82 FR 33133 - Agency Information Collection Activities: Proposed Collection; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 137 (July 19, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 137 (July 19, 2017)
| Page Range | 33133-33134 | |
| FR Document | 2017-15080 |
[Federal Register Volume 82, Number 137 (Wednesday, July 19, 2017)] [Notices] [Pages 33133-33134] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-15080] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier CMS-216-94 and 265-11] Agency Information Collection Activities: Proposed Collection; Comment Request AGENCY: Centers for Medicare & Medicaid Services. 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 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 [[Page 33134]] 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 September 18, 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: William Parham at (410) 786-4669. 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-216-94 Organ Procurement Organization/Histocompatibility Laboratory Cost Report CMS-265-11 Independent Renal Dialysis 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: Extension of a currently approved collection; Title of Information Collection: Organ Procurement Organization/Histocompatibility Laboratory 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. The Form CMS- 216-94 cost report is needed to determine a provider's reasonable costs incurred in furnishing medical services to Medicare beneficiaries and reimbursement due to or due from a provider. Form Number: CMS-216-94 (OMB Control Number: 0938-0102); Frequency: Annually; Affected Public: Private Sector: Business or other for-profit, Not-for-profit institutions; Number of Respondents: 102; Total Annual Responses: 102; Total Annual Hours: 4590. (For policy questions regarding this collection contact Amelia Citerone at 410-786-3901). 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Independent Renal Dialysis Facility 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. The Form CMS-265-11 cost report is needed to determine a provider's reasonable costs incurred in furnishing medical services to Medicare beneficiaries. Form Number: CMS-265-11 (OMB control number: 0938-0236); Frequency: Annually; Affected Public: Private Sector: Business or other for-profit, Not-for- profit institutions; Number of Respondents: 6,821; Total Annual Responses: 6,821; Total Annual Hours: 443,365. (For policy questions regarding this collection contact Gail Duncan at 410-786-7278). Dated: July 13, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-15080 Filed 7-18-17; 8:45 am] BILLING CODE 4120-01-P
![Federal Register / Vol. 82, No. 137 / Wednesday, July 19, 2017 / Notices 33133
To obtain copies of a supporting legislation to Centers for Medicare and annual information to achieve
statement and any related forms for the Medicaid Services (CMS) to maintain settlement of costs for health care
proposed collection(s) summarized in and distribute HCPCS Level II Codes. As services rendered to Medicare
this notice, you may make your request stated in 42 CFR Sec. 414.40 (a) CMS beneficiaries. In addition, regulations at
using one of following: establishes uniform national definitions 42 CFR 413.20 and 413.24 require
1. Access CMS’ Web site address at of services, codes to represent services, adequate cost data and cost reports from
http://www.cms.hhs.gov/ and payment modifiers to the codes. providers on an annual basis. The Form
PaperworkReductionActof1995. The HCPCS codeset has been CMS–222–17 cost report is needed to
2. Email your request, including your maintained and distributed via determine a provider’s reasonable costs
address, phone number, OMB number, modifications of codes, modifiers and incurred in furnishing medical services
and CMS document identifier, to descriptions, as a direct result of data to Medicare beneficiaries and
Paperwork@cms.hhs.gov. received from applicants. Thus, reimbursement due to or from a
3. Call the Reports Clearance Office at information collected in the application provider. Form Number: CMS–222–17
(410) 786–1326. is significant to codeset maintenance. (OMB control number: 0938–0107);
FOR FURTHER INFORMATION CONTACT: The HCPCS codeset maintenance is an Frequency: Annually; Affected Public:
William Parham at (410) 786–4669. ongoing process, as changes are Private Sector: Business or other for-
SUPPLEMENTARY INFORMATION: implemented and updated annually; profit, Not-for-profit institutions;
therefore, the process requires continual Number of Respondents: 1,744; Total
Contents collection of information from Annual Responses: 1,744; Total Annual
This notice sets out a summary of the applicants on an annual basis. As new Hours: 95,920. (For policy questions
use and burden associated with the technology evolves and new devices, regarding this collection contact Yaakov
following information collections. More drugs and supplies are introduced to the Feinstein at 410–786–3137).
detailed information can be found in market, applicants submit applications Dated: July 13, 2017.
each collection’s supporting statement to CMS requesting modifications to the William N. Parham, III,
and associated materials (see HCPCS Level II codeset. Applications Director, Paperwork Reduction Staff, Office
ADDRESSES). have been received prior to HIPAA of Strategic Operations and Regulatory
CMS–10224 Healthcare Common implementation and must continue to Affairs.
