Federal Register / Vol. 86, No. 39 / Tuesday, March 2, 2021 / Notices 12191 

confidential; marketing materials; study 

types not included in the review; or 

information on indications not included 

in the review cannot be used by the EPC 

Program. This is a voluntary request for 

information, and all costs for complying 

with this request must be borne by the 

submitter. 

The draft of this review will be posted 

on AHRQ’s EPC Program website and 

available for public comment for a 

period of 4 weeks. If you would like to 

be notified when the draft is posted, 

please sign up for the email list at: 

https://

www.effectivehealthcare.ahrq.gov/ 

email-updates. 

The systematic review will answer the 

following questions. This information is 

provided as background. AHRQ is not 

requesting that the public provide 

answers to these questions. 

Key Questions (KQs) 

KQ 1. What is the effectiveness of 

provider-to-provider telehealth for rural 

patients? 

a. What is the impact of provider-toprovider telehealth on rural patient and 

population outcomes? 

b. What is the impact of provider-toprovider telehealth on healthcare 

providers? 

c. What is the impact of provider-toprovider telehealth on private and 

public (ex. CMS, TriCare, VA, etc.) 

payers? 

d. What adverse events or unintended 

consequences are associated with 

provider-to-provider telehealth for rural 

patients? 

e. What are the methodological 

weaknesses of the identified 

effectiveness studies of provider-toprovider telehealth for rural patients 

and what improvements in study design 

(e.g., focus on relevant comparisons and 

outcomes) might increase the impact of 

future research? 

KQ 2. What is the effectiveness of 

implementation strategies for providerto-provider telehealth in rural areas? 

a. What is the uptake of different 

types of provider-to-provider telehealth 

in rural areas? 

Æ Who are the current patients, 

providers, and payers engaged in 

provider-to-provider telehealth in rural 

areas? 

Æ What factors affect whether 

provider-to-provider telehealth in rural 

areas can be sustained? 

b. Which barriers and facilitators 

impact adoption and implementation of 

provider-to-provider telehealth in rural 

areas? 

c. Which strategies are effective in 

sustaining provider-to-provider 

telehealth in rural areas? 

d. What are the methodological 

weaknesses of the identified studies of 

implementation and sustainability of 

provider-to-provider telehealth in rural 

areas and what improvements in study 

design (e.g., focus on relevant 

comparisons and outcomes) might 

increase the impact of future research? 

Populations, Interventions, 

Comparators, Outcomes, Settings 

• Population(s) 

Æ Rural individual patients, patient 

families/care partners, and patient 

populations. 

Æ Healthcare providers (individuals 

and organizations) who provide health 

care services to rural patients or 

populations. 

• Providers include any profession or 

occupation providing formal, paid 

services. 

• Family or informal care partners are 

not considered providers. 

Æ Payers who pay for healthcare 

services for rural patients or 

populations. 

• Interventions 

Æ Provider-to-provider telehealth 

defined as: Any telecommunications 

facilitated interaction among, or support 

for, healthcare professionals designed to 

improve access, quality of care, or 

health outcomes for rural patients and 

populations. 

• Comparators 

Æ KQ1: Other telehealth facilitated 

care (not provider-to-provider), usual 

(in-person) provider-to-provider 

supports, no interaction or no care. 

Æ KQ2: Different strategies for 

dissemination, implementation, or 

spread; no strategies; time periods prior 

to implementation. 

• Outcomes 

Æ KQ1: Clinical outcomes for the 

identified conditions (patient-reported 

outcomes, mortality, morbidity, such as 

function, illness recovery, infection); 

Economic outcomes such as return on 

investment, cost, volume of visits, and 

resource use, including length of stay 

and readmissions; Intermediate 

Outcomes; Patient satisfaction, behavior 

(such as care-seeking and compliance), 

and decisions such as completion of 

treatment, or satisfaction with less travel 

to access healthcare; Provider 

satisfaction, behavior, and decisions 

such as choice of treatment or antibiotic 

stewardship; Access measures and 

indicators including but not limited to 

time to diagnosis or time to treatment. 

Æ KQ2: Indicators and measures of 

uptake (e.g., rates of use, timing to 

implementation) and characteristics of 

users; categories and descriptors of 

barriers and facilitators; categories and 

descriptors of strategies. 

• Settings 

Æ Outpatient (primary care and 

specialty care), inpatient, prehospital 

and emergency care, post-acute and 

long-term care. 

Æ Civilian, Veterans Administration, 

or military. 

Æ Health care and non-healthcare 

settings where health services are 

delivered including in the home. 

Æ U.S. relevant settings [Note that 

studies from countries with significantly 

different healthcare systems and fewer 

resources (e.g., low-income countries) 

are excluded.] 

Dated: February 24, 2021. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2021–04187 Filed 3–1–21; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10175] 

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 


jbell on DSKJLSW7X2PROD with NOTICES
12192 Federal Register / Vol. 86, No. 39 / Tuesday, March 2, 2021 / Notices 

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 April 1, 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 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Certification 

Statement for Electronic File 

Interchange Organizations (EFIOs) that 

submit National Provider Identifier 

(NPI) data to the National Plan and 

Provider Enumeration System (NPPES); 

Use: the EFI process allows 

organizations to submit NPI application 

information on large numbers of 

providers in a single file. Once it has 

obtained and formatted the necessary 

provider data, the EFIO can 

electronically submit the file to NPPES 

for processing. As each file can contain 

up to approximately 25,000 records, or 

provider applications, the EFI process 

greatly reduces the paperwork and 

overall administrative burden associated 

with enumerating providers. It is 

essential to collect this information from 

the EFIO to ensure that the EFIO 

understands its legal responsibilities as 

an EFIO and attests that it has the 

authority to act on behalf of the 

providers for whom it is submitting 

data. In short, the certification 

statement, which must be signed by an 

authorized official of the EFIO, serves as 

a safeguard against EFIOs attempting to 

obtain NPIs for illicit or inappropriate 

purposes. Form Number: CMS–10175 

(OMB control number 0938–0984); 

Frequency: Once, Annually; Affected 

Public: Private Sector, State, Business, 

and Not-for Profits; Number of 

Respondents: 32; Number of Responses: 

32; Total Annual Hours: 8. (For 

questions regarding this collection 

contact DaVona Boyd at 410–786–7483.) 

Dated: February 25, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–04274 Filed 3–1–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10054 and CMS– 

10632] 

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 

May 3, 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, 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–10054 New Technology Services 

for Ambulatory Payment 

Classifications under the Outpatient 

Prospective Payment System 

CMS–10632 Evaluating Coverage to 

Care in Communities 


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