82_FR_45777 82 FR 45589 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

82 FR 45589 - 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 188 (September 29, 2017)

Page Range45589-45590
FR Document2017-20921

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.

Federal Register, Volume 82 Issue 188 (Friday, September 29, 2017)
[Federal Register Volume 82, Number 188 (Friday, September 29, 2017)]
[Notices]
[Pages 45589-45590]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-20921]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-10224, CMS-222-17, CMS-216-94, and CMS-265-
11]


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 30, 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: 
[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: Healthcare Common 
Procedure Coding System (HCPCS)--Level II Code Modification Request 
Process; Use: In October 2003, the Secretary of Health and Human 
Services (HHS) delegated authority under the Health Insurance 
Portability and Accountability Act (HIPAA) legislation to Centers for 
Medicare and Medicaid Services (CMS) to maintain and distribute HCPCS 
Level II Codes. As stated in 42 CFR Sec. 414.40(a) CMS establishes 
uniform national definitions of services, codes to represent services, 
and payment modifiers to the codes. The HCPCS codeset has been

[[Page 45590]]

maintained and distributed via modifications of codes, modifiers and 
descriptions, as a direct result of data received from applicants. 
Thus, information collected in the application is significant to 
codeset maintenance.
    The HCPCS codeset maintenance is an ongoing process, as changes are 
implemented and updated annually; therefore, the process requires 
continual collection of information from applicants on an annual basis. 
As new technology evolves and new devices, drugs and supplies are 
introduced to the market, applicants submit applications to CMS 
requesting modifications to the HCPCS Level II codeset. Applications 
have been received prior to HIPAA implementation and must continue to 
be collected to ensure quality decision-making. The HIPAA of 1996 
required CMS to adopt standards for coding systems that are used for 
reporting health care transactions. The regulation that CMS published 
on August 17, 2000 (45 CFR 162.10002) to implement the HIPAA 
requirement for standardized coding systems established the HCPCS Level 
II codes as the standardized coding system for describing and 
identifying health care equipment and supplies in health care 
transactions. HCPCS Level II was selected as the standardized coding 
system because of its wide acceptance among both public and private 
insurers. Public and private insurers were required to be in compliance 
with the August 2000 regulation by October 1, 2002. Form Number: CMS-
10224 (OMB control number: 0938-1042); Frequency: Annually; Affected 
Public: Private Sector: Business or other for-profit, Not-for-profit 
institutions; Number of Respondents: 100; Total Annual Responses: 100; 
Total Annual Hours: 1100. (For policy questions regarding this 
collection contact Kimberley Combs-Miller at 410-786-6707).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Independent Rural 
Health Clinics/Freestanding Federally Qualified Health Clinics Cost 
Report; Use: Providers of services participating in the Medicare 
program are required under sections 1815(a), 1833(e) 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-222-17 cost report is needed 
to determine a provider's reasonable costs incurred in furnishing 
medical services to Medicare beneficiaries and reimbursement due to or 
from a provider. Form Number: CMS-222-17 (OMB control number: 0938-
0107); Frequency: Annually; Affected Public: Private Sector: Business 
or other for-profit, Not-for-profit institutions; Number of 
Respondents: 1,744; Total Annual Responses: 1,744; Total Annual Hours: 
95,920. (For policy questions regarding this collection contact Yaakov 
Feinstein at 410-786-3137).
    3. 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).
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: 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: September 26, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-20921 Filed 9-28-17; 8:45 am]
BILLING CODE 4120-01-P



                                                                                Federal Register / Vol. 82, No. 188 / Friday, September 29, 2017 / Notices                                         45589

