[Federal Register Volume 89, Number 66 (Thursday, April 4, 2024)]
[Notices]
[Pages 23598-23599]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-07162]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-18F5 and CMS-10537]
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 (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 June 3, 2024.
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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
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-18F5 Application for Enrollment in Medicare Part A internet Claim
(iClaim) Application Screen Modernized Claims System and Consolidated
Claim Experience Screens Survey Form
CMS-10537 CAHPS Hospice 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.
[[Page 23599]]
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 without change
of a currently approved collection; Title of Information Collection:
Application for Enrollment in Medicare Part A Internet Claim (iClaim)
Application Screen Modernized Claims System and Consolidated Claim
Experience Screens; Use: The Centers for Medicare and Medicaid Services
(CMS) Form ``Application for Hospital Insurance'' supports sections
1818 and 1818A of the Social Security Act (the Act) and corresponding
regulations at 42 CFR 406.6 and 406.7.
The CMS-18-F5 is used to establish entitlement to Part A and
enrollment in Part B for claimants who must file an application. The
application follows the questions and requirements used by SSA on the
electronic application. This is done not only for consistency purposes
but because certain requirements under titles II and XVIII of the act
must be met in order to qualify for Part A and Part B; including
insured status, relationship and residency. The form is owned by CMS
but is not utilized by CMS staff. SSA uses the form to collect
information and make Part A and Part B entitlement determinations on
behalf of CMS. Form Number: CMS-18F5 (OMB control number: 0938-0251);
Frequency: Once; Affected Public: Individuals and Households; Number of
Respondents: 1,042,263; Total Annual Responses: 1,042,263; Total Annual
Hours: 260,566. (For policy questions regarding this collection contact
Carla Patterson at 410-786-8911 or [email protected]).
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CAHPS Hospice
Survey; Use: CMS launched the development of the CAHPS Hospice Survey
in 2012. Public reporting of the results on Hospice Compare started in
2018. The goal of the survey is to measure the experiences of patients
and their caregivers with hospice care. The survey was developed to:
Provide a source of information from which selected
measures could be publicly reported to beneficiaries and their family
members as a decision aid for selection of a hospice program;
Aid hospices with their internal quality improvement
efforts and external benchmarking with other facilities; and
Provide CMS with information for monitoring the care
provided.
Surveys focusing on patients' experience of care with their health
care providers are an important part of the NQS. In addition to
publicly reporting clinical quality measures, CMS is currently
reporting measures from patient experience of care surveys in a variety
of settings, including in-center hemodialysis (ICH) centers, hospitals,
home health agencies, and hospices on the Medicare Care Compare
website. (https://www.medicare.gov/care-compare). Form Number: CMS-
10537 (OMB control number: 0938-1257); Frequency: Once; Affected
Public: Individuals and Households; Number of Respondents: 1,159,420;
Total Annual Responses: 1,159,420; Total Annual Hours: 168,115.90. (For
policy questions regarding this collection contact Lauren Fuentes at
410-786-2290 or 443-618-2123).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-07162 Filed 4-3-24; 8:45 am]
BILLING CODE 4120-01-P