82 FR 43378 - Agency Information Collection Activities: Submission for OMB Review; Comment Request
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services Federal Register Volume 82, Issue 178 (September 15, 2017)
Centers for Medicare & Medicaid Services
Federal Register Volume 82, Issue 178 (September 15, 2017)
| Page Range | 43378-43379 | |
| FR Document | 2017-19521 |
[Federal Register Volume 82, Number 178 (Friday, September 15, 2017)] [Notices] [Pages 43378-43379] From the Federal Register Online [www.thefederalregister.org] [FR Doc No: 2017-19521] ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS-R-138 and CMS-10332] Agency Information Collection Activities: Submission for OMB Review; 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 (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 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 on the collection(s) of information must be received by the OMB desk officer by October 16, 2017. ADDRESSES: When commenting on the proposed information collections, please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be received by the OMB desk officer via one of the following transmissions: OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk Officer, Fax Number: (202) 395-5806 or, Email: OIRA_[email protected]. 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: William Parham at (410) 786-4669. 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: Extension of a currently approved collection; Title of Information Collection: Medicare Geographic Classification Review Board Procedures and Criteria; Use: During the first few years of IPPS, hospitals were paid strictly based on their physical geographic location concerning the wage index (Metropolitan Statistical Areas (MSAs)) and the standardized amount (rural, other urban, or large urban). However, a growing number of hospitals became concerned that their payment rates were not providing accurate compensation. The hospitals argued that they were not competing with the hospitals in their own geographic area, but instead that they were competing with hospitals in neighboring geographic areas. At that point, Congress enacted Section 1886(d)(10) of the Act which enabled hospitals to apply to be considered part of neighboring geographic areas for payment purposes based on certain criteria. The application and decision process is administered by the MGCRB which is not a part of CMS so that CMS could not be accused of any untoward [[Page 43379]] action. However, CMS needs to remain apprised of any potential payment changes. Hospitals are required to provide CMS with copy of any applications that they made to the MGCRB. CMS also developed the guidelines for the MGCRB that were the interim final issue of the Federal Register, and must ensure that the MGCRB properly applied the guidelines. This check and balance process also contributes to limiting the number of hospitals that ultimately need to appeal their MGCRB decisions to the CMS Administrator. Form Number: CMS-R-138 (OMB control number: 0938-0573); Frequency: Occasionally; Affected Public: Businesses or other for-profits and Not-for-profit institutions; Number of Respondents: 300; Total Annual Responses: 300; Total Annual Hours: 300. (For policy questions regarding this collection contact Noel Manlove at 410-786-5161.) 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Disclosure Requirement for the In-Office Ancillary Services Exception; Use: Section 6003 of the ACA established a disclosure requirement for the in-office ancillary services exception to the prohibition of physician self-referral for certain imaging services. This section of the ACA amended section 1877(b)(2) of the Social Security Act by adding a requirement that the referring physician informs the patient, at the time of the referral and in writing, that the patient may receive the imaging service from another supplier. The implementing regulations are at 42 CFR 411.355(b)(7). Physicians who provide certain imaging services (MRI, CT, and PET) under the in-office ancillary services exception to the physician self- referral prohibition are required to provide the disclosure notice as well as the list of other imaging suppliers to the patient. The patient will then be able to use the disclosure notice and list of suppliers in making an informed decision about his or her course of care for the imaging service. CMS would use the collected information for enforcement purposes. Specifically, if we were investigating the referrals of a physician providing advanced imaging services under the in-office ancillary services exception, we would review the written disclosure in order to determine if it satisfied the requirement. Form Number: CMS-10332 (OMB control number: 0938-1133); Frequency: Occasionally; Affected Public: State, Local, and Tribal Governments; Number of Respondents: 7,100; Total Annual Responses: 759,700; Total Annual Hours: 19,638. (For policy questions regarding this collection contact Laura Dash at 410-786-8623.) Dated: September 11, 2017. William N. Parham, III, Director, Paperwork Reduction Staff, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2017-19521 Filed 9-14-17; 8:45 am] BILLING CODE 4120-01-P
![43378 Federal Register / Vol. 82, No. 178 / Friday, September 15, 2017 / Notices
EXHIBIT 2—ESTIMATED COST BURDEN OVER 3 YEARS—Continued
Average
Number of Total burden Total cost
Type of information collection hourly
respondents hours burden
wage rate *
In-person .......................................................................................................... 600 500 33.51 16,755
Total .......................................................................................................... 32,700 10,150 na 340,127
* Based upon the average wages for 29–000 (Healthcare Practitioner and Technical Occupations), ‘‘National Compensation Survey: Occupa-
tional Wages in the United States, May 2009,’’ U.S. Department of Labor, Bureau of Labor Statistics.
