Agency Information Collection Activities: Proposed Collection; Comment Request, 61593-61595 [2023-19211]
Download as PDF
Federal Register / Vol. 88, No. 172 / Thursday, September 7, 2023 / Notices
By the direction of the Commission.
Cynthia G. Pierre,
Chief Operating Officer.
FEDERAL DEPOSIT INSURANCE
CORPORATION
Notice of Termination of Receiverships
[FR Doc. 2023–19349 Filed 9–6–23; 8:45 am]
The Federal Deposit Insurance
Corporation (FDIC or Receiver), as
Receiver for each of the following
BILLING CODE 6570–01–P
61593
insured depository institutions, was
charged with the duty of winding up the
affairs of the former institutions and
liquidating all related assets. The
Receiver has fulfilled its obligations and
made all dividend distributions
required by law.
NOTICE OF TERMINATION OF RECEIVERSHIPS
Fund
10053
10120
10195
10205
10317
10380
10402
10412
10488
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
........................................
Receivership name
City
American Southern Bank ..................................
Irwin Union Bank and Trust Company .............
The Park Avenue Bank ....................................
Desert Hills Bank ..............................................
Earthstar Bank ..................................................
Bank of Choice .................................................
Country Bank ....................................................
Community Bank of Rockmart ..........................
First National Bank ...........................................
Kennesaw ................................
Columbus .................................
New York .................................
Phoenix ....................................
Southampton ...........................
Greeley ....................................
Aledo ........................................
Rockmart .................................
Edinburg ..................................
The Receiver has further irrevocably
authorized and appointed FDICCorporate as its attorney-in-fact to
execute and file any and all documents
that may be required to be executed by
the Receiver which FDIC-Corporate, in
its sole discretion, deems necessary,
including but not limited to releases,
discharges, satisfactions, endorsements,
assignments, and deeds. Effective on the
termination dates listed above, the
Receiverships have been terminated, the
Receiver has been discharged, and the
Receiverships have ceased to exist as
legal entities.
implementation of a proposed
Commission action.
Matters concerning participation in
civil actions or proceedings or
arbitration.
CONTACT PERSON FOR MORE INFORMATION:
Judith Ingram, Press Officer. Telephone:
(202) 694–1220.
(Authority: Government in the Sunshine Act,
5 U.S.C. 552b)
Vicktoria J. Allen,
Deputy Secretary of the Commission.
[FR Doc. 2023–19438 Filed 9–5–23; 4:15 pm]
BILLING CODE 6715–01–P
(Authority: 12 U.S.C. 1819)
Federal Deposit Insurance Corporation.
Dated at Washington, DC, on September 1,
2023.
James P. Sheesley,
Assistant Executive Secretary.
[FR Doc. 2023–19298 Filed 9–6–23; 8:45 am]
Centers for Medicare & Medicaid
Services
BILLING CODE 6714–01–P
[Document Identifiers: CMS–10390 and
CMS–10865]
FEDERAL ELECTION COMMISSION
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Sunshine Act Meetings
AGENCY:
Tuesday, September 12,
2023, at 10:30 a.m. and its continuation
at the conclusion of the open meeting
on September 14, 2023.
PLACE: 1050 First Street NE,
Washington, DC and virtual (this
meeting will be a hybrid meeting.)
STATUS: This meeting will be closed to
the public.
MATTERS TO BE CONSIDERED: Compliance
matters pursuant to 52 U.S.C. 30109.
Information the premature disclosure
of which would be likely to have a
considerable adverse effect on the
TIME AND DATE:
ddrumheller on DSK120RN23PROD with NOTICES1
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
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19:19 Sep 06, 2023
Jkt 259001
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
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
SUMMARY:
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State
GA
IN
NY
AZ
PA
CO
IL
GA
TX
Termination
date
09/01/2023
09/01/2023
09/01/2023
09/01/2023
09/01/2023
09/01/2023
09/01/2023
09/01/2023
09/01/2023
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
November 6, 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
E:\FR\FM\07SEN1.SGM
07SEN1
61594
Federal Register / Vol. 88, No. 172 / Thursday, September 7, 2023 / Notices
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:
ddrumheller on DSK120RN23PROD 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).
