Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices 43691 

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: 

Information Collection 

1. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Blueprint for 

Approval of State-Based Health 

Insurance Exchanges; Use: All States 

(including the 50 States, the Territories, 

and the District of Columbia herein 

referred to as States) have the 

opportunity under Section 1311(b) of 

the Affordable Care Act to establish 

Exchanges, subject to certification (or 

‘‘Approval’’) that the Exchange meets 

Federal standards and will be able to 

offer health care coverage for the 

following plan year, beginning January 

1, 2014. The original information 

collection request for the State Exchange 

Blueprint Data Collection Tool specified 

a single reporting tool for all the various 

exchange types and was partially paper 

based. Subsequent revisions simplified 

the tool by having separate collection 

tools for each type of exchange and online implementation of the tool to 

reduce the burden. This revision 

updates the tool to reflect current State 

Exchange model options (a State-based 

Exchange (SBE) or a State-based 

Exchange on the Federal Platform (SBE– 

FP,)) program requirements, updated 

regulatory requirements promulgated 

through the 2017, 2018 and the 2019 

Payment Notice, as well as through the 

Marketplace Stabilization Rule, and 

replaces the requirement for document 

and evidence submissions with 

attestations across all sections to further 

reduce the burden. 

Given the innovative nature of 

Exchanges and the statutorilyprescribed relationship between the 

secretary and States in their 

development and operation, it is critical 

that the Secretary work closely with 

States to provide necessary guidance 

and technical assistance to ensure that 

States can meet the prescribed 

timelines, federal requirements, and 

goals of the statute. 

States seeking to establish a SBE or 

SBE–FP must build an Exchange that 

meets the requirements set out in 

Section 1311(d) of the Affordable Care 

Act and pursuant to CFR 155.105, FFE 

states that seek to operate an SBE or 

SBE–FP must complete and submit an 

Exchange Blueprint Application. The 

Blueprint Application documents that 

an Exchange will meet the legal and 

operational requirements associated 

with the Exchange model a state 

chooses to pursue. As part of its 

Blueprint submission, a state will also 

agree to demonstrating operational 

readiness to implement and execute the 

required Exchange activities described 

in the Blueprint Application. Form 

Number: CMS–10416 (OMB control 

number: 0938–1172); Frequency: Once; 

Affected Public: State, Local, or Tribal 

governments; Number of Respondents: 

21; Total Annual Responses: 7; Total 

Annual Hours: 221. (For policy 

questions regarding this collection 

contact Christy Woods at 301–492– 

5140.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection. Title of 

Information Collection: Quality 

Improvement Strategy Implementation 

Plan and Progress Form. Use: Section 

1311(c)(1)(E) of the Patient Protection 

and Affordable Care Act requires 

qualified health plans (QHPs) offered 

through an Exchange must implement a 

quality improvement strategy (QIS) as 

described in section 1311(g)(1). Section 

1311(g)(3) of the Patient Protection and 

Affordable Care Act specifies the 

guidelines under Section 1311(g)(2) 

shall require the periodic reporting to 

the applicable Exchange the activities 

that a qualified health plan has 

conducted to implement a strategy as 

described in section 1311(g)(1). CMS 

intends to have eligible QHP issuers 

complete the QIS Implementation Plan 

and Progress Form annually for initial 

certification and subsequent annual 

updates of progress in implementation 

of their strategy. The form will include 

topics to assess an issuer’s compliance 

in creating a payment structure that 

provides increased reimbursement or 

other incentives to improve the health 

outcomes of plan enrollees, prevent 

hospital readmissions, improve patient 

safety and reduce medical errors, 

promote wellness and health, and 

reduce health and health care 

disparities, as described in Section 

1311(g)(1) of the Patient Protection and 

Affordable Care Act. 

