81 FR 91175 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 81, Issue 242 (December 16, 2016)
Centers for Medicare & Medicaid Services
Federal Register Volume 81, Issue 242 (December 16, 2016)
| Page Range | 91175-91177 | |
| FR Document | 2016-30340 |
[Federal Register Volume 81, Number 242 (Friday, December 16, 2016)] [Notices] [Pages 91175-91177] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2016-30340] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-4040, CMS-10156, CMS-10170, CMS-10198, CMS- 10227, CMS-10344, CMS-10501, CMS-R-266, and CMS-10282] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services, HHS. 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 (the 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 60 days for public comment on the proposed action. Interested persons are invited to send comments regarding our burden estimates or any other aspect of this collection of information, including any of the following subjects: the necessity and utility of the proposed information collection for the proper performance of the agency's functions; the accuracy of the estimated burden; ways to enhance the quality, utility, and clarity of the information to be collected; and the use of automated collection techniques or other forms of information technology to minimize the information collection burden. DATES: Comments must be received by February 14, 2017. ADDRESSES: When commenting, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in any one of the following ways: 1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for ``Comment or Submission'' or ``More Search Options'' to find the information collection document(s) that are accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number __ Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850. 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: Contents This notice sets out a summary of the use and burden associated with the following information collections. More detailed information can be found in each collection's supporting statement and associated materials (see ADDRESSES). CMS-4040 Request for Enrollment in Supplementary Medical Insurance CMS-10156 Retiree Drug Subsidy (RDS) Application and Instructions CMS-10170 Retiree Drug Subsidy (RDS) Payment Request and Instructions [[Page 91176]] CMS-10198 Creditable Coverage Disclosure to CMS On-Line Form and Instructions CMS-10227 PACE State Plan Amendment Preprint CMS-10344 Elimination of Cost-Sharing for Full Benefit Dual-Eligible Individuals Receiving Home and Community-Based Services CMS-10501 Healthcare Fraud Prevention Partnership HFPP Data Sharing and Information Exchange CMS-R-266 Medicaid Disproportionate Share Hospital Annual Reporting CMS-10282 Conditions of Participation for Comprehensive Outpatient Rehabilitation Facilities (CORFs) and Supporting Regulations Under the 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 requires federal agencies to publish a 60-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. Information Collection 1. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Request for Enrollment in Supplementary Medical Insurance; Use: Form CMS-4040 is used to establish entitlement to and enrollment in Medicare Part B for beneficiaries who file for Part B only. The collected information is used to determine entitlement for individuals who meet the requirements in section 1836(2) of the Social Security Act as well as the entitlement of the applicant (or their spouses) to an annuity paid by OPM for premium deduction purposes. Form Number: CMS-4040 (OMB control number: 0938-0245); Frequency: Once; Affected Public: Individuals or households; Number of Respondents: 10,000; Total Annual Responses: 10,000; Total Annual Hours: 2,500. (For policy questions regarding this collection contact Carla Patterson at 410-786-8911.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Retiree Drug Subsidy (RDS) Application and Instructions; Use: Plan sponsors (e.g., employers, unions) who offer prescription drug coverage to their qualified covered retirees are eligible to receive a 28 percent tax- free subsidy for allowable drug costs. To qualify, plan sponsors must submit a complete application with a list of retirees for whom it intends to collect the subsidy. Once we review and analyze the information on the application and the retiree list, notification will be sent to the plan sponsor about its eligibility to participate in the RDS program. Form Number: CMS-10156 (OMB control number: 0938-0957); Frequency: Yearly and monthly; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 2,482; Total Annual Responses: 2,482; Total Annual Hours: 158,848. (For policy questions regarding this collection contact Ivan Iveljic at 410-786-3312.) 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Retiree Drug Subsidy (RDS) Payment Request and Instructions; Use: Plan sponsors (e.g., employers, unions) who offer prescription drug coverage meeting specified criteria to their qualified covered retirees are eligible to receive a 28 percent tax-free subsidy for allowable drug costs. Plan sponsors must submit required prescription drug cost data and other information in order to receive the subsidy. Plan sponsors may elect to submit RDS payment requests on a monthly, quarterly, interim annual, or annual basis; once selected, the payment frequency may not be changed during the plan year. Form Number: CMS-10170 (OMB control number: 0938- 0977); Frequency: Occasionally; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 2,482; Total Annual Responses: 2,482; Total Annual Hours: 374,782. (For policy questions regarding this collection contact Ivan Iveljic at 410-786-3312.) 