CMS–10390 Hospice Quality
Reporting Program
CMS–10865 Monoclonal Antibodies
Directed Against Amyloid for the
Treatment of Alzheimer’s Disease
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: Hospice Quality
Reporting Program; Use: On July 1,
2014, hospices began using a newly
created data collection instrument,
titled the ‘‘Hospice Item Set’’ (HIS)
V1.00.0. The HIS is used for the
collection of quality measure data
related to the Hospice Quality Reporting
Program (HQRP), and the HIS V1.00.0
specified the collection of data items
that supported seven Consensus Based
Entity (CBE) endorsed Quality Measures
(QMs) for hospice. On April 1, 2017,
hospices began using an updated HIS
V2.00.0, which includes the same items
from the HIS V1.00.0 along with the
addition of several new items for use in
new measures, measure refinement,
patient record matching, and future
VerDate Sep<11>2014
19:19 Sep 06, 2023
Jkt 259001
public reporting. Data collected from the
HIS are used to calculate the seven CBEendorsed QMs and the CBE-endorsed
Hospice and Palliative Care Composite
Process Measure—Comprehensive
Assessment at Admission QM.
During the FY 2021 rule, the Hospice
Visits when Death is Imminent measure
pair was removed and replaced with the
claims-based Hospice Visits in Last
Days of Life (HVLDL) measure. The
reduction in provider burden and costs
occurred when CMS replaced the HISbased HVWDII quality measure via the
HIS information collection request that
OMB approved on February 16, 2021.
CMS is requesting to extend the
expiration date. The HIS V3.00.0
consists of data elements that are
designed to collect standardized,
patient-level data for the following
domains of care: pain, respiratory status,
medications, patient preferences and
beliefs and values. The HIS V3.00.0 was
developed specifically for use by
hospices and contains data elements
that we can use to collect patient-level
data to calculate eight CBE endorsed
quality measures. Form Number: CMS–
10390 (OMB control number: 0938–
1153); Frequency: On Occasion;
Affected Public: State, local, or Tribal
governments, private sector (not-forprofit institutions); individuals or
households; Number of Respondents:
5,640; Total Annual Responses:
2,763,850; Total Annual Hours:
1,323,883. (For policy questions
regarding this collection contact
Jermama Keys at (410) 786–7778.)
2. Type of Information Collection
Request: New collection (Request for a
new OMB control number); Title of
Information Collection: Monoclonal
Antibodies Directed Against Amyloid
for the Treatment of Alzheimer’s
Disease; Use: On April 7, 2022, CMS
finalized the national coverage
determination (NCD) to cover FDA
approved monoclonal antibodies
(mAbs) directed against amyloid for the
treatment of Alzheimer’s disease (AD)
under coverage with evidence
development (CED) in patients who
have a clinical diagnosis of mild
cognitive impairment (MCI) due to AD
or mild AD dementia, both with
confirmed presence of amyloid beta
pathology consistent with AD. For antiamyloid mAbs that have accelerated
approval, the mAb may be covered in a
randomized controlled trial conducted
under an investigational new drug (IND)
application or any NIH sponsored trial.
For antiamyloid mAbs that have
traditional FDA approval (as opposed to
accelerated approval), the NCD specifies
coverage under CED in CMS approved
prospective comparative studies, where
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data may be collected in a registry. In
addition to satisfying the study criteria
specified in the NCD, CMS approved
studies for anti-amyloid mAbs that have
received traditional FDA approval must
address all of the questions below:
• Does the antiamyloid mAb
meaningfully improve health outcomes
(i.e., slow the decline of cognition and
function) for patients in broad
community practice?
• Do benefits, and harms such as
brain hemorrhage and edema, associated
with use of the antiamyloid mAb,
depend on characteristics of patients,
treating clinicians, and settings?
• How do the benefits and harms
change over time?
In order to remove the data collection
requirement under this coverage with
evidence development (CED) NCD or
make any other changes to the existing
policy, we must formally reopen and
reconsider the policy. CMS supported
development of a registry, the
‘‘Monoclonal Antibodies Directed
Against Amyloid for the Treatment of
Alzheimer’s Disease CED Study
Registry’’ (mAb Registry), to facilitate
coverage under the NCD. Additionally,
CMS is working with multiple
organizations preparing to open their
own registries. Once more registries are
available, they will also be listed at
https://www.cms.gov/medicare/
coverage-evidence-development/
monoclonalantibodies-directed-againstamyloid-treatment-alzheimers-diseasead, and clinicians will be able to choose
which registry to participate in.
