[Federal Register Volume 81, Number 113 (Monday, June 13, 2016)]
[Notices]
[Pages 38189-38190]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13916]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10066, CMS-R-193, and CMS-R-282]


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 a 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 July 13, 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 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 of a currently 
approved collection; Title of Information Collection: Detailed Notice 
of Discharge (DND) and Supporting Regulations in 42 CFR 405.1206 and 
422.622; Use: A beneficiary or enrollee who wishes to appeal a 
determination by a Medicare health plan (for a managed care enrollee) 
or hospital (for an original Medicare beneficiary) that inpatient care 
is no longer necessary may request Quality Improvement Organization 
(QIO) review of the determination. On the date the QIO receives the 
beneficiary's/enrollee's request, it must notify the plan and hospital 
that the beneficiary/enrollee has filed a request for an expedited 
determination. The plan or hospital, in turn, must deliver a DND to the 
enrollee/beneficiary. In this iteration the DND has been minimally 
changed to include language informing beneficiaries of their rights 
under 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. There are no substantive 
changes to the DND form and instructions. Form Number: CMS-10066 (OMB 
control number: 0938-1019); Frequency: Occasionally; Affected Public: 
Private sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 6,137; Total Annual Responses: 
22,515; Total Annual Hours: 22,515. (For policy questions regarding 
this collection contact Janet Miller at 404-562-1799.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Important Message 
from Medicare (IM); Use: Hospitals have used the IM to inform original 
Medicare, Medicare Advantage, and other Medicare plan beneficiaries who 
are hospital inpatients about their hospital rights and discharge 
rights. In particular, the IM provides information about when a 
beneficiary will and will not be liable for charges for a continued 
stay in a hospital and offers a detailed description of the Quality 
Improvement Organization review process. Please note that this 
iteration proposes non-substantive changes to the form. Form Number: 
CMS-R-193 (OMB control number: 0938-0692). Frequency: Yearly; Affected 
Public: Private sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 6,142; Total Annual Responses: 
23,680,000; Total Annual Hours: 3,404,000. (For policy questions

[[Page 38190]]

regarding this collection contact Janet Miller at 404-562-1799.)
    3. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicare Advantage Appeals and Grievance Data Disclosure Requirements 
(42 CFR 422.111); Use: Medicare Advantage (MA) organizations and 
demonstrations are required to collect and disclose information 
pertaining to the number of disputes, and their disposition in the 
aggregate, with the categories of grievances and appeals to any 
individual eligible to elect an MA organization who requests this 
information. The CMS continues to need the same format and form for 
reporting. Form Number: CMS-R-282 (OMB control number: 0938-0778); 
Frequency: Annually and semi-annually; Affected Public: Private Sector 
(Business or other for-profit and Not-for-profit institutions); Number 
of Respondents: 741; Total Annual Responses: 55,300; Total Annual 
Hours: 5,906. (For policy questions regarding this collection contact 
Stephanie Simons at 206-615-2420.)

    Dated: June 8, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-13916 Filed 6-10-16; 8:45 am]
 BILLING CODE 4120-01-P