[Federal Register Volume 85, Number 94 (Thursday, May 14, 2020)]
[Notices]
[Pages 28948-28950]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-10282]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-10275, CMS-R-64, and CMS-10710]


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

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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 June 15, 2020.

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:
    Written comments and recommendations for the proposed information 
collection should be sent within 30 days of publication of this notice 
to www.reginfo.gov/public/do/PRAMain. Find this particular information 
collection by selecting ``Currently under 30-day Review--Open for 
Public Comments'' or by using the search function.
    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: Extension without change 
of a currently approved collection; Title of Information Collection: 
CAHPS Home Health Care Survey; Use: The national implementation of the 
Home Health Care CAHPS Survey is designed to collect ongoing data from 
samples of home health care patients who receive skilled services from 
Medicare-certified home health agencies.
    The survey is necessary because it fulfills the goal of 
transparency with the public about home health patient experiences. The 
survey is used by Medicare-certified home health agencies to improve 
their internal quality assurance in the care that they provide in home 
health. The HHCAHPS survey is also used in a Medicare payment program. 
Medicare-certified home health agencies (HHAs) must contract with CMS-
approved survey vendors that conduct the HHCAHPS on behalf of the HHAs 
to meet their requirements in the Home Health Quality Reporting 
Program. Form Number: CMS-10257 (OMB control number: 0938-1066); 
Frequency: Yearly; Affected Public: Individuals and Households; Number 
of Respondents: 1,195,930; Total Annual Responses: 1,294,820; Total 
Annual Hours: 453,239. (For policy questions regarding this collection 
contact Lori Teichman at 410-786-6684.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Indirect Medical Education and Direct Graduate Medical Education; Use: 
Section 1886(d)(5)(B) of the Social Security Act requires additional 
payments to be made under the Medicare Prospective Payment System (PPS) 
for the indirect medical educational costs a hospital incurs in 
connection with interns and residents (IRs) in approved teaching 
programs. In addition, Title 42, Part 413, sections 75 through 83 
implement section 1886(d) of the Act by establishing the methodology 
for Medicare payment for the costs of direct graduate medical 
educational activities. These payments, which are adjustments (add-ons) 
to other payments made to a hospital under PPS, are largely determined 
by the number of full-time equivalent (FTE) IRs that work at a hospital 
during its cost reporting period. In Federal fiscal year (FY) 2018, the 
estimated Medicare program payments for indirect medical education 
(IME) costs was $6.4 billion. Medicare program payment for direct 
graduate medical education (GME) is also based upon the number of FTE-
IRs that work at a hospital. In FY 2018, the estimated Medicare program 
payments for GME costs was $3.1 billion.
    Since it is important to accurately count the number of IRs FTEs 
working at each hospital, original approval was obtained from the 
Office of Management and Budget (OMB) in 1985 to collect the IR 
information required in 42 CFR 412.105(f) and timeframes for filing. 
All Medicare health plans are required to use these standardized 
notices. Form Number: CMS-R-64 (OMB control number: 0938-0456); 
Frequency: Yearly; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 1,245; Total Annual Responses: 
1,245; Total Annual Hours: 2,490. (For policy questions regarding this 
collection contact Owen Osaghae at 410-786-7550.)
    3. Type of Information Collection Request: New collection (Request 
for a new OMB control number) collection; Title of Information 
Collection: Generic Clearance for Improving Customer Experience (OMB 
Circular A-11, Section 280 Implementation); Use: Whether seeking a 
loan, Social Security benefits, veterans benefits, or other services 
provided by the Federal Government, individuals and businesses expect 
Government customer services to be efficient and intuitive, just like 
services from leading private-sector organizations. Yet the 2016 
American Consumer Satisfaction Index and the 2017 Forrester Federal 
Customer Experience Index show that, on average, Government services 
lag nine percentage points behind the private sector.
    A modern, streamlined and responsive customer experience means: 
Raising government-wide customer experience to the average of the 
private sector service industry; developing indicators for high-impact 
Federal programs to monitor progress towards excellent customer 
experience and mature digital services; and providing

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the structure (including increasing transparency) and resources to 
ensure customer experience is a focal point for agency leadership. To 
support this, OMB Circular A-11 Section 280 established government-wide 
standards for mature customer experience organizations in government 
and measurement. To enable Federal programs to deliver the experience 
taxpayers deserve, they must undertake three general categories of 
activities: Conduct ongoing customer research, gather and share 
customer feedback, and test services and digital products.
    These data collection efforts may be either qualitative or 
quantitative in nature or may consist of mixed methods. Additionally, 
data may be collected via a variety of means, including but not limited 
to electronic or social media, direct or indirect observation (i.e., in 
person, video and audio collections), interviews, questionnaires, 
surveys, and focus groups. The Centers for Medicare and Medicaid 
Services (CMS) will limit its inquiries to data collections that 
solicit strictly voluntary opinions or responses. Steps will be taken 
to ensure anonymity of respondents in each activity covered by this 
request.
    The results of the data collected will be used to improve the 
delivery of Federal services and programs. It will include the creation 
of personas, customer journey maps, and reports and summaries of 
customer feedback data and user insights. It will also provide 
government-wide data on customer experience that can be displayed on 
performance.gov to help build transparency and accountability of 
Federal programs to the customers they serve.
    CMS will collect this information by electronic means when 
possible, as well as by mail, fax, telephone, technical discussions, 
and in-person interviews. CMS may also utilize observational techniques 
to collect this information.
    Form Number: CMS-10710 (OMB control number: 0938-New); Frequency: 
Occasionally; Affected Public: Individuals or Households; Private 
Sector (business or other for-profits, not-for-profit institutions), 
State, Local or Tribal governments; Federal government; and 
Universities; Number of Respondents: 1,001,750; Number of Responses: 
Varied, dependent upon the data collection method used. The possible 
response time to complete a questionnaire or survey may be 3 minutes or 
up to 2 hours to participate in an interview.; Total Annual Hours: 
51,175. (For questions regarding this collection contact Aaron Lartey 
at 410-786-7866).

    Dated: May 8, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2020-10282 Filed 5-13-20; 8:45 am]
BILLING CODE 4120-01-P