The data collected and analyzed in
the CMS-supported mAb Registry and
potential CMS-approved registries will
be used by to determine if monoclonal
antibodies directed against amyloid for
the treatment of Alzheimer’s Disease
(AD) is reasonable and necessary (e.g.,
improves health outcomes) for Medicare
beneficiaries under Section
1862(a)(1)(A) of the Act. CMS is
collecting information to learn more
about which individuals benefit the
most from this drug. CMS refers to this
as coverage with evidence development
or CED. The information being collected
via registry will be analyzed to assist
clinicians and patients make informed
treatment decisions. Furthermore, data
from the mAb Registry will assist the
pharmaceutical industry and the Food
and Drug Administration (FDA) in
surveillance of the quality, safety and
efficacy of these types of drugs. Form
Number: CMS–10865 (OMB control
number: 0938–NEW); Frequency:
Annually; Affected Public: Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
40,000; Number of Responses: 40,000;
E:\FR\FM\07SEN1.SGM
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Federal Register / Vol. 88, No. 172 / Thursday, September 7, 2023 / Notices
Total Annual Hours: 3,320. (For policy
questions regarding this collection,
contact Lori Ashby at 410–786–6322.)
Dated: August 31, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2023–19211 Filed 9–6–23; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–3437–FN]
Medicare and Medicaid Programs:
Application From the Accreditation
Commission for Health Care, Inc. for
Continued Approval of its Ambulatory
Surgical Center (ASC) Accreditation
Program
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
This notice announces our
decision to approve the Accreditation
Commission for Health Care, Inc for
continued recognition as a national
accrediting organization for Ambulatory
Surgical Centers that wish to participate
in the Medicare or Medicaid programs.
DATES: The decision announced in this
notice is applicable on September 22,
2023 through September 22, 2027.
FOR FURTHER INFORMATION CONTACT: Joy
Webb, (410) 786–1667; Erin Imhoff,
(410) 786–2337.
SUPPLEMENTARY INFORMATION:
SUMMARY:
ddrumheller on DSK120RN23PROD with NOTICES1
I. Background
Ambulatory Surgical Centers (ASCs)
are distinct entities that operate
exclusively for the purpose of
furnishing outpatient surgical services
to patients. Under the Medicare
program, eligible beneficiaries may
receive covered services from an ASC,
provided that certain requirements are
met. Section 1832(a)(2)(F)(i) of the
Social Security Act (the Act) establishes
distinct criteria for facilities seeking
designation as an ASC. Regulations
concerning provider agreements are at
42 CFR part 489 and those pertaining to
activities relating to the survey and
certification of facilities are at 42 CFR
part 488. The regulations at 42 CFR part
416 specify the conditions that an ASC
must meet to participate in the Medicare
program, the scope of covered services,
and the conditions for Medicare
payment for ASCs.
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19:19 Sep 06, 2023
Jkt 259001
Generally, to enter into an agreement,
an ASC must first be certified by a state
survey agency (SA) as complying with
the conditions or requirements set forth
in part 416 of our Medicare regulations.
Thereafter, the ASC is subject to regular
surveys by a SA to determine whether
it continues to meet these requirements.
Section 1865(a)(1) of the Act provides
that, if a provider entity demonstrates
through accreditation by a Centers for
Medicare & Medicaid Services (CMS)
approved national accrediting
organization (AO) that all applicable
Medicare conditions are met or
exceeded, we may deem that provider
entities as having met the requirements.
Accreditation by an AO is voluntary and
is not required for Medicare
participation.
If an AO is recognized by the
Secretary of the Department of Health
and Human Services as having
standards for accreditation that meet or
exceed Medicare requirements, any
provider entity accredited by the
national accrediting body’s approved
program may be deemed to meet the
Medicare conditions. The AO applying
for approval of its accreditation program
under part 488, subpart A, must provide
CMS with reasonable assurance that the
AO requires the accredited provider
entities to meet requirements that are at
least as stringent as the Medicare
conditions. Our regulations concerning
the approval of AOs are set forth at
§ 488.5. The regulations at
§ 488.5(e)(2)(i) require AOs to reapply
for continued approval of its
accreditation program every 6 years or
sooner as determined by CMS.
