Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Notices 23265 

approved collection; Title of 

Information Collection: Medicare Part D 

Reporting Requirements and Supporting 

Regulations; Use: Title I of 42 CFR, part 

423, § 423.514, requires each Part D 

Sponsor to have an effective procedure 

to provide statistics indicating: the cost 

of its operations, the patterns of 

utilization of its services, the 

availability, accessibility, and 

acceptability of its services, information 

demonstrating it has a fiscally sound 

operation and other matters as required 

by CMS. In addition, subsection 423.505 

of the Medicare Prescription Drug, 

Improvement, and Modernization Act 

(MMA), establishes as a contract 

provision that Part D Sponsors must 

comply with the reporting requirements 

for submitting drug claims and related 

information to CMS. Data collected via 

Medicare Part D Reporting 

Requirements is an integral resource for 

oversight, monitoring, compliance and 

auditing activities necessary to ensure 

quality provision of the Medicare 

Prescription Drug Benefit to 

beneficiaries. The data collected will be 

validated, analyzed, and utilized for 

trend reporting. 

The revisions for the CY2013 include 

the removal, addition or both of data 

elements for the Prompt Payment by 

Part D Sponsors, Grievances, Fraud, 

Waste, and Abuse Compliance 

Programs, and Plan Oversight of Agents 

reporting sections; however, these 

changes resulted in no changes to the 

burden for these sections. In addition, 

we added data elements and revised 

data elements for the Medication 

Therapy Management Programs and the 

Coverage Determinations and 

Exceptions reporting sections, which 

resulted in an increase in burden hours 

for both sections. Lastly, we removed 

the following reporting sections and 

decreased burden estimates associated 

with these sections because these data 

are no longer necessary for monitoring 

through these reporting requirements: 

Access to Extended Day Supplies at 

Retail Pharmacies; and Pharmacy 

Support of E-prescribing. Form Number: 

CMS–10185 (OCN: 0938–0992); 

Frequency: Yearly, Quarterly, SemiAnnually; Affected Public: Private 

Sector, business or other for-profit; 

Number of Respondents: 3,180; Total 

Annual Responses: 48,152; Total 

Annual Hours: 76,240. (For policy 

questions regarding this collection 

contact LaToyia Grant at 410–786–5434. 

For all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: New collection (Request for a 

new OMB Control Number). Title of 

Information Collection: Surveys of 

Physicians and Home Health Agencies 

to Assess Access Issues for Specific 

Medicare Beneficiaries as Defined in 

Section 3131(d) of the ACA. Use: This 

collection is part of a study called for 

under section 3131(d) of the Patient 

Protection and Affordable Care Act 

(ACA). The study is focused on two 

major issues: (1) Supporting CMS’ 

efforts to improve payment accuracy 

and (2) understanding issues of access 

for the ACA populations under the 

existing home health prospective 

payment system. The study team’s 

analytic plan focuses on understanding 

payment accuracy for the specific study 

populations through claims and cost 

data analyses, which will reflect 

payments and costs for patients who 

have gained access to home health care. 

In order to understand access issues for 

the ACA defined populations, the study 

team proposes using survey instruments 

to better understand the characteristics 

of Medicare beneficiaries who are not 

able to gain access to or have 

experienced delays in gaining access to 

home health services. 

As a new collection, the information 

collected is expected to support CMS’ 

efforts to improve the home health 

prospective payment system payment 

accuracy for vulnerable populations and 

thereby ensure the payment system does 

not inadvertently cause avoidable access 

problems. The questions are designed to 

provide insights into access issues for 

vulnerable populations that cannot be 

learned through analyses of 

administrative data. Form Number: 

CMS–10429 (OCN: 0938–New); 

Frequency: Once. Affected Public: 

Private Sector (business or other forprofit and not-for-profit institutions). 

Number of Respondents: 875. Total 

Annual Responses: 292. Total Annual 

Hours: 73. (For policy questions 

regarding this collection contact Kristy 

Chu at 410–786–8953. For all other 

issues call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS’ Web Site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

In commenting on the proposed 

information collections please reference 

the document identifier or OMB control 

number. To be assured consideration, 

comments and recommendations must 

be submitted in one of the following 

ways by June 18, 2012: 

1. Electronically. You may submit 

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) 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 Numberlll, 

Room C4–26–05, 

7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

Dated: April 12, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–9258 Filed 4–17–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–668B, CMS–1557 

and CMS–10399] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, HHS. 

In compliance with the requirement 

of section 3506(c)(2)(A) of the 

Paperwork Reduction Act of 1995, the 

Centers for Medicare & Medicaid 

Services (CMS), Department of Health 

and Human Services, is publishing the 

following summary of proposed 

collections for public comment. 

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 function; 

(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. 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection. Title of 

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23266 Federal Register / Vol. 77, No. 75 / Wednesday, April 18, 2012 / Notices 

Information Collection: Post Clinical 

Laboratory Survey Questionnaire and 

Supporting Regulations in 42 CFR 

493.1771, 493.1773, and 493.1777. Use: 

Form CMS–668B is used by a Clinical 

Laboratory Improvement Amendments 

(CLIA) laboratory to express its 

satisfaction with the survey process and 

to make recommendations for 

improvement. Surveyors furnish this 

form to all laboratories that receive 

either an onsite survey or the Alternate 

Quality Assessment Survey (i.e., paper 

survey of quality indicators). CMS 

Central Office performs an overview 

evaluation of the completed forms. Each 

calendar year, a summary of the 

information collected is sent to the State 

and CMS Regional Office. Form 

Number: CMS–668B (OCN 0938–0653). 

