[Federal Register Volume 78, Number 192 (Thursday, October 3, 2013)]
[Notices]
[Pages 61364-61365]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-24033]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-10484, CMS-R-39 and CMS-10471]


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 November 4, 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: New collection (Request 
for a new OMB control number); Title of Information Collection: End 
Stage Renal Disease (ESRD) Application Access Request Form; Use: We are 
developing a new suite of systems to support the End Stage Renal 
Disease (ESRD) program. Due to the sensitivity of the data being 
collected and reported, we must ensure that only authorized personnel 
have access to data. Personnel are given access to the ESRD systems 
through the creation of user IDs and passwords within the QualityNet 
Identity Management System (QIMS); however, once within the system, the 
system determines the rights and privileges the personnel has over the 
data within the system. Such access rights include: Viewing and 
reporting, updating adding and deleting.
    The sole purpose of the ESRD Application Access Request Form is to

[[Page 61365]]

identify the individual's data access rights once within the ESRD 
system. This data collection is currently being accomplished under 
``Part B'' of the QualityNet Identity Management System Account Form. 
Once the ESRD Application Access Form is approved, the QualityNet 
Identity Management System (QIMS) Account Form will be revised to 
remove Part B from the QIMS data collection. The ESRD Application 
Access Request Form will be a new form and will be assigned its own OMB 
Control number. The ESRD system accounts created using the current QIMS 
Account Form--Part B will not need to submit an ESRD Application Access 
Form for the creation of their account since that information was 
collected under Part B.
    The QIMS Account Registration and the ESRD Application Access 
Request forms are required for identity and security management of 
individuals accessing the Consolidated Renal Operations in a Web 
Enabled Network (CROWNWeb) system and the End Stage Renal Disease 
Quality Incentive Program (ESRD QIP) system. The CROWNWeb system is the 
system that is mandated for the Medicare and Medicaid Programs 
Conditions of Coverage for End-Stage Renal Disease Facilities, Final 
Rule published April 15, 2008. Form Number: CMS-10484 (OCN: 0938--NEW); 
Frequency: Annually; Affected Public: Business and other for-profits 
and not-for-profits; Number of Respondents: 27,000; Total Annual 
Responses: 27,000; Total Annual Hours: 6,750. (For policy questions 
regarding this collection contact Victoria Schlining at 410-786-6878.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Home Health Conditions of Participation (CoP) and 
Supporting Regulations; Use: The information collection requirements 
contained in this request are part of the requirements classified as 
the conditions of participation (CoPs) which are based on criteria 
prescribed in law and are standards designed to ensure that each 
facility has properly trained staff to provide the appropriate safe 
physical environment for patients. These particular standards reflect 
comparable standards developed by industry organizations such as the 
Joint Commission on Accreditation of Healthcare Organizations, and the 
Community Health Accreditation Program. The primary users of this 
information will be state agency surveyors, the regional home health 
intermediaries, CMS and home health agencies (HHAs) for the purpose of 
ensuring compliance with Medicare CoPs as well as ensuring the quality 
of care provided by HHA patients. Form Numbers: CMS-R-39 (OCN: 0938-
0365); Frequency: Occasionally; Affected Public: Business or for-
profits, Not-for-profit institutions, and State, Local or Tribal 
governments; Number of Respondents: 13,577; Total Annual Responses: 
20,202,576; Total Annual Hours: 6,422,694. (For policy questions 
regarding this collection contact Danielle Shearer at 410-786-6617.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Medicare Prior Authorization of Power Mobility Devices (PMDs) 
Demonstration; Use: The purpose of the Medicare Prior Authorization of 
Power Mobility Devices Demonstration (the Demonstration) is to ensure 
that payments for PMDs are appropriate before the claims are paid, 
thereby preventing the fraud, waste, and abuse in the seven states 
participating in the Demonstration: California, Florida, Illinois, 
Michigan, New York, North Carolina and Texas. Additional benefits of 
the Demonstration include ensuring that a beneficiary's medical 
condition warrants their medical equipment under existing coverage 
guidelines and preserving their ability to receive quality products 
from accredited suppliers. In order to gather qualitative information 
for analysis, the evaluation team will use semi-structured interview 
guides that focus on the direct impact of the Demonstration on 
stakeholder groups. Stakeholders will be drawn from advocacy 
organizations, power mobility device supply companies, state and local 
government, and healthcare practitioners. This information collection 
request explains the research methodology and data collection 
strategies designed to minimize the burden placed on research 
participants, while effectively gathering the data needed for the 
evaluation of the Demonstration. Form Number: CMS-10471 (OCN: 0938--
NEW); Frequency: Yearly; Affected Public: Private sector (business or 
other for-profit and not-for-profit institutions) and State and Local 
Governments; Number of Respondents: 281; Total Annual Responses: 281; 
Total Annual Hours: 317. (For policy questions regarding this 
collection contact Andrea Glasgow at 410-786-4695. For all other issues 
call 410-786-1326.)

    Dated: September 26, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-24033 Filed 10-2-13; 8:45 am]
BILLING CODE 4120-01-P