Change Requests

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Prior Authorization Process and Requirements for Certain Hospital Outpatient Department (OPD) Services (CMS-10711)

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Abstract

The Centers for Medicare & Medicaid Services (CMS) is requesting the Office of Management and Budget (OMB) approval for adding an additional service category to the established prior authorization process and requirements for certain outpatient department (OPD) services. This process is under the authority of §1833(t)(2)(F) which authorizes the Secretary to develop a method for controlling unnecessary increases in the volume of covered OPD services. In the CY 2020 OPPS/ASC final rule, CMS established criteria for identifying a list of outpatient department services requiring prior authorization and focused on five groups of OPD services – blepharoplasty, botulinum toxin injections, panniculectomy, rhinoplasty, vein ablation, and their related services. As part of the CY 2021 OPPS/ASC Final Rule (CMS -1736-FC), we added two more service categories to the prior authorization process - cervical fusion with disc removal and implanted spinal neurostimulators. Through the CY 2023 OPPS/ASC Final Rule (CMS-1772-FC), CMS added eighth service category to the list of OPD services requiring prior authorization- facet joint interventions. As part of the CY 2027 OPPS/ASC rule, CMS is expanding prior authorization requirements to include additional Botulinum Toxin Injection services. This addition would be incorporated into the existing list of OPD services requiring prior authorization at § 419.83(a) for dates of service provided on or after July 1, 2027. CMS recently completed an analysis of the volume of covered OPD services furnished and recognized significant increases in the utilization volume of these additional services. CMS believes a prior authorization process for these additional services would ensure beneficiaries receive medically necessary care while protecting the Medicare Trust Funds from improper payments and unnecessary utilization.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

42 USC 1895I	View Law

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Drug Establishment Registration and Drug Listing Requirements for Establishments Engaged in Distributed Manufacturing and Certain Foreign Establishments

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This proposed rule, if finalized, would revise the current registration regulations in part 207 to provide clear instructions specific to registering a distributed manufacturing establishment (DME). The proposed rule would eliminate duplicate submission of registration information by not treating distributed manufacturing units (DMUs) within a DME as individual establishments requiring separate registrations. The proposed rule, if finalized, would also clarify the requirement of registration of foreign establishments that manufacture, prepare, propagate, compound, or process a drug that is imported or offered for import into the United States, regardless of whether the drug first undergoes further manufacture, preparation, propagation, compounding, or processing at a separate establishment outside the United States. The proposed rule would also clarify that such foreign establishments must list such drugs.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

21 USC 360(i)	View Law

21 USC 360(j)	View Law

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[NCHS] The National Center for Health Statistics (NCHS) Data Detectives Camp

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Federal statistical agencies are tasked with disseminating relevant and timely statistical information nationwide. To engage students and promote statistical literacy, STEM-focused enrichment opportunities such as the Data Detectives Camp are conducted by NCHS. The Camp is a week-long summer camp for rising 6th and 7th grade students to promote data science literacy through hands-on, project-based learning, enabling students to explore and understand the real-world implications of statistical data. The camp’s curriculum integrates data from NCHS to familiarize students with essential federal statistical data and other resources.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

42 USC 242k	View Law

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2027 Farm to School Census

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Abstract

This information collection request is for a revision and extension for three years to the currently approved Farm to School Census and Comprehensive Review (OMB Number 0584-0646, expiration date 5/31/25). The intended purpose of this information collection is to administer the 2027 Farm to School Census.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 111 - 296 305	View Law

42 USC 1769	View Law

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Schedule A and Veterans Recruitment Initiative Information

