Federal Register / Vol. 82, No. 201 / Thursday, October 19, 2017 / Notices 48719 

SUPPLEMENTARY INFORMATION: 

Background 

The Patient Safety and Quality 

Improvement Act of 2005, 42 U.S.C. 

299b–21 to b–26, (Patient Safety Act) 

and the related Patient Safety and 

Quality Improvement Final Rule, 42 

CFR part 3 (Patient Safety Rule), 

published in the Federal Register on 

November 21, 2008, 73 FR 70732– 

70814, establish a framework by which 

hospitals, doctors, and other health care 

providers may voluntarily report 

information to Patient Safety 

Organizations (PSOs), on a privileged 

and confidential basis, for the 

aggregation and analysis of patient 

safety events. 

The Patient Safety Act authorizes the 

listing of PSOs, which are entities or 

component organizations whose 

mission and primary activity are to 

conduct activities to improve patient 

safety and the quality of health care 

delivery. 

HHS issued the Patient Safety Rule to 

implement the Patient Safety Act. 

AHRQ administers the provisions of the 

Patient Safety Act and Patient Safety 

Rule relating to the listing and operation 

of PSOs. The Patient Safety Rule 

authorizes AHRQ to list as a PSO an 

entity that attests that it meets the 

statutory and regulatory requirements 

for listing. A PSO can be ‘‘delisted’’ if 

it is found to no longer meet the 

requirements of the Patient Safety Act 

and Patient Safety Rule, when a PSO 

chooses to voluntarily relinquish its 

status as a PSO for any reason, or when 

a PSO’s listing expires. Section 3.108(d) 

of the Patient Safety Rule requires 

AHRQ to provide public notice when it 

removes an organization from the list of 

federally approved PSOs. 

AHRQ has accepted a notification 

from the American College of 

Physicians Patient Safety Organization, 

a component entity of American College 

of Physicians, PSO number P0128, to 

voluntarily relinquish its status as a 

PSO. Accordingly, the American College 

of Physicians Patient Safety 

Organization was delisted effective at 

12:00 Midnight ET (2400) on October 

10, 2017. 

The American College of Physicians 

Patient Safety Organization has patient 

safety work product (PSWP) in its 

possession. The PSO will meet the 

requirements of section 3.108(c)(2)(i) of 

the Patient Safety Rule regarding 

notification to providers that have 

reported to the PSO and of section 

3.108(c)(2)(ii) regarding disposition of 

PSWP consistent with section 

3.108(b)(3). According to section 

3.108(b)(3) of the Patient Safety Rule, 

the PSO has 90 days from the effective 

date of delisting and revocation to 

complete the disposition of PSWP that 

is currently in the PSO’s possession. 

More information on PSOs can be 

obtained through AHRQ’s PSO Web site 

at http://www.pso.ahrq.gov. 

Sharon B. Arnold, 

Deputy Director. 

[FR Doc. 2017–22671 Filed 10–18–17; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–18F5, CMS– 

10137, and CMS–10651] 

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 November 20, 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: 

Application for Hospital Insurance and 

Supporting Regulations; Use: 

Individuals who are already entitled to 

retirement or disability benefits under 

Social Security or Railroad Retirement 

Board (RRB) benefits are automatically 

entitled to premium-free Medicare 

Hospital Insurance (Part A) when they 

attain age 65 or reach the 25th month of 

disability benefit entitlement. These 

individuals do not file a separate 

application for Medicare Part A because 

their application for Social Security or 

RRB benefits is also an application for 


rmajette on DSKBCKNHB2PROD with NOTICES
48720 Federal Register / Vol. 82, No. 201 / Thursday, October 19, 2017 / Notices 

Part A. The form is for individuals who 

are not eligible for Social Security for 

RRB benefits, but may qualify for 

premium-free Medicare Part A based on 

certain requirements outlined in 

§ 406.11 and 406.15 or for certain 

disabled individuals who may enroll in 

premium Medicare Part A based on 

certain requirements outlined in 

§ 406.20. Individuals may also choose to 

enroll in Medicare Part B at the same 

time they apply for Medicare Part A. 

Form Number: CMS–18F5 (OMB control 

number: 0938–0251); Frequency: Once; 

Affected Public: Individuals or 

households; Number of Respondents: 

51,000; Total Annual Responses: 

51,000; Total Annual Hours: 29,580. 

(For policy questions regarding this 

collection contact Carla Patterson at 

410–786–8911.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Solicitation for 

Applications for Medicare Prescription 

Drug Plan 2019 Contracts; Use: Coverage 

for the prescription drug benefit is 

provided through contracted 

prescription drug (PD) plans or through 

Medicare Advantage (MA) plans that 

offer integrated prescription drug and 

health care coverage (MA–PD plans). 

Cost Plans that are regulated under 

Section 1876 of the Social Security Act, 

and Employer Group Waiver Plans may 

also provide a Part D benefit. 

Organizations wishing to provide 

services under the Prescription Drug 

Benefit Program must complete an 

application, negotiate rates, and receive 

final approval from CMS. Existing Part 

D Sponsors may also expand their 

contracted service area by completing 

the Service Area Expansion application. 

