Agency Information Collection Activities: Proposed Collection; Comment Request, 43135-43136 [2019-17945]

Download as PDF Federal Register / Vol. 84, No. 161 / Tuesday, August 20, 2019 / Notices jbell on DSK3GLQ082PROD with NOTICES group. The day to day operations of the State Buy-in program is accomplished through an automated data exchange process. The automated data exchange process is used to exchange Medicare and Buy-in entitlement information between the Social Security District Offices, State Medicaid Agencies and the Centers for Medicare & Medicaid Services (CMS). When problems arise that cannot be resolved though the normal data exchange process, clerical actions are required. The CMS–1957, ‘‘SSO Report of State Buy-In Problem’’ is used to report Buy-in problems cases. The CMS–1957 is the only standardized form available for communications between the aforementioned agencies for the resolution of beneficiary complaints and inquiries regarding State Buy-in eligibility. Form Number: CMS– 1957 (OMB control number: 0938– 0035); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 5,854; Total Annual Responses: 5,854; Total Annual Hours: 1,951. (For policy questions regarding this collection contact Keith Johnson at 410–786– 1148.) 2. Type of Information Collection Request: Reinstatement without change of a currently approved collection; Title of Information Collection: Summary of Benefits and Coverage and Uniform Glossary; Use: This information collection will ensure that consumers shopping for or enrolled in private, individually purchased, or non-federal governmental group health plan coverage receive the consumer protections of the Affordable Care Act. Employers, employees, and individuals will use this information to compare coverage options prior to selecting coverage and to understand the terms of, and extent of medical benefits offered by, their coverage (or exceptions to such coverage or benefits) once they have coverage. Form Number: CMS–10407 (OMB control number: 0938–1146); Frequency: Yearly; Affected Public: Private Sector—Business or other forprofits and not-for-profit institutions; Number of Respondents: 128,511; Total Annual Responses: 24,433,233; Total Annual Hours: 41,551. (For policy questions regarding this collection contact Jessica Weinberg at 301–492– 4404.) Dated: August 15, 2019. William N. Parham, III Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2019–17939 Filed 8–19–19; 8:45 am] BILLING CODE 4120–01–P VerDate Sep<11>2014 20:49 Aug 19, 2019 Jkt 247001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier CMS–R–131] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, HHS. ACTION: Notice. AGENCY: SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is announcing an opportunity for the public to comment on CMS’ intention to collect information from the public. Under the Paperwork Reduction Act of 1995 (the PRA), federal agencies are required to publish notice in the Federal Register concerning each proposed collection of information (including each proposed extension or reinstatement of an existing collection of information) and to allow 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including the necessity and utility of the proposed information collection for the proper performance of the agency’s functions, the accuracy of the estimated burden, ways to enhance the quality, utility, and clarity of the information to be collected, and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by October 21, 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. To obtain copies of a supporting statement and any related forms for the PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 43135 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: 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–131 Advance Beneficiary Notice of Noncoverage (ABN) Under the PRA (44 U.S.C. 3501– 3520), federal agencies must obtain approval from the Office of Management and Budget (OMB) for each collection of information they conduct or sponsor. The term ‘‘collection of information’’ is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and includes agency requests or requirements that members of the public submit reports, keep records, or provide information to a third party. Section 3506(c)(2)(A) of the PRA requires federal agencies to publish a 60-day notice in the Federal Register concerning each proposed collection of information, including each proposed extension or reinstatement of an existing collection of information, before submitting the collection to OMB for approval. To comply with this requirement, CMS is publishing this notice. Information Collection 1. Type of Information Collection Request: Extension without change of a currently approved collection; Title of Information Collection: Advance Beneficiary Notice of Noncoverage (ABN); Use: The use of the written Advance Beneficiary Notice of Noncoverage (ABN) is to inform Medicare beneficiaries of their liability under specific conditions. This has been available since the ‘‘limitation on liability’’ provisions in section 1879 of the Social Security Act (the Act) were enacted in 1972 (Pub. L. 92–603). ABNs are not given every time items and services are delivered. Rather, ABNs are E:\FR\FM\20AUN1.SGM 20AUN1 43136 Federal Register / Vol. 84, No. 161 / Tuesday, August 20, 2019 / Notices given only when a physician, provider, practitioner, or supplier anticipates that Medicare will not provide payment in specific cases. An ABN may be given, and the beneficiary may subsequently choose not to receive the item or service. An ABN may also be issued because of other applicable statutory requirements other than § 1862(a)(1) such as when a beneficiary wants to obtain an item from a supplier who has not met Medicare supplier number requirements, as listed in section 1834(j)(1) of the Act or when statutory requirements for issuance specific to HHAs are applicable. ABNs are usually given as hard copy notices during in-person patient encounters. In some cases, notification may be done by telephone with a follow-up notice mailed. Electronic issuance of ABNs is permitted as long as the beneficiary is offered the option to receive a paper copy of the notice if this is preferred. Regardless of the mode of delivery, the beneficiary must receive a copy of the signed ABN for his/her own records. Incorporation of ABNs into other automated business processes is permitted, and some limited flexibility in formatting the notice in such cases is allowed, as discussed in the form instructions. Notifiers may choose to store the required signed copy of the ABN electronically. Form Number: CMS–R–131 (OMB control number: 0938–0566); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 1,589,060; Total Annual Responses: 382,216,385; Total Annual Hours: 44,593,186. (For policy questions regarding this collection contact Jennifer McCormick at 410–786–2852.) Dated: August 15, 2019. