Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices 88053 

use the PBP software to describe their 

organization’s plan benefit packages, 

including information on premiums, 

cost sharing, authorization rules, and 

supplemental benefits. They also 

generate a formulary to describe their 

list of drugs, including information on 

prior authorization, step therapy, 

tiering, and quantity limits. 

CMS requires that MA and PDP 

organizations submit a completed PBP 

and formulary as part of the annual 

bidding process. During this process, 

organizations prepare their proposed 

plan benefit packages for the upcoming 

contract year and submit them to CMS 

for review and approval. CMS uses this 

data to review and approve the benefit 

packages that the plans will offer to 

Medicare beneficiaries. This allows 

CMS to review the benefit packages in 

a consistent way across all submitted 

bids during with incredibly tight 

timeframes. This data is also used to 

populate data on Medicare Plan Finder, 

which allows beneficiaries to access and 

compare Medicare Advantage and 

Prescription Drug plans. Form Number: 

CMS–R–262 (OMB control number: 

0938–0763); Frequency: Annually; 

Affected Public: Public sector 

(Individuals and Households), Private 

sector (Business or other for-profits and 

Not-for-profit institutions); Number of 

Respondents: 785; Total Annual 

Responses: 8,337; Total Annual Hours: 

46,026. (For policy questions regarding 

this collection contact Kristy Holtje at 

410–786–2209 or kristy.holtje@

cms.hhs.gov). 

William N. Parham, III, 

Director, Division of Information Collections 

and Regulatory Impacts, Office of Strategic 

Operations and Regulatory Affairs. 

[FR Doc. 2024–25792 Filed 11–5–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–308] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

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 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 December 6, 2024. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

To obtain copies of a supporting 

statement and any related forms for the 

proposed collection(s) summarized in 

this notice, please access the CMS PRA 

website by copying and pasting the 

following web address into your web 

browser: https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

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: State Children’s 

Health Insurance Program and 

Supporting Regulations; Use: States 

must submit title XXI plans and 

amendments for approval by the 

Secretary. We use the plan and its 

subsequent amendments to determine if 

the state has met the requirements of 

title XXI. Information provided in the 

state plan, state plan amendments, and 

from the other information we are 

collecting will be used by advocacy 

groups, beneficiaries, applicants, other 

governmental agencies, providers 

groups, research organizations, health 

care corporations, health care 

consultants. States will use the 

information collected to assess state 

plan performance, health outcomes and 

an evaluation of the amount of 

substitution of private coverage that 

occurs as a result of the subsidies and 

the effect of the subsidies on access to 

coverage. Form Number: CMS–R–308 

(OMB control number: 0938–0841); 

Frequency: Yearly, once, and 

occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 51; Total Annual 

Responses: 16,024,071; Total Annual 

Hours: 803,280. (For policy questions 

regarding this collection contact Joyce 

Jordan at 410–786–3413.) 

William N. Parham, III 

Director, Division of Information Collections 

and Regulatory Impacts, Office of Strategic 

Operations and Regulatory Affairs. 

[FR Doc. 2024–25738 Filed 11–5–24; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: Medicare 

Rural Hospital Flexibility Program 

Performance 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 


khammond on DSKJM1Z7X2PROD with NOTICES
88054 Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than January 6, 2025. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, Room 14N39, 5600 Fishers 

Lane, Rockville, Maryland 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call Joella Roland, the HRSA 

Information Collection Clearance 

Officer, at (301) 443–3983. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 

information, please include the ICR title 

for reference. 

Information Collection Request Title: 

Medicare Rural Hospital Flexibility 

Program Performance, OMB No. 0915– 

0363—Revision. 

Abstract: The mission of the Federal 

Office of Rural Health Policy (FORHP) 

within HRSA is to sustain and improve 

access to quality care services for rural 

communities. FORHP administers the 

Medicare Rural Hospital Flexibility 

Program (Flex Program) authorized by 

section 1820(g) of the Social Security 

Act (42 U.S.C. 1395i–4(g)). The purpose 

of the Flex Program is to enable state 

designated entities to support critical 

access hospitals in quality 

improvement, quality reporting, and 

performance improvement; to assist 

facilities seeking designation as critical 

access hospitals; and to create a program 

to establish or expand the provision of 

rural emergency medical services. 

HRSA currently collects information 

from grant recipients that participate in 

the Flex Program using an OMBapproved set of performance measures, 

the Medicare Rural Hospital Flexibility 

Program Performance Measures, and 

seeks to revise its approved information 

collection. HRSA is proposing 

significant changes to the method by 

which performance measures are 

collected, the organization of the 

measures, and the measures themselves. 

Need and Proposed Use of the 

Information: These measures cover 

principal topic areas of interest to 

FORHP, including: (a) quality reporting, 

(b) quality improvement interventions, 

(c) financial and operational 

improvement initiatives, (d) population 

health management, and (e) rural EMS 

integration. In addition to informing 

HRSA’s progress toward meeting the 

goals set in the Government 

Performance and Results Act, the 

information is important in identifying 

and understanding programmatic 

improvement across program areas, as 

well as guiding future iterations of the 

Flex Program and prioritizing areas of 

need and support. 

Performance measures are collected 

electronically in the Performance 

Improvement and Measurement System 

(PIMS), which awardees currently 

access through the HRSA Electronic 

Handbooks, a data collection platform. 

As part of a broader change affecting all 

programs across FORHP, HRSA 

proposes to change the method of PIMS 

report submission from the Electronic 

Handbooks to a different electronic data 

collection platform. In addition, HRSA 

proposes to reduce the total number of 

forms submitted. The current collection 

involves eight forms and HRSA 

proposes reducing this to six forms, one 

for recipients to select which program 

areas they are working in and one for 

each program area selected. 

