82 FR 13124 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 82, Issue 45 (March 9, 2017)

Page Range		13124-13125
FR Document		2017-04577

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 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.

Federal Register, Volume 82 Issue 45 (Thursday, March 9, 2017)

[Federal Register Volume 82, Number 45 (Thursday, March 9, 2017)]
[Notices]
[Pages 13124-13125]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-04577]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1984-14]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human Services.

ACTION: Notice.

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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 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 May 8, 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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    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-1984-14 Hospital Facility Cost Report

    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: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Hospital Facility Cost Report; Use: Providers of services participating 
in the Medicare program are required under Sec. Sec.  1815(a), 1833(e), 
and 1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to 
submit annual information to determine costs for health care services 
rendered to Medicare beneficiaries. In addition,

[[Page 13125]]

regulations at 42 CFR 413.20, 413.24 and 418.310 require adequate cost 
data and cost reports from providers on an annual basis. The Form CMS-
1984-14 cost report is needed to determine a provider's reasonable 
costs incurred in furnishing medical services to Medicare 
beneficiaries. The data is used by CMS to calculate: Market basket 
weight and the labor related shares, Rate setting and payment 
refinement, and Medicare and total facility margins for Medicare-
covered services by type of service. Form Number: CMS-1984-14 (OMB 
Control Number: 0938-0758); Frequency: Annually; Affected Public: 
Private sector--Business or other for-profit and Not-for-profit 
institutions; Number of Respondents: 3,545; Total Annual Responses: 
3,545; Total Annual Hours: 666,460. (For policy questions regarding 
this collection contact Yaakov Feinstein at 410-786-3137.)

    Dated: March 3, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-04577 Filed 3-8-17; 8:45 am]
BILLING CODE 4120-01-P