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Creditable Coverage Disclosure to CMS On-Line Form and Instructions; Use: Most entities that currently provide prescription drug benefits to any Medicare Part D eligible individual must disclose whether their prescription drug benefit is creditable (expected to pay at least as much, on average, as the standard prescription drug plan under Medicare). The disclosure must be provided annually and upon any change that affects whether the coverage is creditable prescription drug coverage. Form Number: CMS-10198 (OMB control number: 0938-1013); Frequency: Yearly and semi-annually; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions), and State, Local, or Tribal Governments; Number of Respondents: 85,635; Total Annual Responses: 87,265; Total Annual Hours: 7,272. (For policy questions regarding this collection contact Tammie Wall at 410-786- 3317.) 5. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: PACE State Plan Amendment Preprint; Use: If a state elects to offer PACE as an optional Medicaid benefit, it must complete a state plan amendment preprint packet described as ``Enclosures 3, 4, 5, 6, and 7.'' CMS will review the information provided in order to determine if the state has properly elected to cover PACE services as a state plan option. In the event that the state changes something in the state plan, only the affected page must be updated. Form Number: CMS-10227 (OMB control number: 0938-1027); Frequency: Once and occasionally; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 7; Total Annual Responses: 2; Total Annual Hours: 140. (For policy questions regarding this collection contact Angela Cimino at 410-786-2638.) 6. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Elimination of Cost-Sharing for Full Benefit Dual-Eligible Individuals Receiving Home and Community-Based Services; Use: This collection eliminates Part D cost-sharing for full benefit dual-eligible beneficiaries who are receiving home and community based services. In this regard, states are required to identify the affected beneficiaries in their monthly Medicare Modernization Act Phase Down reports. Form Number: CMS-10344 (OMB control number: 0938-1127); Frequency: Monthly; Affected Public: Private sector (Business or other for-profits and Not-for-profit institutions); Number of Respondents: 51; Total Annual Responses: 612; Total Annual Hours: 612. (For policy questions regarding this collection [[Page 91177]] contact Roland Herrera at 410-786-0668.) 7. Type of Information Collection Request: Revision of a previously approved collection; Title of Information Collection: Healthcare Fraud Prevention Partnership (HFPP): Data Sharing and Information Exchange; Use: The advance directives requirement was enacted because Congress wanted individuals to know that they have a right to make health care decisions and to refuse treatment even when they are unable to communicate. Steps have been taken at both the Federal and State level, to afford greater opportunity for the individual to participate in decisions made concerning the medical treatment to be received by an adult patient in the event that the patient is unable to communicate to others, a preference about medical treatment. The individual may make his preference known through the use of an advance directive, which is a written instruction prepared in advance, such as a living will or durable power of attorney. This information is documented in a prominent part of the individual's medical record. Advance directives as described in the Patient Self-Determination Act have increased the individual's control over decisions concerning medical treatment. Sections 4206 of the Omnibus Budget Reconciliation Act of 1990 defined an advance directive as a written instruction recognized under State law relating to the provision of health care when an individual is incapacitated (those persons unable to communicate their wishes regarding medical treatment). All states have enacted legislation defining a patient's right to make decisions regarding medical care, including the right to accept or refuse medical or surgical treatment and the right to formulate advance directives. Participating hospitals, skilled nursing facilities, nursing facilities, home health agencies, providers of home health care, hospices, religious nonmedical health care institutions, and prepaid or eligible organizations (including Health Care Prepayment Plans (HCPPs) and Medicare Advantage Organizations (MAOs) such as Coordinated Care Plans, Demonstration Projects, Chronic Care Demonstration Projects, Program of All Inclusive Care for the Elderly, Private Fee for Service, and Medical Savings Accounts must provide written information, at explicit time frames, to all adult individuals about: (a) The right to accept or refuse medical or surgical treatments; (b) the right to formulate an advance directive; (c) a description of applicable State law (provided by the State); and (d) the provider's or organization's policies and procedures for implementing an advance directive. Form Number: CMS-10507 (OMB control number: 0938-1251); Frequency: Occasionally; Affected Public: Private sector (Business or other for-profits); Number of Respondents: 20; Total Annual Responses: 20; Total Annual Hours: 160. (For policy questions regarding this collection contact Marnie Dorsey at 410-786- 5942.) 8. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicaid Disproportionate Share Hospital (DSH) Annual Reporting Requirements; Use: States are required to submit an annual report that identifies each disproportionate share hospital (DSH) that received a DSH payment under the state's Medicaid program in the preceding fiscal year and the amount of DSH payments paid to that hospital in the same year along with other information that the Secretary determines necessary to ensure the appropriateness of DSH payments; Form Number: CMS-R-266 (OMB control number: 0938-0746); Frequency: Yearly; Affected Public: State, Local, or Tribal Governments; Number of Respondents: 51; Total Annual Responses: 51; Total Annual Hours: 2,142. (For policy questions regarding this collection contact Robert Lane at 410-786-2015.) 9. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Conditions of Participation for Comprehensive Outpatient Rehabilitation Facilities (CORFs) and Supporting Regulations; Use: The Conditions of Participation (CoPs) and accompanying requirements specified in the regulations are used by our surveyors as a basis for determining whether a comprehensive outpatient rehabilitation facility (CORF) qualifies to be awarded a Medicare provider agreement. We believe the health care industry practice demonstrates that the patient clinical records and general content of records are necessary to ensure the well-being and safety of patients and that professional treatment and accountability are a normal part of industry practice. Form Number: CMS-10282 (OMB control number: 0938-1091); Frequency: Yearly; Affected Public: Private sector--Business or other for-profit and Not-for-profit institutions; Number of Respondents: 549; Total Annual Responses: 549; Total Annual Hours: 6,945. (For policy questions regarding this collection contact Jacqueline Leach at 410-786-4282.) Dated: December 13, 2016. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2016-30340 Filed 12-15-16; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Notices 91175
aligned to an ACO) targets—both for potentially qualify for the APM information collection for the proper
Medicare and across all significant Incentive Payments starting in performance of the agency’s functions;
healthcare payers. Additionally, CMS performance year 2018. the accuracy of the estimated burden;
and Vermont aim for this Model to This single-source funding ways to enhance the quality, utility, and
deliver meaningful improvements in the opportunity to the AHS is designed to clarity of the information to be
health of a state’s entire population by meet the goals of the cooperative collected; and the use of automated
transforming the relationships between agreement based on the AHS’ existing collection techniques or other forms of
and amongst care delivery and public knowledge and role in supporting the information technology to minimize the
health systems across Vermont. Model, its existing partnerships and information collection burden.
collaborations with Vermont health care DATES: Comments must be received by
II. Provisions of the Notice
providers, and its resources and ability February 14, 2017.
The purpose of this notice is to to deploy the funding immediately. ADDRESSES: When commenting, please
announce a single source cooperative
agreement funding opportunity in the III. Collection of Information reference the document identifier or
amount of $9,500,000 available solely to Requirements OMB control number. To be assured
Vermont’s Agency of Human Services consideration, comments and
This document does not impose
(AHS) to support care coordination and recommendations must be submitted in
information collection requirements,
bolster collaboration for practices and any one of the following ways:
that is, reporting, recordkeeping or
1. Electronically. You may send your
community-based health care providers third-party disclosure requirements.
comments electronically to http://
as part of the Vermont All-Payer ACO Consequently, there is no need for
Model. A single-source award to the www.regulations.gov. Follow the
review by the Office of Management and
AHS will enable CMS to provide instructions for ‘‘Comment or
Budget under the authority of the
assistance to Vermont for the following Submission’’ or ‘‘More Search Options’’
Paperwork Reduction Act of 1995 (44
purposes: To connect Medicare fee-for- to find the information collection
U.S.C. 3501 et seq.).
service beneficiaries with community- document(s) that are accepting
Dated: December 6, 2016. comments.
based resources, coordinate transitions
Andrew M. Slavitt, 2. By regular mail. You may mail
across care settings with appropriate
involvement of the Medicare fee-for- Acting Administrator, Centers for Medicare written comments to the following
service beneficiaries’ primary care & Medicaid Services. address: CMS, Office of Strategic
providers, coordinate care across health [FR Doc. 2016–30269 Filed 12–15–16; 8:45 am] Operations and Regulatory Affairs,
care providers, support health BILLING CODE 4120–01–P Division of Regulations Development,
promotion and self-management by Attention: Document Identifier/OMB
Medicare fee-for-service beneficiaries, Control Number ll Room C4–26–05,
and support practice improvement and DEPARTMENT OF HEALTH AND 7500 Security Boulevard, Baltimore,
transformation. These activities are HUMAN SERVICES Maryland 21244–1850.
necessary for Vermont to achieve the To obtain copies of a supporting
Centers for Medicare & Medicaid statement and any related forms for the
health outcomes and financial goals
Services proposed collection(s) summarized in
required under the Vermont All-Payer
ACO Model. [Document Identifiers: CMS–4040, CMS– this notice, you may make your request
CMS and Vermont believe the 10156, CMS–10170, CMS–10198, CMS– using one of following:
Vermont All-Payer ACO Model can 10227, CMS–10344, CMS–10501, CMS–R– 1. Access CMS’ Web site address at
support health care providers, including 266, and CMS–10282] http://www.cms.hhs.gov/
physicians in small practices, to PaperworkReductionActof1995.
succeed as health care moves from fee- Agency Information Collection 2. Email your request, including your
for-service to value-based payment Activities: Proposed Collection; address, phone number, OMB number,
systems. Participation by health care Comment Request and CMS document identifier, to
providers and payers in the model will Paperwork@cms.hhs.gov.