                                                    www.regulations.gov, including any                      recommendations contained in the                      following transmissions: OMB, Office of
                                                    personal or proprietary information                     Guideline were developed based on                     Information and Regulatory Affairs,
                                                    provided. To download an electronic                     findings from the Systematic Review.                  Attention: CMS Desk Officer, Fax
                                                    version of the Guideline and                            This Guideline is not a federal rule or               Number: (202) 395–5806 Or, Email:
                                                    appendices, go to http://                               regulation; adherence to the Guideline                OIRA_submission@omb.eop.gov.
                                                    www.regulations.gov.                                    will be voluntary.                                      To obtain copies of a supporting
                                                    FOR FURTHER INFORMATION CONTACT:                          Dated: September 26, 2017.                          statement and any related forms for the
                                                    Arlene Greenspan, National Center for                   Sandra Cashman,
                                                                                                                                                                  proposed collection(s) summarized in
                                                    Injury Prevention and Control, Centers                                                                        this notice, you may make your request
                                                                                                            Executive Secretary, Centers for Disease
                                                    for Disease Control and Prevention,                     Control and Prevention.
                                                                                                                                                                  using one of following:
                                                    4770 Buford Highway NE., Mailstop F–                                                                            1. Access CMS’ Web site address at
                                                                                                            [FR Doc. 2017–20903 Filed 9–28–17; 8:45 am]
                                                    63, Atlanta, Georgia 30341; Telephone:                                                                        https://www.cms.gov/Regulations-and-
                                                                                                            BILLING CODE 4163–18–P
                                                    (770) 488–4696.                                                                                               Guidance/Legislation/
                                                                                                                                                                  PaperworkReductionActof1995/PRA-
                                                    SUPPLEMENTARY INFORMATION: The
                                                                                                                                                                  Listing.html.
                                                    Pediatric Mild Traumatic Brain Injury                   DEPARTMENT OF HEALTH AND
                                                                                                                                                                    2. Email your request, including your
                                                    Workgroup, a workgroup of the National                  HUMAN SERVICES
                                                                                                                                                                  address, phone number, OMB number,
                                                    Center for Injury Prevention and Control
                                                                                                            Centers for Medicare & Medicaid                       and CMS document identifier, to
                                                    (NCIPC) Board of Scientific Counselors
                                                                                                            Services                                              Paperwork@cms.hhs.gov.
                                                    (BSC), conducted a systematic review of
                                                                                                                                                                    3. Call the Reports Clearance Office at
                                                    the evidence and drafted the clinical                   [Document Identifiers CMS–10224, CMS–                 (410) 786–1326.
                                                    recommendations. The NCIPC/BSC is a                     222–17, CMS–216–94, and CMS–265–11]
                                                    federal advisory committee comprised                                                                          FOR FURTHER INFORMATION CONTACT:
                                                    of leading experts in the field of injury               Agency Information Collection                         William Parham at (410) 786–4669.
                                                    and violence prevention that makes                      Activities: Submission for OMB                        SUPPLEMENTARY INFORMATION: Under the
                                                    recommendations to the HHS Secretary,                   Review; Comment Request                               Paperwork Reduction Act of 1995 (PRA)
                                                    the CDC Director, and the NCIPC                                                                               (44 U.S.C. 3501–3520), federal agencies
                                                                                                            AGENCY: Centers for Medicare &                        must obtain approval from the Office of
                                                    Director. The workgroup consists of
                                                                                                            Medicaid Services, HHS.                               Management and Budget (OMB) for each
                                                    subject matter experts in neurosurgery,
                                                    pediatrics, emergency medicine,                         ACTION: Notice.                                       collection of information they conduct
                                                    nursing, neurology, rehabilitation,                                                                           or sponsor. The term ‘‘collection of
                                                                                                            SUMMARY:    The Centers for Medicare &
                                                    neuroimaging, internal and family                                                                             information’’ is defined in 44 U.S.C.
                                                                                                            Medicaid Services (CMS) is announcing
                                                    medicine, sports medicine, and school                                                                         3502(3) and 5 CFR 1320.3(c) and
                                                                                                            an opportunity for the public to
                                                    health. The systematic review and                                                                             includes agency requests or
                                                                                                            comment on CMS’ intention to collect
                                                    clinical recommendations drafted by the                                                                       requirements that members of the public
                                                                                                            information from the public. Under the
                                                    Pediatric Mild Traumatic Brain Injury                                                                         submit reports, keep records, or provide
                                                                                                            Paperwork Reduction Act of 1995
                                                    Workgroup served as the primary                                                                               information to a third party. Section
                                                                                                            (PRA), federal agencies are required to