Federal Register / Vol. 82, No. 45 / Thursday, March 9, 2017 / Notices 13125

regulations at 42 CFR 413.20, 413.24 Information Collection Request (ICR), organizations working with domestic
and 418.310 require adequate cost data described below, to the Office of violence survivors.
and cost reports from providers on an Management and Budget (OMB) for Data collection will include in-depth,
annual basis. The Form CMS–1984–14 review and approval. The ICR is for a private interviews with 320 domestic
cost report is needed to determine a new collection. Comments submitted violence survivors conducted by trained
provider’s reasonable costs incurred in during the first public review of this ICR professional staff. At Time 1 study
furnishing medical services to Medicare will be provided to OMB. OMB will enrollment, they will be interviewed
beneficiaries. The data is used by CMS accept further comments from the about their backgrounds, housing and
to calculate: Market basket weight and public on this ICR during the review safety obstacles, and services desired.
the labor related shares, Rate setting and and approval period. There will be three follow-up interviews
payment refinement, and Medicare and DATES: Comments on the ICR must be with them every six months after the
total facility margins for Medicare- received on or before April 10, 2017. Time 1 Interview (i.e., 6, 12, and 18
covered services by type of service. ADDRESSES: Submit your comments to months) to examine the match between
Form Number: CMS–1984–14 (OMB OIRA_submission@omb.eop.gov or via needs and services, as well as their
Control Number: 0938–0758); facsimile to (202) 395–5806. safety and housing stability. Study
Frequency: Annually; Affected Public: enrollment will take place over 15
FOR FURTHER INFORMATION CONTACT:
Private sector—Business or other for- months, so the annualized burden for
Information Collection Clearance staff,
profit and Not-for-profit institutions; the Time 1 and follow-up surveys is
Information.Collection
Number of Respondents: 3,545; Total based on 12/15 (256) of the expected
Clearance@hhs.gov or (202) 690–5683.
Annual Responses: 3,545; Total Annual sample (320).
Hours: 666,460. (For policy questions SUPPLEMENTARY INFORMATION: When
submitting comments or requesting The primary service providers
regarding this collection contact Yaakov working with the domestic violence
Feinstein at 410–786–3137.) information, please include the
Information Collection Request Title survivors will complete self-
Dated: March 3, 2017. and document identifier 0990–New– administered online questionnaires to
William N. Parham, III, 30D for reference. provide more detailed program
Director, Paperwork Reduction Staff, Office Information Collection Request Title: implementation data. Service providers
of Strategic Operations and Regulatory Domestic Violence Housing First will complete a survey about their work
Affairs. Demonstration Evaluation. history and demographics and a survey
[FR Doc. 2017–04577 Filed 3–8–17; 8:45 am] Abstract: The Office of the Assistant about the services provided for each
BILLING CODE 4120–01–P Secretary for Planning and Evaluation domestic violence survivor in their
(ASPE) within the U.S. Department of caseload that is a participant in the
Health and Human Services, in study (approximately 16 survivors per
DEPARTMENT OF HEALTH AND partnership with the Office for Victims provider). This latter data collection
HUMAN SERVICES of Crimes within the U.S. Department of will occur six months after a domestic
Justice, is seeking approval by OMB for violence survivor enrolls in the study
Office of the Secretary a new information collection request over 15 months to correspond to the
[Document Identifier HHS–OS–0990–New– entitled, ‘‘Domestic Violence Housing study enrollment period. Finally, the
30D] First (DVHF) Demonstration study will also include monthly data
Evaluation.’’ The Washington State collection for 19 months from an agency
Agency Information Collection Coalition Against Domestic Violence point of contact (POC) in order to verify
Activities; Proposals, Submissions, (WSCADV) is overseeing and agency information (e.g., the number of
and Approvals coordinating an evaluation of the DVHF advocates working in the agency,
AGENCY: Office of the Secretary, HHS. Demonstration project through a advocate caseloads, dates of study
contract with ASPE. This quasi- participants’ receipt of services).
ACTION: Notice.
experimental research study involves Likely Respondents: The respondents
SUMMARY: In compliance with section longitudinally examining the program are domestic violence survivors,
3507(a)(1)(D) of the Paperwork effects of DVHF on domestic violence primary service providers, and
Reduction Act of 1995, the Office of the survivors’ safety and housing stability. community agency points of contact
Secretary (OS), Department of Health The findings will be of interest to the who work with their agency data
and Human Services, has submitted an general public, to policy-makers, and to systems.

ANNUALIZED REPORTING BURDEN ON STUDY PARTICIPANTS
Number of Average
Annual responses burden hours Total annual
Form name Type of respondent number of per per burden hours
respondents respondent response

Time 1 (Baseline) Interview .............. Domestic violence survivors ............ 256 1 1 256
Follow-up Interviews ......................... Domestic violence survivors ............ 256 2 1 512
asabaliauskas on DSK3SPTVN1PROD with NOTICES

Online survey about advocates’ work Victim service advocates ................. 20 1 15/60 5
history and demographics.
Online survey of advocates’ work Victim service advocates ................. 20 13 20/60 86
with survivors.
Form for community agency points Community agency point of contact 4 12 15/60 12
of contact to verify agency infor-
mation (monthly).

Total ........................................... ........................................................... ........................ ........................ ........................ 871

VerDate Sep<11>2014 17:43 Mar 08, 2017 Jkt 241001 PO 00000 Frm 00037 Fmt 4703 Sfmt 4703 E:\FR\FM\09MRN1.SGM 09MRN1

Document Created: 2017-03-09 04:59:20
Document Modified: 2017-03-09 04:59:20

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 must be received by May 8, 2017.
Contact		Reports Clearance Office at (410) 786- 1326.
FR Citation		82 FR 13124

82 FR 13124 - Agency Information Collection Activities: Proposed Collection; Comment Request

DEPARTMENT OF HEALTH AND HUMAN SERVICESCenters for Medicare & Medicaid Services

Federal Register Volume 82, Issue 45 (March 9, 2017)

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services