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We are implementing a new recruitment initiative by which we work to connect people who are 30 percent-or-more disabled veterans or are Schedule A-eligible with non-competitive employment opportunities within our agency. OPM’s Schedule A hiring authority permits Federal agencies to non-competitively hire people with intellectual, severe physical, or psychiatric disabilities who have demonstrated satisfactory performance through a temporary or permanent appointment, or have been certified as likely to succeed in performing the duties of the job. Candidates under the Schedule A hiring authority (5 CFR 213.3102(u)) can be appointed on a temporary or permanent basis. Though not specifically for veterans, agencies can use the Schedule A hiring authority to appoint eligible veterans and others with such disabilities to positions for which they are qualified as outlined above. Our recruitment initiative for 30 percent-or-more disabled veterans also allows us to non-competitively appoint any veteran with a 30 percent-or-more service-connected disability. Eligible veterans include: ● veterans who retired from active military service with a service-connected disability rating of 30 percent or more; OR ● veterans who have a rating by the Department of Veterans Affairs showing a compensable service-connected disability of 30 percent or more. Our Special Placement Program Coordinator (SPPC) serves as a liaison between the applicant and NARA managers and supervisors to find viable employment opportunities for Schedule A-eligible people and veterans. SPPC has developed a Resumé Repository (retained in a spreadsheet) to store resumés of qualified individuals who may meet our hiring needs. The Repository helps our agency find highly motivated veterans and Schedule A candidates who are eager to demonstrate their abilities in the workplace through excepted service positions, which could become permanent positions after trial period requirements have been met. We are going to automate collecting the information for the Repository through an online Google form, NARA Employment Interest Questionnaire, NA Form 3102.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

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Flight and Duty Limitations and Rest Requirements - Flightcrew Members

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The submission of the information collected is mandatory. The certificate holder is responsible for submitting the extension report to the FAA no later than 10 days from the date of the extension. The submission of a report is mandatory any time the certificate holder (Part 121 Certificated Air Carriers) exceeds a maximum daily flight time limit or a maximum daily Flight Duty Period (FDP) limit by more than 30 minutes. The information collection is reporting and recordkeeping in nature. The reporting is on occasion and as needed whenever flight time or FDP limits are exceeded as described above. The report must contain a description of the extended flight duty period, the circumstances surrounding the need for the extension, and if the circumstances giving rise to the extension were determined by the FAA to be within the certificate holder’s control, the corrective action(s) that the certificate holder intends to take to minimize the need for future extensions. The certificate holder must implement the required corrective action(s) within 30 days from the date of the extended flight duty period. The certificate holder reports the information to the FAA. The purpose for this report is to ensure realistic scheduling is taking place. The maximum daily flight time and FDP limits are established to mitigate the potential effects of flight-crew member fatigue by reducing exposure to long duty days. Maintaining realistic scheduling is a critical element to fatigue mitigation as it is the principal element to assuring that the certificate holder’s actual flight times and FDPs remain within the applicable limitations. The form and manner to submit an extension report should be agreed upon by the certificate holder and the Principal Operations Inspector (POI) or Certificate Management Office (CMO).

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

49 USC 44701	View Law

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Individual Complaint of Employment Discrimination

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The DOT will utilize the form to collect information necessary to process Equal Employment Opportunity (EEO) discrimination complaints filed by employees, former employees, and applicants for employment with the Department. These complaints are processed in accordance with the Equal Employment Opportunity Commission’s regulations, 29 CFR part 1614, as amended. The DOT will use the form to: (a) request requisite information from the individual for processing his or her EEO employment discrimination complaint; and (b) obtain information to identify an individual or his or her attorney or other representative, if appropriate.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

42 USC 2000ff	View Law

Pub.L. 110 - 233 122 STAT. 881	View Law

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Crash Report Sampling System (CRSS)

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The National Highway Traffic Safety Administration (NHTSA) is seeking approval from OMB of this information collection request (ICR) for an extension with modification of its currently approved information collection for the Crash Report Sampling System (CRSS) information collection and related special studies. NHTSA is seeking approval to modify the collection to update the burdens and remove one special study. NHTSA is authorized by 49 U.S.C. 30182 and 23 U.S.C. 403 to collect data on motor vehicle traffic crashes to aid in the identification of issues and the development, implementation, and evaluation of motor vehicle and highway safety countermeasures to support efforts to reduce injuries and fatalities caused by motor vehicle crashes. CRSS is a voluntary collection of data from police-reported crashes involving all types of motor vehicles, pedestrians, and cyclists; this includes property damage only crashes as well as those resulting in injuries and fatalities. The Non-Traffic Surveillance (NTS) is a virtual data collection effort for collecting information about non-traffic crashes and non-crash incidents. The NTS data provide counts and details regarding fatalities and injuries that occur in non-traffic crashes and in non-crash incidents. Additionally, two special studies are included: the non-Sample count study and the PJ frame evaluation which will assess the quality of the CRSS sampling frame and assist with determining the weights and measure of size for the CRSS Police Jurisdictions (PJs). This is a modification to the previously approved as OMB Control No. 2127-0714 (current expiration Date: 8/31/2026). This ICR decreased the burden by 24,513hours (from 42,680 hours to 18,167 hours). The cost burden remains the same at $0.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

