[Federal Register Volume 86, Number 134 (Friday, July 16, 2021)]
[Notices]
[Pages 37756-37757]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-15099]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10768]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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 September 14, 2021.

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.

FOR FURTHER INFORMATION CONTACT: William N. 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-10768--The ESRD Network Peer Mentoring Program

    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

[[Page 37757]]

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 new OMB control number); Title of Information Collection: The 
ESRD Network Peer Mentoring Program; Use: The End Stage Renal Disease 
(ESRD) Network Peer Mentoring Program is a voluntary program designed 
to provide patient peer support to people with kidney disease. In part, 
the peer support is beneficial because patients can give each other 
something most practitioners do not have: Lived experience with kidney 
disease. The support and perspective of someone who has ``been there'' 
can help people better cope with their circumstances.
    The ESRD Network Peer Mentoring Program is a partnership between 
dialysis facilities, ESRD Networks, and patient peer mentors and 
mentees that wish to engage in the program. The peer mentoring program 
is organized and published with educational opportunities for peer 
mentors and mentees, provides resources, and includes a complementary 
toolkit for ESRD Networks and dialysis facilities to promote and 
operationalize the program.
    Program applicants are people with ESRD who: (1) Are adults over 
the age of 18; have been receiving in-center or home dialysis or have 
been transplanted for at least six months; actively engage in the care 
plan; consistently demonstrate leadership qualities at facility Quality 
Assurance & Performance Improvement (QAPI) meetings, Lobby Days, and 
other facility activities; and wish to be a peer mentor; or (2) are 
over 18 years of age; are newly diagnosed patients but have been on in-
center dialysis for at least six months; are looking for peer support 
to help them transition to their new reality; and are known as a peer 
mentee.
    To participate in the ESRD Network Peer Mentoring Program, peer 
mentors and mentees will complete an online application form stored in 
Confluence. The application serves to validate the peer mentor or peer 
mentee interest in the ESRD Network Peer Mentoring Program. Information 
collection is important to the process of pairing peer mentors and 
mentees with similarly lived experience and interests with their kidney 
disease. In addition, the application collects information about the 
peers' interest in kidney disease, treatment modality, age range, 
preferred gender recognition, and attitudes toward their kidney disease 
diagnosis. It also supports aligning hobbies, and genders to support 
best matched peers with each other. Form Number: CMS-10768 (OMB control 
number: 0938-NEW); Frequency: Once; Affected Public: Individuals and 
Households; Number of Respondents: 75; Total Annual Responses: 75; 
Total Annual Hours: 19. (For policy questions regarding this 
collection, contact Lisa Rees at 816-426-6353.)

    Dated: July 12, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-15099 Filed 7-15-21; 8:45 am]
BILLING CODE 4120-01-P