[Federal Register Volume 78, Number 154 (Friday, August 9, 2013)]
[Notices]
[Pages 48686-48687]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-19379]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-367, CMS-10265, CMS-10279 and CMS-10483]


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 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 September 9, 2013.

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) 395-6974 or, Email: [email protected] .
    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 [email protected].
    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: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicaid Drug Program Monthly and Quarterly Drug Reporting Format; Use: 
Labelers transmit drug data to us within 30 days after the end of each 
calendar month and quarter. We calculate the unit rebate amount (URA) 
for each National Drug Code and distributes to all state Medicaid 
agencies. States use the URA to invoice the labeler for rebates. The 
monthly data is used to calculate Federal Upper Limit prices for 
applicable drugs and for states that opt to use this data to establish 
their pharmacy reimbursement methodology. Form Number: CMS-367 (OCN: 
0938-0578); Frequency: Monthly and quarterly; Affected Public: Private 
sector--Business or other for-profits; Number of Respondents: 590; 
Total Annual Responses: 9,440; Total Annual Hours: 139,712. (For policy 
questions regarding this collection contact Cindy Bergin at 410-786-
1176.)
    2. Type of Information Collection Request: Reinstatement with a 
change of a previously approved collection; Title of Information 
Collection: Mandatory Insurer Reporting Requirements of Section 111 of 
the Medicare, Medicaid and SCHIP Act of 2007; Use: The purpose of this 
submission is to renew the information collection request (ICR) and the 
information collected in accordance with to Section 111 of the 
Medicare, Medicaid and SCHIP Act of 2007 (MMSEA). The information is 
collected from applicable reporting entities for the purpose of 
coordination of benefits. Section 111 mandates the reporting of 
information in the form and manner specified by the Secretary, DHHS. 
Data the Secretary collects is necessary for both pre-payment and post-
payment coordination of benefit purposes, including necessary recovery 
actions.
    Section 111 establishes separate mandatory reporting requirements 
for GHP arrangements as well as for liability insurance (including 
self-insurance), no-fault insurance, and workers' compensation; for 
purposes of this ICR these may be collectively be referred to as ``non-
GHP.'' Both GHP and non-GHP entities have had and continue to have the 
responsibility for determining when they are primary to Medicare and to 
pay appropriately, even without the mandatory Section 111 process. In 
order to make this determination, they should already and always be 
collecting most of the information CMS will require in connection with 
Section 111 of the MMSEA. Form Number: CMS-10265 (OCN: 0938-1074); 
Frequency: Yearly; Affected Public: Private sector--Business or other 
for-profits, Not-for-profit institutions and State, Local or Tribal 
Governments; Number of Respondents: 22,647; Total Annual Responses: 
22,647; Total Annual Hours: 333,130. (For policy questions regarding 
this collection contact Cynthia Ginsburg at 410-786-2579.)
    3. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Ambulatory Surgical Center Conditions for Coverage; Use: 
The Ambulatory Surgical Center (ASC) Conditions for Coverage (CfCs) 
focus on a patient-centered, outcome-oriented, and transparent 
processes that promote quality patient care. The CfCs are designed to 
ensure that each facility has properly trained staff to provide the 
appropriate type and level of care for that facility and provide a safe 
physical environment for patients. The CfCs are used by Federal or 
state surveyors as a basis for determining whether an ASC qualifies for 
approval or re-approval under Medicare. We, along with the healthcare 
industry, believe that the availability to the facility of the type of 
records and general content of records, which this regulation 
specifies, is standard medical practice and is necessary in order to 
ensure the well-

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being and safety of patients and professional treatment accountability. 
Form Number: CMS-10279 (OCN: 0938-1071); Frequency: Annual; Affected 
Public: Private sector--Business or other for-profit and not-for-profit 
institutions; Number of Respondents: 5,300; Total Annual Responses: 
5,300; Total Annual Hours: 206,700. (For policy questions regarding 
this collection contact Jacqueline Leach at 410-786-4282.)
    4. Type of Information Collection Request: New Collection (Request 
for a new control number); Title of Information Collection: Evaluation 
of the Multi-Payer Advanced Primary Care Practice (MAPCP) 
Demonstration: Conduct Beneficiary Experience with Care Surveys; Use: 
On September 16, 2009, the Department of Health and Human Services 
announced the establishment of the Multi-payer Advanced Primary Care 
Practice (MAPCP) Demonstration, under which Medicare joined Medicaid 
and private insurers as a payer participant in state-sponsored patient-
centered medical home (PCMH) initiatives. We selected eight states to 
participate in this demonstration: Maine, Vermont, Rhode Island, New 
York, Pennsylvania, North Carolina, Michigan, and Minnesota. We are 
conducting a survey to assess the care experiences of beneficiaries 
involved in the MAPCP Demonstration. We have chosen to measure patient 
experience using a validated, standardized survey questionnaire, the 
PCMH version of the Consumer Assessment of Healthcare Providers and 
Systems (PCMH-CAHPS). The PCMH-CAHPS is a validated, federally 
developed instrument that measures patient experience in 6 domains 
(access to care, provider communication, office staff interactions, 
attention to medical, emotional, or both medical and emotional health, 
health care support, and medication decisions). Form Number: CMS-10483 
(OCN: 0938-NEW); Frequency: Annually; Affected Public: Individuals and 
households; Number of Respondents: 10,038; Total Annual Responses: 
10,038; Total Annual Hours: 3,313. (For policy questions regarding this 
collection contact Suzanne Wensky at 410-786-0226.)

    Dated: August 6, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-19379 Filed 8-8-13; 8:45 am]
BILLING CODE 4120-01-P