Procedure Coding System (HCPCS)— be collected to ensure quality decision- [FR Doc. 2017–15083 Filed 7–18–17; 8:45 am]
Level II Code Modification Request making. The HIPAA of 1996 required BILLING CODE 4120–01–P
Process CMS to adopt standards for coding
CMS–222–92 Independent Rural systems that are used for reporting
Health Center/Freestanding Federally health care transactions. The regulation DEPARTMENT OF HEALTH AND
Qualified Health Center Cost Report that CMS published on August 17, 2000 HUMAN SERVICES
Under the PRA (44 U.S.C. 3501– (45 CFR 162.10002) to implement the
HIPAA requirement for standardized Centers for Medicare & Medicaid
3520), federal agencies must obtain
coding systems established the HCPCS Services
approval from the Office of Management
and Budget (OMB) for each collection of Level II codes as the standardized [Document Identifier CMS–216–94 and 265–
information they conduct or sponsor. coding system for describing and 11]
The term ‘‘collection of information’’ is identifying health care equipment and
defined in 44 U.S.C. 3502(3) and 5 CFR supplies in health care transactions. Agency Information Collection
1320.3(c) and includes agency requests HCPCS Level II was selected as the Activities: Proposed Collection;
or requirements that members of the standardized coding system because of Comment Request
public submit reports, keep records, or its wide acceptance among both public
AGENCY: Centers for Medicare &
provide information to a third party. and private insurers. Public and private
Medicaid Services.
Section 3506(c)(2)(A) of the PRA insurers were required to be in
ACTION: Notice.
requires federal agencies to publish a compliance with the August 2000
60-day notice in the Federal Register regulation by October 1, 2002. Form SUMMARY: The Centers for Medicare &
concerning each proposed collection of Number: CMS–10224 (OMB control Medicaid Services (CMS) is announcing
information, including each proposed number: 0938–1042); Frequency: an opportunity for the public to
extension or reinstatement of an existing Annually; Affected Public: Private comment on CMS’ intention to collect
collection of information, before Sector: Business or other for-profit, Not- information from the public. Under the
submitting the collection to OMB for for-profit institutions; Number of Paperwork Reduction Act of 1995 (the
approval. To comply with this Respondents: 100; Total Annual PRA), federal agencies are required to
requirement, CMS is publishing this Responses: 100; Total Annual Hours: publish notice in the Federal Register
notice. 1100. (For policy questions regarding concerning each proposed collection of
this collection contact Kimberley information (including each proposed
Information Collection Combs-Miller at 410–786–6707). extension or reinstatement of an existing
1. Type of Information Collection 2. Type of Information Collection collection of information) and to allow
Request: Extension of a currently Request: Extension of a currently 60 days for public comment on the
asabaliauskas on DSKBBXCHB2PROD with NOTICES
approved collection; Title of approved collection; Title of proposed action. Interested persons are
Information Collection: Healthcare Information Collection: Independent invited to send comments regarding our
Common Procedure Coding System Rural Health Center/Freestanding burden estimates or any other aspect of
(HCPCS)—Level II Code Modification Federally Qualified Health Center Cost this collection of information, including
Request Process; Use: In October 2003, Report; Use: Providers of services the necessity and utility of the proposed
the Secretary of Health and Human participating in the Medicare program information collection for the proper
Services (HHS) delegated authority are required under sections 1815(a), performance of the agency’s functions,
under the Health Insurance Portability 1833(e) and 1861(v)(1)(A) of the Social the accuracy of the estimated burden,
and Accountability Act (HIPAA) Security Act (42 U.S.C. 1395g) to submit ways to enhance the quality, utility, and
VerDate Sep<11>2014 18:49 Jul 18, 2017 Jkt 241001 PO 00000 Frm 00094 Fmt 4703 Sfmt 4703 E:\FR\FM\19JYN1.SGM 19JYN1](https://thefederalregister.org/doc/82_FR_33270/page/1.svg)
![33134 Federal Register / Vol. 82, No. 137 / Wednesday, July 19, 2017 / Notices
clarity of the information to be 1320.3(c) and includes agency requests to Medicare beneficiaries. Form
collected, and the use of automated or requirements that members of the Number: CMS–265–11 (OMB control
collection techniques or other forms of public submit reports, keep records, or number: 0938–0236); Frequency:
information technology to minimize the provide information to a third party. Annually; Affected Public: Private
information collection burden. Section 3506(c)(2)(A) of the PRA Sector: Business or other for-profit, Not-
DATES: Comments must be received by requires federal agencies to publish a for-profit institutions; Number of
September 18, 2017. 60-day notice in the Federal Register Respondents: 6,821; Total Annual
ADDRESSES: When commenting, please
concerning each proposed collection of Responses: 6,821; Total Annual Hours:
reference the document identifier or information, including each proposed 443,365. (For policy questions regarding
OMB control number. To be assured extension or reinstatement of an existing this collection contact Gail Duncan at
consideration, comments and collection of information, before 410–786–7278).
recommendations must be submitted in submitting the collection to OMB for Dated: July 13, 2017.
any one of the following ways: approval. To comply with this
William N. Parham, III,
1. Electronically. You may send your requirement, CMS is publishing this
notice. Director, Paperwork Reduction Staff, Office
comments electronically to http:// of Strategic Operations and Regulatory
www.regulations.gov. Follow the Information Collection Affairs.
