82_FR_43728 82 FR 43549 - Agency Information Collection Activities: Proposed Collection; Comment Request

82 FR 43549 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 82, Issue 179 (September 18, 2017)

Page Range43549-43550
FR Document2017-19795

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 179 (Monday, September 18, 2017)
[Federal Register Volume 82, Number 179 (Monday, September 18, 2017)]
[Notices]
[Pages 43549-43550]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-19795]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-437 and CMS-10515]


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 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 November 17, 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-437 Psychiatric Unit Criteria Work Sheet
CMS-10515 Payment Collections Operations Contingency Plan

    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 with 
Change of a currently approved collection; Title of Information 
Collection: Psychiatric Unit Criteria Work Sheet; Use: Certain

[[Page 43550]]

specialty hospitals and hospital specialty distinct-part units may be 
excluded from the Inpatient Medicare Prospective Payment System (IPPS) 
and be paid at a different rate. These specialty hospitals and 
distinct-part units of hospitals include Inpatient Rehabilitation 
Facilities (IRFs) units, Inpatient Rehabilitation Facilities (IRFs) 
hospitals and Inpatient Psychiatric Facilities (IPFs).
    CMS regulations at 42 CFR 412.20 through 412.29 describe the 
criteria under which these specialty hospitals and specialty distinct-
part hospital units are excluded from the IPPS. Form CMS-437 is used by 
Inpatient Psychiatric Facilities (IPFs) to attest to meeting the 
necessary requirements that make them exempt for receiving payment from 
Medicare under the IPPS. These IPFs must use CMS-437 to attest that 
they meet the requirements for IPPS exempt status prior to being placed 
into excluded status. IPFs must re-attest to meeting the exclusion 
criteria annually. Form Number: CMS-437 (OMB control number: 0938-
0358); Frequency: Annually; Affected Public: Private sector--Business 
or other for-profits; Number of Respondents: 1,616; Total Annual 
Responses: 1,616; Total Annual Hours: 1,212. (For policy questions 
regarding this collection contact Caroline Gallaher at 410-786-8705.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Payment 
Collections Operations Contingency Plan; Use: Section 1402 of the PPACA 
provides for the reduction of cost sharing for certain individuals 
enrolled in a QHP through an Exchange, and section 1412 of the PPACA 
provides for the advance payment of these reductions to issuers. The 
data collection will be used by HHS to make payments or collect charges 
from SBE issuers under the following programs: advance payments of the 
premium tax credit, advanced cost-sharing reductions, and Exchange user 
fees. The workbook template was used to make payments in January 2014 
and will continue through December 2020, as may be required based on 
HHS's operational progress. Form Number: CMS-10515 (OMB Control Number: 
0938-1217); Frequency: Monthly; Affected Public: Private sector 
(Business or other for-profits and not-for-profit institutions); Number 
of Respondents: 575; Total Annual Responses: 7,475; Total Annual Hours: 
51,175. (For policy questions regarding this collection contact Jaya 
Ghildiyal at 301-492-5149).

    Dated: September 13, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-19795 Filed 9-15-17; 8:45 am]
 BILLING CODE 4120-01-P



                                                                          Federal Register / Vol. 82, No. 179 / Monday, September 18, 2017 / Notices                                            43549