                                                    foundation for the CDC Systematic                                                                             3506(c)(2)(A) of the PRA (44 U.S.C.
                                                                                                            publish notice in the Federal Register
                                                    Review and CDC Guideline.                                                                                     3506(c)(2)(A)) requires federal agencies
                                                                                                            concerning each proposed collection of
                                                                                                                                                                  to publish a 30-day notice in the
                                                    Supporting and Related Material in the                  information, including each proposed
                                                                                                                                                                  Federal Register concerning each
                                                    Docket                                                  extension or reinstatement of an existing
                                                                                                                                                                  proposed collection of information,
                                                                                                            collection of information, and to allow
                                                       The docket contains the following                                                                          including each proposed extension or
                                                                                                            a second opportunity for public
                                                    supporting and related materials to help                                                                      reinstatement of an existing collection
                                                                                                            comment on the notice. Interested
                                                    inform public comment: the Systematic                                                                         of information, before submitting the
                                                                                                            persons are invited to send comments
                                                    Review including data tables, and the                                                                         collection to OMB for approval. To
                                                                                                            regarding the burden estimate or any
                                                    Guideline including the key                                                                                   comply with this requirement, CMS is
                                                                                                            other aspect of this collection of
                                                    recommendations. The document,                                                                                publishing this notice that summarizes
                                                                                                            information, including the necessity and
                                                    Diagnosis and Management of Mild                                                                              the following proposed collection(s) of
                                                                                                            utility of the proposed information
                                                    Traumatic Brain Injury Among                                                                                  information for public comment:
                                                                                                            collection for the proper performance of
                                                    Children: A Systematic Review,                                                                                  1. Type of Information Collection
                                                                                                            the agency’s functions, the accuracy of
                                                    summarizes findings from 25 years of                                                                          Request: Extension of a currently
                                                                                                            the estimated burden, ways to enhance
                                                    research on the diagnosis, prognosis,                                                                         approved collection; Title of
                                                                                                            the quality, utility, and clarity of the
                                                    and management of pediatric mild TBI.                                                                         Information Collection: Healthcare
                                                                                                            information to be collected; and the use
                                                    In this review, evidence is summarized                                                                        Common Procedure Coding System
                                                                                                            of automated collection techniques or
                                                    for six clinical questions using a                                                                            (HCPCS)—Level II Code Modification
                                                                                                            other forms of information technology to
                                                    rigorous evidence rating methodology.                                                                         Request Process; Use: In October 2003,
                                                                                                            minimize the information collection
                                                    The draft CDC Guideline on the                                                                                the Secretary of Health and Human
                                                                                                            burden.
                                                    Diagnosis and Management of Mild                                                                              Services (HHS) delegated authority
                                                    Traumatic Brain Injury Among Children                   DATES: Comments on the collection(s) of               under the Health Insurance Portability
                                                                                                            information must be received by the
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                                                    focuses on diagnosis and management                                                                           and Accountability Act (HIPAA)
                                                    of acute mild traumatic brain injury                    OMB desk officer by October 30, 2017.                 legislation to Centers for Medicare and
                                                    (TBI) among children and adolescents                    ADDRESSES: When commenting on the                     Medicaid Services (CMS) to maintain
                                                    (age 18 and under). The Guideline is                    proposed information collections,                     and distribute HCPCS Level II Codes. As
                                                    designed for use by acute care and                      please reference the document identifier              stated in 42 CFR Sec. 414.40(a) CMS
                                                    primary care providers who diagnose                     or OMB control number. To be assured                  establishes uniform national definitions
                                                    and manage patients with mild TBI                       consideration, comments and                           of services, codes to represent services,
                                                    resulting from both unintentional and                   recommendations must be received by                   and payment modifiers to the codes.
                                                    intentional injuries. The                               the OMB desk officer via one of the                   The HCPCS codeset has been