Request for Comments Paperwork Reduction Act of 1995 SUPPLEMENTARY INFORMATION: Under the
In accordance with the Paperwork (PRA), federal agencies are required to Paperwork Reduction Act of 1995 (PRA)
Reduction Act, comments on AHRQ’s publish notice in the Federal Register (44 U.S.C. 3501–3520), federal agencies
information collection are requested concerning each proposed collection of must obtain approval from the Office of
with regard to any of the following: (a) information, including each proposed Management and Budget (OMB) for each
Whether the proposed collection of extension or reinstatement of an existing collection of information they conduct
information is necessary for the proper collection of information, and to allow or sponsor. The term ‘‘collection of
performance of AHRQ healthcare a second opportunity for public information’’ is defined in 44 U.S.C.
research and healthcare information comment on the notice. Interested 3502(3) and 5 CFR 1320.3(c) and
dissemination functions, including persons are invited to send comments includes agency requests or
whether the information will have regarding the burden estimate or any requirements that members of the public
practical utility; (b) the accuracy of other aspect of this collection of submit reports, keep records, or provide
AHRQ’s estimate of burden (including information, including the necessity and information to a third party. Section
hours and costs) of the proposed utility of the proposed information 3506(c)(2)(A) of the PRA (44 U.S.C.
collection(s) of information; (c) ways to collection for the proper performance of 3506(c)(2)(A)) requires federal agencies
enhance the quality, utility, and clarity the agency’s functions, the accuracy of to publish a 30-day notice in the
of the information to be collected; and the estimated burden, ways to enhance Federal Register concerning each
(d) ways to minimize the burden of the the quality, utility, and clarity of the proposed collection of information,
collection of information upon the information to be collected; and the use including each proposed extension or
respondents, including the use of of automated collection techniques or reinstatement of an existing collection
automated collection techniques or other forms of information technology to of information, before submitting the
other forms of information technology. minimize the information collection collection to OMB for approval. To
Comments submitted in response to burden. comply with this requirement, CMS is
this notice will be summarized and publishing this notice that summarizes
DATES: Comments on the collection(s) of
included in the Agency’s subsequent the following proposed collection(s) of
information must be received by the
request for OMB approval of the information for public comment:
OMB desk officer by October 16, 2017.
proposed information collection. All 1. Type of Information Collection
ADDRESSES: When commenting on the
comments will become a matter of Request: Extension of a currently
proposed information collections, approved collection; Title of
public record.