                                                publishing this notice that summarizes                     Dated: September 13, 2017.                           2. By regular mail. You may mail
                                                the following proposed collection(s) of                 William N. Parham, III,                               written comments to the following
                                                information for public comment:                         Director, Paperwork Reduction Staff, Office           address: CMS, Office of Strategic
                                                   1. Type of Information Collection                    of Strategic Operations and Regulatory                Operations and Regulatory Affairs,
                                                Request: Extension of a currently                       Affairs.                                              Division of Regulations Development,
                                                approved collection; Title of                           [FR Doc. 2017–19787 Filed 9–15–17; 8:45 am]           Attention: Document Identifier/OMB
                                                Information Collection: State Medicaid                  BILLING CODE 4120–01–P                                Control Number _________, Room C4–
                                                HIT Plan, Planning Advance Planning                                                                           26–05, 7500 Security Boulevard,
                                                Document, and Implementation                                                                                  Baltimore, Maryland 21244–1850.
                                                Advance Planning Document for                           DEPARTMENT OF HEALTH AND                                To obtain copies of a supporting
                                                Section 4201 of the Recovery Act; Use:                  HUMAN SERVICES                                        statement and any related forms for the
                                                To assess the appropriateness of state                                                                        proposed collection(s) summarized in
                                                requests for the administrative Federal                 Centers for Medicare & Medicaid                       this notice, you may make your request
                                                financial participation for expenditures                Services                                              using one of following:
                                                under their Medicaid Electronic Health                                                                          1. Access CMS’ Web site address at
                                                Record Incentive Program related to                     [Document Identifiers: CMS–437 and CMS–               http://www.cms.hhs.gov/Paperwork
                                                health information exchange, our staff                  10515]
                                                                                                                                                              ReductionActof1995.
                                                will review the submitted information                                                                           2. Email your request, including your
                                                                                                        Agency Information Collection
                                                and documentation to make an approval                                                                         address, phone number, OMB number,
                                                                                                        Activities: Proposed Collection;
                                                determination of the state advance                                                                            and CMS document identifier, to
                                                                                                        Comment Request
                                                planning document. Form Number:                                                                               Paperwork@cms.hhs.gov.
                                                CMS–10292 (OMB control number:                          AGENCY: Centers for Medicare &                          3. Call the Reports Clearance Office at
                                                0938–1088); Frequency: Once and                         Medicaid Services, HHS.                               (410) 786–1326.
                                                occasionally; Affected Public: State,                   ACTION: Notice.                                       FOR FURTHER INFORMATION CONTACT:
                                                Local, and Tribal Governments; Number                                                                         William Parham at (410) 786–4669.
                                                of Respondents: 56; Total Annual                        SUMMARY:    The Centers for Medicare &                SUPPLEMENTARY INFORMATION:
                                                Responses: 56; Total Annual Hours:                      Medicaid Services (CMS) is announcing
                                                896. (For policy questions regarding this               an opportunity for the public to                      Contents
                                                collection contact Marty Rice at 410–                   comment on CMS’ intention to collect                    This notice sets out a summary of the
                                                786–2417.)                                              information from the public. Under the                use and burden associated with the
                                                   2. Type of Information Collection                    Paperwork Reduction Act of 1995 (the                  following information collections. More
                                                Request: Extension of a currently                       PRA), federal agencies are required to                detailed information can be found in
                                                approved collection; Title of                           publish notice in the Federal Register                each collection’s supporting statement
                                                Information Collection: Limitations on                  concerning each proposed collection of                and associated materials (see
                                                Provider Related Donations and Health                   information (including each proposed                  ADDRESSES).
                                                Care Related Taxes; Limitation on                       extension or reinstatement of an existing
                                                Payment to Disproportionate Share                                                                             CMS–437 Psychiatric Unit Criteria
                                                                                                        collection of information) and to allow                    Work Sheet
                                                Hospitals; Medicaid and Supporting                      60 days for public comment on the
                                                Regulations in 42 CFR 433.68, 433.74                                                                          CMS–10515 Payment Collections