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2019–17945 Filed 8–19–19; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for OMB Review; Head Start Program Performance Standards (OMB #0970–0148) Office of Head Start; Administration for Children and Families; HHS. ACTION: Request for Public Comment. AGENCY: SUMMARY: The Office Head Start (OHS), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting a three-year extension of the Head Start Program Performance Standards (HSPPS) information collection (OMB #0970–0148, expiration 1/31/2020). There are no changes requested to these record keeping requirements. Comments due within 30 days of publication. OMB is required to make a decision concerning the collection of information between 30 and 60 days after publication of this document in the DATES: Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. Written comments and recommendations for the proposed information collection should be sent directly to the following: Office of Management and Budget, Paperwork Reduction Project, Email: OIRA_ SUBMISSION@OMB.EOP.GOV, Attn: Desk Officer for the Administration for Children and Families. Copies of the proposed collection may be obtained by emailing infocollection@ acf.hhs.gov. Alternatively, copies can also be obtained by writing to the Administration for Children and Families, Office of Planning, Research, and Evaluation, 330 C Street SW, Washington, DC 20201, Attn: OPRE Reports Clearance Officer. All requests, emailed or written, should be identified by the title of the information collection. SUPPLEMENTARY INFORMATION: Description: This information collection was approved alongside the final rule for the revised HSPPS on September 1, 2016. This information collection is entirely record keeping and does not contain any standardized instruments or instructions. For example, this includes the requirement that programs maintain a waiting list of eligible families. There are no changes to the record keeping requirements contained in this information collection. Only minor adjustments were made to the estimated burden based on updated enrollment and staff data. Respondents: Head Start grantees. ADDRESSES: ANNUAL BURDEN ESTIMATES Total number of respondents jbell on DSK3GLQ082PROD with NOTICES Recordkeeping requirement 1301.6(a) .......................................................................................................... 1302.12(k) ........................................................................................................ 1302.14(c) ........................................................................................................ 1302.16(b) ........................................................................................................ 1302.33(a) and (b) ........................................................................................... 1302.33(c)(2) ................................................................................................... 1302.42(a) and (b) ........................................................................................... 1302.42(e) ........................................................................................................ 1302.47(b)(7)(iv) .............................................................................................. 1302.53(b) & (d) .............................................................................................. 1302.90(a) ........................................................................................................ 1302.90(b)(1)(i)–(iv), (b)(4) .............................................................................. 1302.93(a) ........................................................................................................ 1302.94(a) ........................................................................................................ 1302.101(a)(4) and 1302.102(b)–(c) ............................................................... 1302.102(d)(3) ................................................................................................. 1303.12 ............................................................................................................ 1303.22–24 ...................................................................................................... 1303.42–53 ...................................................................................................... 1303.70(c) ........................................................................................................ 1303.72(a)(3) ................................................................................................... VerDate Sep<11>2014 20:49 Aug 19, 2019 Jkt 247001 PO 00000 Frm 00038 Fmt 4703 Sfmt 4703 Total number of responses per respondent 3,020 1,054,720 3,020 3,020 1,054,720 294,632 1,054,720 3,020 3,020 3,020 3,020 79,509 26,503 3,020 3,020 110 3,020 956,120 260 200 3,020 E:\FR\FM\20AUN1.SGM 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20AUN1 Average burden hours per response 0.70 .166 2.00 5.00 1.00 2.00 0.66 0.50 0.50 0.166 0.50 0.33 0.25 0.166 79.00 10.00 0.166 0.33 40.00 1 2 Total burden hours 2,114 175,084 6,040 15,100 1,054,720 589,264 696,115 1,510 1,510 501 1,510 26,238 6,626 501 238,580 1,100 501 315,520 10,400 200 6,040