49 USC 30182	View Law

23 USC 403	View Law

Pub.L. 110 - 189 3	View Law

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Animal Welfare

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The records and reports herein provide APHIS with the data necessary for the review and evaluation of program compliance by regulated facilities, and provide a workable enforcement system to carry out the requirements of the Animal Welfare Act (AWA).

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

7 USC 2131	View Law

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National Primary Drinking Water Regulations: Lead and Copper Rule Improvements (LCRI) (Final Rule)

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The EPA needs comprehensive and current information on lead and copper occurrence and associated enforcement activities to implement its program oversight and enforcement responsibilities mandated by SDWA. The EPA identified rule changes in the final LCRI that clarify the LCRR requirements and ensure and improve protection of public health through reduction in lead exposure. The EPA will use the information collected to support the responsibilities outlined in SDWA. The EPA will be able to strengthen rule implementation in the areas of monitoring, customer awareness, CCT, and service line replacement. The final LCRI does not alter the current MCLGs or treatment technique approach to controlling lead and copper in drinking water.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

Pub.L. 93 - 523 1445(a)(1)(A)	View Law

Pub.L. 93 - 523 1413(a)(3)	View Law

Pub.L. 93 - 523 1401(1)(D)	View Law

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Insider Threat Incident Reporting Tool

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The collection involves the submission of details by the public concerning potential insider threats, as well as any pertinent information regarding the person(s) involved in the reported event.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

49 USC 114(d) and (f)	View Law

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Description of Today’s TRIO Programs and Proposing Options for Future Outcome Evaluations

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The Institute of Education Sciences (IES) within the U.S. Department of Education (ED) requests clearance from the Office of Management and Budget (OMB) to conduct new data collection activities for the Description of Today’s TRIO Programs and Proposing Options for Future Outcome Evaluations study. This request covers two rounds of web-based survey data collection from TRIO grantee project directors/staff. This is the first and only request for the collection of data for this study.

Federal Register Notices

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30-Day FRN	View Notice

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Natural Resource Damage Assessments (43 CFR Part 11)

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The U.S. Department of the Interior’s (Interior) Office of Restoration and Damage Assessment (ORDA) oversees the Natural Resource Damage Assessment and Restoration (NRDAR) Program, the mission of which is to restore natural resources injured as a result of oil spills or hazardous substance releases into the environment. In partnership with affected State, Tribal, and Federal Trustee agencies, damage assessments are conducted as the first step toward resource restoration, and are used to provide the basis for determining restoration needs that address the public's loss and use of natural resources. The Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA; 42 U.S.C. 9601, 9607), as amended, 42 U.S.C. 9601 et seq., and the Clean Water Act (CWA; 33 U.S.C. 1251-1376), provide that natural resource trustees may assess damages to natural resources resulting from a discharge of oil or a release of a hazardous substance covered under CERCLA or the CWA and may seek to recover those damages. This part supplements the procedures established under the National Oil and Hazardous Substances Pollution Contingency Plan (NCP), 40 CFR part 300, for the identification, investigation, study, and response to a discharge of oil or release of a hazardous substance, and it provides a procedure by which a natural resource trustee can determine compensation for injuries to natural resources that have not been, nor are expected to be, addressed by response actions conducted pursuant to the NCP. The assessment procedures set forth in Part 11 are not mandatory. However, they must be used by Federal or State natural resource trustees in order to obtain the rebuttable presumption contained in section 107(f)(2)(C) of CERCLA.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

