Agency Information Collection Activities: Proposed Collection: Public Comment Request; Information Collection Request Title: Medicare Rural Hospital Flexibility Program Performance, 88053-88055 [2024-25717]
Download as PDF
<![CDATA[
Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices
use the PBP software to describe their
organization’s plan benefit packages,
including information on premiums,
cost sharing, authorization rules, and
supplemental benefits. They also
generate a formulary to describe their
list of drugs, including information on
prior authorization, step therapy,
tiering, and quantity limits.
CMS requires that MA and PDP
organizations submit a completed PBP
and formulary as part of the annual
bidding process. During this process,
organizations prepare their proposed
plan benefit packages for the upcoming
contract year and submit them to CMS
for review and approval. CMS uses this
data to review and approve the benefit
packages that the plans will offer to
Medicare beneficiaries. This allows
CMS to review the benefit packages in
a consistent way across all submitted
bids during with incredibly tight
timeframes. This data is also used to
populate data on Medicare Plan Finder,
which allows beneficiaries to access and
compare Medicare Advantage and
Prescription Drug plans. Form Number:
CMS–R–262 (OMB control number:
0938–0763); Frequency: Annually;
Affected Public: Public sector
(Individuals and Households), Private
sector (Business or other for-profits and
Not-for-profit institutions); Number of
Respondents: 785; Total Annual
Responses: 8,337; Total Annual Hours:
46,026. (For policy questions regarding
this collection contact Kristy Holtje at
410–786–2209 or kristy.holtje@
cms.hhs.gov).
William N. Parham, III,
Director, Division of Information Collections
and Regulatory Impacts, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2024–25792 Filed 11–5–24; 8:45 am]
BILLING CODE 4120–01–P
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.
Comments on the collection(s) of
information must be received by the
OMB desk officer by December 6, 2024.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. Find this particular
information collection by selecting
‘‘Currently under 30-day Review—Open
for Public Comments’’ or by using the
search function.
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.
DATES:
FOR FURTHER INFORMATION CONTACT:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–308]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
khammond on DSKJM1Z7X2PROD with NOTICES
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
SUMMARY:
VerDate Sep<11>2014
16:22 Nov 05, 2024
Jkt 265001
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
PO 00000
Frm 00055
Fmt 4703
Sfmt 4703
88053
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: Extension of a currently
approved collection; Title of
Information Collection: State Children’s
Health Insurance Program and
Supporting Regulations; Use: States
must submit title XXI plans and
amendments for approval by the
Secretary. We use the plan and its
subsequent amendments to determine if
the state has met the requirements of
title XXI. Information provided in the
state plan, state plan amendments, and
from the other information we are
collecting will be used by advocacy
groups, beneficiaries, applicants, other
governmental agencies, providers
groups, research organizations, health
care corporations, health care
consultants. States will use the
information collected to assess state
plan performance, health outcomes and
an evaluation of the amount of
substitution of private coverage that
occurs as a result of the subsidies and
the effect of the subsidies on access to
coverage. Form Number: CMS–R–308
(OMB control number: 0938–0841);
Frequency: Yearly, once, and
occasionally; Affected Public: State,
Local, or Tribal Governments; Number
of Respondents: 51; Total Annual
Responses: 16,024,071; Total Annual
Hours: 803,280. (For policy questions
regarding this collection contact Joyce
Jordan at 410–786–3413.)
William N. Parham, III
Director, Division of Information Collections
and Regulatory Impacts, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2024–25738 Filed 11–5–24; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request; Information
Collection Request Title: Medicare
Rural Hospital Flexibility Program
Performance
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:
E:\FR\FM\06NON1.SGM
06NON1
88054
Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices
In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces plans to
submit an Information Collection
Request (ICR), described below, to the
Office of Management and Budget
(OMB). Prior to submitting the ICR to
OMB, HRSA seeks comments from the
public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than January 6, 2025.
ADDRESSES: Submit your comments to
paperwork@hrsa.gov or mail the HRSA
Information Collection Clearance
Officer, Room 14N39, 5600 Fishers
Lane, Rockville, Maryland 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email paperwork@hrsa.gov
or call Joella Roland, the HRSA
Information Collection Clearance
Officer, at (301) 443–3983.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
information, please include the ICR title
for reference.
Information Collection Request Title:
Medicare Rural Hospital Flexibility
Program Performance, OMB No. 0915–
0363—Revision.
Abstract: The mission of the Federal
Office of Rural Health Policy (FORHP)
within HRSA is to sustain and improve
access to quality care services for rural
communities. FORHP administers the
Medicare Rural Hospital Flexibility
Program (Flex Program) authorized by
section 1820(g) of the Social Security
Act (42 U.S.C. 1395i–4(g)). The purpose
of the Flex Program is to enable state
designated entities to support critical
access hospitals in quality
improvement, quality reporting, and
performance improvement; to assist
facilities seeking designation as critical
access hospitals; and to create a program
to establish or expand the provision of
rural emergency medical services.
