52304 Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 

This project aligns with National HIV/ 

AIDS Strategy 2020 and Health People 

2020 objectives. This structural 

intervention aligns with the OMB’s 

emphasis on application of behavioral 

insights in that it restructures the 

context (i.e., after HIV testing) in which 

health-related decision-making (i.e., 

health insurance enrollment) occurs in 

order to promote the selection of 

beneficial options. The proposed health 

insurance enrollment assistance project 

has the potential for widespread health 

improvements for Black and Hispanic 

MSM and Transgender persons 

regardless of their HIV status. 

The study will enroll 1,000 

participants over 12 months to reach 

adequate power calculations (500 into 

the intervention arm, and 500 into the 

control arm). 

After an HIV testing session at an 

outreach event or clinic visit, a partneragency staff person will invite an 

individual to participate in the study. If 

interested, participants will complete a 

consent form. Staff will screen 

individuals using the Eligibility Form, 

which will take approximately five 

minutes to complete. Researchers would 

need to screen approximately 1,500 

individuals in order to identify and 

enroll 1,000 eligible study participants. 

If eligible and interested in 

participating, individuals will complete 

the Participant Enrollment Form, which 

will take approximately 35 minutes to 

complete. Researchers then will offer inperson health insurance enrollment to 

randomized intervention arm 

participants. This enrollment will take a 

maximum of 60 minutes to complete. 

The study’s in-person health insurance 

enrollment assistance will take the same 

amount of time as standard practice 

health insurance enrollment assistance. 

The total estimated annualized hourly 

burden anticipated for this study is 

1,458 hours. 

ESTIMATED ANNUALIZED BURDEN HOURS

Type of respondent Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total burden 

hours 

Study participant ................................ Consent Form .................................. 1,500 1 10/60 250 

Study participant ................................ Eligibility Form ................................. 1,500 1 5/60 125 

Study participant ................................ Participant Enrollment Form ............ 1,000 1 35/60 583 

Study participant (Intervention arm 

ONLY).

ACTIVITY: In-person health insurance enrollment assistance.500 1 1 500 

Total ........................................... .......................................................... ........................ ........................ ........................ 1,458 

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. 2017–24473 Filed 11–9–17; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–R–48 and 

CMS–10421] 

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 

January 12, 2018. 

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–R–48 Hospital Conditions of 

Participation and Supporting 

Regulations 

CMS–10421 Fee-for-Service Recovery 

Audit Prepayment Review 


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Federal Register / Vol. 82, No. 217 / Monday, November 13, 2017 / Notices 52305 

Demonstration and Prior 

Authorization Demonstration 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: Hospital 

Conditions of Participation and 

Supporting Regulations; Use: The 

information collection requirements 

described in this information collection 

request are needed to implement the 

Medicare and Medicaid conditions of 

participation (CoP) for 4,890 accredited 

and non-accredited hospitals and an 

additional 101 critical access hospitals 

(CAHs) that have distinct part 

psychiatric or rehabilitation units 

(DPUs). CAHs that have DPUs must 

comply with all of the hospital CoPs on 

these units. Thus, this package reflects 

the burden for a total of 4,991 hospitals 

(that is, 4,890 accredited/non-accredited 

hospitals and 101 CAHs which include 

81 CAHs that have psychiatric DPUs 

and 20 CAHs that have rehabilitation 

DPUs). The information collection 

requirements for the remaining 1,183 

CAHs have been approved in a separate 

package under CMS–10239 (OMB 

control number: 0938–1043). 