42 USC 9601, 9607	View Law

33 USC 1251-1376	View Law

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Class Location Change Recordkeeping Requirements

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This mandatory information collection covers the collection of data by owners and operators of gas transmission pipeline systems in compliance with the class location change requirements of the Federal pipeline safety regulations. Gas transmission pipeline operators who experience a change in their class location and elect to use the IM alternative must amend applicable sections of their operation and maintenance (O&M) manual(s) to incorporate the program requirements. Operators must maintain records of all actions implemented to meet the program requirements for the life of the pipeline.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

49 USC 60109	View Law

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Verification of Eligibility for Burial in a National Cemetery

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VA requires applicants for national cemetery burial to provide information to verify eligibility for burial in a national cemetery, to schedule interment and to provide services requested by the decedent’s family or personal representative. This information is also used for planning and scheduling cemetery services and to provide for specific requests from family members or the personal representative.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 103 - 446 509	View Law

38 USC 2402	View Law

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Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

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Abstract

This collection of information is necessary to enable the Agency to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders will help ensure that users have an effective, efficient, and satisfying experience with the Agency’s programs.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

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JAG Corps Career Programs Applications and Interviews

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This information requirement is needed to determine the eligibility, competitive standing, and the scholastic and leadership potential of students and lawyers interested in the U.S. Navy Judge Advocate General’s Corps (JAGC) Internship Program, Student Program or Direct Accessions Program.

SPD-15 Implementation	Yes

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

10 USC 532	View Law

10 USC 531	View Law

10 USC 541	View Law

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Rural Health Care Services Outreach Performance Improvement and Measurement Systems (PIMS) Measures

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Abstract

The data collection for FORHP’s Outreach Program is conducted with the purpose to capture the impact and scope of HRSA’s FORHP funding on rural communities. The data collected helps identify additional areas for technical assistance. These measures cover the principal topic areas of interest to FORHP including: (1) capacity/organization information, (2) access/population demographics, (3) sustainability, (4) project specific domains, and (5) clinical measures. All measures will speak to FORHP’s progress toward meeting the goals set. FORHP collects this information to quantify the impact of grant funding on access to health care, quality of services, and improvement of health outcomes. FORHP uses the data for program improvement and grantees use the data for performance tracking.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

42 USC 254c(e)	View Law

Pub.L. 116 - 136 330A(e), Title III	View Law

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Hazardous Liquid Pipeline Assessment Requirements

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Abstract

Operators of Hazardous Liquid Pipelines are required to document the continual assessment and evaluation of their pipelines’ integrity through inspection or testing, as well as remedial preventive, and mitigative actions. PHMSA proposes to modify this collection to include new notification and recordkeeping provisions from the Pipeline Safety: Repair Criteria NPRM. Under the proposal, hazardous liquid operators would be required to notify PHMSA in advance of using an alternative sampling approach in accordance with § 195.18(a) and (b) and operators who perform an Engineering Critical Assessment (ECA) for dents would be required to submit their ECA procedures to PHMSA through the notification and no-objection process outlined in § 195.18(c). This mandatory record keeping requirement supports the U.S. Department of Transportation’s “SAFETY STRATEGIC GOAL” which targets three main strategic initiatives: managing risk and integrity, sharing responsibility, and providing effective stewardship. This goal enhances public health and safety by working toward the elimination of transportation-related deaths and injuries. This information is used by PHMSA to determine compliance with Federal pipeline safety regulations and is also used by Agency and State Officials to assist Federal and State pipeline safety inspectors who audit this information when they conduct compliance inspections and to provide background for failure investigations.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

49 USC 60102	View Law

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Pipeline Integrity Management in High Consequence Areas Gas Transmission Pipeline Operators

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Abstract

This mandatory information collection request pertains to gas transmission operators jurisdictional to 49 CFR Part 192 Subpart O -Gas Transmission Integrity Management Program. The information collection requires gas transmission operators in high consequence areas to maintain a written integrity management program and keep records that demonstrate compliance with 49 CFR Part 192 Subpart O. Operators must maintain their integrity management records for the life of the pipeline, and PHMSA or State regulators may review it as a part of inspections. Gas transmission operators are also required to report to PHMSA certain actions related to their integrity management program. This information collection supports the DOT strategic goal of safety by reducing the number of incidents in natural gas transmission pipelines.

