Agency Information Collection Activities: Submission for OMB Review; Comment Request
| Published date | 23 December 2020 |
| Citation | 85 FR 83966 |
| Record Number | 2020-28369 |
| Section | Notices |
| Court | Centers For Medicare & Medicaid Services,Health And Human Services Department |
83966
Federal Register / Vol. 85, No. 247 / Wednesday, December 23, 2020 / Notices
including cases involving, Oak Ridge
Gaseous Diffusion Plant (K25), Y–12
Plant, and Savannah River Site (SRS)
facilities; Dose reconstruction cases
under review from Sets 18 and 21,
possibly including cases involving,
Uranium Mill in Monticello and GE
Vallecitos; and Tracking of decision
points requiring professional judgement
(time permitting). Agenda items are
subject to change as priorities dictate.
The Director, Strategic Business
Initiatives Unit, Office of the Chief
Operating Officer, Centers for Disease
Control and Prevention, has been
delegated the authority to sign Federal
Register notices pertaining to
announcements of meetings and other
committee management activities, for
both the Centers for Disease Control and
Prevention and the Agency for Toxic
Substances and Disease Registry.
Kalwant Smagh,
Director, Strategic Business Initiatives Unit,
Office of the Chief Operating Officer, Centers
for Disease Control and Prevention.
[FR Doc. 2020–28379 Filed 12–22–20; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–40B, CMS–R–
285, CMS–10142 and CMS–10123/10124]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY
: Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION
: Notice.
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 January 22, 2021.
ADDRESSES
: 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.
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: Application for
Enrollment in Medicare the Medical
Insurance Program; Use: Section 1836 of
the Act, and regulations at 42 CFR
407.10, provide the eligibility
requirements for enrollment in Part B.
Section 407.11 lists the CMS–40B as the
application to be used by individuals
who wish to apply for Part B if they
already have initial entitlement to
premium-free Part A. Under the
regulations, individuals may also enroll
in Medicare Part B by signing a
statement requesting Part B, if eligible
for enrollment at that time. Individuals
use the standardized Form CMS–40B to
request enrollment.
The CMS–40B provides the necessary
information to determine eligibility and
to process the beneficiary’s request for
enrollment for Medicare Part B
coverage. This form is only used for
enrollment by beneficiaries who already
have Part A, but not Part B. Form CMS–
40B is completed by the person with
Medicare or occasionally by an SSA
representative using information
provided by the Medicare enrollee
during an in-person interview. The form
is owned by CMS, but not completed by
CMS staff. SSA processes Medicare
enrollments on behalf of CMS. Form
Number: CMS–40B (OMB control
number: 0938–1230); Frequency: Yearly;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
400,000; Total Annual Responses:
400,000; Total Annual Hours: 100,000.
(For policy questions regarding this
collection contact Carla Patterson at
410–786–1000.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Request for
Retirement Benefit Information; Use:
Section 1818(d)(5) of the Social Security
Act (the Act) provides that certain
former State and local government
employees (and their current or former
spouses) may have the Part A premium
reduced to zero.
Form CMS–R–285, ‘‘Request for
Retirement Benefit Information,’’ is used
to obtain information regarding whether
a beneficiary currently purchasing
Medicare premium Part A coverage, is
receiving retirement payments based on
State or local government employment,
how long the claimant worked for the
State or local government employer, and
whether the former employer or pension
plan is subsidizing the individual’s Part
A premium.
Form CMS–R–285 provides the
necessary information regarding the
prior state or local government
employment to process the individual’s
request for premium Part A reduction
based on their employment by a state or
local government.
The form is completed by the state or
local government employer on behalf of
the individual seeking the Medicare
premium reduction. The SSA—CMS’
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83967
Federal Register / Vol. 85, No. 247 / Wednesday, December 23, 2020 / Notices
agent for processing Medicare
enrollments and premium amount
determinations will use this information
to help determine whether a beneficiary
meets the requirements for reduction of
the Part A premium. The form is owned
by CMS but not completed by CMS staff.
Form Number: CMS–R–285 (OMB
control number: 0938–0769); Frequency:
Yearly; Affected Public: State, Local, or
Tribal Governments; Number of
Respondents: 500; Total Annual
Responses: 500; Total Annual Hours:
125. (For policy questions regarding this
collection contact Carla Patterson at
410–786–1000.)
3. Type of Information Collection
Request: Revision with change of a
currently approved collection; Title of
Information Collection: Bid Pricing Tool
(BPT) for Medicare Advantage (MA)
Plans and Prescription Drug Plans
(PDP); Use: This collection dates back to
2005. Under the Medicare Prescription
Drug, Improvement, and Modernization
Act of 2003 (MMA), and implementing
regulations at 42 CFR, Medicare
Advantage organizations (MAO) and
Prescription Drug Plans (PDP) are
required to submit an actuarial pricing
‘‘bid’’ for each plan offered to Medicare
beneficiaries for approval by the Centers
for Medicare & Medicaid Services
(CMS). MAOs and PDPs use the Bid
Pricing Tool (BPT) software to develop
their actuarial pricing bid. The
competitive bidding process defined by
the ‘‘The Medicare Prescription Drug,
Improvement, and Modernization Act’’
(MMA) applies to both the MA and Part
D programs. It is an annual process that
encompasses the release of the MA rate
book in April, the bid’s that plans
submit to CMS in June, and the release
of the Part D and RPPO benchmarks,
which typically occurs in August. Form
Number: CMS–10142 (OMB control
number: 0938–0944); Frequency: Yearly;
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
555; Total Annual Responses: 4,995;
Total Annual Hours: 149,850. (For
policy questions regarding this
collection contact Rachel Shevland at
410–786–3026.)
4. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Fast Track
Appeals Notices: NOMNC/DENC; Use:
The purpose of the NOMNC is to help
a beneficiary/enrollee decide whether to
pursue a fast appeal by a Quality
Improvement Organization (QIO) and
how to file that request. Consistent with
§§ 405.1200 and 422.624, SNFs, HHAs,
CORFs, and hospices must provide
notice to all beneficiaries/enrollees
whose Medicare-covered services are
ending, no later than two days in
advance of the proposed termination of
service. This information is conveyed to
the beneficiary/enrollee via the
NOMNC.
If a beneficiary/enrollee appeals the
termination decision, the beneficiary/
enrollee and the QIO, consistent with
§§ 405.1200(b) and 405.1202(f) for
Original Medicare, and §§ 422.624(b)
and 422.626(e)(1)–(5) for Medicare
health plans, will receive a detailed
explanation of the reasons services
should end. This detailed explanation is
provided to the beneficiary/enrollee
using the DENC, the second notice
included in this renewal package. Form
Number: CMS–10123/10124 (OMB
control number: 0938–0953); Frequency:
Yearly; Affected Public: State, Local, or
Tribal Governments; Number of
Respondents: 24,915; Total Annual
Responses: 5,314,194; Total Annual
Hours: 1,142,749. (For policy questions
regarding this collection contact Janet
Miller at Janet.Miller@cms.hhs.gov.)
Dated: December 18, 2020.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2020–28369 Filed 12–22–20; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10549]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY
: Centers for Medicare &
Medicaid Services, Health and Human
Services (HHS).
ACTION
: Notice.
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 January 22, 2021.
ADDRESSES
: 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
https://www.cms.gov/Regulations-and-
Guidance/Legislation/
PaperworkReductionActof1995/PRA-
Listing.html
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: Revision of a currently
approved collection; Title of
Information Collection: Generic
Clearance: Questionnaire Testing and
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