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                                                    45590                       Federal Register / Vol. 82, No. 188 / Friday, September 29, 2017 / Notices

                                                    maintained and distributed via                          incurred in furnishing medical services               for-profit institutions; Number of
                                                    modifications of codes, modifiers and                   to Medicare beneficiaries and                         Respondents: 6,821; Total Annual
                                                    descriptions, as a direct result of data                reimbursement due to or from a                        Responses: 6,821; Total Annual Hours:
                                                    received from applicants. Thus,                         provider. Form Number: CMS–222–17                     443,365. (For policy questions regarding
                                                    information collected in the application                (OMB control number: 0938–0107);                      this collection contact Gail Duncan at
                                                    is significant to codeset maintenance.                  Frequency: Annually; Affected Public:                 410–786–7278).
                                                       The HCPCS codeset maintenance is                     Private Sector: Business or other for-                   Dated: September 26, 2017.
                                                    an ongoing process, as changes are                      profit, Not-for-profit institutions;
                                                                                                                                                                  William N. Parham, III,
                                                    implemented and updated annually;                       Number of Respondents: 1,744; Total
                                                    therefore, the process requires continual                                                                     Director, Paperwork Reduction Staff, Office
                                                                                                            Annual Responses: 1,744; Total Annual
                                                                                                                                                                  of Strategic Operations and Regulatory
                                                    collection of information from                          Hours: 95,920. (For policy questions                  Affairs.
                                                    applicants on an annual basis. As new                   regarding this collection contact Yaakov
                                                                                                                                                                  [FR Doc. 2017–20921 Filed 9–28–17; 8:45 am]
                                                    technology evolves and new devices,                     Feinstein at 410–786–3137).
                                                    drugs and supplies are introduced to the                  3. Type of Information Collection                   BILLING CODE 4120–01–P

