```

[Federal Register Volume 79, Number 187 (Friday, September 26, 2014)]
[Notices]
[Pages 57932-57933]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-22980]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10526 and CMS-10477]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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

[[Page 57933]]

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 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 on the collection(s) of information must be received by 
the OMB desk officer by October 27, 2014:

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR, Email: 
OIRAsubmission@omb.eop.gov.
    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: 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: New collection (Request 
for a new OMB control number); Title of Information Collection: Cost 
Sharing Reduction Reconciliation; Use: Under established Department of 
Health and Human Services (HHS) regulations, qualified health plan 
(QHP) issuers will receive estimated advance payments of cost-sharing 
reductions throughout the year. Each issuer will then be subject to a 
reconciliation process at the end of the benefit year to ensure that 
HHS reimburses each issuer only for actual cost sharing. This proposed 
collection establishes the data elements that a QHP issuer would be 
required to report to HHS in order to establish the cost-sharing 
reductions provided on behalf of enrollees for the benefit year. 
Comments were received and addressed in a Response to Comments 
document. Form Number: CMS-10526 (OMB control number: 0938-NEW); 
Frequency: Annually; Affected Public: Private sector--Business or other 
for-profits; Number of Respondents: 295; Total Annual Responses: 4 
million; Total Annual Hours: 2,469. (For policy questions regarding 
this collection contact Patricia Meisol at 410-786-1917.)
    2. Type of Information Collection Request: Revision of a currently 
approved information collection; Title of Information Collection: 
Medicaid Incentives for Prevention of Chronic Disease (MIPCD) 
Demonstration; Use: Under section 4108(d)(1) of the Affordable Care 
Act, we are required to contract with an independent entity or 
organization to conduct an evaluation of the Medicaid Incentives for 
Prevention of Chronic Disease (MIPCD) demonstration. The contractor 
will conduct state site visits, two rounds of focus group discussions, 
interviews with key program stakeholders, and field a beneficiary 
satisfaction survey. Both the state site visits and interviews with key 
program stakeholders will entail one-on-one interviews; however each 
set will have a unique data collection form. Thus, each evaluation task 
listed above has a separate data collection form and this proposed 
information collection encompasses six data collection forms. The 
purpose of the evaluation and assessment includes determining the 
following:
     The effect of such initiatives on the use of health care 
services by Medicaid beneficiaries participating in the program;
     The extent to which special populations (including adults 
with disabilities, adults with chronic illnesses, and children with 
special health care needs) are able to participate in the program;
     The level of satisfaction of Medicaid beneficiaries with 
respect to the accessibility and quality of health care services 
provided through the program; and
     The administrative costs incurred by state agencies that 
are responsible for administration of the program.
    Subsequent to the initial OMB approval issued January 23, 2014, we 
have added two Administrative Cost forms to the information collection. 
The burden estimates for this information collection have been revised 
to account for the burden associated with the new forms. Form Number: 
CMS-10477 (OMB control number: 0938-1219); Frequency: Annually; 
Affected Public: Individuals and Households, Private sector--Business 
or other for-profits and Not-for-profit institutions, State, Local or 
Tribal Governments; Number of Respondents: 4,706; Total Annual 
Responses: 4,706; Total Annual Hours: 2,236. (For policy questions 
regarding this collection contact Jean Scott at 410-786-6327.)

    Dated: September 23, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-22980 Filed 9-25-14; 8:45 am]
BILLING CODE 4120-01-P
```