9348 Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average hours 

per response 

Total response 

burden 

(hours) 

General public and health care providers.Survey of Individual .......................... 30,000 1 30/60 15,000 

Total ........................................... ........................................................... ........................ ........................ ........................ 46,516 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2021–02952 Filed 2–11–21; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers CMS–10518 and 

CMS–10340] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

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 

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. 

DATES: Comments must be received by 

April 13, 2021. 

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 llll, 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’ website address at 

https://www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

FOR FURTHER INFORMATION CONTACT: 

William N. Parham at (410) 786–4669. 

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–10518 Application for 

Participation in the Intravenous 

Immune Globulin (IVIG) 

Demonstration 

CMS–10340 Collection of Encounter 

Data from MA Organizations 

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: Extension without change of a 

currently approved collection; Title of 

Information Collection: Application for 

Participation in the Intravenous 

Immune Globulin (IVIG) Demonstration; 

Use: Traditional fee-for-service (FFS) 

Medicare covers some or all 

components of home infusion services 

depending on the circumstances. By 

special statutory provision, Medicare 

Part B covers intravenous immune 

globulin (IVIG) for persons with primary 

immune deficiency disease (PIDD) who 

wish to receive the drug at home. 

However, Medicare does not separately 

pay for any services or supplies to 

administer it if the person is not 

homebound and otherwise receiving 

services under a Medicare Home Health 

episode of care. As a result, many 

beneficiaries have chosen to receive the 

drug at their doctor’s office or in an 

outpatient hospital setting. 

The Medicare IVIG Demonstration 

application requests basic demographic 

information necessary to determine 

eligibility for participation in the 

demonstration. This information is used 

by CMS’ implementation support 

contractor to determine eligibility for 

the demonstration and to set up a 

demonstration eligibility record that is 

used by the Medicare claims system 

when processing claims for 

demonstration services. 

The application also includes some 

questions about how and where the 

beneficiary is currently receiving 

immunoglobulin and related services. 

This data is being used by the 

evaluation contractor to conduct its 

evaluation and to better understand 

Federal Register / Vol. 86, No. 28 / Friday, February 12, 2021 / Notices 9349 

which beneficiaries are electing to 

enroll in the demonstration. Form 

Number: CMS–10518 (OMB control 

number: 0938–1246); Frequency: 

Annually; Affected Public: Individuals 

and Households; Number of 

Respondents: 6,500; Total Annual 

Responses: 6,500; Total Annual Hours: 

1,625. (For policy questions regarding 

this collection contact Debra K. 

Gillespie at 410–786–4631.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Collection of 

Encounter Data from MA Organizations; 

Use: Section 1853(a)(3)(B) of the Act 

directs CMS to require MA 

organizations and eligible organizations 

with risk-sharing contracts under 1876 

to ‘‘submit data regarding inpatient 

hospital services . . . and data 

regarding other services and other 

information as the Secretary deems 

necessary’’ in order to implement a 

methodology for ‘‘risk adjusting’’ 

payments made to MA organizations 

and other entities. Risk adjustments to 

enrollee monthly payments are made in 

order to take into account ‘‘variations in 

per capita costs based on [the] health 

status’’ of the Medicare beneficiaries 

enrolled in an MA plan. 

CMS collects encounter data for 

beneficiaries enrolled in MA 

organizations, section 1876 Cost Health 

Maintenance Organizations (HMOs)/ 

Competitive Medical Plans (CMPs), 

Programs of All-inclusive Care for the 

Elderly (PACE) organizations, and 

MMPs. For PACE organizations and 

MMPs, encounter data serves essentially 

the same purposes as it does for the MA 

program (for Part C and Part D risk 

adjustment). To 1876 Cost Plans that 

offer Part D coverage, CMS makes risk 

adjusted, capitated monthly payments 

for Part D. 

MA organizations, Part D 

organizations, 1876 Cost Plans, MMPs 

and PACE organizations must use a 

CMS approved Network Service Vendor 

to establish connectivity with the CMS 

secure network for operational 

purposes. Once connectivity is 

established, these entities must submit 

required documents to CMS’s front-end 

contractor to obtain security access 

credentials. Form Number: CMS–10340 

(OMB control number: 0938–1152); 

Frequency: Annually; Affected Public: 

Private Sector, Business or other forprofits, Not-for-profits institutions; 

Number of Respondents: 733; Total 

Annual Responses: 1,068,204,429; Total 

Annual Hours: 35,618,366. (For policy 

questions regarding this collection 

contact Michael P. Massimini at 410– 

786–1560.) 

Dated: February 9, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–02944 Filed 2–11–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–18F5, CMS– 

10307, CMS–10495 and CMS–10454] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

ACTION: Notice. 

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 

(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. 

DATES: Comments on the collection(s) of 

information must be received by the 

OMB desk officer by March 15, 2021. 

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, you may make your request 

using one of following: 

1. Access CMS’ website address at: 

https://www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

FOR FURTHER INFORMATION CONTACT: 

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 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Application for 

Enrollment in Medicare Part A internet 

Claim (iClaim) Application Screen 

Modernized Claims System and 

Consolidated Claim Experience Screens; 

Use: Individuals who are already 

entitled to retirement or disability 

benefits under Social Security or 

Railroad Retirement Board (RRB) 

benefits are automatically entitled to 

premium-free Medicare Hospital 

Insurance (Part A) when they attain age 

65 or reach the 25th month of disability 

benefit entitlement. These individuals 

do not file a separate application for 

Medicare Part A because their 

application for Social Security or RRB 

benefits is also an application for Part A. 

The form is for individuals who are not 

eligible for Social Security for RRB 

benefits, but may qualify for premiumfree Medicare Part A based on certain 

requirements outlined in § 406.11 and 

406.15 or for certain disabled 

individuals who may enroll in premium 

Medicare Part A based on certain 

requirements outlined in § 406.20. 

Individuals may also choose to enroll in