                                                    market, applicants submit applications                  Request: Extension of a currently
                                                    to CMS requesting modifications to the                  approved collection; Title of
                                                    HCPCS Level II codeset. Applications                    Information Collection: Organ                         DEPARTMENT OF HEALTH AND
                                                    have been received prior to HIPAA                       Procurement Organization/                             HUMAN SERVICES
                                                    implementation and must continue to                     Histocompatibility Laboratory Cost                    Centers for Medicare & Medicaid
                                                    be collected to ensure quality decision-                Report; Use: Providers of services                    Services
                                                    making. The HIPAA of 1996 required                      participating in the Medicare program
                                                    CMS to adopt standards for coding                       are required under sections 1815(a) and               [CMS–1698–N]
                                                    systems that are used for reporting                     1861(v)(1)(A) of the Social Security Act
                                                    health care transactions. The regulation                (42 U.S.C. 1395g) to submit annual                    Medicare Program; Request for
                                                    that CMS published on August 17, 2000                   information to achieve settlement of                  Nominations to the Medicare Advisory
                                                    (45 CFR 162.10002) to implement the                     costs for health care services rendered to            Panel on Clinical Diagnostic
                                                    HIPAA requirement for standardized                      Medicare beneficiaries. In addition,                  Laboratory Tests
                                                    coding systems established the HCPCS                    regulations at 42 CFR 413.20 and 413.24               AGENCY: Centers for Medicare &
                                                    Level II codes as the standardized                      require adequate cost data and cost                   Medicaid Services (CMS), HHS.
                                                    coding system for describing and                        reports from providers on an annual                   ACTION: Notice.
                                                    identifying health care equipment and                   basis. The Form CMS–216–94 cost
                                                    supplies in health care transactions.                   report is needed to determine a                       SUMMARY:    This notice requests
                                                    HCPCS Level II was selected as the                      provider’s reasonable costs incurred in               nominations to fill vacancies on the
                                                    standardized coding system because of                   furnishing medical services to Medicare               Medicare Advisory Panel on Clinical
                                                    its wide acceptance among both public                   beneficiaries and reimbursement due to                Diagnostic Laboratory Tests (the Panel).
                                                    and private insurers. Public and private                or due from a provider. Form Number:                  The purpose of the Panel is to advise the
                                                    insurers were required to be in                         CMS–216–94 (OMB control number:                       Secretary of the Department of Health
                                                    compliance with the August 2000                         0938–0102); Frequency: Annually;                      and Human Services (DHHS) and the
                                                    regulation by October 1, 2002. Form                     Affected Public: Private Sector: Business             Administrator of the Centers for
                                                    Number: CMS–10224 (OMB control                          or other for-profit, Not-for-profit                   Medicare & Medicaid Services (CMS) on
                                                    number: 0938–1042); Frequency:                          institutions; Number of Respondents:                  issues related to clinical diagnostic
                                                    Annually; Affected Public: Private                      102; Total Annual Responses: 102; Total               laboratory tests (CDLTs). As announced
                                                    Sector: Business or other for-profit, Not-              Annual Hours: 4590. (For policy                       in the notice published in the Federal
                                                    for-profit institutions; Number of                      questions regarding this collection                   Register on June 16, 2017, entitled
                                                    Respondents: 100; Total Annual                          contact Amelia Citerone at 410–786–                   ‘‘Medicare Program; Rechartering,
                                                    Responses: 100; Total Annual Hours:                     3901).                                                Membership, and Announcement of the
                                                    1100. (For policy questions regarding                     4. Type of Information Collection                   Advisory Panel on Clinical Diagnostic
                                                    this collection contact Kimberley                       Request: Extension of a currently                     Laboratory Tests Meeting on August 1,
                                                    Combs-Miller at 410–786–6707).                          approved collection; Title of                         2017’’ (82 FR 27705), the Secretary
                                                       2. Type of Information Collection                    Information Collection: Providers of                  approved the rechartering of the Panel
                                                    Request: Revision of a currently                        services participating in the Medicare                on April 25, 2017 for a 2-year period
                                                    approved collection; Title of                           program are required under sections                   effective through April 25, 2019.
                                                    Information Collection: Independent                     1815(a) and 1861(v)(1)(A) of the Social
                                                                                                                                                                  DATES: The agency will receive
                                                    Rural Health Clinics/Freestanding                       Security Act (42 U.S.C. 1395g) to submit
                                                                                                                                                                  nominations on a continuous basis.
                                                    Federally Qualified Health Clinics Cost                 annual information to achieve
                                                    Report; Use: Providers of services                      settlement of costs for health care                   ADDRESSES: All nominations should be
                                                    participating in the Medicare program                   services rendered to Medicare                         sent electronically to the following
                                                    are required under sections 1815(a),                    beneficiaries. In addition, regulations at            email address: CDLTPanel@
                                                    1833(e) and 1861(v)(1)(A) of the Social                 42 CFR 413.20 and 413.24 require                      cms.hhs.gov.
                                                    Security Act (42 U.S.C. 1395g) to submit                adequate cost data and cost reports from                 Web site: For additional information
                                                                                                                                                                  on the Panel and updates to the Panel’s
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                                                    annual information to achieve                           providers on an annual basis. The Form
                                                    settlement of costs for health care                     CMS–265–11 cost report is needed to                   activities, we refer readers to our Web
                                                    services rendered to Medicare                           determine a provider’s reasonable costs               site at http://cms.gov/Regulations-and-
                                                    beneficiaries. In addition, regulations at              incurred in furnishing medical services               Guidance/Guidance/FACA/
                                                    42 CFR 413.20 and 413.24 require                        to Medicare beneficiaries. Form                       AdvisoryPanelonClinicalDiagnostic
                                                    adequate cost data and cost reports from                Number: CMS–265–11 (OMB control                       LaboratoryTests.html.
                                                    providers on an annual basis. The Form                  number: 0938–0236); Frequency:                        FOR FURTHER INFORMATION CONTACT:
                                                    CMS–222–17 cost report is needed to                     Annually; Affected Public: Private                    Persons wishing to nominate
                                                    determine a provider’s reasonable costs                 Sector: Business or other for-profit, Not-            individuals to serve on the Panel or to


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Document Created: 2017-09-29 03:26:47
Document Modified: 2017-09-29 03:26:47
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 on the collection(s) of information must be received by the OMB desk officer by October 30, 2017.
ContactWilliam Parham at (410) 786-4669.
FR Citation82 FR 45589 

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