                                                                                                        proposed action. Interested persons are                    Operations Contingency Plan
                                                and 447.272; Use: States may request a                  invited to send comments regarding our
                                                waiver of the broad based and                                                                                   Under the PRA (44 U.S.C. 3501–
                                                                                                        burden estimates or any other aspect of
                                                uniformity tax program requirements.                                                                          3520), federal agencies must obtain
                                                                                                        this collection of information, including
                                                Each state must demonstrate that its tax                                                                      approval from the Office of Management
                                                                                                        the necessity and utility of the proposed
                                                program(s) do not violate the hold                                                                            and Budget (OMB) for each collection of
                                                                                                        information collection for the proper
                                                harmless provision. Additionally, state                                                                       information they conduct or sponsor.
                                                                                                        performance of the agency’s functions,
                                                Medicaid agencies must report                                                                                 The term ‘‘collection of information’’ is
                                                                                                        the accuracy of the estimated burden,
                                                (quarterly) on health care related taxes                                                                      defined in 44 U.S.C. 3502(3) and 5 CFR
                                                                                                        ways to enhance the quality, utility, and
                                                collected and the source of provider                                                                          1320.3(c) and includes agency requests
                                                                                                        clarity of the information to be
                                                related donations received by the state                                                                       or requirements that members of the
                                                                                                        collected, and the use of automated
                                                or unit of local government. Each state                                                                       public submit reports, keep records, or
                                                                                                        collection techniques or other forms of
                                                must maintain, in readily reviewable                                                                          provide information to a third party.
                                                                                                        information technology to minimize the
                                                form, supporting documentation that                                                                           Section 3506(c)(2)(A) of the PRA
                                                                                                        information collection burden.
                                                provides a detailed description of each                                                                       requires federal agencies to publish a
                                                donation and tax program being                          DATES: Comments must be received by                   60-day notice in the Federal Register
                                                reported, as well as the source and use                 November 17, 2017.                                    concerning each proposed collection of
                                                of all donations received and collected.                ADDRESSES: When commenting, please                    information, including each proposed
                                                Without this information, the amount of                 reference the document identifier or                  extension or reinstatement of an existing
                                                Federal financial participation payable                 OMB control number. To be assured                     collection of information, before
                                                to a state cannot be determined; Form                   consideration, comments and                           submitting the collection to OMB for
                                                Number: CMS–R–148 (OMB control                          recommendations must be submitted in                  approval. To comply with this
                                                number: 0938–0618); Frequency:                          any one of the following ways:                        requirement, CMS is publishing this
                                                Quarterly and occasionally; Affected                      1. Electronically. You may send your
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                                                                                                                                                              notice.
                                                Public: State, Local, or Tribal                         comments electronically to http://
                                                Governments; Number of Respondents:                     www.regulations.gov. Follow the                       Information Collection
                                                50; Total Annual Responses: 40; Total                   instructions for ‘‘Comment or                           1. Type of Information Collection
                                                Annual Hours: 3,200. (For policy                        Submission’’ or ‘‘More Search Options’’               Request: Reinstatement with Change of
                                                questions regarding this collection                     to find the information collection                    a currently approved collection; Title of
                                                contact Stuart Goldstein at 410–786–                    document(s) that are accepting                        Information Collection: Psychiatric Unit
                                                0694.)                                                  comments.                                             Criteria Work Sheet; Use: Certain