Accreditation Commission for Health
Care’s (ACHC’s) current term of
approval for its ASC accreditation
program expires September 22, 2023.
II. Application Approval Process
Section 1865(a)(3)(A) of the Act
provides a statutory timetable to ensure
that our review of applications for CMSapproval of an accreditation program is
conducted in a timely manner. The Act
provides us 210 days after the date of
receipt of a complete application, with
any documentation necessary to make
the determination, to complete our
survey activities and application
process. Within 60 days after receiving
a complete application, we must
publish a notice in the Federal Register
that identifies the national accrediting
body making the request, describes the
request, and provides no less than a 30day public comment period. At the end
of the 210-day period, we must publish
a notice in the Federal Register
approving or denying the application.
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61595
III. Provisions of the Proposed Notice
On April 3, 2023, we published a
proposed notice in the Federal Register
(88 FR 19645), announcing ACHC’s
request for continued approval of its
Medicare ASC accreditation program. In
the April 3, 2023, proposed notice, we
detailed our evaluation criteria. Under
section 1865(a)(2) of the Act and in our
regulations at § 488.5, we conducted a
review of ACHC’s Medicare ASC
accreditation application in accordance
with the criteria specified by our
regulations, which include, but are not
limited to the following:
• An administrative review of
ACHC’s: (1) corporate policies; (2)
financial and human resources available
to accomplish the proposed surveys; (3)
procedures for training, monitoring, and
evaluation of its ASC surveyors; (4)
ability to investigate and respond
appropriately to complaints against
accredited ASCs; and (5) survey review
and decision-making process for
accreditation.
• The comparison of ACHC’s
Medicare ASC accreditation program
standards to our current Medicare ASC
conditions for coverage (CfCs).
• A documentation review of ACHC’s
survey process to do the following:
++ Determine the composition of the
survey team, surveyor qualifications,
and ACHC’s ability to provide
continuing surveyor training.
++ Compare ACHC’s processes to
those we require of state survey
agencies, including periodic resurvey
and the ability to investigate and
respond appropriately to complaints
against ACHC accredited ASCs.
++ Evaluate ACHC’s procedures for
monitoring accredited ASCs it has
found to be out of compliance with
ACHC’s program requirements. (This
pertains only to monitoring procedures
when ACHC identifies non-compliance.
If noncompliance is identified by a SA
through a validation survey, the SA
monitors corrections as specified at
§ 488.9(c)).
++ Assess ACHC’s ability to report
deficiencies to the surveyed ASCs and
respond to the ASC’s plans of correction
in a timely manner.
++ Establish ACHC’s ability to
provide CMS with electronic data and
reports necessary for effective validation
and assessment of the organization’s
survey process.
++ Determine the adequacy of ACHC’s
staff and other resources.
++ Confirm ACHC’s ability to provide
adequate funding for performing
required surveys.
++ Confirm ACHC’s policies with
respect to surveys being unannounced.
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Agencies
[Federal Register Volume 88, Number 172 (Thursday, September 7, 2023)]
[Notices]
[Pages 61593-61595]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-19211]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10390 and CMS-10865]
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 (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 November 6, 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
[[Page 61594]]
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-10390 Hospice Quality Reporting Program
CMS-10865 Monoclonal Antibodies Directed Against Amyloid for the
Treatment of Alzheimer's Disease
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: Hospice Quality
Reporting Program; Use: On July 1, 2014, hospices began using a newly
created data collection instrument, titled the ``Hospice Item Set''
(HIS) V1.00.0. The HIS is used for the collection of quality measure
data related to the Hospice Quality Reporting Program (HQRP), and the
HIS V1.00.0 specified the collection of data items that supported seven
Consensus Based Entity (CBE) endorsed Quality Measures (QMs) for
hospice. On April 1, 2017, hospices began using an updated HIS V2.00.0,
which includes the same items from the HIS V1.00.0 along with the
addition of several new items for use in new measures, measure
refinement, patient record matching, and future public reporting. Data
collected from the HIS are used to calculate the seven CBE-endorsed QMs
and the CBE-endorsed Hospice and Palliative Care Composite Process
Measure--Comprehensive Assessment at Admission QM.