please reference the document identifier Information Collection: Medicare
Sharon B. Arnold, or OMB control number. To be assured Geographic Classification Review Board
Deputy Director. consideration, comments and Procedures and Criteria; Use: During the
[FR Doc. 2017–19620 Filed 9–14–17; 8:45 am] recommendations must be received by first few years of IPPS, hospitals were
BILLING CODE 4160–90–P
the OMB desk officer via one of the paid strictly based on their physical
following transmissions: OMB, Office of geographic location concerning the
Information and Regulatory Affairs, wage index (Metropolitan Statistical
DEPARTMENT OF HEALTH AND Attention: CMS Desk Officer, Fax Areas (MSAs)) and the standardized
HUMAN SERVICES Number: (202) 395–5806 or, Email: amount (rural, other urban, or large
OIRA_submission@omb.eop.gov. urban). However, a growing number of
Centers for Medicare & Medicaid To obtain copies of a supporting hospitals became concerned that their
Services statement and any related forms for the payment rates were not providing
[Document Identifiers: CMS–R–138 and proposed collection(s) summarized in accurate compensation. The hospitals
CMS–10332] this notice, you may make your request argued that they were not competing
using one of following: with the hospitals in their own
Agency Information Collection 1. Access CMS’ Web site address at geographic area, but instead that they
Activities: Submission for OMB https://www.cms.gov/Regulations-and- were competing with hospitals in
Review; Comment Request Guidance/Legislation/Paperwork neighboring geographic areas. At that
ReductionActof1995/PRA-Listing.html. point, Congress enacted Section
AGENCY: Centers for Medicare &
2. Email your request, including your 1886(d)(10) of the Act which enabled
Medicaid Services, HHS.
mstockstill on DSK30JT082PROD with NOTICES
address, phone number, OMB number, hospitals to apply to be considered part
ACTION: Notice.
and CMS document identifier, to of neighboring geographic areas for
SUMMARY: The Centers for Medicare & Paperwork@cms.hhs.gov. payment purposes based on certain
Medicaid Services (CMS) is announcing 3. Call the Reports Clearance Office at criteria. The application and decision
an opportunity for the public to (410) 786–1326. process is administered by the MGCRB
comment on CMS’ intention to collect FOR FURTHER INFORMATION CONTACT: which is not a part of CMS so that CMS
information from the public. Under the William Parham at (410) 786–4669. could not be accused of any untoward
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![Federal Register / Vol. 82, No. 178 / Friday, September 15, 2017 / Notices 43379
action. However, CMS needs to remain 759,700; Total Annual Hours: 19,638. SUPPLEMENTARY INFORMATION: Section 4
apprised of any potential payment (For policy questions regarding this of the AT Act establishes formula grants
changes. Hospitals are required to collection contact Laura Dash at 410– to states to support comprehensive
provide CMS with copy of any 786–8623.) statewide programs (Statewide AT
applications that they made to the Dated: September 11, 2017. Programs) that conduct activities that
MGCRB. CMS also developed the William N. Parham, III,
improve access to and acquisition of AT
guidelines for the MGCRB that were the devices and services for individuals
Director, Paperwork Reduction Staff, Office
interim final issue of the Federal with disabilities across the lifespan and
of Strategic Operations and Regulatory
Register, and must ensure that the Affairs. across a wide array of disabilities, and
MGCRB properly applied the their family members, guardians,
[FR Doc. 2017–19521 Filed 9–14–17; 8:45 am]
guidelines. This check and balance advocates, and authorized
BILLING CODE 4120–01–P
process also contributes to limiting the representatives. State Grants for AT
number of hospitals that ultimately program conducts the following state-
need to appeal their MGCRB decisions level and state leadership activities:
DEPARTMENT OF HEALTH AND
to the CMS Administrator. Form State financing, device demonstration,
HUMAN SERVICES
Number: CMS–R–138 (OMB control device loans, device reutilization,
number: 0938–0573); Frequency: Administration for Community Living training and technical assistance, public
Occasionally; Affected Public: awareness, and information and referral.
Businesses or other for-profits and Not- Agency Information Collection Under the PRA (44 U.S.C. 3501–3520),
for-profit institutions; Number of Activities; Proposed Collection; Public Federal agencies must obtain approval
Respondents: 300; Total Annual Comment Request; Revision of a from the Office of Management and
Responses: 300; Total Annual Hours: Currently Approved Information Budget (OMB) for each collection of
300. (For policy questions regarding this Collection (ICR–REV); State Plan for information they conduct or sponsor.
collection contact Noel Manlove at 410– Assistive Technology (OMB Approval ‘‘Collection of information’’ is defined
786–5161.) Number 0985–0048) in 44 U.S.C. 3502(3) and 5 CFR
2. Type of Information Collection 1320.3(c) and includes agency requests
Request: Extension of a currently AGENCY: Administration for Community or requirements that members of the
approved collection; Title of Living, Department of Health and public submit reports, keep records, or
Information Collection: Disclosure Human Services. provide information to a third party.
