[Federal Register Volume 81, Number 199 (Friday, October 14, 2016)]
[Notices]
[Pages 71100-71101]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-24910]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10634 and 10169]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 (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: The 
necessity and utility of the proposed information collection for the 
proper performance of the agency's functions; the accuracy of the 
estimated burden; ways to enhance the quality, utility, and clarity of 
the information to be collected; and the use of automated collection 
techniques or other forms of information technology to minimize the 
information collection burden.

DATES: Comments must be received by December 13, 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-10634 Evaluating a Pilot Mobile Health Program
CMS-10169 Durable Medical Equipment, Prosthetics, Orthotics, and 
Supplies (DMEPOS) Competitive Bidding Program; Change of Ownership 
Forms

    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: New collection (Request 
for a

[[Page 71101]]

new OMB control number); Title of Information Collection: Evaluating a 
Pilot Mobile Health Program; Use: CMS is supporting a pilot mobile 
health (mHealth) program in California, Louisiana, Ohio, and Oklahoma. 
The three-year mHealth project is being conducted to complement 
existing CMCS measurement, data collection, and reporting activities to 
monitor, track, and assess state's maternal and infant health efforts 
in Medicaid and CHIP populations. This information collection request 
supports the evaluation of the pilot mHealth program and will be used 
to assist CMS in tracking maternal and infant health outcomes in the 
Medicaid population. The methods used for collection and analysis of 
the data may be useful to states and serve to increase reporting of 
perinatal core set measures and monitoring and interpretation of state-
level maternal and infant health efforts. Results from the evaluation 
will help CMS understand the usefulness of mobile technology for 
conveying health information to pregnant women and new mothers enrolled 
in Medicaid/CHIP, as well as the influence this information has on 
health behaviors and outcomes. Form Number: CMS-10634 (OMB control 
number: 0938--New); Frequency: Once; Affected Public: Individuals and 
households, Business or other for-profits and Not-for-profits 
institutions, State, local, or Tribal Governments; Number of 
Respondents: 1,679; Total Annual Responses: 1,679; Total Annual Hours: 
962. (For policy questions regarding this collection contact Lekisha 
Daniel-Robinson at 410-786-8618.)
    2. Type of Information Collection Request: Revision of a previously 
approved collection; Title of Information Collection: Durable Medical 
Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive 
Bidding Program; Change of Ownership Forms; Use: The Medicare 
Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) 
requires the Secretary to recompete contracts not less often than once 
every 3 years. The Round 1 Rebid contract period for all product 
categories except mail-order diabetic supplies expired on December 31, 
2013. (Round 1 Rebid contracts for mail-order diabetic testing supplies 
ended on December 31, 2012.) The competition for the Round 1 Recompete 
began in August of 2012. The Round 1 Recompete contracts and prices 
became effective on January 1, 2014 and will expire on December 31, 
2016. Round 2 and National Mail-Order contracts and prices will expire 
on June 30, 2016. The most recent approval for this information 
collection request (ICR) was issued by OMB on June 10, 2013. That ICR 
included the estimated burden to collect the information in bidding 
Forms A and B for the Round 1 Recompete. We are now seeking approval to 
collect the information in Forms A and B for competitions that will 
occur before 2017. For these upcoming competitions CMS will publish a 
slightly modified version of the RFB instructions and accompanying 
Forms A and B so that suppliers will be better able to identify and 
understand the requirements of the program. We decided to modify the 
RFB instructions and forms based on our experience from the last round 
of competition. The end result is expected to produce more complete and 
accurate information to evaluate suppliers. No new collection 
requirements have been added to the modified RFB instructions or Form A 
or B. Finally, we are retaining without change the Change of Ownership 
(CHOW) Purchaser Form and the CHOW Contract Supplier Notification Form, 
the Subcontracting Disclosure Form, and Forms C, and D and their 
associated burden under this ICR. We intend to continue use of these 
Forms on an ongoing basis. Form Number: CMS-10169 (OMB control number: 
0938-1016); Frequency: Yearly; Affected Public: Private Sector; 
Business or other for-profit, Not-for-profit institutions; Number of 
Respondents: 70,213; Total Annual Responses: 53,811; Total Annual 
Hours: 162,134. (For policy questions regarding this collection contact 
Djanira Rivera at 410-786-8646.)

    Dated: October 11, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-24910 Filed 10-13-16; 8:45 am]
 BILLING CODE 4120-01-P