26568 Federal Register / Vol. 80, No. 89 / Friday, May 8, 2015 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–1696 and CMS– 

R–246] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 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 on the collection(s) of 

information must be received by the 

OMB desk officer by June 8, 2015: 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 OR Email: 

OIRA_submission@omb.eop.gov. 

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: 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: Appointment of 

Representative; Use: The Appointment 

of Representative form is completed by 

beneficiaries, providers and suppliers, 

and any party seeking to appoint a 

representative to assist them with their 

initial determinations and filing 

appeals. This extension request 

proposes non-substantive changes to the 

form. Form Number: CMS–1696 (OMB 

control number: 0938–0950); Frequency: 

Once; Affected Public: Individuals and 

Households, Private sector (Business or 

other for-profits); Number of 

Respondents: 4,073,960; Total Annual 

Responses: 407,396; Total Annual 

Hours: 101,849. (For policy questions 

regarding this collection contact 

Katherine Hosna at 410–786–4993.) 

Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare 

Advantage, Medicare Part D, and 

Medicare Fee-For-Service Consumer 

Assessment of Healthcare Providers and 

Systems (CAHPS) Survey; Use: The 

primary purpose of the Medicare 

consumer assessment of healthcare 

providers and systems (CAHPS) surveys 

is to provide information to Medicare 

beneficiaries to help them make more 

informed choices among health and 

prescription drug plans available to 

them. The surveys also provides data to 

help CMS and others monitor the 

quality and performance of Medicare 

health and prescription drug plans and 

identify areas to improve the quality of 

care and services provided to enrollees 

of these plans. Form Number: CMS–R– 

246 (OMB control number: 0938–0732); 

Frequency: Yearly; Affected Public: 

Individuals and households; Number of 

Respondents: 799,650; Total Annual 

Responses: 799,650; Total Annual 

Hours: 277,740. (For policy questions 

regarding this collection contact Sarah 

Gaillot at 410–786–4637.) 

Dated: May 5, 2015. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2015–11208 Filed 5–7–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Advisory Commission on Childhood 

Vaccines; Notice of Meeting 

In accordance with section 10(a)(2) of 

the Federal Advisory Committee Act 

(Pub. L. 92–463), notice is hereby given 

of the following meeting: 

Name: Advisory Commission on 

Childhood Vaccines (ACCV). 

Date and Time: June 4, 2015, 10:00 a.m. to 

4:30 p.m. EDT. 

Place: Audio Conference Call and Adobe 

Connect Pro. 

The ACCV will meet on Thursday, June 4, 

2015, from 10:00 a.m. to 4:30 p.m. (EDT). The 

public can join the meeting by: 

1. (Audio Portion) Calling the conference 

Phone Number 877–917–4913 and providing 

the following information: 

Leaders Name: Dr. A. Melissa Houston. 

Password: ACCV. 

2. (Visual Portion) Connecting to the ACCV 

Adobe Connect Pro Meeting using the 

following URL: https://

hrsa.connectsolutions.com/accv/ (copy and 

paste the link into your browser if it does not 

work directly, and enter as a guest). 

Participants should call and connect 15 

minutes prior to the meeting in order for 

logistics to be set up. If you have never 

attended an Adobe Connect meeting, please 

test your connection using the following 

URL: https://hrsa.connectsolutions.com/

common/help/en/support/meeting_test.htm 

and get a quick overview by following URL: 

http://www.adobe.com/go/connectpro_

overview. 

Call (301) 443–6634 or send an email to 

aherzog@hrsa.gov if you are having trouble 

connecting to the meeting site. 


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