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[Federal Register Volume 79, Number 7 (Friday, January 10, 2014)]
[Notices]
[Pages 1872-1873]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-00195]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-102 and 105, and CMS-10209]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 March 11, 2014.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). To be assured consideration, comments and

[[Page 1873]]

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 Paperwork@cms.hhs.gov.
    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-102 and 105 Clinical Laboratory Improvement Amendments of 1988 
(CLIA) Budget Workload Reports and Supporting Regulations

CMS-10209 Medicare Advantage Chronic Care Improvement Program (CCIP) 
and Quality Improvement (QI) Project Reporting Tools

    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 Collections

    1. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Clinical Laboratory Improvement Amendments of 1988 (CLIA) Budget 
Workload Reports and Supporting Regulations; Use: We will use the 
collected information to determine the amount of Federal reimbursement 
for surveys conducted. Use of the information includes program 
evaluation, audit, budget formulation and budget approval. Form CMS-102 
is a multi-purpose form designed to capture and record all budget and 
expenditure data. Form CMS-105 captures the annual projected CLIA 
workload that the State survey agency will accomplish. Our regional 
offices also use the information to approve the annual projected CLIA 
workload. The information is required as part of the section 1864 
agreement with the state. Form Numbers: CMS-102 and CMS-105 (OCN: 0938-
0599); Frequency: Quarterly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 50; Total Annual Responses: 50; 
Total Annual Hours: 4,500. (For policy questions regarding this 
collection contact Angela Stancel at 410-786-4876.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage Chronic Care Improvement Program (CCIP) and Quality 
Improvement (QI) Project Reporting Tools; Use: Medicare Advantage 
Organizations (MAOs) are required to have an ongoing quality 
improvement (QI) program that meets our requirements and includes at 
least one chronic care improvement program (CCIP) and one QI Project. 
Every MAO must have a QI program that monitors and identifies areas 
where implementing appropriate interventions would improve patient 
outcomes and patient safety. Information collected using the CCIP and 
QIP reporting tools is an integral resource for oversight, monitoring, 
compliance, and auditing activities necessary to ensure high quality 
value-based health care for Medicare beneficiaries. Form Number: CMS-
10209 (OCN: 0938-1023); Frequency: Yearly; Affected Public: Private 
sector (Business or other for-profits and Not-for-profit institutions); 
Number of Respondents: 1,904; Total Annual Responses: 1,904; Total 
Annual Hours: 28,560. (For policy questions regarding this collection 
contact Ellen Dieujuste at 410-786-2191).

    Dated: January 6, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-00195 Filed 1-9-14; 8:45 am]
BILLING CODE 4120-01-P
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