Requirement for the In-Office Ancillary ACTION: Notice. Section 3506(c)(2)(A) of the PRA (44
Services Exception; Use: Section 6003 of U.S.C. 3506(c)(2)(A)) requires Federal
the ACA established a disclosure SUMMARY: The Administration for agencies to provide a 60-day notice in
requirement for the in-office ancillary Community Living (ACL) is announcing the Federal Register concerning each
services exception to the prohibition of an opportunity for the public to proposed collection of information,
physician self-referral for certain comment on ACL’s intention to collect including each proposed extension or
imaging services. This section of the information necessary to determine update of an existing collection of
ACA amended section 1877(b)(2) of the grantee compliance with Section 4 of information, before submitting the
Social Security Act by adding a the Assistive Technology Act of 1998, as collection to OMB for approval. The
requirement that the referring physician amended (AT Act). Under the proposed data collection represents a
informs the patient, at the time of the Paperwork Reduction Act of 1995 revision of a currently approved
referral and in writing, that the patient (PRA), Federal agencies are required to collection (ICR–Rev). In order to comply
may receive the imaging service from publish a notice in the Federal Register with the above requirement, ACL is
another supplier. The implementing concerning each proposed collection of requesting approval of a revision of a
regulations are at 42 CFR 411.355(b)(7). information, including each proposed previously approved collection, the
Physicians who provide certain extension of an existing collection of State Grants for Assistive Technology
imaging services (MRI, CT, and PET) information, and to allow 60 days for Program State Plan for AT, formerly
under the in-office ancillary services public comment in response to the known as the 664 report (0985–0048).
exception to the physician self-referral proposed action. This notice solicits With respect to the following
prohibition are required to provide the comments on a proposed revision to an collection of information, ACL invites
disclosure notice as well as the list of existing information collection related comments on: (1) Whether the proposed
other imaging suppliers to the patient. to the State Grants for Assistive collection of information is necessary
The patient will then be able to use the Technology Program State Plan for AT, for the proper performance of ACL’s
disclosure notice and list of suppliers in formerly the 664 Report. functions, including whether the
making an informed decision about his DATES: Submit written or electronic information will have practical utility;
or her course of care for the imaging comments on the collection of (2) the accuracy of ACL’s estimate of the
service. CMS would use the collected burden of the proposed collection of
information by November 14, 2017.
information for enforcement purposes. information, including the validity of
Specifically, if we were investigating the ADDRESSES: Submit electronic
the methodology and assumptions used;
referrals of a physician providing comments on the collection of (3) ways to enhance the quality, utility,
advanced imaging services under the in- information to: Robert.Groenendaal@ and clarity of the information to be
office ancillary services exception, we acl.hhs.gov. Submit written comments collected; and (4) ways to minimize the
would review the written disclosure in on the collection of information by mail burden of the collection of information
mstockstill on DSK30JT082PROD with NOTICES
order to determine if it satisfied the to Robert Groenendaal, U.S. Department on respondents, including through the
requirement. Form Number: CMS– of Health and Human Services, use of automated collection techniques
10332 (OMB control number: 0938– Administration for Community Living, when appropriate, and other forms of
1133); Frequency: Occasionally; Washington, DC 20201. information technology.
Affected Public: State, Local, and Tribal FOR FURTHER INFORMATION CONTACT: The State Plan for AT is submitted
Governments; Number of Respondents: Robert Groenendaal at (202) 795–7356 every three years and updated annually
7,100; Total Annual Responses: or Robert.Groenendaal@acl.hhs.gov. by all State Grants for AT programs
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Document Created: 2017-09-15 00:18:47
Document Modified: 2017-09-15 00:18:47
| 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 on the collection(s) of information must be received by the OMB desk officer by October 16, 2017. | |
| Contact | William Parham at (410) 786-4669. | |
| FR Citation | 82 FR 43378 |
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