[Federal Register Volume 80, Number 216 (Monday, November 9, 2015)]
[Notices]
[Pages 69227-69228]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-28449]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10434 and CMS-R-131]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
ACTION: Notice.
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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 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.
DATES: Comments must be received by January 8, 2016.
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
http://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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
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: Reports Clearance Office at (410) 786-
1326.
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-10434 Medicaid and CHIP Program (MACPro)
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: Revision of a currently
approved collection; Title of Information Collection: Medicaid and CHIP
Program (MACPro); Use: While currently approved by OMB under the
regular PRA process, CMS is proposing to have all current and upcoming
MACPro collections approved under OMB's generic process. We are also
transitioning MACPro to a fully functioning electronic system such that
MACPro becomes the sole system of record. MACPro will be the required
means for states to amend Medicaid and CHIP state plans, waivers, and
demonstrations. Templates that will be submitted for approval under
MACPro include certain collections approved under our generic umbrella
(CMS-10398, OMB 0938-1148), relevant collections approved as a regular
stand-alone information collection requests, and upcoming collections.
Form Number: CMS-10434 (OMB Control Number: 0938-1188); Frequency:
Monthly, yearly, quarterly, semi-annually, once, or occasionally;
Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 56; Total Annual Responses: 3,360; Total Annual Hours:
89,012. (For policy questions regarding this collection contact Annette
Pearson at 410-786-6858).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Advance
Beneficiary Notice of Noncoverage (ABN); Use: The Advance Beneficiary
Notice (ABN) is delivered by Part B paid
[[Page 69228]]
physicians, providers (including institutional providers like
outpatient hospitals), practitioners (such as chiropractors), and
suppliers, as well as hospice providers and Religious Non-medical
Health Care Institutions paid under Part A. Home health agencies
providing items and services under Part A or Part B also use the ABN.
Other Medicare institutional providers paid under Part A use other
approved notices for this purpose. With this PRA submission, minimal
formatting changes have been made to the ABN form, including the
addition of language informing beneficiaries of their rights under
Section 504 of the Rehabilitation Act of 1973 (section 504) by alerting
the beneficiary to CMS's nondiscrimination practices and the
availability of alternate forms of this notice, if needed.
Additionally, minor language and grammatical changes have been made to
the form's instructions to improve provider/supplier comprehension and
decrease the probability of errors in completing the ABN. There are no
substantive changes to the form or to the instructions. Form Number:
CMS-R-131 (OMB control number: 0938-0566; Frequency: Occasionally;
Affected Public: Private sector (Business or other for-profits and Not-
for-profit institutions); Number of Respondents: 1,499,910; Total
Annual Responses: 62,910,000; Total Annual Hours: 7,339,710. (For
policy questions regarding this collection contact Evelyn Blaemire at
410-786-1803).
Dated: November 4, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-28449 Filed 11-6-15; 8:45 am]
BILLING CODE 4120-01-P