no longer required. IRF units and
hospitals must now re-attest to meeting
the exclusion criteria every 3 years
thereafter.
IRF units and hospitals that have
already been excluded need not reapply
for exclusion. These facilities will
automatically be reevaluated yearly to
determine whether they continue to
meet the exclusion criteria. For the triannual re-verification, IRF units and
hospitals will be provided with a copy
of the appropriate CMS–437 worksheet
at least 5-months prior to the beginning
of its cost reporting period, so that the
IRF unit or hospital official may
complete and sign an attestation
statement and complete and return the
appropriate form CMS–437A or CMS–
437B at least 5-months prior to the
beginning of the cost reporting period.
However, Fiscal Intermediaries (FIs)
will continue to verify, on an annual
basis, compliance with the 60 percent
rule (42 CFR 412.29(b)(2)) for IRF units
and hospitals through a sample of
medical records and the SA will verify
the medical director requirement.
The SA will notify the RO at least 60
days prior to the end of the IRF unit’s
or hospital’s cost reporting period of the
status of compliance or non-compliance
with the payment requirements. The
information collected on the 437A and
437B forms, along with other
information submitted by the IRF is
necessary for determining the IRF’s IPPS
exclusion status. Form Number: CMS–
437A and CMS–437B (OMB control
number: 0938–0986); Frequency: triannually; Affected Public: Private sector
(Business or other for-profits); Number
of Respondents: 1,126; Total Annual
Responses: 1,126; Total Annual Hours:
1,126. (For policy questions regarding
this collection contact Caroline Gallaher
at 410–786–8705.)
Dated: June 21, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2019–13607 Filed 6–25–19; 8:45 am]
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30123
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–153, CMS–R–
235, CMS–10439, CMS–10594, CMS–10328
and CMS–460]
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,
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
August 26, 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 _________, Room C4–
26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
SUMMARY:
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Agencies
[Federal Register Volume 84, Number 123 (Wednesday, June 26, 2019)]
[Notices]
[Pages 30122-30123]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-13607]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10520, CMS-437A and CMS-437B]
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 July 26, 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:
[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: Reinstatement of a
previously approved information collection; Title of Information
Collection: Marketplace Quality Standards; Use: The Patient Protection
and Affordable Care Act establishes requirements to support the
delivery of quality health care coverage for health insurance issuers
offering Qualified Health Plans (QHPs) in
[[Page 30123]]
Exchanges. Section 1311(c)(3) of the Patient Protection and Affordable
Care Act directs the Secretary to develop a system to rate QHPs on the
basis of quality and price and requires Exchanges to display this
quality rating information on their respective websites. Section
1311(c)(4) of the Patient Protection and Affordable Care Act requires
the Secretary to develop an enrollee satisfaction survey system to
assess enrollee experience with each QHP (with more than 500 enrollees
in the previous year) offered through an Exchange. Section 1311(h)
requires QHPs to contract with certain hospitals that meet specific
patient safety and health care quality standards.
This collection of information is necessary to provide adequate and
timely health care quality information for consumers, regulators, and
Exchanges as well as to collect information to appropriately monitor
and provide a process for a survey vendor to appeal HHS' decision to
not approve a QHP Enrollee Survey vendor application. Form Number: CMS-
10520 (OMB control number: 0938-1249); Frequency: Annually; Affected
Public: Public sector (Individuals and Households), Private sector
(Business or other for-profits and Not-for-profit institutions); Number
of Respondents: 264. Total Annual Responses: 264; Total Annual Hours:
348,764. For policy questions regarding this collection contact Nidhi
Singh Shah at 301-492-5110. Type of Information Collection Request:
Revision of a currently approved collection.
2. Title of Information Collection: State Agency Sheets for
Verifying Exclusions from the Inpatient Prospective Payment System and
Supporting Regulations--Rehabilitation Unit/Rehabilitation Hospital
Criteria Worksheets; Use: The purpose of this information collection is
to renew forms CMS-437A and 437B. Inpatient Rehabilitation Facility
(IRF) hospitals and units must initially attest that they meet the
Inpatient Prospective Payment System (IPPS) exclusion criteria set
forth at 42 CFR 412.20 to 412.29 prior to being placed into IPPS exempt
status. Form CMS-437A must be completed by IRF units and form CMS-437B
must be completed by IRF hospitals.
For first time verification requests for exclusion from the IPPS,
an IRF unit or hospital must notify the Regional Office (RO) servicing
the State in which it is located that it believes it meets the criteria
for exclusion from the IPPS. Currently, all new IRF units or hospitals
must provide written certification that the inpatient population it
intends to serve will meet the requirements of the IPPS exclusion
criteria for IRFs. The completed CMS-437A and 437B forms are submitted
to the State Agency (SA) no later than 5 months before the date the IRF
unit or hospital would become subject to Inpatient Rehabilitation
Facility Prospective Payment System (IRF-PPS). For IRF units and
hospitals already excluded from the IPPS, annual onsite re-verification
surveys by the SA are no longer required. IRF units and hospitals must
now re-attest to meeting the exclusion criteria every 3 years
thereafter.
IRF units and hospitals that have already been excluded need not
reapply for exclusion. These facilities will automatically be
reevaluated yearly to determine whether they continue to meet the
exclusion criteria. For the tri-annual re-verification, IRF units and
hospitals will be provided with a copy of the appropriate CMS-437
worksheet at least 5-months prior to the beginning of its cost
reporting period, so that the IRF unit or hospital official may
complete and sign an attestation statement and complete and return the
appropriate form CMS-437A or CMS-437B at least 5-months prior to the
beginning of the cost reporting period. However, Fiscal Intermediaries
(FIs) will continue to verify, on an annual basis, compliance with the
60 percent rule (42 CFR 412.29(b)(2)) for IRF units and hospitals
through a sample of medical records and the SA will verify the medical
director requirement.
The SA will notify the RO at least 60 days prior to the end of the
IRF unit's or hospital's cost reporting period of the status of
compliance or non-compliance with the payment requirements. The
information collected on the 437A and 437B forms, along with other
information submitted by the IRF is necessary for determining the IRF's
IPPS exclusion status. Form Number: CMS-437A and CMS-437B (OMB control
number: 0938-0986); Frequency: tri-annually; Affected Public: Private
sector (Business or other for-profits); Number of Respondents: 1,126;
Total Annual Responses: 1,126; Total Annual Hours: 1,126. (For policy
questions regarding this collection contact Caroline Gallaher at 410-
786-8705.)
Dated: June 21, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2019-13607 Filed 6-25-19; 8:45 am]
BILLING CODE 4120-01-P