Federal Register / Vol. 80, No. 74 / Friday, April 17, 2015 / Notices 21245 

and AAAASF’s ability to provide 

continuing surveyor training. 

++ Compare AAAASF’s processes to 

those we require of State Survey 

Agencies, including periodic resurvey 

and the ability to investigate and 

respond appropriately to complaints 

against accredited OPTs. 

++ Evaluate AAAASF’s procedures 

for monitoring OPTs it has found to be 

out of compliance with AAAASF’s 

program requirements. (This pertains 

only to monitoring procedures when 

AAAASF identifies non-compliance. If 

noncompliance is identified by a State 

Survey Agency through a validation 

survey, the State Survey Agency 

monitors corrections as specified at 

§ 488.7(d). 

++ Assess AAAASF’s ability to report 

deficiencies to the surveyed OPT and 

respond to the OPT’s plan of correction 

in a timely manner. 

++ Establish AAAASF’s ability to 

provide CMS with electronic data and 

reports necessary for effective validation 

and assessment of the organization’s 

survey process. 

++ Determine the adequacy of 

AAAASF’s staff and other resources. 

++ Confirm AAAASF’s ability to 

provide adequate funding for 

performing required surveys. 

++ Confirm AAAASF’s policies with 

respect to surveys being unannounced. 

++ Obtain AAAASF’s agreement to 

provide CMS with a copy of the most 

current accreditation survey together 

with any other information related to 

the survey as we may require, including 

corrective action plans. 

In accordance with section 

1865(a)(3)(A) of the Act, the November 

21, 2014 proposed notice also solicited 

public comments regarding whether 

AAAASF’s requirements met or 

exceeded the Medicare CoPs for OPTs. 

We received no public comments in 

response to our proposed notice. 

IV. Provisions of the Final Notice 

A. Differences Between AAAASF’s 

Standards and Requirements for 

Accreditation and Medicare Conditions 

and Survey Requirements 

We compared AAAASF’s OPT 

accreditation requirements and survey 

process with the Medicare CoPs of part 

485, subpart H and the survey and 

certification process requirements of 

parts 488 and 489. Our review and 

evaluation of AAAASF’s OPT 

application, which were conducted as 

described in section III of this final 

notice, yielded the following areas 

where, as of the date of this notice, 

AAAASF has completed revising its 

standards and certification processes in 

order to meet the requirements at: 

• Section 488.4(a)(3)(ii), to ensure 

surveyors are provided the necessary 

tools to evaluate compliance with the 

Medicare conditions. 

• Section 488.4(a)(3)(iii), to ensure 

the accreditation review process and 

accreditation decision making process 

meets the Medicare requirements, the 

following was modified: 

++ Policy related to how AAAASF 

verifies an organization without a CMS 

certification number (CCN) seeking an 

initial survey has completed the 

Medicare enrollment application prior 

to receiving an accreditation survey; 

++ Policy for establishing an effective 

date for renewal surveys; 

++ Policy for withdrawals and 

terminations; and 

++ Guidance and instructions on how 

plans of correction are handled when 

they are not adequate. 

• Section 488.4(a)(6), to address the 

requirement where complaints that do 

not rise to the level of requiring an 

onsite investigation are tracked and 

trended for potential focus areas during 

the next onsite survey. 

• Section 488.9, to address the 

number of medical records reviews that 

must be completed onsite. 

• Section 488.26(b), to ensure survey 

reports contain the appropriate level of 

deficiency (that is, standard versus 

condition). 

• Section 488.28(a), to ensure plans of 

correction correct the cited deficiencies, 

include thresholds of compliance and 

are sent timely. 

B. Term of Approval 

Based on our review and observations 

described in section III of this final 

notice, we approve AAAASF as a 

national accreditation organization for 

OPTs that request participation in the 

Medicare program, effective April 22, 

2015 through April 22, 2019. 

V. Collection of Information 

Requirements 

This document does not impose 

information collection requirements, 

that is, reporting, recordkeeping or 

third-party disclosure requirements. 

Consequently, there is no need for 

review by the Office of Management and 

Budget under the authority of the 

Paperwork Reduction Act of 1995. 

Dated: April 13, 2015. 

Andrew M. Slavitt, 

Acting Administrator, Centers for Medicare 

& Medicaid Services. 

[FR Doc. 2015–08917 Filed 4–16–15; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Proposed Information Collection 

Activity; Comment Request 

Proposed Projects 

Title: Initial Medical Exam Form and 

Initial Dental Exam Form. 

OMB No.: New. 

Description 

Pursuant to Exhibit 1, part A.2 of the 

Flores Settlement Agreement (Jenny 

Lisette Flores, et al., v. Janet Reno, 

Attorney General of the United States, et 

al., Case No. CV 85–4544–RJK (C.D. Cal. 