The QIS Implementation Plan and 

Progress Form will allow: (1) The 

Department of Health & Human Services 

(HHS) to evaluate the compliance and 

adequacy of QHP issuers’ quality 

improvement efforts, as required by 

Section 1311(c) of the Patient Protection 

and Affordable Care Act, and (2) HHS 

will use the issuers’ validated 

information to evaluate the issuers’ 

quality improvement strategies for 

compliance with the requirements of 

Section 1311(g) of the Patient Protection 

and Affordable Care Act. Form Number: 

CMS–10540 (OMB Control Number: 

0938–1286); Frequency: Annually; 

Affected Public: Public sector 

(Individuals and Households), Private 

sector (Business or other for-profits and 

Not-for-profit institutions); Number of 

Respondents: 250; Total Annual 

Responses: 250; Total Annual Hours: 

12,000. (For policy questions regarding 

this collection contact Nidhi Singh Shah 

at 301–492–5110). 

Dated: August 21, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–18437 Filed 8–24–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Administration for Native 

Americans Annual Data Report. 

OMB No.: 0970–0475: Renewal. 

Description: The Administration for 

Native Americans is seeking renewal of 

the Annual Data Report (ADR). The 

ADR is an annual report to be 

completed at the end of every budget 

period of an ANA discretionary grant. 

The purpose of this information 

collection is to annually collect grantee 

data on outcome indicators, youth and 

elder engagement, partnerships, 

community participation, benefits and 

lessons learned. At the end of the 

project period, ANA will also collect 

data on beneficiaries, the overall 

achievement of the project goal, and 

project sustainability. 

This information collection will be 

housed in the On-Line Data Collection 

(OLDC) with in GrantSolutions.gov. 

Respondents: Tribal Government, 

Native non-profit organizations, Tribal 

Colleges & Universities receiving ANA 

discretionary funding. 


amozie on DSK3GDR082PROD with NOTICES1
43692 Federal Register / Vol. 83, No. 166 / Monday, August 27, 2018 / Notices 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

ADR ................................................................................................................. 275 1 1 275

Estimated Total Annual Burden 

Hours: 275. 

Additional Information: Copies of the 

proposed collection may be obtained by 

writing to the Administration for 

Children and Families, Office of 

Planning, Research and Evaluation, 330 

C Street SW, Washington, DC 20201. 

Attention Reports Clearance Officer. All 

requests should be identified by the title 

of the information collection. Email 

address: infocollection@acf.hhs.gov. 

OMB Comment: OMB is required to 

make a decision concerning the 

collection of information between 30 

and 60 days after publication of this 

document in the Federal Register. 

Therefore, a comment is best assured of 

having its full effect if OMB receives it 

within 30 days of publication. Written 

comments and recommendations for the 

proposed information collection should 

be sent directly to the following: Office 

of Management and Budget, Paperwork 

Reduction Project, Email: OIRA_

SUBMISSION@OMB.EOP.GOV; Attn: 

Desk Officer for the Administration for 

Children and Families. 

Robert A. Sargis, 

Reports Clearance Officer. 

[FR Doc. 2018–18495 Filed 8–24–18; 8:45 am] 

BILLING CODE 4184–34–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Meeting of the Presidential Advisory 

Council on Combating AntibioticResistant Bacteria 

AGENCY: Department of Health and 

Human Services, Office of the Secretary, 

Office of the Assistant Secretary for 

Health. 

ACTION: Notice. 

SUMMARY: As stipulated by the Federal 

Advisory Committee Act, the 

Department of Health and Human 

Services (HHS) is hereby giving notice 

that a meeting is scheduled to be held 

for the Presidential Advisory Council on 

Combating Antibiotic-Resistant Bacteria 

(Advisory Council). The meeting will be 

open to the public; a public comment 

session will be held during the meeting. 

Pre-registration is required for members 

of the public who wish to attend the 

meeting and who wish to participate in 

the public comment session. Individuals 

who wish to attend the meeting and/or 

send in their public comment via email 

should send an email to CARB@hhs.gov. 