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                                                43550                     Federal Register / Vol. 82, No. 179 / Monday, September 18, 2017 / Notices

                                                specialty hospitals and hospital                           Dated: September 13, 2017.                           Agenda: To review and evaluate grant
                                                specialty distinct-part units may be                    William N. Parham, III,                               applications.
                                                excluded from the Inpatient Medicare                                                                            Place: Embassy Suites at the Chevy Chase
                                                                                                        Director, Paperwork Reduction Staff, Office
                                                                                                                                                              Pavilion, 4300 Military Road NW.,
                                                Prospective Payment System (IPPS) and                   of Strategic Operations and Regulatory
                                                                                                                                                              Washington, DC 20015.
                                                be paid at a different rate. These                      Affairs.
                                                                                                                                                                Contact Person: Ghenima Dirami, Ph.D.,
                                                specialty hospitals and distinct-part                   [FR Doc. 2017–19795 Filed 9–15–17; 8:45 am]           Scientific Review Officer, Center for
                                                units of hospitals include Inpatient                    BILLING CODE 4120–01–P                                Scientific Review, National Institutes of
                                                Rehabilitation Facilities (IRFs) units,                                                                       Health, 6701 Rockledge Drive, Room 4122,
                                                Inpatient Rehabilitation Facilities (IRFs)                                                                    MSC 7814, Bethesda, MD 20892, 240–498–
                                                hospitals and Inpatient Psychiatric                     DEPARTMENT OF HEALTH AND                              7546, diramig@csr.nih.gov.
                                                Facilities (IPFs).                                      HUMAN SERVICES                                          Name of Committee: Population Sciences
                                                   CMS regulations at 42 CFR 412.20                                                                           and Epidemiology Integrated Review Group;
                                                through 412.29 describe the criteria                    National Institutes of Health                         Infectious Diseases, Reproductive Health,
                                                                                                                                                              Asthma and Pulmonary Conditions, Study
                                                under which these specialty hospitals                   Center for Scientific Review; Notice of               Section.
                                                and specialty distinct-part hospital units              Closed Meetings                                         Date: October 10–11, 2017.
                                                are excluded from the IPPS. Form CMS–                                                                           Time: 8:00 a.m. to 6:00 p.m.
                                                437 is used by Inpatient Psychiatric                      Pursuant to section 10(d) of the                      Agenda: To review and evaluate grant
                                                Facilities (IPFs) to attest to meeting the              Federal Advisory Committee Act, as                    applications.
                                                necessary requirements that make them                   amended, notice is hereby given of the                  Place: Bethesda North Marriott Hotel &
                                                exempt for receiving payment from                       following meetings.                                   Conference Center, Montgomery County
                                                Medicare under the IPPS. These IPFs                                                                           Conference Center Facility, 5701 Marinelli
                                                                                                          The meetings will be closed to the
                                                                                                                                                              Road, North Bethesda, MD 20852.
                                                must use CMS–437 to attest that they                    public in accordance with the                           Contact Person: Lisa Steele, Ph.D.,
                                                meet the requirements for IPPS exempt                   provisions set forth in sections                      Scientific Review Officer, Center for
                                                status prior to being placed into                       552b(c)(4) and 552b(c)(6), Title 5 U.S.C.,            Scientific Review, National Institutes of
                                                excluded status. IPFs must re-attest to                 as amended. The grant applications and                Health, 6701 Rockledge Drive, Room 3139,
                                                meeting the exclusion criteria annually.                the discussions could disclose                        MSC 7770, Bethesda, MD 20892, (301) 257–
                                                Form Number: CMS–437 (OMB control                       confidential trade secrets or commercial              2638, steeleln@csr.nih.gov.
                                                number: 0938–0358); Frequency:                          property such as patentable material,                   Name of Committee: Biological Chemistry
                                                Annually; Affected Public: Private                      and personal information concerning                   and Macromolecular Biophysics Integrated
                                                sector—Business or other for-profits;                   individuals associated with the grant                 Review Group; Macromolecular Structure
                                                Number of Respondents: 1,616; Total                     applications, the disclosure of which                 and Function D Study Section.
                                                Annual Responses: 1,616; Total Annual                                                                           Date: October 11, 2017.
                                                                                                        would constitute a clearly unwarranted
                                                                                                                                                                Time: 8:00 a.m. to 7:00 p.m.
                                                Hours: 1,212. (For policy questions                     invasion of personal privacy.                           Agenda: To review and evaluate grant