instructions for ‘‘Comment or 1. Type of Information Collection [FR Doc. 2017–15080 Filed 7–18–17; 8:45 am]
Submission’’ or ‘‘More Search Options’’ Request: Extension of a currently BILLING CODE 4120–01–P
to find the information collection approved collection; Title of
document(s) that are accepting Information Collection: Organ
comments. Procurement Organization/ DEPARTMENT OF HEALTH AND
2. By regular mail. You may mail Histocompatibility Laboratory Cost HUMAN SERVICES
written comments to the following Report; Use: Providers of services
address: CMS, Office of Strategic Administration for Children and
participating in the Medicare program
Operations and Regulatory Affairs, Families
are required under sections 1815(a) and
Division of Regulations Development, 1861(v)(1)(A) of the Social Security Act [CFDA Number 93.676]
Attention: Document Identifier/OMB (42 U.S.C. 1395g) to submit annual
Control Number ___, Room C4–26–05, information to achieve settlement of Announcement of the Award of Five
7500 Security Boulevard, Baltimore, costs for health care services rendered to Single-Source Low-Cost Extension
Maryland 21244–1850. Medicare beneficiaries. In addition, Supplement Grants Within the Office of
To obtain copies of a supporting regulations at 42 CFR 413.20 and 413.24 Refugee Resettlement’s
statement and any related forms for the require adequate cost data and cost Unaccompanied Alien Children’s
proposed collection(s) summarized in reports from providers on an annual (UAC) Program
this notice, you may make your request basis. The Form CMS–216–94 cost
using one of following: AGENCY: Office of Refugee Resettlement
report is needed to determine a (ORR), Administration for Children and
1. Access CMS’ Web site address at provider’s reasonable costs incurred in
http://www.cms.hhs.gov/ Families (ACF), U.S. Department of
furnishing medical services to Medicare Health and Human Services (HHS).
PaperworkReductionActof1995. beneficiaries and reimbursement due to
2. Email your request, including your ACTION: Notice of Award of five single-
or due from a provider. Form Number:
address, phone number, OMB number, CMS–216–94 (OMB Control Number: source low-cost extension supplement
and CMS document identifier, to 0938–0102); Frequency: Annually; grants under the Unaccompanied Alien
Paperwork@cms.hhs.gov. Affected Public: Private Sector: Business Children’s (UAC) Program.
3. Call the Reports Clearance Office at or other for-profit, Not-for-profit
(410) 786–1326. SUMMARY: ACF, ORR, announces the
institutions; Number of Respondents: award of five single-source low-cost
FOR FURTHER INFORMATION CONTACT: 102; Total Annual Responses: 102; Total extension supplement grants for a total
William Parham at (410) 786–4669. Annual Hours: 4590. (For policy of $20,954,962 under the
SUPPLEMENTARY INFORMATION: questions regarding this collection Unaccompanied Alien Children’s (UAC)
contact Amelia Citerone at 410–786– Program.
Contents 3901). DATES: Low-cost extension supplement
This notice sets out a summary of the 2. Type of Information Collection
grants will support activities from
use and burden associated with the Request: Extension of a currently
January 1, 2017 through March 31, 2017.
following information collections. More approved collection; Title of
Information Collection: Independent FOR FURTHER INFORMATION CONTACT:
detailed information can be found in
each collection’s supporting statement Renal Dialysis Facility Cost Report; Use: Jallyn Sualog, Director, Division of
and associated materials (see Providers of services participating in the Children’s Services, Office of Refugee
ADDRESSES). Medicare program are required under Resettlement, 330 C Street SW.,
CMS–216–94 Organ Procurement sections 1815(a) and 1861(v)(1)(A) of the Washington, DC 20201. Phone: 202–
Organization/Histocompatibility Social Security Act (42 U.S.C. 1395g) to 401–4997. Email: DCSProgram@
Laboratory Cost Report submit annual information to achieve acf.hhs.gov.
asabaliauskas on DSKBBXCHB2PROD with NOTICES
CMS–265–11 Independent Renal settlement of costs for health care SUPPLEMENTARY INFORMATION: The
Dialysis Facility Cost Report services rendered to Medicare following supplement grants will
Under the PRA (44 U.S.C. 3501– beneficiaries. In addition, regulations at support the immediate need for
3520), federal agencies must obtain 42 CFR 413.20 and 413.24 require additional capacity of shelter services to
approval from the Office of Management adequate cost data and cost reports from accommodate the increasing number of
and Budget (OMB) for each collection of providers on an annual basis. The Form UACs referred by DHS into ORR care.
information they conduct or sponsor. CMS–265–11 cost report is needed to The increase in the UAC population
The term ‘‘collection of information’’ is determine a provider’s reasonable costs necessitates the need for expansion of
defined in 44 U.S.C. 3502(3) and 5 CFR incurred in furnishing medical services services to expedite the release of UAC.
VerDate Sep<11>2014 18:49 Jul 18, 2017 Jkt 241001 PO 00000 Frm 00095 Fmt 4703 Sfmt 4703 E:\FR\FM\19JYN1.SGM 19JYN1](https://thefederalregister.org/doc/82_FR_33270/page/2.svg)
Document Created: 2017-07-19 06:17:47
Document Modified: 2017-07-19 06:17:47
| 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 September 18, 2017. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 82 FR 33133 |
2025 Federal Register | Disclaimer | Privacy Policy
USC | CFR | eCFR