[Federal Register Volume 81, Number 88 (Friday, May 6, 2016)]
[Notices]
[Pages 27447-27449]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-10704]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-685, CMS-576A and CMS-10601]


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

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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 June 6, 2016.

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: 
[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 the 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: Revision of a previously 
approved collection; Title of Information Collection: End Stage Renal 
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting 
Regulations; Use: Section 1881(c) of the Social Security Act 
establishes End Stage Renal Disease (ESRD) Network contracts. The 
regulations found at 42 CFR 405.2110 and 405.2112 designated 18 ESRD 
Networks which are funded by renewable contracts. These contracts are 
on 3-year cycles. To better administer the program, CMS is requiring 
contractors to submit semi-annual cost reports. The purpose of the cost 
reports is to enable the ESRD Networks to report costs in a 
standardized manner. This will allow CMS to review, compare and project 
ESRD Network costs during the life of the contract. Form Number: CMS-
685 (OMB Control Number: 0938-0657); Frequency: Reporting--Semi-
annually; Affected Public: Not-for-profit institutions; Number of 
Respondents: 18; Total Annual Responses: 36; Total Annual Hours: 144. 
(For policy questions regarding this collection contact Etleva Davis at 
410-786-4013.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Organ Procurement 
Organization's (OPOs) Health Insurance Benefits Agreement and 
Supporting Regulations; Use: The Medicare and Medicaid Programs final 
conditions for coverage for Organ Procurement Organizations (OPOs) 
require OPOs to sign agreements with the Center for Medicare and 
Medicaid Services (CMS) in order to be reimbursed and perform their 
services. The information provided on this form serves as a basis for 
continuing the agreements with CMS and the OPOs for participation in 
the Medicare and Medicaid programs for reimbursement of service. Form 
Number: CMS-576A (OMB Control Number: 0938-0512); Frequency: 
Occasionally; Affected Public: Private Sector (Business or other for-
profit and Not-for-profit institutions); Number of Respondents: 58; 
Total Annual Responses: 58; Total Annual Hours: 116. (For policy 
questions regarding this collection contact Melissa Rice at 410-786-
3270.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: CMS 
Innovation Partners Program Applications and Surveys; Use: The CMS 
Innovation Center (CMMI) has a significant role in supporting the goals 
set by the Secretary of Health and Human Services to move 30 percent of 
Medicare fee-for-service payments to alternate payment models by the 
end of 2016 and ultimately 50 percent by the end of 2018. A multi-
pronged approach is necessary to achieve these ambitious goals and 
includes the testing of innovative models around design of both payment 
and care delivery, the Health Care Payment and Learning Action Network 
(HCPLAN) and value and quality based initiatives through the Medicare 
Access and CHIP Reauthorization Act of 2015 (MACRA) and Merit-based 
Incentive Payment System (MIPS). In addition to these key strategies, 
CMS seeks to engage individuals from the front lines of health care, 
who are actively supporting delivery system transformation at local and 
regional levels, in order to support and accelerate adoption of 
alternate payment models developed through the Innovation Center. This 
will be accomplished through the Innovation Partners Program (IPP).
    The IPP will provide an opportunity for 100 selected individuals 
from around the country who are already leading and participating in 
delivery reform initiatives with local and regional networks to engage 
in a deeper way with CMS to enhance these efforts. During the course of 
one year, the IPP will immerse individuals in the strategy and 
innovation work of CMS through intensive webinars and small group 
discussions. Program participants will engage with CMS staff in the 
Innovation Center and Regional Offices to inform and support regional 
activities supporting innovation models. In collaboration with CMS and 
fellow program participants, they will create partnerships regionally 
and across the United States.
    An application process is necessary to select the individuals who 
will participate in IPP and is the first component of this data 
collection. Applicants shall likely include physicians, nurses and 
other clinical staff in leadership roles from various health care 
delivery, public health and community health organizations. The second 
data collection component is a set of surveys and the respondents shall 
be only those who are participating in the program. Data from these 
surveys will be used to design program activities and to identify 
opportunities for improvement to both activities and the program 
overall. This data collection is necessary in order to launch and 
implement the IPP--a key initiative in

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the efforts of CMS to support the Secretary's goals. Form Number: CMS-
10601 (OMB control number: 0938-NEW); Frequency: Annually; Affected 
Public: Individuals and Households; Number of Respondents: 850; Total 
Annual Responses: 850; Total Annual Hours: 1,700. (For policy questions 
regarding this collection contact Fran Griffin at 212-616-2370.)

    Dated: May 3, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-10704 Filed 5-5-16; 8:45 am]
 BILLING CODE 4120-01-P