Form Number: CMS–10137 (OMB 

control number: 0938–0936); Frequency: 

Yearly; Affected Public: Private sector 

(Business or other For-profits and Notfor-profit institutions); Number of 

Respondents: 243; Total Annual 

Responses: 243; Total Annual Hours: 

2,240. (For policy questions regarding 

this collection contact Arianne 

Spaccarelli at 410–786–5715.) 

3. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: CMS Tribal 

Long Term Services and Supports 

(LTSS) Program Survey; Use: The 

Survey will provide CMS with an 

inventory of LTSS programs for older 

adults or individuals with disabilities 

managed by American Indian and 

Alaska Native (AI/AN) tribes. 

Information on tribal LTSS programs 

has previously been gathered through 

publicly available data via online 

research. However, not all of the 

information, including program contact 

information and program focus, are 

regularly available online as tribal Web 

sites are not updated frequently. 

Therefore, the survey will enable the 

collection of the most accurate 

information possible. The respondents 

include 424 LTSS programs run by AI/ 

AN tribes. Once the survey has been 

conducted, CMS will feature the survey 

data, specifically a list of AI/AN 

managed LTSS programs, online on 

CMS.gov. The dissemination of survey 

data on CMS.gov will allow tribal 

communities and the general public to 

access this important data. 

Documentation of these programs will 

support sharing of LTSS best practices 

and innovative models employed in 

Indian Country. CMS will use the 

survey data to generate further content 

on LTSS in Indian Country, including 

literature reviews and reports on best 

practices. Form Number: CMS–10651 

(OMB control number: 0938-New); 

Frequency: Yearly; Affected Public: 

State, Local, or Tribal Governments; 

Number of Respondents: 425; Total 

Annual Responses: 425; Total Annual 

Hours: 106. (For policy questions 

regarding this collection contact John 

Johns at 410–786–7253.) 

Dated: October 16, 2017. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2017–22699 Filed 10–18–17; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HOMELAND 

SECURITY 

Coast Guard 

[Docket No. USCG–2016–0598] 

Collection of Information Under 

Review by Office of Management and 

Budget; OMB Control Number: 1625– 

0119 

AGENCY: Coast Guard, DHS. 

ACTION: Thirty-day notice requesting 

comments. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995 the 

U.S. Coast Guard is forwarding an 

Information Collection Request (ICR), 

abstracted below, to the Office of 

Management and Budget (OMB), Office 

of Information and Regulatory Affairs 

(OIRA), requesting approval for 

reinstatement, without change, of the 

following collection of information: 

1625–0119, Coast Guard Exchange 

System Scholarship Application. Our 

ICR describes the information we seek 

to collect from the public. Review and 

comments by OIRA ensure we only 

impose paperwork burdens 

commensurate with our performance of 

duties. 

DATES: Comments must reach the Coast 

Guard and OIRA on or before November 

20, 2017. 

ADDRESSES: You may submit comments 

identified by Coast Guard docket 

number [USCG–2016–0598] to the Coast 

Guard using the Federal eRulemaking 

Portal at http://www.regulations.gov. 

Alternatively, you may submit 

comments to OIRA using one of the 

following means: 

(1) Email: dhsdeskofficer@

omb.eop.gov. 

(2) Mail: OIRA, 725 17th Street NW., 

Washington, DC 20503, attention Desk 

Officer for the Coast Guard. 

A copy of the ICR is available through 

the docket on the Internet at http:// 

www.regulations.gov. Additionally, 

copies are available from: Commandant 

(CG–612), ATTN: Paperwork Reduction 

Act Manager, U.S. Coast Guard, 2703 

Martin Luther King Jr. Ave. SE., Stop 

7710, Washington, DC 20593–7710. 

FOR FURTHER INFORMATION CONTACT: Mr. 

Anthony Smith, Office of Information 

Management, telephone 202–475–3532, 

or fax 202–372–8405, for questions on 

these documents. 

SUPPLEMENTARY INFORMATION: 

Public Participation and Request for 

Comments 

This Notice relies on the authority of 

the Paperwork Reduction Act of 1995; 

44 U.S.C. Chapter 35, as amended. An 

ICR is an application to OIRA seeking 

the approval, extension, or renewal of a 

Coast Guard collection of information 

(Collection). The ICR contains 

information describing the Collection’s 

purpose, the Collection’s likely burden 

on the affected public, an explanation of 

the necessity of the Collection, and 

other important information describing 

the Collection. There is one ICR for each 

Collection. 

The Coast Guard invites comments on 

whether this ICR should be granted 

based on the Collection being necessary 

for the proper performance of 

Departmental functions. In particular, 

the Coast Guard would appreciate 

comments addressing: (1) The practical 

utility of the Collection; (2) the accuracy 

of the estimated burden of the 

Collection; (3) ways to enhance the 

quality, utility, and clarity of 

information subject to the Collection; 

and (4) ways to minimize the burden of 

the Collection on respondents, 


rmajette on DSKBCKNHB2PROD with NOTICES