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Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Type of respondents

Total .......................................................

Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2016–00936 Filed 1–19–16; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[60 Day–16–0853; Docket No. CDC–2016–
0007]

Proposed Data Collection Submitted
for Public Comment and
Recommendations
Centers for Disease Control and
Prevention (CDC), Department of Health
and Human Services (HHS).
ACTION: Notice with comment period.
AGENCY:

The Centers for Disease
Control and Prevention (CDC), as part of
its continuing efforts to reduce public
burden and maximize the utility of
government information, invites the
general public and other Federal
agencies to take this opportunity to
comment on proposed and/or
continuing information collections, as
required by the Paperwork Reduction
Act of 1995. This notice invites
comment on the revision of the
‘‘Asthma Information Reporting System
(AIRS)’’ information collection plan.
The purpose of AIRS is to collect
performance measure and surveillance
data spreadsheets designed to increase
the efficiency and effectiveness of state
asthma programs and to monitor the
impact of the state and national
programs.
DATES: Written comments must be
received on or before March 21, 2016.

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SUMMARY:

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Jkt 238001

Number of
responses per
respondent

Number of
respondents

Form name

Average
burden per
response
(in hrs)

Total burden
(in hrs)

PRAMS Core and Standard
Phase 8 Questions (Spanish).
PRAMS Point in Time Core
and Standard Phase 8
Questions.
PRAMS Supplemental Questions on Family History of
Breast and Ovarian Cancer.

6,054

1

34/60

3,431

5,200

1

24/60

2,080

8,000

1

15/60

2,000

...............................................

........................

........................

........................

28,407

You may submit comments,
identified by Docket No. CDC–2016–
0007 by any of the following methods:
• Federal eRulemaking Portal:
Regulation.gov. Follow the instructions
for submitting comments.
• Mail: Leroy A. Richardson,
Information Collection Review Office,
Centers for Disease Control and
Prevention, 1600 Clifton Road NE., MS–
D74, Atlanta, Georgia 30329.
Instructions: All submissions received
must include the agency name and
Docket Number. All relevant comments
received will be posted without change
to Regulations.gov, including any
personal information provided. For
access to the docket to read background
documents or comments received, go to
Regulations.gov.

ADDRESSES:

Please note: All public comment should be
submitted through the Federal eRulemaking
portal (Regulations.gov) or by U.S. mail to the
address listed above.

To
request more information on the
proposed project or to obtain a copy of
the information collection plan and
instruments, contact the Information
Collection Review Office, Centers for
Disease Control and Prevention, 1600
Clifton Road NE., MS–D74, Atlanta,
Georgia 30329; phone: 404–639–7570;
Email: [email protected].
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. In addition, the PRA also
requires Federal agencies to provide a
60-day notice in the Federal Register
concerning each proposed collection of
information, including each new
proposed collection, each proposed
extension of existing collection of
information, and each reinstatement of
previously approved information
FOR FURTHER INFORMATION CONTACT:

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collection before submitting the
collection to OMB for approval. To
comply with this requirement, we are
publishing this notice of a proposed
data collection as described below.
Comments are invited on: (a) Whether
the proposed collection of information
is necessary for the proper performance
of the functions of the agency, including
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
ways to enhance the quality, utility, and
clarity of the information to be
collected; (d) ways to minimize the
burden of the collection of information
on respondents, including through the
use of automated collection techniques
or other forms of information
technology; and (e) estimates of capital
or start-up costs and costs of operation,
maintenance, and purchase of services
to provide information. Burden means
the total time, effort, or financial
resources expended by persons to
generate, maintain, retain, disclose or
provide information to or for a Federal
agency. This includes the time needed
to review instructions; to develop,
acquire, install and utilize technology
and systems for the purpose of
collecting, validating and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information, to search
data sources, to complete and review
the collection of information; and to
transmit or otherwise disclose the
information.
Proposed Project
Asthma Information and Reporting
System (AIRS)—(OMB Control No.
0920–0853; exp. 05/31/2016)—
Revision—National Center for
Environmental Health (NCEH), Centers

