80 FR 56467 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 80, Issue 181 (September 18, 2015)
Centers for Medicare & Medicaid Services
Federal Register Volume 80, Issue 181 (September 18, 2015)
| Page Range | 56467-56468 | |
| FR Document | 2015-23462 |
[Federal Register Volume 80, Number 181 (Friday, September 18, 2015)] [Notices] [Pages 56467-56468] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2015-23462] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier CMS-2552-10] Agency Information Collection Activities: Submission for OMB Review; Comment Request 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 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 October 19, 2015. 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 Number: (202) 395-5806 OR Email: OIRA_submission@omb.eop.gov. [[Page 56468]] 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/PaperworkReductionActof1995. 2. Email your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@cms.hhs.gov. 3. Call the Reports Clearance Office at (410) 786-1326. FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786- 1326. 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: Hospital and Hospital Health Care Complex Cost Report; Use: Providers of services participating in the Medicare program are required under sections 1815(a) and 1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to submit annual information to achieve settlement of costs for health care services rendered to Medicare beneficiaries. In addition, regulations at 42 CFR 413.20 and 413.24 require adequate cost data and cost reports from providers on an annual basis. We are requesting the Office of Management and Budget review and approve this revision to the Form CMS-2552-10, Hospital and Hospital Health Care Complex Cost Report. These cost reports are filed annually by hospitals participating in the Medicare program to determine the reasonable costs incurred to provide medical services to patients. The revisions made to the hospital cost report are in accordance with the statutory requirement for hospice payment reform in Sec. 3132 of the Patient Protection and Affordable Care Act (ACA) (March 23, 2010) and the statutory requirement establishing a prospective payment system for Federally Qualified Health Centers in Sec. 10501(i)(3)(A) of the ACA, codified in section 1834(o) of the Act. Form Number: CMS-2552-10 (OMB control number 0938-0050); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments, Private sector (For-profit and Not-for- profit institutions); Number of Respondents: 6,157; Total Annual Responses: 6,157; Total Annual Hours: 4,143,661. (For policy questions regarding this collection contact Gail Duncan at 410-786-7278). Dated: September 15, 2015. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2015-23462 Filed 9-17-15; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 80, No. 181 / Friday, September 18, 2015 / Notices 56467
Revision to FR Notice Published conversion of Putnam Bancorp, MHC indirectly acquire voting shares of
07/24/2015; Extending Comment from mutual to stock form and the Central National Bank, both in Waco,
Period from 09/15/2015 to 10/26/ merger of PB Bancorp, Inc., with and Texas.
2015. into a merged entity of Putnam Bancorp, Board of Governors of the Federal Reserve
Dated: September 15, 2015. MHC and PSB Holdings, Inc., with PB System, September 15, 2015.
Dawn Roberts,
Bancorp, Inc. as the survivor. Michael J. Lewandowski,
B. Federal Reserve Bank of St. Louis Associate Secretary of the Board.
Management Analyst, NEPA Compliance
(Yvonne Sparks, Community
Division, Office of Federal Activities. [FR Doc. 2015–23434 Filed 9–17–15; 8:45 am]
Development Officer) P.O. Box 442, St.
[FR Doc. 2015–23490 Filed 9–17–15; 8:45 am] BILLING CODE 6210–01–P
Louis, Missouri 63166–2034:
BILLING CODE 6560–50–P 1. Central Federal Bancshares, Inc.,
Rolla, Missouri; to become a savings and
loan holding company by acquiring 100 DEPARTMENT OF HEALTH AND
FEDERAL RESERVE SYSTEM percent of the voting shares of Central HUMAN SERVICES
Savings and Loan Association of Rolla,
Formations of, Acquisitions by, and Centers for Medicare & Medicaid
Rolla, Missouri.
