Agency Information Collection Activities: Proposed Collection; Comment Request, 13830-13831 [2023-04551]

Download as PDF 13830 Federal Register / Vol. 88, No. 43 / Monday, March 6, 2023 / Notices • Jean-Venable Robertson Goode, Professor, Department of Pharmacotherapy and Outcomes Science, School of Pharmacy, Virginia Commonwealth University. • Ted Henson, Director of Health Center Performance and Innovation, National Association of Community Health Centers. • Joan Ilardo, Director of Research Initiatives, Michigan State University, College of Human Medicine. • Lydia Isaac, Vice President for Health Equity and Policy, National Urban League. • Daisy Kim, Principal Legislative Analyst, University of California System. • Cheri Lattimer, Executive Director, National Transitions of Care Coalition. • Cori McMahon, Vice President, Tridiuum. • Alan Meade, Director of Rehabilitation Services, Holston Medical Group. • Neil Meltzer, President and CEO, LifeBridge Health. • Michael Minor, National Director, H.O.P.E. HHS Partnership, National Baptist Convention USA, Incorporated. • Jina Ragland, Associate State Director of Advocacy and Outreach, AARP Nebraska. • Morgan Reed, Executive Director, Association for Competitive Technology. • Carrie Rogers, Associate Director, Community Catalyst. • Margot Savoy, Senior Vice President, American Academy of Family Physicians. • Congresswoman Allyson Schwartz, Senior Advisor, FTI Consulting. • Matthew Snider, JD, Senior Policy Analyst, Unidos US. • Tia Whitaker, Statewide Director, Outreach and Enrollment, Pennsylvania Association of Community Health Centers. lotter on DSK11XQN23PROD with NOTICES1 II. Meeting Format and Agenda In accordance with section 10(a) of the FACA, this notice announces a meeting of the APOE. The agenda for the April 20, 2023 meeting will include the following: • Welcome and opening remarks from CMS leadership • Recap of the previous (February 9, 2023) meeting • Presentations on CMS programs, initiatives, and priorities; discussion of panel recommendations • An opportunity for public comment • Meeting adjourned Individuals or organizations that wish to make a 5-minute oral presentation on an agenda topic should submit a written VerDate Sep<11>2014 19:26 Mar 03, 2023 Jkt 259001 copy of the oral presentation to the DFO at the address listed in the ADDRESSES section of this notice by the date listed in the DATES section of this notice. The number of oral presentations may be limited by the time available. Individuals not wishing to make an oral presentation may submit written comments to the DFO at the address listed in the ADDRESSES section of this notice by the date listed in the DATES section of this notice. III. Meeting Participation The meeting is open to the public, but attendance is limited to the space available. Persons wishing to attend this meeting must register at the following weblink https://CMS-APOEApril2023.rsvpify.com, contacting the DFO at the address listed in the ADDRESSES section of this notice or by telephone at the number listed in the FOR FURTHER INFORMATION CONTACT section of this notice by the date specified in the DATES section of this notice. This meeting will be held in a federal government building, the Hubert H. Humphrey (HHH) Building; therefore, federal security measures are applicable. The REAL ID Act of 2005 (Pub. L. 109–13) establishes minimum standards for the issuance of state-issued driver’s licenses and identification (ID) cards. It prohibits federal agencies from accepting an official driver’s license or ID card from a state for any official purpose unless the Secretary of the Department of Homeland Security determines that the state meets these standards. Beginning October 2015, photo IDs (such as a valid driver’s license) issued by a state or territory not in compliance with the Real ID Act will not be accepted as identification to enter federal buildings. Visitors from these states/territories will need to provide alternative proof of identification (such as a valid passport) to gain entrance into federal buildings. The current list of states from which a federal agency may accept driver’s licenses for an official purpose is found at https://www.dhs.gov/ real-id-enforcement-brief. We recommend that confirmed registrants arrive reasonably early, but no earlier than 45 minutes prior to the start of the meeting, to allow additional time to clear security. Security measures include the following: • Presentation of a government-issued photographic identification to the Federal Protective Service or Guard Service personnel. • Inspection, via metal detector or other applicable means, of all persons entering the building. We note that all items brought into HHH Building, PO 00000 Frm 00054 Fmt 4703 Sfmt 4703 whether personal or for the purpose of presentation or to support a presentation, are subject to inspection. We cannot assume responsibility for coordinating the receipt, transfer, transport, storage, set up, safety, or timely arrival of any personal belongings or items used for presentation or to support a presentation. Note: Individuals who are not registered in advance will not be permitted to enter the building and will be unable to attend the meeting. IV. Collection of Information This document does not impose information collection requirements, that is, reporting, recordkeeping, or third-party disclosure requirements. Consequently, there is no need for review by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35). The Administrator of the Centers for Medicare & Medicaid Services (CMS), Chiquita Brooks-LaSure, having reviewed and approved this document, authorizes Evell J. Barco Holland, who is the Federal Register Liaison, to electronically sign this document for purposes of publication in the Federal Register. Dated: March 1, 2023. Evell J. Barco Holland, Federal Register Liaison, Centers for Medicare & Medicaid Services. [FR Doc. 2023–04474 Filed 3–3–23; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–4040 & CMS–R– 297] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, Health and Human 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 SUMMARY: E:\FR\FM\06MRN1.SGM 06MRN1 Federal Register / Vol. 88, No. 43 / Monday, March 6, 2023 / Notices 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 May 5, 2023. 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: ll 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, please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/ Regulations-and-Guidance/Legislation/ PaperworkReductionActof1995/PRAListing FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786–4669. SUPPLEMENTARY INFORMATION: lotter on DSK11XQN23PROD with NOTICES1 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). VerDate Sep<11>2014 19:26 Mar 03, 2023 Jkt 259001 CMS–4040 Request for Enrollment in Supplementary Medical Insurance (SMI) CMS–R–297 Request for Employment 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. 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 of a currently approved collection; Title of Information Collection: Request for Enrollment in Supplementary Medical Insurance (SMI); Use: CMS regulations 42 CFR 407.11 lists the CMS–4040 as the application to be used by individuals who are not eligible for monthly Social Security/Railroad Retirement Board benefits or free Part A. The CMS–4040 solicits the information that is used to determine entitlement for individuals who meet the requirements in section 1836 as well as the entitlement of the applicant or their spouses to an annuity paid by OPM for premium deduction purposes. The application follows the application questions and requirements used by SSA. This is done not only for consistency purposes but to comply with other Title II and Title XVIII requirements because eligibility to Title II benefits and free Part A under Title XVIII must be ruled out in order to qualify for enrollment in Part B only. Form Number: CMS–4040 (OMB control number: 0938–0245); Frequency: Once; Affected Public: Individuals or households; Number of Respondents: 42,011; Total Annual Responses: 42,011; Total Annual Hours: 10,503. (For policy questions regarding this collection contact Carla Patterson at 410–786–8911.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of PO 00000 Frm 00055 Fmt 4703 Sfmt 4703 13831 Information Collection: Request for Employment Information; Use: The form CMS–L564, also referred to as CMS–R– 297, is used, in conjunction with form CMS–40–B, Application for Supplementary Medical Insurance, during an individual’s special enrollment period (SEP). Completed by an employer, the CMS–L564 provides proof of an applicant’s employer group health coverage. The Social Security Administration (SSA) uses it to obtain information from employers regarding whether a Medicare beneficiary’s coverage under a group health plan is based on current employment status. The form is available online via Medicare.gov and CMS.gov for individuals who are requesting the SEP to obtain and submit to their employer for completion. The employer must complete and sign the form, and submit it to the individual to accompany their enrollment or late enrollment penalty reduction request. The information on the completed form is reviewed manually by SSA. Form Number: CMS– R–297 (OMB control number: 0938– 0787); Frequency: Once; Affected Public: Individuals or households, Business or other for-profits, Not-forprofit institutions; Number of Respondents: 676,526; Total Annual Responses: 676,526; Total Annual Hours: 56,355. (For policy questions regarding this collection contact Carla Patterson at 410–786–8911.) Dated: March 1, 2023. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2023–04551 Filed 3–3–23; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Solicitation of Nominations for Membership To Serve on the Advisory Committee on Training in Primary Care Medicine and Dentistry Health Resources and Services Administration (HRSA), Department of Health and Human Services (HHS). AGENCY: ACTION: Request for nominations. HRSA is seeking nominations of qualified candidates to consider for appointment as members of the Advisory Committee on Training in Primary Care Medicine and Dentistry (ACTPCMD or Committee). SUMMARY: E:\FR\FM\06MRN1.SGM 06MRN1

