[Federal Register Volume 80, Number 216 (Monday, November 9, 2015)]
[Notices]
[Pages 69227-69228]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-28449]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10434 and CMS-R-131]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 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 must be received by January 8, 2016.

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 [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:
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-10434 Medicaid and CHIP Program (MACPro)
CMS-R-131 Advance Beneficiary Notice of Noncoverage (ABN)

    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: Revision of a currently 
approved collection; Title of Information Collection: Medicaid and CHIP 
Program (MACPro); Use: While currently approved by OMB under the 
regular PRA process, CMS is proposing to have all current and upcoming 
MACPro collections approved under OMB's generic process. We are also 
transitioning MACPro to a fully functioning electronic system such that 
MACPro becomes the sole system of record. MACPro will be the required 
means for states to amend Medicaid and CHIP state plans, waivers, and 
demonstrations. Templates that will be submitted for approval under 
MACPro include certain collections approved under our generic umbrella 
(CMS-10398, OMB 0938-1148), relevant collections approved as a regular 
stand-alone information collection requests, and upcoming collections. 
Form Number: CMS-10434 (OMB Control Number: 0938-1188); Frequency: 
Monthly, yearly, quarterly, semi-annually, once, or occasionally; 
Affected Public: State, Local, or Tribal Governments; Number of 
Respondents: 56; Total Annual Responses: 3,360; Total Annual Hours: 
89,012. (For policy questions regarding this collection contact Annette 
Pearson at 410-786-6858).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Advance 
Beneficiary Notice of Noncoverage (ABN); Use: The Advance Beneficiary 
Notice (ABN) is delivered by Part B paid

[[Page 69228]]

physicians, providers (including institutional providers like 
outpatient hospitals), practitioners (such as chiropractors), and 
suppliers, as well as hospice providers and Religious Non-medical 
Health Care Institutions paid under Part A. Home health agencies 
providing items and services under Part A or Part B also use the ABN. 
Other Medicare institutional providers paid under Part A use other 
approved notices for this purpose. With this PRA submission, minimal 
formatting changes have been made to the ABN form, including the 
addition of language informing beneficiaries of their rights under 
Section 504 of the Rehabilitation Act of 1973 (section 504) by alerting 
the beneficiary to CMS's nondiscrimination practices and the 
availability of alternate forms of this notice, if needed. 
Additionally, minor language and grammatical changes have been made to 
the form's instructions to improve provider/supplier comprehension and 
decrease the probability of errors in completing the ABN. There are no 
substantive changes to the form or to the instructions. Form Number: 
CMS-R-131 (OMB control number: 0938-0566; Frequency: Occasionally; 
Affected Public: Private sector (Business or other for-profits and Not-
for-profit institutions); Number of Respondents: 1,499,910; Total 
Annual Responses: 62,910,000; Total Annual Hours: 7,339,710. (For 
policy questions regarding this collection contact Evelyn Blaemire at 
410-786-1803).

    Dated: November 4, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-28449 Filed 11-6-15; 8:45 am]
BILLING CODE 4120-01-P