[Federal Register Volume 83, Number 240 (Friday, December 14, 2018)]
[Notices]
[Pages 64346-64347]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-27101]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-3070G-I and CMS-10692]
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 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 February 12, 2019.
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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
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 Officer, William
Parham, at (410) 786-4669.
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-3070G-I ICF/IID Survey Report Form and Supporting Regulations
CMS-10692 Home and Community Based Services (HCBS) Incident Management
Survey
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: Extension of a currently
approved collection; Title of Information Collection: ICF/IID Survey
Report Form and Supporting Regulations; Use: The information collected
with forms 3070G-I is used to determine the level of compliance with
Intermediate Care Facilities for Individuals with Intellectual
Disabilities
[[Page 64347]]
(ICF/IID) CoPs necessary to participate in the Medicare/Medicaid
program. Information needed to monitor the State's performance as well
as the ICF/IID program in general, is available to CMS only through the
use of information abstracted from the survey report form. The form
serves as a coding worksheet designed to facilitate data entry and
retrieval into the Automated Survey Processing Environment Suite
(ASPEN) in the State and at the CMS regional offices. Form Number: CMS-
3070G-I (OMB control number: 0938-0062); Frequency: Reporting--Yearly;
Affected Public: Business or other for-profits and Not-for-profit
institutions; Number of Respondents: 6,100; Total Annual Responses:
6,100; Total Annual Hours: 18,300. (For policy questions regarding this
collection contact Melissa Rice at 410-786-3270.)
2. Type of Information Collection Request: New collection (Request
for a new OMB control number); Title of Information Collection: Home
and Community Based Services (HCBS) Incident Management Survey; Use:
The Survey will be disseminated to all 51 state Medicaid agencies
(including the District of Columbia) to assess incident management
systems in 1915(c) waivers. States will be surveyed to identify methods
and promising practices for identifying, reporting, tracking, and
resolving incidents of abuse, neglect, and exploitation. The survey
results will also be used to review the strengths and weaknesses of
each state's incident management system and will inform guidance to
help ensure compliance with sections 1902(a)(30(A) and 1915(c)(2)(A) of
the Social Security Act. Form Number: CMS-10692 (OMB control number:
0938-TBD); Frequency: Once and on occasion; Affected Public: State,
Local, or Tribal Governments; Number of Respondents: 51; Total Annual
Responses: 102; Total Annual Hours: 153. (For policy questions
regarding this collection contact Ryan Shannahan at 410-786-0295.)
Dated: December 11, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2018-27101 Filed 12-13-18; 8:45 am]
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