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[Federal Register Volume 79, Number 114 (Friday, June 13, 2014)]
[Notices]
[Pages 33927-33928]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-13863]

[[Page 33927]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-10123 and 10124, CMS-10147, CMS-10252, CMS-
10305 and CMS-R-268]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 (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 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 must be received by August 12, 2014.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). 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' 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:

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-10123 and 10124 Fast Track Appeals Notices: NOMNC/DENC
CMS-10147 Medicare Prescription Drug Coverage and Your Rights
CMS-10252 Data Use Agreement (DUA) Certificate of Disposition (COD) for 
Data Acquired from the Centers for Medicare & Medicaid Services
CMS-10305 Medicare Part C and Part D Data Validation
CMS-R-268 Survey Tool for www.medicare.gov and www.cms.hhs.gov

    Under the Paperwork Reduction Act (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 of a currently 
approved collection; Title of Information Collection: Fast Track 
Appeals Notices: NOMNC/DENC; Use: Providers shall deliver a Notice of 
Medicare (Provider) Non-Coverage (NOMNC) to beneficiaries/enrollees no 
later than two days prior to the end of Medicare-covered services in 
skilled nursing facilities, home health agencies, comprehensive 
outpatient rehabilitation facilities, and hospices. Beneficiaries, 
enrollees or both beneficiaries and enrollees will use this information 
to determine whether they want to appeal the service termination to 
their Quality Improvement Organization (QIO). If the beneficiaries, 
enrollees or both beneficiaries decide to appeal, the Medicare provider 
or health plan will send the QIO and appellant a Detailed Explanation 
of Non-Coverage (DENC) detailing the rationale for the termination 
decision.
    Form Number: CMS-10123 and 10124 (OMB control number: 0938-0910); 
Frequency: Occasionally; Affected Public: Private sector--Business or 
other for-profits and Not-for-profit institutions; Number of 
Respondents: 24,915; Total Annual Responses: 5,347,980; Total Annual 
Hours: 927,901. (For policy questions regarding this collection contact 
Janet Miller at 404-562-1799.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Prescription Drug Coverage and Your Rights; Use: Through the delivery 
of this standardized notice, Part D plan sponsors' network pharmacies 
are in the best position to inform enrollees (at the point of sale) 
about how to contact their Part D plan if their prescription cannot be 
filled and how to request an exception to the Part D plan's formulary. 
The notice restates certain rights and protections related to the 
enrollees Medicare prescription drug benefits, including the right to 
receive a written explanation from the drug plan about why a 
prescription drug is not covered.
    Form Number: CMS-10147 (OMB control number: 0938-0975); Frequency: 
Occasionally; Affected Public: Private sector--Business or other for-
profits; Number of Respondents: 56,000; Total Annual Responses: 
37,620,000; Total Annual Hours: 626,749. (For policy questions 
regarding this collection contact Kathryn M. Smith at 410-786-7623.)
    3. Type of Information Collection Request: Extension of a currently

[[Page 33928]]

approved collection; Title of Information Collection: Data Use 
Agreement (DUA) Certificate of Disposition (COD) for Data Acquired from 
the Centers for Medicare & Medicaid Services; Use: The Data Use 
Agreement (DUA) Certificate of Disposition (COD) is required to close 
out the release of the data under the DUA and to ensure the data are 
destroyed and not used for another purpose without written 
authorization from CMS. The Health Insurance Portability and 
Accountability Act (HIPAA) of 1996, Sec.  1173(d) (Security Standards 
for Health Information) requires CMS to protect Personally Identifiable 
Information (PII). Additionally, the Federal Information Security 
Management Act (FISMA) of 2002, Sec.  3544(b) (Federal Agency 
Responsibilities--Agency Program) also requires CMS to develop policies 
and procedures for the protection and destruction of sensitive data to 
include PII.
    Form Number: CMS-10252 (OMB control number: 0938-1046); Frequency: 
Biennial; Affected Public: Private Sector--Business or other for-
profits and Not-for-profit institutions; Number of Respondents: 500; 
Total Annual Responses: 1,000; Total Annual Hours: 84. (For policy 
questions regarding this collection contact Sharon Kavanagh at 410-786-
5441.)
    4. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Part C 
and Part D Data Validation; Use: Organizations contracted to offer 
Medicare Part C and Part D benefits are required to report data to us 
on a variety of measures. For the data to be useful for monitoring and 
performance measurement, the data must be reliable, valid, complete, 
and comparable among sponsoring organizations. To meet this goal, we 
have developed reporting standards and data validation specifications 
with respect to the Part C and Part D reporting requirements. These 
standards provide a review process for Medicare Advantage 
Organizations, Cost Plans, and Part D sponsors to use to conduct data 
validation checks on their reported Part C and Part D data. The 
currently approved information collection is being revised to reflect 
decreases in the number of reporting sections being validated and an 
increase in the average number of data elements per reporting section 
for 2015-2017.
    Form Number: CMS-10305 (OMB control number: 0938-1115); Frequency: 
Yearly; Affected Public: Private sector--Business or other for-profits; 
Number of Respondents: 706; Total Annual Responses: 706; Total Annual 
Hours: 202,578. (For policy questions regarding this collection contact 
Terry Lied at 410-786-8973.)
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Survey Tool for 
www.medicare.gov and www.cms.hhs.gov; Use: The Balanced Budget Act of 
1997 states that the Secretary of Health and Human Services shall 
maintain a Web site to provide information about CMS activities, 
programs and topics related to its services. The present request is for 
OMB authorization to collect data on the reactions of users of the Web 
sites through the survey tool. We will use the data to improve the Web 
sites so that they can best serve the needs of their users. Information 
collected from the survey will be used to make improvements to the 
sites to make them more user friendly.
    Form Number: CMS-R-268 (OMB control number: 0938-0756); Frequency: 
Annual; Affected Public: Individuals or households; Number of 
Respondents: 7,000; Total Annual Responses: 4,900; Total Annual Hours: 
817. (For policy questions regarding this collection contact Kymeiria 
Ingram at 410-786-8431.)

    Dated: June 10, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-13863 Filed 6-12-14; 8:45 am]
BILLING CODE 4120-01-P
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