Registration information is available on 

the website http://www.hhs.gov/ash/ 

carb/ and must be completed by 

September 19, 2018; all in-person 

attendees must pre-register by this date. 

Additional information about registering 

for the meeting and providing public 

comment can be obtained at http://

www.hhs.gov/ash/carb/ on the Meetings 

page. 

DATES: The meeting is scheduled to be 

held on September 26, 2018, from 9:00 

a.m. to 5:00 p.m. ET (times are tentative 

and subject to change). The confirmed 

times and agenda items for the meeting 

will be posted on the website for the 

Advisory Council at http://

www.hhs.gov/ash/carb/ when this 

information becomes available. Preregistration for attending the meeting in 

person is required to be completed no 

later than September 19, 2018; public 

attendance at the meeting is limited to 

the available space. 

ADDRESSES: This public meeting is being 

held at the Sheraton Columbus Hotel at 

Capitol Square, 75 East State Street, 

Columbus, OH, 43215. The meeting can 

also be accessed through a live webcast 

on the day of the meeting. For more 

information, visit http://www.hhs.gov/ 

ash/carb/. 

FOR FURTHER INFORMATION CONTACT: 

Jomana Musmar, Acting Designated 

Federal Officer, Presidential Advisory 

Council on Combating AntibioticResistant Bacteria, Office of the 

Assistant Secretary for Health, U.S. 

Department of Health and Human 

Services, Room 715H, Hubert H. 

Humphrey Building, 200 Independence 

Avenue SW, Washington, DC 20201. 

Phone: (202) 690–5566; email: CARB@

hhs.gov. 

SUPPLEMENTARY INFORMATION: Under 

Executive Order 13676, dated 

September 18, 2014, authority was given 

to the Secretary of HHS to establish the 

Advisory Council, in consultation with 

the Secretaries of Defense and 

Agriculture. Activities of the Advisory 

Council are governed by the provisions 

of Public Law 92–463, as amended (5 

U.S.C. App.), which sets forth standards 

for the formation and use of federal 

advisory committees. 

The Advisory Council will provide 

advice, information, and 

recommendations to the Secretary of 

HHS regarding programs and policies 

intended to support and evaluate the 

implementation of Executive Order 

13676, including the National Strategy 

for Combating Antibiotic-Resistant 

Bacteria and the National Action Plan 

for Combating Antibiotic-Resistant 

Bacteria. The Advisory Council shall 

function solely for advisory purposes. 

In carrying out its mission, the 

Advisory Council will provide advice, 

information, and recommendations to 

the Secretary regarding programs and 

policies intended to preserve the 

effectiveness of antibiotics by 

optimizing their use; advance research 

to develop improved methods for 

combating antibiotic resistance and 

conducting antibiotic stewardship; 

strengthen surveillance of antibioticresistant bacterial infections; prevent 

the transmission of antibiotic-resistant 

bacterial infections; advance the 

development of rapid point-of-care and 

agricultural diagnostics; further research 

on new treatments for bacterial 

infections; develop alternatives to 

antibiotics for agricultural purposes; 

maximize the dissemination of up-todate information on the appropriate and 

proper use of antibiotics to the general 

public and human and animal 

healthcare providers; and improve 

international coordination of efforts to 

combat antibiotic resistance. 

The September 26, 2018, public 

meeting will be dedicated to the 

Advisory Council’s deliberation and 

vote of the Infection Prevention and 

Stewardship Working Group’s draft 

report with recommendations, in 

addition to other topic areas 

surrounding antibiotic-resistance and 

One Health. The meeting agenda will be 

posted on the Advisory Council website 

at http://www.hhs.gov/ash/carb/ when it 

has been finalized. All agenda items are 

tentative and subject to change. 

Public attendance at the meeting is 

limited to the available space. 

Individuals who plan to attend and 

need special assistance, such as sign 

language interpretation or other 

reasonable accommodations, should 

notify the Advisory Council at the 


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