80_FR_56648 80 FR 56467 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

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)

Page Range56467-56468
FR Document2015-23462

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.

Federal Register, Volume 80 Issue 181 (Friday, September 18, 2015)
[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]


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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: 
[email protected].

[[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 [email protected].
    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
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
DatesComments on the collection(s) of information must be received by the OMB desk officer by October 19, 2015.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation80 FR 56467 

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