During the FY 2021 rule, the Hospice Visits when Death is Imminent
measure pair was removed and replaced with the claims-based Hospice
Visits in Last Days of Life (HVLDL) measure. The reduction in provider
burden and costs occurred when CMS replaced the HIS-based HVWDII
quality measure via the HIS information collection request that OMB
approved on February 16, 2021. CMS is requesting to extend the
expiration date. The HIS V3.00.0 consists of data elements that are
designed to collect standardized, patient-level data for the following
domains of care: pain, respiratory status, medications, patient
preferences and beliefs and values. The HIS V3.00.0 was developed
specifically for use by hospices and contains data elements that we can
use to collect patient-level data to calculate eight CBE endorsed
quality measures. Form Number: CMS-10390 (OMB control number: 0938-
1153); Frequency: On Occasion; Affected Public: State, local, or Tribal
governments, private sector (not-for-profit institutions); individuals
or households; Number of Respondents: 5,640; Total Annual Responses:
2,763,850; Total Annual Hours: 1,323,883. (For policy questions
regarding this collection contact Jermama Keys at (410) 786-7778.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection:
Monoclonal Antibodies Directed Against Amyloid for the Treatment of
Alzheimer's Disease; Use: On April 7, 2022, CMS finalized the national
coverage determination (NCD) to cover FDA approved monoclonal
antibodies (mAbs) directed against amyloid for the treatment of
Alzheimer's disease (AD) under coverage with evidence development (CED)
in patients who have a clinical diagnosis of mild cognitive impairment
(MCI) due to AD or mild AD dementia, both with confirmed presence of
amyloid beta pathology consistent with AD. For anti-amyloid mAbs that
have accelerated approval, the mAb may be covered in a randomized
controlled trial conducted under an investigational new drug (IND)
application or any NIH sponsored trial. For antiamyloid mAbs that have
traditional FDA approval (as opposed to accelerated approval), the NCD
specifies coverage under CED in CMS approved prospective comparative
studies, where data may be collected in a registry. In addition to
satisfying the study criteria specified in the NCD, CMS approved
studies for anti-amyloid mAbs that have received traditional FDA
approval must address all of the questions below:
Does the antiamyloid mAb meaningfully improve health
outcomes (i.e., slow the decline of cognition and function) for
patients in broad community practice?
Do benefits, and harms such as brain hemorrhage and edema,
associated with use of the antiamyloid mAb, depend on characteristics
of patients, treating clinicians, and settings?
How do the benefits and harms change over time?
In order to remove the data collection requirement under this
coverage with evidence development (CED) NCD or make any other changes
to the existing policy, we must formally reopen and reconsider the
policy. CMS supported development of a registry, the ``Monoclonal
Antibodies Directed Against Amyloid for the Treatment of Alzheimer's
Disease CED Study Registry'' (mAb Registry), to facilitate coverage
under the NCD. Additionally, CMS is working with multiple organizations
preparing to open their own registries. Once more registries are
available, they will also be listed at https://www.cms.gov/medicare/coverage-evidence-development/monoclonalantibodies-directed-against-amyloid-treatment-alzheimers-disease-ad, and clinicians will be able to
choose which registry to participate in.
The data collected and analyzed in the CMS-supported mAb Registry
and potential CMS-approved registries will be used by to determine if
monoclonal antibodies directed against amyloid for the treatment of
Alzheimer's Disease (AD) is reasonable and necessary (e.g., improves
health outcomes) for Medicare beneficiaries under Section 1862(a)(1)(A)
of the Act. CMS is collecting information to learn more about which
individuals benefit the most from this drug. CMS refers to this as
coverage with evidence development or CED. The information being
collected via registry will be analyzed to assist clinicians and
patients make informed treatment decisions. Furthermore, data from the
mAb Registry will assist the pharmaceutical industry and the Food and
Drug Administration (FDA) in surveillance of the quality, safety and
efficacy of these types of drugs. Form Number: CMS-10865 (OMB control
number: 0938-NEW); Frequency: Annually; Affected Public: Business or
other for-profits and Not-for-profit institutions; Number of
Respondents: 40,000; Number of Responses: 40,000;
[[Page 61595]]
Total Annual Hours: 3,320. (For policy questions regarding this
collection, contact Lori Ashby at 410-786-6322.)
Dated: August 31, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2023-19211 Filed 9-6-23; 8:45 am]
BILLING CODE 4120-01-P