HRSA currently collects information
from grant recipients that participate in
the Flex Program using an OMBapproved set of performance measures,
the Medicare Rural Hospital Flexibility
Program Performance Measures, and
seeks to revise its approved information
khammond on DSKJM1Z7X2PROD with NOTICES
SUMMARY:
VerDate Sep<11>2014
16:22 Nov 05, 2024
Jkt 265001
collection. HRSA is proposing
significant changes to the method by
which performance measures are
collected, the organization of the
measures, and the measures themselves.
Need and Proposed Use of the
Information: These measures cover
principal topic areas of interest to
FORHP, including: (a) quality reporting,
(b) quality improvement interventions,
(c) financial and operational
improvement initiatives, (d) population
health management, and (e) rural EMS
integration. In addition to informing
HRSA’s progress toward meeting the
goals set in the Government
Performance and Results Act, the
information is important in identifying
and understanding programmatic
improvement across program areas, as
well as guiding future iterations of the
Flex Program and prioritizing areas of
need and support.
Performance measures are collected
electronically in the Performance
Improvement and Measurement System
(PIMS), which awardees currently
access through the HRSA Electronic
Handbooks, a data collection platform.
As part of a broader change affecting all
programs across FORHP, HRSA
proposes to change the method of PIMS
report submission from the Electronic
Handbooks to a different electronic data
collection platform. In addition, HRSA
proposes to reduce the total number of
forms submitted. The current collection
involves eight forms and HRSA
proposes reducing this to six forms, one
for recipients to select which program
areas they are working in and one for
each program area selected.
Performance measures in PIMS are
currently organized by a series of
checkboxes, where a state entity selects
which hospitals are participating in a
funded intervention, and if that hospital
has shown improvement after that
intervention. HRSA proposes to change
the organization of the measures to align
with a format that would resemble a
work plan submission, which is an
existing requirement recipients must
meet. Instead of the series of checkboxes
used in the current collection, we are
proposing a series of dropdown menus
where respondents can choose more
specific information.
Finally, HRSA proposes revisions to
performance measures in PIMS that
PO 00000
Frm 00056
Fmt 4703
Sfmt 4703
include changes to align with current
terminology used by HRSA and a
broadening of scope for some activities,
as well as providing examples of more
specific measures. Dropdown menus
would contain lists of both common
projects completed across the Flex
Program and common outcome
measures associated with each project.
Respondents would not be required to
collect all of the measures listed, rather
they would be able to choose from a list
of examples.
With these changes, HRSA estimates
the burden on the recipients would
remain the same. Even though HRSA is
proposing to include more specific
performance measures in PIMS
reporting, the additional measures
reflect data the recipients are currently
collecting, in outside forms and
spreadsheets. The reporting in PIMS to
HRSA currently does not include all the
specific outcome measure information
collected by recipients, so the changes
to the measure collection system would
include that specific outcome measure
information. However, instead of
moving between multiple forms and
spreadsheets outside of the PIMS system
and copying information into it,
recipients will be able to simply update
their work plan in PIMS following the
end of the program year with their
outcome data.
Likely Respondents: Respondents are
the Flex Program recipients. There are
currently 45 states participating in the
Flex Program.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose, or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
E:\FR\FM\06NON1.SGM
06NON1
88055
Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices
TOTAL ESTIMATED ANNUALIZED BURDEN HOURS
Number of
responses per
respondent
Number of
respondents
Form name
Total
responses
Average
burden per
response
(in hours)
Total
burden
hours
Performance Improvement Measurement System ..............................
45
1
45
70
3,150
Total ..............................................................................................
45
..........................
45
....................
3,150
HRSA specifically requests comments
on: (1) the necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions; (2) the accuracy of the
estimated burden; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024–25717 Filed 11–5–24; 8:45 am]
BILLING CODE 4165–15–P
Comments on the ICR must be
received on or before January 6, 2025.
DATES:
Submit your comments to
Sherrette.Funn@hhs.gov or by calling
(202) 264–0041 and PRA@HHS.GOV.
ADDRESSES:
FOR FURTHER INFORMATION CONTACT:
When submitting comments or
requesting information, please include
the document identifier 0937–0166–60D
and project title for reference, to
Sherrette A. Funn, email:
Sherrette.Funn@hhs.gov, PRA@
HHS.GOV or call (202) 264–0041 the
Reports Clearance Officer.