AGENCY: Centers for Medicare & 3. Call the Reports Clearance Office at
be voluntary, and CMS and Vermont Medicaid Services, HHS.
expect to work closely together to (410) 786–1326.
ACTION: Notice.
achieve sufficient uptake. In particular, FOR FURTHER INFORMATION CONTACT:
this Model is being implemented using SUMMARY: The Centers for Medicare & Reports Clearance Office at (410) 786–
the Secretary’s authority in section Medicaid Services (CMS) is announcing 1326.
1115A of the Social Security Act (the an opportunity for the public to SUPPLEMENTARY INFORMATION:
Act) and Vermont’s Global Commitment comment on CMS’ intention to collect
to Health demonstration project information from the public. Under the Contents
authorized under section 1115 of the Paperwork Reduction Act of 1995 (the This notice sets out a summary of the
Act. Together these authorities make it PRA), federal agencies are required to use and burden associated with the
possible for physicians and other publish notice in the Federal Register following information collections. More
clinicians in Vermont to participate the concerning each proposed collection of detailed information can be found in
aligned and state-specific Vermont information (including each proposed each collection’s supporting statement
Medicare ACO Initiative and Medicaid extension or reinstatement of an existing and associated materials (see
ACO initiative. Under the Quality collection of information) and to allow ADDRESSES).
mstockstill on DSK3G9T082PROD with NOTICES
Payment Program, the two-sided risk 60 days for public comment on the CMS–4040 Request for Enrollment in
portion of the Vermont Medicare ACO proposed action. Interested persons are Supplementary Medical Insurance
Initiative meets the criteria to be an invited to send comments regarding our CMS–10156 Retiree Drug Subsidy
Advanced Alternative Payment Model. burden estimates or any other aspect of (RDS) Application and Instructions
Health care providers participating in this collection of information, including CMS–10170 Retiree Drug Subsidy
the two-sided risk portion of the any of the following subjects: the (RDS) Payment Request and
Vermont Medicare ACO Initiative may necessity and utility of the proposed Instructions
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![Federal Register / Vol. 81, No. 242 / Friday, December 16, 2016 / Notices 91177
contact Roland Herrera at 410–786– applicable State law (provided by the Dated: December 13, 2016.
0668.) State); and (d) the provider’s or William N. Parham, III,
7. Type of Information Collection organization’s policies and procedures Director, Paperwork Reduction Staff, Office
Request: Revision of a previously for implementing an advance directive. of Strategic Operations and Regulatory
approved collection; Title of Form Number: CMS–10507 (OMB Affairs.
Information Collection: Healthcare control number: 0938–1251); Frequency: [FR Doc. 2016–30340 Filed 12–15–16; 8:45 am]
Fraud Prevention Partnership (HFPP): Occasionally; Affected Public: Private BILLING CODE 4120–01–P
Data Sharing and Information Exchange; sector (Business or other for-profits);
Use: The advance directives Number of Respondents: 20; Total
requirement was enacted because Annual Responses: 20; Total Annual DEPARTMENT OF HEALTH AND
Congress wanted individuals to know Hours: 160. (For policy questions HUMAN SERVICES
that they have a right to make health regarding this collection contact Marnie
care decisions and to refuse treatment Dorsey at 410–786–5942.) Centers for Medicare & Medicaid
even when they are unable to 8. Type of Information Collection Services
communicate. Steps have been taken at Request: Extension of a currently
[Document Identifiers: CMS–2744]
both the Federal and State level, to approved collection; Title of
afford greater opportunity for the Information Collection: Medicaid Agency Information Collection
individual to participate in decisions Disproportionate Share Hospital (DSH) Activities: Submission for OMB
made concerning the medical treatment Annual Reporting Requirements; Use: Review; Comment Request
to be received by an adult patient in the States are required to submit an annual
event that the patient is unable to report that identifies each AGENCY: Centers for Medicare &
communicate to others, a preference disproportionate share hospital (DSH) Medicaid Services, HHS.