Mergers of Savings and Loan Holding Services
Board of Governors of the Federal Reserve
Companies System, September 15, 2015. [Document Identifier CMS–2552–10]
The companies listed in this notice Michael J. Lewandowski,
Agency Information Collection
have applied to the Board for approval, Associate Secretary of the Board. Activities: Submission for OMB
pursuant to the Home Owners’ Loan Act [FR Doc. 2015–23435 Filed 9–17–15; 8:45 am] Review; Comment Request
(12 U.S.C. 1461 et seq.) (HOLA), BILLING CODE 6210–01–P
Regulation LL (12 CFR part 238), and ACTION: Notice.
Regulation MM (12 CFR part 239), and
all other applicable statutes and FEDERAL RESERVE SYSTEM SUMMARY: The Centers for Medicare &
regulations to become a savings and Medicaid Services (CMS) is announcing
loan holding company and/or to acquire Change in Bank Control Notices; an opportunity for the public to
the assets or the ownership of, control Acquisitions of Shares of a Bank or comment on CMS’ intention to collect
of, or the power to vote shares of a Bank Holding Company information from the public. Under the
savings association and nonbanking Paperwork Reduction Act of 1995
The notificants listed below have (PRA), federal agencies are required to
companies owned by the savings and applied under the Change in Bank
loan holding company, including the publish notice in the Federal Register
Control Act (12 U.S.C. 1817(j)) and concerning each proposed collection of
companies listed below. § 225.41 of the Board’s Regulation Y (12
The applications listed below, as well information, including each proposed
CFR 225.41) to acquire shares of a bank extension or reinstatement of an existing
as other related filings required by the or bank holding company. The factors
Board, are available for immediate collection of information, and to allow
that are considered in acting on the a second opportunity for public
inspection at the Federal Reserve Bank notices are set forth in paragraph 7 of
indicated. The application also will be comment on the notice. Interested
the Act (12 U.S.C. 1817(j)(7)). persons are invited to send comments
available for inspection at the offices of The notices are available for
the Board of Governors. Interested regarding the burden estimate or any
immediate inspection at the Federal other aspect of this collection of
persons may express their views in Reserve Bank indicated. The notices
writing on the standards enumerated in information, including any of the
also will be available for inspection at following subjects: (1) The necessity and
the HOLA (12 U.S.C. 1467a(e)). If the the offices of the Board of Governors.
proposal also involves the acquisition of utility of the proposed information
Interested persons may express their collection for the proper performance of
a nonbanking company, the review also views in writing to the Reserve Bank
includes whether the acquisition of the the agency’s functions; (2) the accuracy
indicated for that notice or to the offices of the estimated burden; (3) ways to
nonbanking company complies with the of the Board of Governors. Comments
standards in section 10(c)(4)(B) of the enhance the quality, utility, and clarity
must be received not later than October of the information to be collected; and
HOLA (12 U.S.C. 1467a(c)(4)(B)). Unless 15, 2015.
otherwise noted, nonbanking activities (4) the use of automated collection
A. Federal Reserve Bank of Atlanta
will be conducted throughout the techniques or other forms of information
(Chapelle Davis, Assistant Vice
United States. technology to minimize the information
President) 1000 Peachtree Street NE.,
Unless otherwise noted, comments collection burden.
Atlanta, Georgia 30309:
regarding each of these applications 1. Anthony T. Moore, Allison T. DATES: Comments on the collection(s) of
must be received at the Reserve Bank Moore, both of Burns, Tennessee, and information must be received by the
indicated or the offices of the Board of Southeastern Bancorp, Inc., Dickson, OMB desk officer by October 19, 2015.
