[Federal Register Volume 79, Number 213 (Tuesday, November 4, 2014)]
[Notices]
[Pages 65401-65402]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-26040]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10522]


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

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

[[Page 65402]]

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 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 December 4, 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: 
<a href="/cdn-cgi/l/email-protection#4a0503180b15393f28272339392325240a252728642f253a642d253c"><span class="__cf_email__" data-cfemail="e4abadb6a5bb979186898d97978d8b8aa48b8986ca818b94ca838b92">[email protected]</span></a>.
    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 <a href="/cdn-cgi/l/email-protection#d484b5a4b1a6a3bba6bf94b7b9a7fabcbca7fab3bba2"><span class="__cf_email__" data-cfemail="c898a9b8adbabfa7baa388aba5bbe6a0a0bbe6afa7be">[email protected]</span></a>.
    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: 
Executive Summary Form for Research Identifiable Data; Use: The Centers 
for Medicare & Medicaid Services (CMS) is responsible for administering 
the Medicare, Medicaid and State Children's Health Insurance Programs. 
We collect data to support the Agency's mission and operations. These 
data include information about Medicare beneficiaries, Medicare claims, 
Medicare providers, and Medicaid eligibility and claims. We disclose 
the identifiable data consistent with the routine uses identified in 
the Privacy Act Systems of Records notices that are published in the 
Federal Register and the limitations on uses and disclosures that are 
set out in the HIPAA Privacy Rule.
    All requests for identifiable data are received and reviewed by the 
Division of Privacy Operations & Compliance (DPOC) in the Office of E-
Health Standards and Services. The DPOC staff and the CMS Privacy 
Officer review the requests to determine if there is legal 
authorization for disclosure of the data. If legal authorization 
exists, the request is reviewed to ensure that the minimal data 
necessary is requested and approved for the project. Requests for 
identifiable data for research purposes must be submitted to and 
approved by the CMS Privacy Board. To assist the CMS Privacy Board with 
its review of research data requests, OIPDA has developed the Executive 
Summary (ES) forms. The ES collects all the information that the CMS 
Privacy Board needs to review and make a determination on whether the 
request meets the requirements for release of identifiable data for 
research purposes. We currently have three versions of the ES Form and 
an ES Supplement for Requestors of the National Death Index (NDI) 
Causes of Death Variables. Each meets the need for a different type of 
requestor. Form Number: CMS-10522 (OMB control number: 0938-New); 
Frequency: On occasion; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 325; Total Annual Responses: 325; 
Total Annual Hours: 650. (For policy questions regarding this 
collection contact Kim Elmo at 410-786-0161).

     Dated: October 29, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-26040 Filed 11-3-14; 8:45 am]
BILLING CODE 4120-01-P


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