about medical treatment. The individual that received a DSH payment under the ACTION: Notice.
may make his preference known state’s Medicaid program in the
through the use of an advance directive, preceding fiscal year and the amount of SUMMARY: The Centers for Medicare &
which is a written instruction prepared DSH payments paid to that hospital in Medicaid Services (CMS) is announcing
in advance, such as a living will or the same year along with other an opportunity for the public to
durable power of attorney. This information that the Secretary comment on CMS’ intention to collect
information is documented in a determines necessary to ensure the information from the public. Under the
prominent part of the individual’s appropriateness of DSH payments; Form Paperwork Reduction Act of 1995
medical record. Advance directives as Number: CMS–R–266 (OMB control (PRA), federal agencies are required to
described in the Patient Self- number: 0938–0746); Frequency: Yearly; publish notice in the Federal Register
Determination Act have increased the Affected Public: State, Local, or Tribal concerning each proposed collection of
individual’s control over decisions Governments; Number of Respondents: information, including each proposed
concerning medical treatment. Sections 51; Total Annual Responses: 51; Total extension or reinstatement of an existing
4206 of the Omnibus Budget Annual Hours: 2,142. (For policy collection of information, and to allow
Reconciliation Act of 1990 defined an questions regarding this collection a second opportunity for public
advance directive as a written contact Robert Lane at 410–786–2015.) comment on the notice. Interested
instruction recognized under State law 9. Type of Information Collection persons are invited to send comments
relating to the provision of health care Request: Revision of a currently regarding the burden estimate or any
when an individual is incapacitated approved collection; Title of other aspect of this collection of
(those persons unable to communicate Information Collection: Conditions of information, including any of the
their wishes regarding medical Participation for Comprehensive following subjects: the necessity and
treatment). Outpatient Rehabilitation Facilities utility of the proposed information
All states have enacted legislation (CORFs) and Supporting Regulations; collection for the proper performance of
defining a patient’s right to make Use: The Conditions of Participation the agency’s functions; the accuracy of
decisions regarding medical care, (CoPs) and accompanying requirements the estimated burden; ways to enhance
including the right to accept or refuse specified in the regulations are used by the quality, utility, and clarity of the
medical or surgical treatment and the our surveyors as a basis for determining information to be collected; and the use
right to formulate advance directives. whether a comprehensive outpatient of automated collection techniques or
Participating hospitals, skilled nursing rehabilitation facility (CORF) qualifies other forms of information technology to
facilities, nursing facilities, home health to be awarded a Medicare provider minimize the information collection
agencies, providers of home health care, agreement. We believe the health care burden.
hospices, religious nonmedical health industry practice demonstrates that the
care institutions, and prepaid or eligible patient clinical records and general DATES: Comments on the collection(s) of
organizations (including Health Care content of records are necessary to information must be received by the
Prepayment Plans (HCPPs) and ensure the well-being and safety of OMB desk officer by January 17, 2017.
Medicare Advantage Organizations patients and that professional treatment ADDRESSES: When commenting on the
(MAOs) such as Coordinated Care Plans, and accountability are a normal part of proposed information collections,
Demonstration Projects, Chronic Care industry practice. Form Number: CMS– please reference the document identifier
Demonstration Projects, Program of All 10282 (OMB control number: 0938– or OMB control number. To be assured
Inclusive Care for the Elderly, Private 1091); Frequency: Yearly; Affected consideration, comments and
mstockstill on DSK3G9T082PROD with NOTICES
Fee for Service, and Medical Savings Public: Private sector—Business or other recommendations must be received by
Accounts must provide written for-profit and Not-for-profit institutions; the OMB desk officer via one of the
information, at explicit time frames, to Number of Respondents: 549; Total following transmissions: OMB, Office of
all adult individuals about: (a) The right Annual Responses: 549; Total Annual Information and Regulatory Affairs,
to accept or refuse medical or surgical Hours: 6,945. (For policy questions Attention: CMS Desk Officer, Fax
treatments; (b) the right to formulate an regarding this collection contact Number: (202) 395–5806 OR Email:
advance directive; (c) a description of Jacqueline Leach at 410–786–4282.) OIRA_ submission@omb.eop.gov.
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Document Created: 2018-02-14 09:08:00
Document Modified: 2018-02-14 09:08:00
| 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 must be received by February 14, 2017. | |
| Contact | Reports Clearance Office at (410) 786- 1326. | |
| FR Citation | 81 FR 91175 |
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