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Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices
for Disease Control and Prevention
(CDC).
Background and Brief Description
In 1999, the CDC began its National
Asthma Control Program (NACP), a
population-based public health
approach to address the burden of
asthma. The program supports the goals
and objectives of ‘‘Healthy People 2010’’
for asthma and is based on the public
health principles of surveillance,
partnerships, interventions, and
evaluation. The CDC requests to revise
the ‘‘Asthma Information and Reporting
System (AIRS)’’ (OMB Control No.
0920–0853; expiration date 5/31/2016).
The goal of this data collection is to
provide NCEH with routine information
about the activities and performance of
the state and territorial awardees funded
under the NACP through an annual
reporting system. As regular reporting of
this information is a requirement of the
cooperative agreement mechanism
utilized to fund state asthma control
programs, a three-year extension for
PRA clearance is requested.
This data collection was first
approved by OMB in 2010 to collect
data in a Web-based system to monitor
and guide participating state health
departments. Since implementation in
2010, AIRS and the technical assistance
provided by CDC staff have provided
states with uniform data reporting
methods and linkages to other states’
asthma programs and data. Thus, AIRS
has saved state resources and staff time
when asthma programs embark on
asthma activities similar to those done
elsewhere. Furthermore, access to
standardized surveillance and

longer supported by CDC; (2) in
collaboration with state asthma
programs, reporting requirements have
been prioritized to provide specific
information on the two main strategies
in the FOA: Services (home visits and
school-based self-management
education) and services strategies
(improving quality of medical
management, improving referrals to and
communication with school and homebased providers and increasing
provision or reimbursement for nonclinical asthma services by health
plans); and (3) CDC now endorses
limiting state program reporting to once
a year. AIRS also includes forms to
collect aggregate emergency department
(ED) visit and hospital discharge (HD)
data from awardees. As in the previous
version of AIRS, NACP requires
awardees to report hospital discharge
and emergency department visit counts
by 19 age groups to permit age adjusted
rates and thus monitor the state
programs’ performance in reducing the
burden of asthma. Specifically, CDC
seeks to make the following changes:
• Rather than using the web-based
system, state awardees will use AIRS
Excel spreadsheets to report CDCdeveloped outcome performance
measures.
• The performance measures will be
collected annually, rather than
biannually as previously approved.
There will be no cost for respondents
other than the time taken to complete
the 3 three AIRS spreadsheets. With this
revision, the number of awardees has
been reduced from 34 to 23 states, and
the total estimated annual burden hours
are reduced from 288 to 82 hours.

programmatic data allows CDC to
provide timely and accurate responses
to the public and Congress regarding the
NACP (e.g., trends in rates of hospital
discharges and emergency department
visits, how many states have asthma
interventions targeting schools or day
care facilities, etc.). In the past threeyears, AIRS data were used to:
D Serve as a resource to the branch,
division, and center when addressing
congressional, departmental and
institutional inquiries;
D Help the branch align its current
interventions with CDC goals and
allowed the monitoring of progress
toward these goals;
D Allow the NACP and the state
asthma programs to make more
informed decisions about activities to
achieve objectives;
D Facilitate communication about
interventions across states, and enable
inquiries regarding interventions by
populations with a disproportionate
burden, age groups, geographic areas
and other variables of interest.
Aggregated data from AIRS was
presented at the 2015 State Asthma
Grantee in Atlanta for the purposes of
providing feedback to the state
programs, clarifying CDC’s expectations
of the awardees and obtaining feedback
from the awardees to CDC on the
measures and the process of submitting
information. Also, a presentation about
the performance measurement
development and implementation
process was given in Chicago at the
2015 American Evaluation Association
(AEA) annual meeting.
A revision is necessary because: (1)
The Web-based reporting platform is no

ESTIMATED ANNUALIZED BURDEN HOURS
Form name

State Asthma Program Awardees ................

AIRS Reporting Spreadsheets.
Emergency Department Visits Reporting Forms.
Hospital Discharge Reporting
Forms.

Total .......................................................

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respondents

Type of respondents

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...............................................

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Number of
responses per
respondent

Average
burden per
response
(in hrs.)

