Federal Register / Vol. 78, No. 76 / Friday, April 19, 2013 / Notices 23567 

from a Prescription Drug Plan. The data 

collected in this survey can be used to 

improve the operation of Medicare 

Advantage (both MA and MA–PD) 

contracts and standalone PDPs through 

the identification of beneficiary 

disenrollment reasons. Plans can use the 

information to guide quality 

improvement efforts. The data can also 

be used by beneficiaries who need to 

choose among the different MA and PDP 

options. To the extent that these data 

identify areas for improvement at the 

contract level they can be used to 

inform CMS contract oversight. Form 

Number: CMS–10316 (OCN: 0938– 

1113). Frequency: Yearly; Affected 

Public: Individuals or households; 

Number of Respondents: 88,492; Total 

Annual Responses: 88,492; Total 

Annual Hours: 22,887. (For policy 

questions regarding this collection 

contact Sai Ma at 410–786–1479. For all 

other issues call 410–786–1326.) 

4. Type of Information Collection 

Request: New collection (request for a 

new OMB control number). Title of 

Information Collection: National 

Implementation of In-Center 

Hemodialysis CAHPS Survey. Use: Data 

collected in the national 

implementation of the In-center 

Hemodialysis Consumer Assessment of 

Healthcare Providers and Systems 

(CAHPS) Survey will be used for the 

following purposes: (1) To provide a 

source of information from which 

selected measures can be publicly 

reported to beneficiaries as a decision 

aid for dialysis facility selection; (2) to 

aid facilities with their internal quality 

improvement efforts and external 

benchmarking with other facilities; (3) 

to provide CMS with information for 

monitoring and public reporting 

purposes; and (4) to support the endstage renal disease value-based 

purchasing program. Form Number: 

CMS–10478 (OCN: 0938–New); 

Frequency: Semi-annually and once; 

Affected Public: Individuals or 

households; Number of Respondents: 

165,000; Total Annual Responses: 

165,000; Total Annual Hours: 87,750. 

(For policy questions regarding this 

collection contact Elizabeth Goldstein at 

410–786–6665. 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, 2013: 

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 Number ll, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: April 16, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–09267 Filed 4–18–13; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–576A] 

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 

Information Collection: Organ 

Procurement Organization’s (OPOs) 

Health Insurance Benefits Agreement 

and Supporting Regulations at 42 CFR 

486.301–486.348; Use: The Medicare 

and Medicaid Programs final conditions 

for coverage for Organ Procurement 

Organizations (OPOs) require OPOs to 

sign agreements with the Center for 

Medicare and Medicaid Services (CMS) 

in order to be reimbursed and perform 

their services. The information provided 

on this form serves as a basis for 

continuing the agreements with CMS 

and the OPOs for participation in the 

Medicare and Medicaid programs for 

reimbursement of service. Form 

Number: CMS–576A (OCN: 0938–0512); 

Frequency: Occasionally; Affected 

Public: Private Sector: Business or other 

for-profit and not-for-profit institutions; 

Number of Respondents: 58; Total 

Annual Responses: 58; Total Annual 

Hours: 116. (For policy questions 

regarding this collection contact Melissa 

Rice at 410–786–3270. 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 20, 2013. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, Email: 

OIRA_submission@omb.eop.gov 

Dated: April 16, 2013. 

Martique Jones, 

Deputy Director, Regulations Development 

Group, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2013–09256 Filed 4–18–13; 8:45 am] 

BILLING CODE 4120–01–P 

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