Performance measures in PIMS are 

currently organized by a series of 

checkboxes, where a state entity selects 

which hospitals are participating in a 

funded intervention, and if that hospital 

has shown improvement after that 

intervention. HRSA proposes to change 

the organization of the measures to align 

with a format that would resemble a 

work plan submission, which is an 

existing requirement recipients must 

meet. Instead of the series of checkboxes 

used in the current collection, we are 

proposing a series of dropdown menus 

where respondents can choose more 

specific information. 

Finally, HRSA proposes revisions to 

performance measures in PIMS that 

include changes to align with current 

terminology used by HRSA and a 

broadening of scope for some activities, 

as well as providing examples of more 

specific measures. Dropdown menus 

would contain lists of both common 

projects completed across the Flex 

Program and common outcome 

measures associated with each project. 

Respondents would not be required to 

collect all of the measures listed, rather 

they would be able to choose from a list 

of examples. 

With these changes, HRSA estimates 

the burden on the recipients would 

remain the same. Even though HRSA is 

proposing to include more specific 

performance measures in PIMS 

reporting, the additional measures 

reflect data the recipients are currently 

collecting, in outside forms and 

spreadsheets. The reporting in PIMS to 

HRSA currently does not include all the 

specific outcome measure information 

collected by recipients, so the changes 

to the measure collection system would 

include that specific outcome measure 

information. However, instead of 

moving between multiple forms and 

spreadsheets outside of the PIMS system 

and copying information into it, 

recipients will be able to simply update 

their work plan in PIMS following the 

end of the program year with their 

outcome data. 

Likely Respondents: Respondents are 

the Flex Program recipients. There are 

currently 45 states participating in the 

Flex Program. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose, or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 


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Federal Register / Vol. 89, No. 215 / Wednesday, November 6, 2024 / Notices 88055 

TOTAL ESTIMATED ANNUALIZED BURDEN HOURS

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden 

hours 

Performance Improvement Measurement System .............................. 45 1 45 70 3,150 

Total .............................................................................................. 45 .......................... 45 .................... 3,150 

HRSA specifically requests comments 

on: (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. 

Maria G. Button, 

Director, Executive Secretariat. 

[FR Doc. 2024–25717 Filed 11–5–24; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

[Document Identifier: OS–0937–0166] 

Agency Information Collection 

Request; 60-Day Public Comment 

Request 

AGENCY: Office of the Secretary, HHS. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement of the Paperwork 

Reduction Act of 1995, the Office of the 

Secretary (OS), Department of Health 

and Human Services, is publishing the 

following summary of a proposed 

collection for public comment. 

DATES: Comments on the ICR must be 

received on or before January 6, 2025. 

ADDRESSES: Submit your comments to 

Sherrette.Funn@hhs.gov or by calling 

(202) 264–0041 and PRA@HHS.GOV. 

FOR FURTHER INFORMATION CONTACT: 

When submitting comments or 

requesting information, please include 

the document identifier 0937–0166–60D 

and project title for reference, to 

Sherrette A. Funn, email: 

Sherrette.Funn@hhs.gov, PRA@

HHS.GOV or call (202) 264–0041 the 

Reports Clearance Officer. 

SUPPLEMENTARY INFORMATION: 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. 

Title of the Collection: HHS 42 CFR 

subpart B; Sterilization of Persons in 

Federally Assisted Family Planning 

Projects. 

Type of Collection: Renewal. 

OMB No.: 0937–0166. 

Abstract: The Department of Health 

and Human Service, Office of 

Population Affairs is requesting an 

extension of a currently approved 

collection for the disclosure and 

recordkeeping requirements codified at 

42 CFR part 50, subpart B (‘‘Sterilization 

of Persons in Federally Assisted Family 

Planning Projects’’). The consent form 

solicits information to assure voluntary 

and informed consent to persons 

undergoing sterilization in programs of 

health services which are supported by 

federal financial assistance 

administered by the United States 

Public Health Service (PHS). It provides 

additional procedural protection to the 

individual and the regulation requires 

that the consent form be a copy of the 

form that is appended to the PHS 

regulation. In 2003, the PHS 

sterilization consent form was revised to 

conform to OMB government-wide 

standards for the collection of race/ 

ethnicity data and to incorporate the 

PRA burden statement as part of the 

consent form. We are requesting a threeyear extension. 

ANNUALIZED BURDEN HOUR TABLE

Forms 

(if necessary) 

Respondents 

(if necessary) 

Number of 

respondents 

Number of 

responses per 

respondents 

Average 

burden per 

response 

Total burden 

hours 

Information Disclosure for Sterilization Consent Form..Citizens Seeking Sterilization. .......... 100,000 1 1 100,000 

Record-keeping for Sterilization Consent Form.Citizens Seeking Sterilization. .......... 100,000 1 15/60 25,000 

Total ........................................... ........................................................... ........................ ........................ ........................ 125,000 

Sherrette A. Funn, 

Paperwork Reduction Act Reports Clearance 

Officer, Office of the Secretary. 

[FR Doc. 2024–25748 Filed 11–5–24; 8:45 am] 

BILLING CODE 4150–28–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Meeting of the Presidential Advisory 

Council on HIV/AIDS 

AGENCY: Office of the Secretary, Office 

of the Assistant Secretary for Health, 

Department of Health and Human 

Services. 

ACTION: Notice of a meeting. 

SUMMARY: As stipulated by the Federal 

Advisory Committee Act, the U.S. 

Department of Health and Human 

Service is hereby giving notice that the 

Presidential Advisory Council on HIV/ 


khammond on DSKJM1Z7X2PROD with NOTICES