Interested
persons are invited to send comments
regarding this burden estimate or any
other aspect of this collection of
information, including any of the
following subjects: (1) The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; (2) the accuracy
of the estimated burden; (3) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(4) the use of automated collection
techniques or other forms of information
technology to minimize the information
collection burden.
SUPPLEMENTARY INFORMATION:
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[Document Identifier: OS–0937–0166]
Agency Information Collection
Request; 60-Day Public Comment
Request
Office of the Secretary, HHS.
Notice.
AGENCY:
ACTION:
following summary of a proposed
collection for public comment.
In compliance with the
requirement of the Paperwork
Reduction Act of 1995, the Office of the
Secretary (OS), Department of Health
and Human Services, is publishing the
SUMMARY:
Title of the Collection: HHS 42 CFR
subpart B; Sterilization of Persons in
Federally Assisted Family Planning
Projects.
Type of Collection: Renewal.
OMB No.: 0937–0166.
Abstract: The Department of Health
and Human Service, Office of
Population Affairs is requesting an
extension of a currently approved
collection for the disclosure and
recordkeeping requirements codified at
42 CFR part 50, subpart B (‘‘Sterilization
of Persons in Federally Assisted Family
Planning Projects’’). The consent form
solicits information to assure voluntary
and informed consent to persons
undergoing sterilization in programs of
health services which are supported by
federal financial assistance
administered by the United States
Public Health Service (PHS). It provides
additional procedural protection to the
individual and the regulation requires
that the consent form be a copy of the
form that is appended to the PHS
regulation. In 2003, the PHS
sterilization consent form was revised to
conform to OMB government-wide
standards for the collection of race/
ethnicity data and to incorporate the
PRA burden statement as part of the
consent form. We are requesting a threeyear extension.
khammond on DSKJM1Z7X2PROD with NOTICES
ANNUALIZED BURDEN HOUR TABLE
Number of
respondents
Number of
responses per
respondents
Average
burden per
response
Forms
(if necessary)
Respondents
(if necessary)
Information Disclosure for Sterilization Consent Form..
Record-keeping for Sterilization Consent Form.
Citizens Seeking Sterilization. ..........
100,000
1
1
100,000
Citizens Seeking Sterilization. ..........
100,000
1
15/60
25,000
Total ...........................................
...........................................................
........................
........................
........................
125,000
Sherrette A. Funn,
Paperwork Reduction Act Reports Clearance
Officer, Office of the Secretary.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
[FR Doc. 2024–25748 Filed 11–5–24; 8:45 am]
Meeting of the Presidential Advisory
Council on HIV/AIDS
BILLING CODE 4150–28–P
Office of the Secretary, Office
of the Assistant Secretary for Health,
AGENCY:
VerDate Sep<11>2014
16:22 Nov 05, 2024
Jkt 265001
PO 00000
Frm 00057
Fmt 4703
Sfmt 4703
Total burden
hours
Department of Health and Human
Services.
ACTION:
Notice of a meeting.
As stipulated by the Federal
Advisory Committee Act, the U.S.
Department of Health and Human
Service is hereby giving notice that the
Presidential Advisory Council on HIV/
SUMMARY:
E:\FR\FM\06NON1.SGM
06NON1
]]>Agencies
[Federal Register Volume 89, Number 215 (Wednesday, November 6, 2024)]
[Notices]
[Pages 88053-88055]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-25717]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Resources and Services Administration
Agency Information Collection Activities: Proposed Collection:
Public Comment Request; Information Collection Request Title: Medicare
Rural Hospital Flexibility Program Performance
AGENCY: Health Resources and Services Administration (HRSA), Department
of Health and Human Services.
ACTION: Notice.
-----------------------------------------------------------------------
[[Page 88054]]
SUMMARY: In compliance with the requirement for opportunity for public
comment on proposed data collection projects of the Paperwork Reduction
Act of 1995, HRSA announces plans to submit an Information Collection
Request (ICR), described below, to the Office of Management and Budget
(OMB). Prior to submitting the ICR to OMB, HRSA seeks comments from the
public regarding the burden estimate, below, or any other aspect of the
ICR.
DATES: Comments on this ICR should be received no later than January 6,
2025.
ADDRESSES: Submit your comments to [email protected] or mail the HRSA
Information Collection Clearance Officer, Room 14N39, 5600 Fishers
Lane, Rockville, Maryland 20857.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the data collection plans and
draft instruments, email [email protected] or call Joella Roland, the
HRSA Information Collection Clearance Officer, at (301) 443-3983.
SUPPLEMENTARY INFORMATION: When submitting comments or requesting
information, please include the ICR title for reference.
Information Collection Request Title: Medicare Rural Hospital
Flexibility Program Performance, OMB No. 0915-0363--Revision.