Governors not later than October 15, Tennessee, to retain voting shares of ADDRESSES: When commenting on the
2015. Cumberland Bancorp, Inc., and thereby proposed information collections,
A. Federal Reserve Bank of Boston indirectly retain voting shares of please reference the document identifier
(Prabal Chakrabarti, Senior Vice Cumberland Bank & Trust, both in or OMB control number. To be assured
President) 600 Atlantic Avenue, Boston, Clarksville, Tennessee. consideration, comments and
tkelley on DSK3SPTVN1PROD with NOTICES
Massachusetts 02210–2204: B. Federal Reserve Bank of Dallas recommendations must be received by
1. PB Bancorp, Inc., Putnam, (Robert L. Triplett III, Senior Vice the OMB desk officer via one of the
Connecticut, to acquire 100 percent of President) 2200 North Pearl Street, following transmissions: OMB, Office of
the outstanding capital stock of Putnam Dallas, Texas 75201–2272: Information and Regulatory Affairs,
Bank, Putnam, Connecticut, pursuant to 1. Thomas George Chase, Jr., Waco, Attention: CMS Desk Officer, Fax
regulations 12 CFR 239.55 and 238.11, Texas; to acquire voting shares of Number: (202) 395–5806 OR Email:
in connection with the second-step CentraBanc Corporation, and thereby OIRA_submission@omb.eop.gov.
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![56468 Federal Register / Vol. 80, No. 181 / Friday, September 18, 2015 / Notices
To obtain copies of a supporting to provide medical services to patients. of the information to be collected; and
statement and any related forms for the The revisions made to the hospital cost (4) the use of automated collection
proposed collection(s) summarized in report are in accordance with the techniques or other forms of information
this notice, you may make your request statutory requirement for hospice technology to minimize the information
using one of following: payment reform in § 3132 of the Patient collection burden.
1. Access CMS’ Web site address at Protection and Affordable Care Act DATES: Comments on the collection(s) of
http://www.cms.hhs.gov/ (ACA) (March 23, 2010) and the information must be received by the
PaperworkReductionActof1995. statutory requirement establishing a OMB desk officer by October 19, 2015.
2. Email your request, including your prospective payment system for As of September 18, 2015 and as
address, phone number, OMB number, Federally Qualified Health Centers in described below under ‘‘Partial
and CMS document identifier, to § 10501(i)(3)(A) of the ACA, codified in Withdrawal of Previous Notice,’’ the
Paperwork@cms.hhs.gov. section 1834(o) of the Act. Form CMS–10261-related portion of the
3. Call the Reports Clearance Office at Number: CMS–2552–10 (OMB control notice that published on August 24,
(410) 786–1326. number 0938–0050); Frequency: Yearly; 2015 (80 FR 51275) is withdrawn.
FOR FURTHER INFORMATION CONTACT: Affected Public: State, Local, or Tribal ADDRESSES: When commenting, please
Reports Clearance Office at (410) 786– Governments, Private sector (For-profit reference the document identifier or
1326. and Not-for-profit institutions); Number OMB control number. To be assured
of Respondents: 6,157; Total Annual consideration, comments and
SUPPLEMENTARY INFORMATION: Under the
Responses: 6,157; Total Annual Hours: recommendations must be submitted in
Paperwork Reduction Act of 1995 (PRA)
4,143,661. (For policy questions any one of the following ways:
(44 U.S.C. 3501–3520), federal agencies
regarding this collection contact Gail 1. Electronically. You may send your
must obtain approval from the Office of
Duncan at 410–786–7278). comments electronically to http://
Management and Budget (OMB) for each
collection of information they conduct Dated: September 15, 2015. www.regulations.gov. Follow the
or sponsor. The term ‘‘collection of William N. Parham, III, instructions for ‘‘Comment or
information’’ is defined in 44 U.S.C. Director, Paperwork Reduction Staff, Office Submission’’ or ‘‘More Search Options’’
3502(3) and 5 CFR 1320.3(c) and of Strategic Operations and Regulatory to find the information collection
includes agency requests or Affairs. document(s) that are accepting
requirements that members of the public [FR Doc. 2015–23462 Filed 9–17–15; 8:45 am] comments.
