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[Federal Register Volume 79, Number 19 (Wednesday, January 29, 2014)]
[Notices]
[Pages 4726-4727]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-01775]

[[Page 4726]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10485, CMS-417, CMS-10277, and CMS-10260]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

ACTION: Notice.

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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: 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 February 28, 2014.

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: New Collection (Request 
for a new OMB control number); Title of Information Collection: 
Evaluation of the Multi-Payer Advanced Primary Care Practice (MAPCP) 
Demonstration: Provider Survey; Use: On September 16, 2009, the 
Department of Health and Human Services announced the establishment of 
the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration, 
under which Medicare joined Medicaid and private insurers as a payer 
participant in state-sponsored patient-centered medical home (PCMH) 
initiatives. We selected eight states to participate in this 
demonstration: Maine, Vermont, Rhode Island, New York, Pennsylvania, 
North Carolina, Michigan, and Minnesota.
    We are proposing to conduct this provider survey to understand how 
participating practices' structures and functions vary, particularly 
with respect to their adoption of different components of the PCMH 
model of care. Researchers evaluating the MAPCP Demonstration plan to 
combine these survey data with claims data to conduct statistical 
analyses that identify which particular medical home care processes are 
associated with the largest gains in health care quality and reductions 
in health care cost trends. Subsequent to the publication of the 60-day 
Federal Register notice (78 FR 41931), revisions have been made to the 
survey. There has been a slight increase in the annual burden hours. 
Form Number: CMS-10485 (OCN: 0938-NEW); Frequency: Annually; Affected 
Public: Individuals and households; Number of Respondents: 5,799; Total 
Annual Responses: 5,799; Total Annual Hours: 1,740. (For policy 
questions regarding this collection contact Suzanne Wensky at 410-786-
0226.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospice Request 
for Certification and Supporting Regulations; Use: The Hospice Request 
for Certification Form is the identification and screening form used to 
initiate the certification process and to determine if the provider has 
sufficient personnel to participate in the Medicare program. Subsequent 
to the publication of the 60-day Federal Register notice (78 FR 65656), 
minor changes were made to the form. Form Number: CMS-417 (OCN: 0938-
0313); Frequency: Annually; Affected Public: Private Sector (Business 
or other for-profits); Number of Respondents: 3,807; Total Annual 
Responses: 3,807; Total Annual Hours: 952. (For policy questions 
regarding this collection contact Patricia Sevast at 410-786-8135).
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospice 
Conditions of Participation and Supporting Regulations; Use: The 
Conditions of Participation and accompanying requirements are used by 
Federal or State surveyors as a basis for determining whether a hospice 
qualifies for approval or re-approval under Medicare. The healthcare 
industry and CMS believe that the availability to the hospice of the 
type of records and general content of records, which the final rule 
(72 FR 32088) specifies, is standard medical practice, and is necessary 
in order to ensure the well-being and safety of patients and 
professional treatment accountability. Form Number: CMS-10277 (OCN: 
0938-1067); Frequency: Reporting and Recordkeeping--Yearly; Affected 
Public: Private sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 3,897; Total Annual Responses: 
1,535,919; Total Annual Hours: 1,625,440. (For policy questions 
regarding this collection contact Danielle Shearer at 410-786-6617.)
    4. Type of Information Collection Request: Reinstatement with 
change of a

[[Page 4727]]

previously approved collection; Title of Information Collection: 
Medicare Advantage and Prescription Drug Program: Final Marketing 
Provisions; Use: We require that Medicare Advantage (MA) organizations 
and Part D sponsors use standardized documents to satisfy disclosure 
requirements mandated by section 1851(d)(3)(A) of the Social Security 
Act (Act) and 42 CFR 422.111(b) for MA organizations, and section 
1860D-1(c) of the Act and 42 CFR 423.128(a)(3) for Part D sponsors. The 
regulatory provisions require that MA organizations and Part D sponsors 
disclose plan information, including: Service area, benefits, access, 
grievance and appeals procedures, and quality improvement and quality 
assurance requirements by September 30th of each year. The MA 
organizations and Part D sponsors use the information to comply with 
the disclosure requirements. We will use the approved standardized 
documents to ensure that correct information is disclosed to current 
and potential enrollees. The package has been revised subsequent to the 
publication of the 60-day notice (78 FR 63208). Form Number: CMS-10260 
(OCN: 0938-1051); Frequency: Yearly; Affected Public: Private sector 
(Business or other for-profits); Number of Respondents: 770; Total 
Annual Responses: 770; Total Annual Hours: 9,240. (For policy questions 
regarding this collection contact Timothy Roe at 410-786-2006.)

    Dated: January 24, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-01775 Filed 1-28-14; 8:45 am]
BILLING CODE 4120-01-P
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