Agencies

[Federal Register Volume 84, Number 161 (Tuesday, August 20, 2019)]
[Notices]
[Pages 43135-43136]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-17945]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-R-131]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (the PRA), federal agencies are required to publish notice 
in the Federal Register concerning each proposed collection of 
information (including each proposed extension or reinstatement of an 
existing collection of information) and to allow 60 days for public 
comment on the proposed action. Interested persons are invited to send 
comments regarding our burden estimates or any other aspect of this 
collection of information, including the necessity and utility of the 
proposed information collection for the proper performance of the 
agency's functions, the accuracy of the estimated burden, ways to 
enhance the quality, utility, and clarity of the information to be 
collected, and the use of automated collection techniques or other 
forms of information technology to minimize the information collection 
burden.

DATES: Comments must be received by October 21, 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.
    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
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

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

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-R-131 Advance Beneficiary Notice of Noncoverage (ABN)

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Advance Beneficiary Notice of Noncoverage (ABN); Use: The use of the 
written Advance Beneficiary Notice of Non-coverage (ABN) is to inform 
Medicare beneficiaries of their liability under specific conditions. 
This has been available since the ``limitation on liability'' 
provisions in section 1879 of the Social Security Act (the Act) were 
enacted in 1972 (Pub. L. 92-603). ABNs are not given every time items 
and services are delivered. Rather, ABNs are

[[Page 43136]]

given only when a physician, provider, practitioner, or supplier 
anticipates that Medicare will not provide payment in specific cases.
    An ABN may be given, and the beneficiary may subsequently choose 
not to receive the item or service. An ABN may also be issued because 
of other applicable statutory requirements other than Sec.  1862(a)(1) 
such as when a beneficiary wants to obtain an item from a supplier who 
has not met Medicare supplier number requirements, as listed in section 
1834(j)(1) of the Act or when statutory requirements for issuance 
specific to HHAs are applicable.
    ABNs are usually given as hard copy notices during in-person 
patient encounters. In some cases, notification may be done by 
telephone with a follow-up notice mailed. Electronic issuance of ABNs 
is permitted as long as the beneficiary is offered the option to 
receive a paper copy of the notice if this is preferred. Regardless of 
the mode of delivery, the beneficiary must receive a copy of the signed 
ABN for his/her own records. Incorporation of ABNs into other automated 
business processes is permitted, and some limited flexibility in 
formatting the notice in such cases is allowed, as discussed in the 
form instructions. Notifiers may choose to store the required signed 
copy of the ABN electronically. Form Number: CMS-R-131 (OMB control 
number: 0938-0566); Frequency: Yearly; Affected Public: State, Local, 
or Tribal Governments; Number of Respondents: 1,589,060; Total Annual 
Responses: 382,216,385; Total Annual Hours: 44,593,186. (For policy 
questions regarding this collection contact Jennifer McCormick at 410-
786-2852.)

    Dated: August 15, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-17945 Filed 8-19-19; 8:45 am]
BILLING CODE 4120-01-P

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