Federal Register Notices

60-Day FRN	View Notice

Authorizing Statutes

49 USC 60109	View Law

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Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

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Abstract

This collection of information is necessary to enable FRA to garner customer and stakeholder feedback in an efficient, timely manner, in accordance with our commitment to improving service delivery. The information collected from our customers and stakeholders, which is on a voluntary basis, will help ensure that users have an effective, efficient, and satisfying experience with the Agency's programs. There is no record keeping component to this collection and frequency of input will varying depending upon the collection requirements of either one time, monthly, quarterly, yearly, etc.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

44 USC 3501	View Law

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Railroad Police Officers

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Abstract

Title 49 CFR part 207 requires railroads to notify States of all designated police officers who perform duties in their respective jurisdictions who were commissioned as police officers by another State or States. This is necessary to verify proper police authority. In addition, if a railroad or police officer certified or commissioned as a police officer under the laws of a State or jurisdiction transfers primary employment or residence from the certifying or commissioning State to another one, the railroad police officer must apply to be certified or commissioned as a police officer under the laws of the State of new primary employment or residence not later than one year after the date of transfer. The information collected under the current rule is used by the States and collected as needed. There is a requirement for reporting and recordkeeping. FRA does not make use of the information because the information is not required to be provided or intended to be provided to the agency. Rather, the information is provided to state authorities as a method of implementing the Crime Control Act of 1990.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

Pub.L. 114 - 94 11412	View Law

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Grade Crossing Signal System Safety

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Abstract

FRA believes that highway-rail grade crossing (grade crossing) accidents resulting from warning system failures can be reduced. To ensure safety, railroads are required to take certain actions when they are notified of an activation failure. These required actions are set forth in 49 CFR part 234. An activation failure is defined as the failure of a grade crossing warning system to indicate the approach of a train at least 20 seconds prior to the train’s arrival at the crossing or to indicate the presence of a train occupying the crossing. Specifically, railroads must report to FRA every impact between on-track railroad equipment and an automobile, bus, truck, motorcycle, bicycle, farm vehicle, or pedestrian at a highway-rail grade crossing involving an activation failure. Notification must be provided to the National Response Center (NRC) within 24 hours of occurrence at the stipulated toll-free telephone number. In addition, railroads must report to FRA each activation failure of a highway-rail grade warning system within 15 days. Form FRA F 6180.83, “Highway-Rail Grade Crossing Warning System Activation Failure Report,” must be used for this purpose and completed using the instructions printed on the form. With this information, FRA can identify the causes of activation failures and investigate them to determine whether periodic maintenance, inspection, and testing standards are effective. This information collection is mandatory, collected as needed, and there is a reporting and recordkeeping requirement.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

49 USC 20107	View Law

Pub.L. 100 - 342 23	View Law

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Certificate of Eligibility for Exchange Visitor Status (J-NONIMMIGRANT)

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Abstract

The Bureau of Educational and Cultural Affairs of the U.S. Department of State (DOS) administers the Exchange Visitor Program (J-Visa) under the provisions of the Mutual Educational and Cultural Exchange Act of 1961 (MECEA), as amended (Public Law 87-256. 22 U.S.C. 2451, et seq.). This program enables U.S. Government agencies and public and private organizations to conduct a variety of educational and cultural exchange activities.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

22 USC 2451	View Law

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Brokering Prior Approval (License)

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Abstract

U.S. persons and foreign persons within U.S. jurisdiction must receive United States Government approval prior to engaging in arms brokering activity. Section 129.7 of the International Traffic in Arms Regulations articulates that requirement, and what information is to be provided to the Department of State.

Federal Register Notices

60-Day FRN	View Notice
30-Day FRN	View Notice

Authorizing Statutes

22 USC 278	View Law

22 USC 129	View Law

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