Frequency: Biennially; Affected Public: 

Business or other for-profits and not-forprofit institutions. State, Local, or Tribal 

Government, Federal Government. 

Number of Respondents: 21,000. Total 

Annual Responses: 10,500. Total 

Annual Hours: 2,625. (For policy 

questions regarding this collection 

contact Kathleen Todd at 410–786– 

3385. For all other issues call 410–786– 

1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection. Title of 

Information Collection: Survey Report 

Form for Clinical Laboratory 

Improvement Amendments (CLIA) and 

Supporting Regulations in 42 CFR 

493.1–493.2001. Use: CMS 1557 is used 

to report surveyor findings during a 

CLIA survey. For each type of survey 

conducted (i.e., initial certification, 

recertification, validation, complaint, 

addition/deletion of specialty/ 

subspecialty, transfusion fatality 

investigation, or revisit inspections) the 

Survey Report Form incorporates the 

requirements specified in the CLIA 

regulations. Form Number: CMS–1557 

(OCN 0938–0544). Frequency: 

Biennially. Affected Public: Business or 

other for-profit, Not-for-profit 

institutions, State, Local or Tribal 

Governments and Federal Government. 

Number of Respondents: 21,000. Total 

Annual Responses: 10,500. Total 

Annual Hours: 5,248. (For policy 

questions regarding this collection 

contact Kathleen Todd at 410–786– 

3385. For all other issues call 410–786– 

1326.) 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Analysis of 

Transportation Barriers to Utilization of 

Medicare Services by American Indian 

and Alaska Native Medicare 

Beneficiaries; Use: The purpose of the 

proposed study is to identify and 

analyze transportation barriers 

associated with the utilization of 

Medicare services by American Indian 

and Alaska Native (AI/AN) 

beneficiaries, to identify and analyze the 

health outcomes resulting from those 

barriers, and ultimately to identify 

potential solutions that could help 

mitigate the problem and produce 

meaningful improvements in health care 

use and health outcomes for this 

population. Specifically, the 

information that will be collected 

through the use of instruments and the 

study developed under the Analysis of 

Transportation Barriers to Utilization of 

Medicare Services by American Indian 

and Alaska Native Medicare 

Beneficiaries Project has not been 

collected or evaluated previously by any 

agency or individual, so data on the 

extent of transportation barriers for rural 

AI/AN beneficiaries to Medicare 

services by AI/AN Medicare 

beneficiaries are not available except 

from the proposed data collection 

activity. 

The information gathered as part of 

the project—through the use of survey, 

interview, and focus group 

instruments—will be used by CMS to 

identify transportation barriers to 

Medicare services for AI/AN Medicare 

beneficiaries. It will provide the first 

ever complete evaluation of 

transportation barriers to health care for 

this population. 

The information collection request 

has been revised since the publication 

of the 60-day Federal Register notice. 

Several questions were added in 

response to public comments. In 

addition to new questions, several 

clarifying edits were made as well. Form 

Number: CMS–10399 (OMB # 0938– 

NEW); Frequency: Occasionally; 

Affected Public: Individuals and 

Households, Private Sector; Number of 

Respondents: 3,418; Total Annual 

Responses: 3,418; Total Annual Hours: 

2,544. (For policy questions regarding 

this collection contact Roger Goodacre 

at 410–786–3209. For all other issues 

call 410–786–1326.) 

To obtain copies of the supporting 

statement and any related forms for the 

proposed paperwork collections 

referenced above, access CMS Web site 

address at http://www.cms.hhs.gov/ 

PaperworkReductionActof1995, or 

Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov, or call the 

Reports Clearance Office on (410) 786– 

1326. 

To be assured consideration, 

comments and recommendations for the 

proposed information collections must 

be received by the OMB desk officer at 

the address below, no later than 5 p.m. 

on May 18, 2012. 

OMB, Office of Information and 

Regulatory Affairs, 

Attention: CMS Desk Officer, 

Fax Number: (202) 395–6974, 

Email: OIRA_submission@omb.eop.gov. 

Dated: April 12, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division-B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–9259 Filed 4–17–12; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: National Youth in Transition 

Database and Youth Outcome Survey. 

OMB No.: 0970–0340. 

Description: The Foster Care 

Independence Act of 1999 (42 U.S.C. 

1305 et seq.) as amended by Public Law 

106–169 requires State child welfare 

agencies to collect and report to the 

Administration on Children and 

Families (ACF) data on the 

characteristics of youth receiving 

independent living services and 

information regarding their outcomes. 

The regulation implementing the 

National Youth in Transition Database, 

listed in 45 CFR 1356.80, contains 

standard data collection and reporting 

requirements for States to meet the law’s 

requirements. ACF will use the 

information collected under the 

regulation to track independent living 

services, assess the collective outcomes 

of youth, and potentially to evaluate 

State performance with regard to those 

outcomes consistent with the law’s 

mandate. 

Respondents: State agencies that 

administer the John H. Chafee Foster 

Care Independence Program. 

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