Federal Register / Vol. 82, No. 170 / Tuesday, September 5, 2017 / Notices 41965 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Frequency 

of response 

Average 

burden time 

per response 

(in hours) 

Average total 

response 

burden 

(in hours) 

Fellowship Applicants ........................ FMS Application ............................... 1,991 1 1.75 3,485 

Science Ambassadors ..................... 150 1 45/60 113 

Fellowship Alumni ............................. FMS Alumni Directory ...................... 1,382 1 15/60 346 

Public Health Agency or Organization Staff.FMS Host Site Module .................... 408 1 1.5 612 

Total ........................................... .......................................................... 3,931 ........................ ........................ 4,556 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2017–18697 Filed 9–1–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10203 and 

CMS–10346] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 October 5, 2017. 

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: OIRA_submission@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 

Web site address at https://

www.cms.gov/Regulations-andGuidance/Legislation/

PaperworkReductionActof1995/PRAListing.html. 

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: 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Medicare Health 

Outcomes Survey (HOS); Use: The 

collection is necessary to hold Medicare 

managed care contracts accountable for 

the quality of care they deliver to 

beneficiaries. This reporting 

requirement allows us to obtain the 

information necessary for proper 

oversight of the Medicare Advantage 

program. It is critical to our mission that 

we collect and disseminate valid and 

reliable information that can be used to 

improve quality of care through 

identification of quality improvement 

opportunities, assist us in carrying out 

our oversight responsibilities, and help 

beneficiaries make an informed choice 

among health plans. Form Number: 

CMS–10203 (OMB control number: 

0938–0701); Frequency: Yearly; Affected 

Public: Individuals and households; 

Number of Respondents: 739,959; Total 

Annual Responses: 554,895; Total 

Annual Hours: 183,115. (For policy 

questions regarding this collection 

contact Kimberly DeMichele at 410– 

786–4286.) 

2. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved information 

collection; Title of Information 

Collection: Appeals of Quality Bonus 

Payment Determinations; Use: Section 

1853(o) of the Social Security Act 

requires us to make Quality Bonus 

Payments (QBPs) to Medicare 

Advantage (MA) organizations that 

achieve performance rating scores of at 

least 4 stars under a five star rating 

system. MA organizations have 10 

calendar days from the date of CMS’ 

release of its QBP determinations to 

request a technical report from CMS 

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41966 Federal Register / Vol. 82, No. 170 / Tuesday, September 5, 2017 / Notices 

explaining the development of their 

QBP status. The technical report is 

provided in writing by electronic mail 

to the MA organization. If, after 

reviewing the technical report, the MA 

organization believes that CMS was 

incorrect in its QBP determination, 

within 10 calendar days the MA 

organization may request an appeal to 

be conducted by a hearing officer 

designated by CMS. The hearing 

officer’s decision is final and binding on 

both the MA organization and CMS. The 

hearing officer is required to issue his/ 

her decision on or before May 15 of the 

year preceding the year in which the 

contract for which the QBP to be 

applied will be offered. Form Number: 

CMS–10346 (OMB control number: 

0938–1129); Frequency: Yearly; Affected 

Public: Private sector (Business or other 

for-profits and Not-for-profit 

institutions); Number of Respondents: 

500; Total Annual Responses: 20; Total 

Annual Hours: 160. (For policy 

questions regarding this collection 

contact Sarah Gaillot at 410–786–4637). 

Dated: August 30, 2017. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2017–18740 Filed 9–1–17; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–102 and CMS– 

105, and CMS–10631] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 (the 

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 

60 days for public comment on the 

proposed action. Interested persons are 

invited to send comments regarding our 

burden estimates 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 must be received by 

November 6, 2017. 

ADDRESSES: When commenting, please 

reference the document identifier or 

OMB control number. To be assured 

consideration, comments and 

recommendations must be submitted in 

any one of the following ways: 

1. Electronically. You may send your 

comments electronically to http://

www.regulations.gov. Follow the 

instructions for ‘‘Comment or 

Submission’’ or ‘‘More Search Options’’ 

to find the information collection 

document(s) that are accepting 

comments. 

2. By regular mail. You may mail 

written comments to the following 

address: CMS, Office of Strategic 

Operations and Regulatory Affairs, 

Division of Regulations Development, 

Attention: Document Identifier/OMB 

Control Number _________, Room C4– 

26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 

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: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: 

Contents 

This notice sets out a summary of the 

use and burden associated with the 

following information collections. More 

detailed information can be found in 

each collection’s supporting statement 

and associated materials (see 

ADDRESSES). 

CMS–102 and CMS–105 Clinical Laboratory 

Improvement Amendments of 1988 (CLIA) 

Budget Workload Reports and Supporting 

Regulations 

CMS–10631 The PACE Organization 

Application Process in 42 CFR part 460 

Under the 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 

requires federal agencies to publish a 

60-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. 

Information Collection 

1. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Clinical 

Laboratory Improvement Amendments 

of 1988 (CLIA) Budget Workload 

Reports and Supporting Regulations; 

Use: We will use the collected 

information to determine the amount of 

Federal reimbursement for surveys 

conducted. Use of the information 

includes program evaluation, audit, 

budget formulation and budget 

approval. Form CMS–102 is a multipurpose form designed to capture and 

record all budget and expenditure data. 

Form CMS–105 captures the annual 

projected CLIA workload that the State 

survey agency will accomplish. Our 

regional offices also use the information 

to approve the annual projected CLIA 

workload. The information is required 

as part of the section 1864 agreement 

with the state. Form Numbers: CMS–102 

and CMS–105 (OMB control number: 

0938–0599); Frequency: Quarterly; 

Affected Public: State, Local, or Tribal 

Governments; Number of Respondents: 

50; Total Annual Responses: 50; Total 

Annual Hours: 1,700. (For policy 

questions regarding this collection 

contact Jeffrey Pleines at 410–786– 

0684.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: The PACE 

Organization Application Process in 42 

CFR part 460; Use: Initial application 

requirements for the PACE program are 

currently set forth in 42 CFR 460.12 and 

in the PACE Manual, Ch. 17. Until 

recently, the submission of initial and 

SAE PACE applications and supporting 

information was in paper format. These 

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