Total burden
(in hrs.)

23

1

2.5

58

23

1

30/60

12

23

1

30/60

12

........................

........................

........................

82

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Federal Register / Vol. 81, No. 12 / Wednesday, January 20, 2016 / Notices

Leroy A. Richardson,
Chief, Information Collection Review Office,
Office of Scientific Integrity, Office of the
Associate Director for Science, Office of the
Director, Centers for Disease Control and
Prevention.
[FR Doc. 2016–00937 Filed 1–19–16; 8:45 am]
BILLING CODE 4163–18–P

DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–10333 and
CMS–10526]

Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare and
Medicaid Services, HHS.
ACTION: Notice.
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 any of the
following subjects: (1) The necessity and
utility of the proposed information
collection for the proper performance of
the agency’s functions; (2) the accuracy
of the estimated burden; (3) ways to
enhance the quality, utility, and clarity
of the information to be collected; and
(4) 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 February 19, 2016.
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: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax

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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 of a currently
approved collection; Title of
Information Collection: Consumer
Assistance Program Grants; Use: Section
1002 of the Affordable Care Act
provides for the establishment of
consumer assistance (or ombudsman)
programs, starting in FY 2010. Federal
grants will support these programs.
These programs will assist consumers
with filing complaints and appeals,
assist consumers with enrollment into
health coverage, collect data on
consumer inquiries and complaints to
identify problems in the marketplace,
educate consumers on their rights and
responsibilities, and with the
establishment of the new Exchange
marketplaces, resolve problems with
premium credits for Exchange coverage.
Importantly, these programs must
provide detailed reporting on the types

SUPPLEMENTARY INFORMATION:

AGENCY:

SUMMARY:

Number: (202) 395–5806 OR, Email:
[email protected].
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’ Web site address at
http://www.cms.hhs.gov/Paperwork
ReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
[email protected].
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.

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of problems and questions consumers
may experience with health coverage,
and how these problems and questions
are resolved. In order to strengthen
oversight, the law requires programs to
report data to the Secretary of the
Department of Health and Human
Services (HHS) ‘‘As a condition of
receiving a grant under subsection (a),
an office of health insurance consumer
assistance or ombudsman program shall
be required to collect and report data to
the Secretary on the types of problems
and inquiries encountered by
consumers’’ (Sec. 2793 (d)). Analysis of
this data reporting will help identify
patterns of practice in the insurance
marketplaces and uncover suspected
patterns of noncompliance. HHS must
share program data reports with the
Departments of Labor and Treasury, and
State regulators. Program data also can
offer CCIIO one indication of the
effectiveness of State enforcement,
affording opportunities to provide
technical assistance and support to State
insurance regulators and, in extreme
cases, inform the need to trigger federal
enforcement. Form Number: CMS–
10333 (OMB Control Number: 0938–
1097); Frequency: Annually, Quarterly;
Affected Public: Private Sector: State,
Local, or Tribal Governments; Number
of Respondents: 51; Total Annual
Responses: 459; Total Annual Hours:
9,588. (For policy questions regarding
this collection contact Lateefa Dawkins
at 301–492–4262.)
2. Type of Information Collection
Request: Revision of a previously
approved collection of information;
Title of Information Collection: Cost
Sharing Reduction Reconciliation; Use:
Under established Department of Health
and Human Services (HHS) regulations,
qualified health plan (QHP) issuers will
receive estimated advance payments of
cost-sharing reductions throughout the
year. Each issuer will then be subject to
a reconciliation process at the end of the
benefit year to ensure that each issuer is
reimbursed only for cost sharing
reductions provided. This revised
collection establishes the data elements
that a QHP issuer would be required to
report to HHS in order to establish the
cost-sharing reductions provided on
behalf of enrollees for the benefit year.
Comments submitted during the 60-day
comment period were addressed in a
Response to Comments document. Form
Number: CMS–10526 (OMB Control
Number: 0938–1266); Frequency:
Annually; Affected Public: Private
Sector (business or other for-profits);
Number of Respondents: 295; Total
Annual Responses: 4,000,000; Total
Annual Hours: 2,470. (For policy

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