Abstract: The mission of the Federal Office of Rural Health Policy
(FORHP) within HRSA is to sustain and improve access to quality care
services for rural communities. FORHP administers the Medicare Rural
Hospital Flexibility Program (Flex Program) authorized by section
1820(g) of the Social Security Act (42 U.S.C. 1395i-4(g)). The purpose
of the Flex Program is to enable state designated entities to support
critical access hospitals in quality improvement, quality reporting,
and performance improvement; to assist facilities seeking designation
as critical access hospitals; and to create a program to establish or
expand the provision of rural emergency medical services. HRSA
currently collects information from grant recipients that participate
in the Flex Program using an OMB-approved set of performance measures,
the Medicare Rural Hospital Flexibility Program Performance Measures,
and seeks to revise its approved information collection. HRSA is
proposing significant changes to the method by which performance
measures are collected, the organization of the measures, and the
measures themselves.
Need and Proposed Use of the Information: These measures cover
principal topic areas of interest to FORHP, including: (a) quality
reporting, (b) quality improvement interventions, (c) financial and
operational improvement initiatives, (d) population health management,
and (e) rural EMS integration. In addition to informing HRSA's progress
toward meeting the goals set in the Government Performance and Results
Act, the information is important in identifying and understanding
programmatic improvement across program areas, as well as guiding
future iterations of the Flex Program and prioritizing areas of need
and support.
Performance measures are collected electronically in the
Performance Improvement and Measurement System (PIMS), which awardees
currently access through the HRSA Electronic Handbooks, a data
collection platform. As part of a broader change affecting all programs
across FORHP, HRSA proposes to change the method of PIMS report
submission from the Electronic Handbooks to a different electronic data
collection platform. In addition, HRSA proposes to reduce the total
number of forms submitted. The current collection involves eight forms
and HRSA proposes reducing this to six forms, one for recipients to
select which program areas they are working in and one for each program
area selected.
Performance measures in PIMS are currently organized by a series of
checkboxes, where a state entity selects which hospitals are
participating in a funded intervention, and if that hospital has shown
improvement after that intervention. HRSA proposes to change the
organization of the measures to align with a format that would resemble
a work plan submission, which is an existing requirement recipients
must meet. Instead of the series of checkboxes used in the current
collection, we are proposing a series of dropdown menus where
respondents can choose more specific information.
Finally, HRSA proposes revisions to performance measures in PIMS
that include changes to align with current terminology used by HRSA and
a broadening of scope for some activities, as well as providing
examples of more specific measures. Dropdown menus would contain lists
of both common projects completed across the Flex Program and common
outcome measures associated with each project. Respondents would not be
required to collect all of the measures listed, rather they would be
able to choose from a list of examples.
With these changes, HRSA estimates the burden on the recipients
would remain the same. Even though HRSA is proposing to include more
specific performance measures in PIMS reporting, the additional
measures reflect data the recipients are currently collecting, in
outside forms and spreadsheets. The reporting in PIMS to HRSA currently
does not include all the specific outcome measure information collected
by recipients, so the changes to the measure collection system would
include that specific outcome measure information. However, instead of
moving between multiple forms and spreadsheets outside of the PIMS
system and copying information into it, recipients will be able to
simply update their work plan in PIMS following the end of the program
year with their outcome data.
Likely Respondents: Respondents are the Flex Program recipients.
There are currently 45 states participating in the Flex Program.
Burden Statement: Burden in this context means the time expended by
persons to generate, maintain, retain, disclose, or provide the
information requested. This includes the time needed to review
instructions; to develop, acquire, install, and utilize technology and
systems for the purpose of collecting, validating, and verifying
information, processing and maintaining information, and disclosing and
providing information; to train personnel and to be able to respond to
a collection of information; to search data sources; to complete and
review the collection of information; and to transmit or otherwise
disclose the information. The total annual burden hours estimated for
this ICR are summarized in the table below.
[[Page 88055]]
Total Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of Total burden per Total
Form name respondents responses per responses response burden
respondent (in hours) hours
----------------------------------------------------------------------------------------------------------------
Performance Improvement Measurement System.. 45 1 45 70 3,150
-------------------------------------------------------------------
Total................................... 45 ............... 45 ........... 3,150
----------------------------------------------------------------------------------------------------------------
HRSA specifically requests comments on: (1) the necessity and
utility of the proposed information collection for the proper
performance of the agency's functions; (2) the accuracy of the
estimated burden; (3) ways to enhance the quality, utility, and clarity
of the information to be collected; and (4) the use of automated
collection techniques or other forms of information technology to
minimize the information collection burden.
Maria G. Button,
Director, Executive Secretariat.
[FR Doc. 2024-25717 Filed 11-5-24; 8:45 am]
BILLING CODE 4165-15-P