1996), licensed programs, on behalf of 

the Administration for Children and 

Families’ Office of Refugee Resettlement 

(ORR), shall arrange for appropriate 

routine medical and dental care, family 

planning services, and emergency 

health care services, including a 

complete medical examination 

(including screening for infectious 

disease) within 48 hours of admission, 

excluding weekends and holidays, 

unless the minor was recently examined 

at another facility; appropriate 

immunizations in accordance with the 

U.S. Public Health Service (PHS), Center 

for Disease Control; administration of 

prescribed medication and special diets; 

appropriate mental health interventions 

when necessary for each minor in its 

care. 

The forms are to be used as 

worksheets for clinicians, medical staff, 

and the health department to compile 

information that would otherwise have 

been collected during the initial medical 

or dental exam. Once completed, the 

forms will be given to shelter staff for 

data entry into ORR’s electronic data 

repository known as ‘The Portal.’ Data 

will be used to record UC health on 

admission and for case management of 

any identified illnesses/conditions. 

Respondents: Clinicians, Health 

Department staff, Office of Refugee 

Resettlement Grantee staff. 


tkelley on DSK3SPTVN1PROD with NOTICES
21246 Federal Register / Vol. 80, No. 74 / Friday, April 17, 2015 / Notices 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Initial Medical Exam Form (including Appendix A: Supplemental TB Screening Form) ...................................................................................................... 206 155 .25 7982.5 

Initial Dental Exam Form ................................................................................. 116 28 .08 259.8 

Estimated Total Annual Burden 

Hours: 8242.3. 

In compliance with the requirements 

of Section 506(c)(2)(A) of the Paperwork 

Reduction Act of 1995, the 

Administration for Children and 

Families is soliciting public comment 

on the specific aspects of the 

information collection described above. 

Copies of the proposed collection of 

information can be obtained and 

comments may be forwarded by writing 

to the Administration for Children and 

Families, Office of Planning, Research 

and Evaluation, 370 L’Enfant 

Promenade SW., Washington, DC 20447, 

Attn: ACF Reports Clearance Officer. 

Email address: infocollection@

acf.hhs.gov. All requests should be 

identified by the title of the information 

collection. 

The Department specifically requests 

comments on: (a) Whether the proposed 

collection of information is necessary 

for the proper performance of the 

functions of the agency, including 

whether the information shall have 

practical utility; (b) the accuracy of the 

agency’s estimate of the burden of the 

proposed collection of information; (c) 

the quality, utility, and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information on 

respondents, including through the use 

of automated collection techniques or 

other forms of information technology. 

Consideration will be given to 

comments and suggestions submitted 

within 60 days of this publication. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2015–08835 Filed 4–16–15; 8:45 am] 

BILLING CODE 4184–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Community-Based Family 

Resource and Support Grants. 

OMB No.: 0970–0155. 

Description: The Program Instruction, 

prepared in response to the enactment 

of the Community-Based Grants for the 

Prevention of Child Abuse and Neglect 

(administratively known as the 

Community Based Child Abuse 

Prevention Program, (CBCAP)), as set 

forth in Title II of Public Law 111–320, 

Child Abuse Prevention and Treatment 

Act Amendments of 2010, provides 

direction to the States and Territories to 

accomplish the purposes of (1) to 

support community-based efforts to 

develop, operate, expand, enhance, and 

coordinate initiatives, programs, and 

activities to prevent child abuse and 

neglect and to support the coordination 

of resources and activities to better 

strengthen and support families to 

reduce the likelihood of child abuse and 

neglect; and (2) to foster understanding, 

appreciation and knowledge of diverse 

populations in order to effectively 

prevent and treat child abuse and 

neglect. This Program Instruction 

contains information collection 

requirements that are found in (Pub. L. 

111–320) at sections 201; 202; 203; 205; 

206; and pursuant to receiving a grant 

award. The information submitted will 

be used by the agency to ensure 

compliance with the statute, complete 

the calculation of the grant award 

entitlement, and provide training and 

technical assistance to the grantee. 

Respondents: State Governments. 

ANNUAL BURDEN ESTIMATES

Instrument Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden hours 

per response 

Total burden 

hours 

Application ....................................................................................................... 52 1 40 2,080

Annual Report .................................................................................................. 52 1 24 1,248 

Estimated Total Annual Burden 

Hours: 3,328. 

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, 370 

L’Enfant Promenade, SW., Washington, 

DC 20447, Attn: ACF 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, Fax: 202–395–7285, 

Email: OIRA_SUBMISSION@

OMB.EOP.GOV, Attn: Desk Officer for 

the Administration for Children and 

Families. 

Robert Sargis, 

Reports Clearance Officer. 

[FR Doc. 2015–08866 Filed 4–16–15; 8:45 am] 

BILLING CODE 4184–01–P 


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