Federal Register / Vol. 77, No. 155 / Friday, August 10, 2012 / Notices 47851 

Older Adults, Physical Activity in Older 

Adults, Fall Risk Management, and 

Osteoporosis Testing in Older Women 

HEDIS® measures. The collection of 

Medicare HOS is necessary to hold 

Medicare managed care contractors 

accountable for the quality of care they 

are delivering. This reporting 

requirement allows CMS to obtain the 

information necessary for proper 

oversight of the Medicare Advantage 

program. 

The 60-day Federal Register notice 

published on April 27, 2012, (77 FR 

25181). Subsequently, the HOS 

Questionnaire collection instrument has 

been revised by clarifying, removing 

and renumbering a few questions. The 

burden estimate has not changed. Form 

Number: CMS–10203 (OCN: 0938– 

0701); Frequency: Yearly; Affected 

Public: Individuals and households; 

Number of Respondents: 2,352; Total 

Annual Responses: 666,120; Total 

Annual Hours: 219,820 (For policy 

questions regarding this collection 

contact Kimberly DeMichele at 410– 

786–4286. 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 September 10, 2012. 

OMB, Office of Information and 

Regulatory Affairs, Attention: CMS 

Desk Officer, Fax Number: (202) 395– 

6974, Email: 

OIRA_submission@omb.eop.gov. 

Dated: August 6, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–19605 Filed 8–9–12; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10444] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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 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. 

1. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Minimum Data 

Set for Medicaid Incentives for 

Prevention of Chronic Diseases Program 

Grantees; Use: The Medicaid Incentives 

for Prevention of Chronic Diseases 

(MIPCD), demonstration program 

provides grants to states to implement 

programs that provide incentives to 

Medicaid beneficiaries of all ages who 

participate in prevention programs and 

demonstrate changes in health risk and 

outcomes, including the adoption of 

healthy behaviors. The prevention 

programs address at least one of the 

following prevention goals: tobacco 

cessation, controlling or reducing 

weight, lowering cholesterol, lowering 

blood pressure, and avoiding the onset 

of diabetes or in the case of a diabetic, 

improving the management of the 

condition. The programs are also 

comprehensive, widely available, easily 

accessible, and based on relevant 

evidence-based research and resources, 

including: the Guide to Community 

Preventive Services; the Guide to 

Clinical Preventive Services; and the 

National Registry of Evidence-Based 

Programs. 

The proposed information collection, 

the MIPCD Minimum Data Set (MDS), is 

intended to collect data for program 

performance monitoring and evaluation. 

The MDS is a secondary data collection 

that assembles information already 

collected by grantees in the course of 

tracking beneficiary participation and 

outcomes and performing their own 

evaluation activities. Data collected 

through the MDS will be used to report 

on program implementation and 

evaluation to CMS and Congress. Form 

Number: CMS–10444 (OCN: 0938– 

New); Frequency: Quarterly; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

10; Total Annual Responses: 40; Total 

Annual Hours: 3,467. (For policy 

questions regarding this collection 

contact Sherrie Fried at 410–786–6619. 

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 October 9, 2012: 

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, Room C4–26–05, 7500 

Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: August 6, 2012. 

Martique Jones, 

Director, Regulations Development Group, 

Division B, Office of Strategic Operations and 

Regulatory Affairs. 

[FR Doc. 2012–19606 Filed 8–9–12; 8:45 am] 

BILLING CODE 4120–01–P 

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