The CoPs and accompanying 

regulatory requirements are used by our 

surveyors as a basis for determining 

whether a hospital qualifies for a 

provider agreement under Medicare and 

Medicaid. CMS and the health care 

industry believe that the availability to 

the facility of the type of records and 

general content of records is standard 

medical practice and is necessary to 

ensure the well-being and safety of 

patients and professional treatment 

accountability. Form Number: CMS–R– 

48 (OMB control number: 0938–0328); 

Frequency: Yearly; Affected Public: 

Private sector (Business or other forprofit); Number of Respondents: 4,991; 

Total Annual Responses: 1,342,424; 

Total Annual Hours: 18,840,617. (For 

policy questions regarding this 

collection contact Scott Cooper at 410– 

786–9465.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Fee-for-Service 

Recovery Audit Prepayment Review 

Demonstration and Prior Authorization 

Demonstration; Use: OMB approved the 

collections required for two 

demonstrations of prepayment review 

and prior authorization. The first 

demonstration allows Medicare 

Recovery Auditors to review claims on 

a pre-payment basis in certain States. 

The second demonstration established a 

prior authorization program for Power 

Mobility Device claims in certain States. 

The first demonstration has ended, so 

we are only extending the collection of 

information for the second 

demonstration, prior authorization of 

power mobility devices. 

For the Prior Authorization of Power 

Mobility Devices (PMDs) 

Demonstration, we are piloting prior 

authorization for PMDs. Prior 

authorization will allow the applicable 

documentation that supports a claim to 

be submitted before the item is 

delivered. For prior authorization, 

relevant documentation for review is 

submitted before the item is delivered or 

the service is rendered. CMS will 

conduct this demonstration in 

California, Florida, Illinois, Michigan, 

New York, North Carolina, Texas, 

Pennsylvania, Ohio, Louisiana, 

Missouri, Maryland, New Jersey, 

Indiana, Kentucky, Georgia, Tennessee, 

Washington, and Arizona based on 

beneficiary address as reported to the 

Social Security Administration and 

recorded in the Common Working File 

(CWF). For the demonstration, a prior 

authorization request can be completed 

by the (ordering) physician or treating 

practitioner and submitted to the 

appropriate Durable Medical Equipment 

Medicare Administrative Contractor 

(DME MAC) for an initial decision. The 

supplier may also submit the request on 

behalf of the physician or treating 

practitioner. The physician, treating 

practitioner or supplier who submits the 

request on behalf of the physician or 

treating practitioner, is referred to as the 

‘‘submitter.’’ Under this demonstration, 

the submitter will submit to the DME 

MAC a request for prior authorization 

and all relevant documentation to 

support Medicare coverage of the PMD 

item. 

Form Number: CMS–10421 (OMB 

control number: 0938–1169); Frequency: 

Occasionally; Affected Public: State, 

Local or Tribal Governments; Number of 

Respondents: 50,500; Total Annual 

Responses: 50,500; Total Annual Hours: 

25,125. (For policy questions regarding 

this collection contact Daniel Schwartz 

at 410–786–4197.) 

Dated: November 7, 2017. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2017–24524 Filed 11–9–17; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Agency Information Collection 

Activities; Proposed Collection; Public 

Comment Request; Semiannual 

Performance Measures for the ACL 

Traumatic Brain Injury State 

Partnership Program (ICR New) 

AGENCY: Administration for Community 

Living, HHS. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

an opportunity for the public to 

comment on the proposed collection of 

certain information by the agency. 

Under the Paperwork Reduction Act of 

1995 (PRA), federal agencies are 

required to publish a notice in the 

Federal Register concerning each 

proposed collection of information, 

including each proposed extension of an 

existing collection of information, and 

to allow 60 days for public comment in 

response to the notice. 

This notice solicits comments on 

proposed semiannual performance 

measures for the ACL Traumatic Brain 

Injury State Partnership program as 

reauthorized under the Traumatic Brain 

Injury Reauthorization Act of 2014. 

DATES: Submit written or electronic 

comments on the collection of 

information by January 12, 2018. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: TBI@acl.gov. Submit 

written comments to: U.S. Department 

of Health and Human Services, 

Administration for Community Living, 

Washington, DC 20201, Attention: 

Thom Campbell. 

FOR FURTHER INFORMATION CONTACT: 

Thom Campbell by telephone: (202) 

795–7263 or by email: TBI@acl.gov. 


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