[Federal Register Volume 84, Number 40 (Thursday, February 28, 2019)]
[Notices]
[Pages 6789-6791]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-03459]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10688, CMS-10286, CMS-10492 and CMS-10433]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 persons are invited to 
send comments regarding the burden estimate 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 on the collection(s) of information must be received by 
the OMB desk officer by April 1, 2019.

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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    1. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    2. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

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: New collection (Request 
for a new OMB control number); Title of Information Collection: Home 
Health (HH) National Provider Survey; Use:

[[Page 6790]]

Section 1890A(a)(6) of the Social Security Act (the Act) requires the 
Secretary of HHS every three years to assess the quality and efficiency 
effects of the use of endorsed measures in specific Medicare quality 
reporting and incentive programs. This request is for review and 
approval of a survey and qualitative interview guide for the home 
health setting, which CMS proposes to use to address critical needs 
regarding the impact of use of quality and efficiency measures in the 
home health setting, including the burden they impose on home health 
agencies.
    CMS plans to use the findings from surveys and qualitative 
interviews for multiple purposes. The qualitative interviews and 
standardized survey will inform CMS about the impact of measures used 
to assess care in HHAs. The surveys will help CMS understand whether 
the use of performance measures has been associated with changes in HHA 
behavior--namely, what QI investments HHAs are making and whether 
adoption of QI changes is associated with higher performance on the 
measures. The survey will help CMS identify characteristics associated 
with high performance, which, if understood, could be used to leverage 
improvements in care among lower-performing HHAs. The survey and 
interviews, assuming approval by August 2019, would be fielded from 
fall 2019 through spring 2020. Form Number: CMS-10688 (OMB control 
number: 0938-New); Frequency: Yearly; Affected Public: State, Local or 
Tribal governments; Number of Respondents: 1,040; Total Annual 
Responses: 1,040; Total Annual Hours: 1,040. (For policy questions 
regarding this collection contact Noni Bodkin at 410-786-7837.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Notice of 
Research Exception under the Genetic Information Nondiscrimination Act; 
Use: Under the Genetic Information Nondiscrimination Act of 2008 
(GINA), a plan or issuer may request (but not require) a genetic test 
in connection with certain research activities so long as such 
activities comply with specific requirements, including: (i) The 
research complies with 45 CFR part 46 or equivalent federal regulations 
and applicable State or local law or regulations for the protection of 
human subjects in research; (ii) the request for the participant or 
beneficiary (or in the case of a minor child, the legal guardian of 
such beneficiary) is made in writing and clearly indicates that 
compliance with the request is voluntary and that non-compliance will 
have no effect on eligibility for benefits or premium or contribution 
amounts; and (iii) no genetic information collected or acquired will be 
used for underwriting purposes. The Secretary of Labor or the Secretary 
of Health and Human Services is required to be notified if a group 
health plan or health insurance issuer intends to claim the research 
exception permitted under Title I of GINA. Nonfederal governmental 
group health plans and issuers solely in the individual health 
insurance market or Medigap market will be required to file with the 
Centers for Medicare & Medicaid Services (CMS). The Notice of Research 
Exception under the Genetic Information Nondiscrimination Act is a 
model notice that can be completed by group health plans and health 
insurance issuers and filed with either the Department of Labor or CMS 
to comply with the notification requirement. Form Number: CMS-10286 
(OMB control number: 0938-1077); Frequency: Occasionally; Affected 
Public: Private Sector; State, Local or Tribal governments; Number of 
Respondents: 2; Total Annual Responses: 2; Total Annual Hours: 0.5. 
(For policy questions regarding this collection contact Usree 
Bandyopadhyay at 410-786-6650.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Data Submission 
for the Federally-facilitated Exchange User Fee Adjustment; Use: 
Section 2713 of the Public Health Service Act requires coverage without 
cost sharing of certain preventive health services, including certain 
contraceptive services, in non-exempt, non-grandfathered group health 
plans and health insurance coverage. The final regulations establish 
rules under which the third party administrator of the plan would 
provide or arrange for a third party to provide separate contraceptive 
coverage to plan participants and beneficiaries without cost sharing, 
premium, fee, or other charge to plan participants or beneficiaries or 
to the eligible organization or its plan. Eligible organizations are 
required to self-certify that they are eligible for this accommodation 
and provide a copy of such self-certification to their third party 
administrators. The final rules also set forth processes and standards 
to fund the payments for the contraceptive services that are provided 
for participants and beneficiaries in self-insured plans of eligible 
organizations under the accommodation described previously, through an 
adjustment in the FFE user fee payable by an issuer participating in an 
FFE.
    CMS will use the data collections from participating issuers and 
third party administrators to verify the total dollar amount for such 
payments for contraceptive services provided under this accommodation 
for the purpose of determining a participating issuer's user fee 
adjustment. The attestation that the payments for contraceptive 
services were made in compliance with 26 CFR 54.9815-2713A(b)(2) or 29 
CFR 2590.715-2713A(b)(2) will help ensure that the user fee adjustment 
is being utilized to provide contraceptive services for the self-
insured plans in accordance with the previously noted accommodation. 
Form Number: CMS-10492 (OMB control number: 0938-1285); Frequency: 
Annually; Affected Public: Private sector (Business or other for-
profits and Not-for-profit institutions); Number of Respondents: 861; 
Total Annual Responses: 861; Total Annual Hours: 12,930. (For policy 
questions regarding this collection contact Alper Ozinal (301) 492-
4178.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Data Collection 
to Support QHP Certification and other Financial Management and 
Exchange Operations; Use: As directed by the rule Establishment of 
Exchanges and Qualified Health Plans; Exchange Standards for Employers 
(77 FR 18310) (Exchange rule), each Exchange is responsible for the 
certification and offering of Qualified Health Plans (QHPs). To offer 
insurance through an Exchange, a health insurance issuer must have its 
health plans certified as QHPs by the Exchange. A QHP must meet certain 
minimum certification standards, such as network adequacy, inclusion of 
Essential Community Providers (ECPs), and non-discrimination. The 
Exchange is responsible for ensuring that QHPs meet these minimum 
certification standards as described in the Exchange rule under 45 CFR 
155 and 156, based on the Patient Protection and Affordable Care Act 
(PPACA), as well as other standards determined by the Exchange. Issuers 
can offer individual and small group market plans outside of the 
Exchanges that are not QHPs.
    The instruments in this information collection will be used for the 
2020 certification process and beyond. Providing these instruments now 
will give issuers and other stakeholders more opportunity to 
familiarize themselves with the instruments before releasing the 2020 
application. Form Number: CMS-10433 (OMB control number:

[[Page 6791]]

0938-1187); Frequency: Annually; Affected Public: State, Local, or 
Tribal Governments, Private Sector (Business or other for-profits); 
Number of Respondents: 2,892; Number of Responses: 2,892; Total Annual 
Hours: 68,666. (For questions regarding this collection contact Joshua 
Annas at 301-492-4407.)

    Dated: February 22, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-03459 Filed 2-27-19; 8:45 am]
 BILLING CODE 4120-01-P