                                                regarding this collection contact                         Name of Committee: Vascular and                     applications.
                                                Caroline Gallaher at 410–786–8705.)                     Hematology Integrated Review Group;                     Place: National Institutes of Health, 6701
                                                   2. Type of Information Collection                    Hypertension and Microcirculation Study               Rockledge Drive, Bethesda, MD 20892.
                                                Request: Extension of a currently                       Section.                                                Contact Person: James W. Mack, Ph.D.,
                                                approved collection; Title of                             Date: October 10–11, 2017.                          Scientific Review Officer, Center for
                                                Information Collection: Payment                           Time: 8:00 a.m. to 5:00 p.m.                        Scientific Review, National Institutes of
                                                Collections Operations Contingency                        Agenda: To review and evaluate grant                Health, 6701 Rockledge Drive, Room 4154,
                                                Plan; Use: Section 1402 of the PPACA                    applications.                                         MSC 7806, Bethesda, MD 20892, (301) 435–
                                                                                                          Place: Residence Inn Bethesda, 7335                 2037, mackj2@csr.nih.gov.
                                                provides for the reduction of cost                      Wisconsin Avenue, Bethesda, MD 20814.
                                                sharing for certain individuals enrolled                                                                        Name of Committee: Center for Scientific
                                                                                                          Contact Person: Ai-Ping Zou, MD, Ph.D.,             Review Special Emphasis Panel; Cellular and
                                                in a QHP through an Exchange, and                       Scientific Review Officer, Center for                 Molecular Technologies.
                                                section 1412 of the PPACA provides for                  Scientific Review, National Institutes of               Date: October 11–12, 2017.
                                                the advance payment of these                            Health, 6701 Rockledge Drive, Room 4118,                Time: 8:00 a.m. to 6:00 p.m.
                                                reductions to issuers. The data                         MSC 7814, Bethesda, MD 20892, 301–408–                  Agenda: To review and evaluate grant
                                                collection will be used by HHS to make                  9497, zouai@mail.nih.gov.                             applications.
                                                payments or collect charges from SBE                      Name of Committee: Brain Disorders and                Place: Bethesda North Marriott Hotel &
                                                issuers under the following programs:                   Clinical Neuroscience Integrated Review               Conference Center, 5701 Marinelli Road,
                                                advance payments of the premium tax                     Group; Clinical Neuroscience and                      Bethesda, MD 20852.
                                                credit, advanced cost-sharing                           Neurodegeneration Study Section.                        Contact Person: Tatiana V. Cohen, Ph.D.,
                                                                                                          Date: October 10–11, 2017.                          Scientific Review Officer, Center for
                                                reductions, and Exchange user fees. The                   Time: 8:00 a.m. to 5:00 p.m.                        Scientific Review, National Institutes of
                                                workbook template was used to make                        Agenda: To review and evaluate grant                Health, 6701 Rockledge Drive Room 5213,
                                                payments in January 2014 and will                       applications.                                         Bethesda, MD 20892, 301–455–2364,
                                                continue through December 2020, as                        Place: National Institutes of Health, 6701          tatiana.cohen@nih.gov.
                                                may be required based on HHS’s                          Rockledge Drive, Bethesda, MD 20892.                    Name of Committee: Infectious Diseases
                                                operational progress. Form Number:                        Contact Person: Alessandra C. Rovescalli,           and Microbiology Integrated Review Group;
                                                CMS–10515 (OMB Control Number:                          Ph.D., Scientific Review Officer, National            Vector Biology Study Section.
                                                0938–1217); Frequency: Monthly;                         Institutes of Health, Center for Scientific             Date: October 11, 2017.
                                                Affected Public: Private sector (Business               Review, 6701 Rockledge Drive, Rm 5205                   Time: 8:00 a.m. to 5:00 p.m.
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                                                                                                        MSC7846, Bethesda, MD 20892, (301) 435–                 Agenda: To review and evaluate grant
                                                or other for-profits and not-for-profit                 1021, rovescaa@mail.nih.gov.
                                                institutions); Number of Respondents:                                                                         applications.
                                                                                                          Name of Committee: Cardiovascular and                 Place: Cambria Suites Rockville, 1 Helen
                                                575; Total Annual Responses: 7,475;                     Respiratory Sciences Integrated Review                Henegham Way, Rockville, MD 20850.
                                                Total Annual Hours: 51,175. (For policy                 Group; Lung Injury, Repair, and Remodeling              Contact Person: Liangbiao Zheng, Ph.D.,
                                                questions regarding this collection                     Study Section.                                        Scientific Review Officer, Center for
                                                contact Jaya Ghildiyal at 301–492–                        Date: October 10–11, 2017.                          Scientific Review, National Institutes of
                                                5149).                                                    Time: 8:00 a.m. to 5:00 p.m.                        Health, 6701 Rockledge Drive, Room 3214,



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Document Created: 2017-09-16 00:51:24
Document Modified: 2017-09-16 00:51:24
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 must be received by November 17, 2017.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 43549 

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