Agencies

[Federal Register Volume 88, Number 43 (Monday, March 6, 2023)]
[Notices]
[Pages 13830-13831]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-04551]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-4040 & CMS-R-297]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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

[[Page 13831]]

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 May 5, 2023.

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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing

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-4040 Request for Enrollment in Supplementary Medical Insurance 
(SMI)
CMS-R-297 Request for Employment 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. 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 of a currently 
approved collection; Title of Information Collection: Request for 
Enrollment in Supplementary Medical Insurance (SMI); Use: CMS 
regulations 42 CFR 407.11 lists the CMS-4040 as the application to be 
used by individuals who are not eligible for monthly Social Security/
Railroad Retirement Board benefits or free Part A. The CMS-4040 
solicits the information that is used to determine entitlement for 
individuals who meet the requirements in section 1836 as well as the 
entitlement of the applicant or their spouses to an annuity paid by OPM 
for premium deduction purposes. The application follows the application 
questions and requirements used by SSA. This is done not only for 
consistency purposes but to comply with other Title II and Title XVIII 
requirements because eligibility to Title II benefits and free Part A 
under Title XVIII must be ruled out in order to qualify for enrollment 
in Part B only. Form Number: CMS-4040 (OMB control number: 0938-0245); 
Frequency: Once; Affected Public: Individuals or households; Number of 
Respondents: 42,011; Total Annual Responses: 42,011; Total Annual 
Hours: 10,503. (For policy questions regarding this collection contact 
Carla Patterson at 410-786-8911.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Employment Information; Use: The form CMS-L564, also referred to as 
CMS-R-297, is used, in conjunction with form CMS-40-B, Application for 
Supplementary Medical Insurance, during an individual's special 
enrollment period (SEP). Completed by an employer, the CMS-L564 
provides proof of an applicant's employer group health coverage. The 
Social Security Administration (SSA) uses it to obtain information from 
employers regarding whether a Medicare beneficiary's coverage under a 
group health plan is based on current employment status. The form is 
available online via Medicare.gov and CMS.gov for individuals who are 
requesting the SEP to obtain and submit to their employer for 
completion. The employer must complete and sign the form, and submit it 
to the individual to accompany their enrollment or late enrollment 
penalty reduction request. The information on the completed form is 
reviewed manually by SSA. Form Number: CMS-R-297 (OMB control number: 
0938-0787); Frequency: Once; Affected Public: Individuals or 
households, Business or other for-profits, Not-for-profit institutions; 
Number of Respondents: 676,526; Total Annual Responses: 676,526; Total 
Annual Hours: 56,355. (For policy questions regarding this collection 
contact Carla Patterson at 410-786-8911.)

    Dated: March 1, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-04551 Filed 3-3-23; 8:45 am]
BILLING CODE 4120-01-P
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