Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Issuing agencies
Abstract
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.
Full Text
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<title>Federal Register, Volume 89 Issue 226 (Friday, November 22, 2024)</title>
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[Federal Register Volume 89, Number 226 (Friday, November 22, 2024)]
[Notices]
[Pages 92689-92690]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-27359]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10902]
Agency Information Collection Activities: Submission for OMB
Review; 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 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 December 23, 2024.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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, please access
the CMS PRA website by copying and pasting the following web address
into your web browser: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>.
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
[[Page 92690]]
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:
Environmental Health Hazards Checklist Medicare Coverage for
Individuals Exposed to Environmental Health Hazards; Use: Section 1881A
of the Act provides an enrollment basis for individuals who have been
exposed to environmental health hazards. Currently, the only
individuals eligible for Medicare under this provision are those who
were present in Lincoln County, Montana, and have an asbestos-related
disease (ARD) diagnosis. Eligible individuals must be diagnosed with
one or more asbestos-related conditions and have been present in
Lincoln County, Montana, for a total of at least 6 months (need not be
consecutive) in the period ending 10 years or more before diagnosis of
an asbestos-related condition. This form provides verification from a
provider so that SSA can determine eligibility for Medicare enrollment.
SSA uses this information to determine whether an individual meets
the requirements for Medicare enrollment on the basis of an
Environmental Health Hazard. The form is faxed to the applicant's
provider by SSA. The provider must complete and sign the form and
submit it back to SSA via fax or mail. The information on the completed
form is reviewed manually by SSA. Thus, the collection of this
information does not involve the use of information technology. Form
Number: CMS-10902 (OMB control number: 0938-New); Frequency: Once;
Affected Public: Individuals and Households; Number of Respondents: 61;
Total Annual Responses: 61; Total Annual Hours: 10. (For policy
questions regarding this collection contact Tyrissa Woods at 410-786-
0286 or <a href="/cdn-cgi/l/email-protection#5a0e23283329293b740d35353e291a39372974323229743d352c"><span class="__cf_email__" data-cfemail="dc88a5aeb5afafbdf28bb3b3b8af9cbfb1aff2b4b4aff2bbb3aa">[email protected]</span></a>).
William N. Parham III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-27359 Filed 11-21-24; 8:45 am]
BILLING CODE 4120-01-P
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