submit reports, keep records, or provide BILLING CODE 4120–01–P 2. By regular mail. You may mail
information to a third party. Section written comments to the following
3506(c)(2)(A) of the PRA (44 U.S.C. address: CMS, Office of Strategic
3506(c)(2)(A)) requires federal agencies DEPARTMENT OF HEALTH AND Operations and Regulatory Affairs,
to publish a 30-day notice in the HUMAN SERVICES Division of Regulations Development,
Federal Register concerning each Attention: Document Identifier/OMB
Centers for Medicare & Medicaid Control Number llll, Room C4–26–
proposed collection of information,
Services 05, 7500 Security Boulevard, Baltimore,
including each proposed extension or
reinstatement of an existing collection [Document Identifier: CMS–10261] Maryland 21244–1850.
of information, before submitting the To obtain copies of a supporting
collection to OMB for approval. To Agency Information Collection statement and any related forms for the
comply with this requirement, CMS is Activities: Submission for OMB proposed collection(s) summarized in
publishing this notice that summarizes Review; Comment Request this notice, you may make your request
the following proposed collection(s) of using one of following:
ACTION:Notice and withdrawal of 1. Access CMS’ Web site address at
information for public comment: previous notice.
1. Type of Information Collection http://www.cms.hhs.gov/
Request: Revision of a currently SUMMARY: The Centers for Medicare & PaperworkReductionActof1995.
approved collection; Title of 2. Email your request, including your
Medicaid Services (CMS) is announcing
Information Collection: Hospital and address, phone number, OMB number,
an opportunity for the public to
Hospital Health Care Complex Cost and CMS document identifier, to
comment on CMS’ intention to collect
Report; Use: Providers of services Paperwork@cms.hhs.gov.
information from the public. Under the
3. Call the Reports Clearance Office at
participating in the Medicare program Paperwork Reduction Act of 1995
(410) 786–1326.
are required under sections 1815(a) and (PRA), federal agencies are required to
publish notice in the Federal Register FOR FURTHER INFORMATION CONTACT:
1861(v)(1)(A) of the Social Security Act
(42 U.S.C. 1395g) to submit annual concerning each proposed collection of Reports Clearance Office at (410) 786–
information to achieve settlement of information, including each proposed 1326.
costs for health care services rendered to extension or reinstatement of an existing SUPPLEMENTARY INFORMATION: Under the
Medicare beneficiaries. In addition, collection of information, and to allow Paperwork Reduction Act of 1995 (PRA)
regulations at 42 CFR 413.20 and 413.24 a second opportunity for public (44 U.S.C. 3501–3520), federal agencies
require adequate cost data and cost comment on the notice. Interested must obtain approval from the Office of
reports from providers on an annual persons are invited to send comments Management and Budget (OMB) for each
basis. regarding the burden estimate or any collection of information they conduct
We are requesting the Office of other aspect of this collection of or sponsor. The term ‘‘collection of
tkelley on DSK3SPTVN1PROD with NOTICES
Management and Budget review and information, including any of the information’’ is defined in 44 U.S.C.
approve this revision to the Form CMS– following subjects: (1) The necessity and 3502(3) and 5 CFR 1320.3(c) and
2552–10, Hospital and Hospital Health utility of the proposed information includes agency requests or
Care Complex Cost Report. These cost collection for the proper performance of requirements that members of the public
reports are filed annually by hospitals the agency’s functions; (2) the accuracy submit reports, keep records, or provide
participating in the Medicare program to of the estimated burden; (3) ways to information to a third party. Section
determine the reasonable costs incurred enhance the quality, utility, and clarity 3506(c)(2)(A) of the PRA (44 U.S.C.
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Document Created: 2015-12-15 09:27:20
Document Modified: 2015-12-15 09:27:20
| Category | Regulatory Information | |
| Collection | Federal Register | |
| sudoc Class | AE 2.7: GS 4.107: AE 2.106: | |
| Publisher | Office of the Federal Register, National Archives and Records Administration | |
| Section | Notices | |
| Action | Notice. | |
| Dates | Comments on the collection(s) of information must be received by the OMB desk officer by October 19, 2015. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 80 FR 56467 |
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