82_FR_4897 82 FR 4887 - Agency Information Collection Activities: Submission for OMB Review; Comment Request

82 FR 4887 - 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 10 (January 17, 2017)

Page Range4887-4887
FR Document2017-00863

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 10 (Tuesday, January 17, 2017)
[Federal Register Volume 82, Number 10 (Tuesday, January 17, 2017)]
[Notices]
[Page 4887]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2017-00863]



[[Page 4887]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-3070G-I and CMS-R-38]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

ACTION: Notice.

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SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is 
announcing an opportunity for the public to comment on CMS' intention 
to collect information from the public. Under the Paperwork Reduction 
Act of 1995 (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 February 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: 
[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 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: Reports Clearance Office at (410) 786-
1326.

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: Revision of a currently 
approved collection; Title of Information Collection: ICF/IID Survey 
Report Form and Supporting Regulations; Use: The information collected 
with forms 3070G-I is used to determine the level of compliance with 
Intermediate Care Facilities for Individuals with Intellectual 
Disabilities (ICF/IID) CoPs necessary to participate in the Medicare/
Medicaid program. Information needed to monitor the State's performance 
as well as the ICF/IID program in general, is available to CMS only 
through the use of information abstracted from the survey report form. 
The form serves as a coding worksheet designed to facilitate data entry 
and retrieval into the Automated Survey Processing Environment Suite 
(ASPEN) in the State and at the CMS regional offices. Form Number: CMS-
3070G-I (OMB control number: 0938-0062); Frequency: Reporting--Yearly; 
Affected Public: Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 6,310; Total Annual Responses: 
6,310; Total Annual Hours: 18,930. (For policy questions regarding this 
collection contact Melissa Rice at 410-786-3270.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Conditions for 
Certification for Rural Health Clinics; Use: The Rural Health Clinic 
(RHC) conditions of certification are based on criteria prescribed in 
law and are designed to ensure that each facility has a properly 
trained staff to provide appropriate care and to assure a safe physical 
environment for patients. We use these conditions of participation to 
certify RHCs wishing to participate in the Medicare program. These 
requirements are similar in intent to standards developed by industry 
organizations such as the Joint Commission on Accreditation of 
Hospitals, and the National League of Nursing and the American Public 
Association and merely reflect accepted standards of management and 
care to which rural health clinics must adhere. Form Number: CMS-R-38 
(OMB control number: 0938-0334); Frequency: Recordkeeping and 
Reporting--Annually; Affected Public: Business or other for-profits; 
Number of Respondents: 4,247; Total Annual Responses: 4,247; Total 
Annual Hours: 18,284. (For policy questions regarding this collection 
contact Jacqueline Leach at 410-786-4282.)

    Dated: January 11, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory, Affairs.
[FR Doc. 2017-00863 Filed 1-13-17; 8:45 am]
 BILLING CODE 4120-01-P



                                                                              Federal Register / Vol. 82, No. 10 / Tuesday, January 17, 2017 / Notices                                                  4887

                                                DEPARTMENT OF HEALTH AND                                and CMS document identifier, to                        Information Collection: Conditions for
                                                HUMAN SERVICES                                          Paperwork@cms.hhs.gov.                                 Certification for Rural Health Clinics;
                                                                                                          3. Call the Reports Clearance Office at              Use: The Rural Health Clinic (RHC)
                                                Centers for Medicare & Medicaid                         (410) 786–1326.                                        conditions of certification are based on
                                                Services                                                FOR FURTHER INFORMATION CONTACT:                       criteria prescribed in law and are
                                                [Document Identifiers: CMS–3070G–I and                  Reports Clearance Office at (410) 786–                 designed to ensure that each facility has
                                                CMS–R–38]                                               1326.                                                  a properly trained staff to provide
                                                                                                        SUPPLEMENTARY INFORMATION: Under the
                                                                                                                                                               appropriate care and to assure a safe
                                                Agency Information Collection                           Paperwork Reduction Act of 1995 (PRA)                  physical environment for patients. We
                                                Activities: Submission for OMB                                                                                 use these conditions of participation to
                                                                                                        (44 U.S.C. 3501–3520), federal agencies
                                                Review; Comment Request                                                                                        certify RHCs wishing to participate in
                                                                                                        must obtain approval from the Office of
                                                                                                                                                               the Medicare program. These
                                                AGENCY: Centers for Medicare &                          Management and Budget (OMB) for each
                                                                                                                                                               requirements are similar in intent to
                                                Medicaid Services, HHS.                                 collection of information they conduct
                                                                                                                                                               standards developed by industry
                                                ACTION: Notice.                                         or sponsor. The term ‘‘collection of
                                                                                                                                                               organizations such as the Joint
                                                                                                        information’’ is defined in 44 U.S.C.
                                                SUMMARY:    The Centers for Medicare &                                                                         Commission on Accreditation of
                                                                                                        3502(3) and 5 CFR 1320.3(c) and
                                                Medicaid Services (CMS) is announcing                                                                          Hospitals, and the National League of
                                                                                                        includes agency requests or
                                                an opportunity for the public to                                                                               Nursing and the American Public
                                                                                                        requirements that members of the public
                                                comment on CMS’ intention to collect                                                                           Association and merely reflect accepted
                                                                                                        submit reports, keep records, or provide               standards of management and care to
                                                information from the public. Under the                  information to a third party. Section
                                                Paperwork Reduction Act of 1995                                                                                which rural health clinics must adhere.
                                                                                                        3506(c)(2)(A) of the PRA (44 U.S.C.                    Form Number: CMS–R–38 (OMB control
                                                (PRA), federal agencies are required to                 3506(c)(2)(A)) requires federal agencies
                                                publish notice in the Federal Register                                                                         number: 0938–0334); Frequency:
                                                                                                        to publish a 30-day notice in the                      Recordkeeping and Reporting—
                                                concerning each proposed collection of                  Federal Register concerning each
                                                information, including each proposed                                                                           Annually; Affected Public: Business or
                                                                                                        proposed collection of information,                    other for-profits; Number of
                                                extension or reinstatement of an existing               including each proposed extension or
                                                collection of information, and to allow                                                                        Respondents: 4,247; Total Annual
                                                                                                        reinstatement of an existing collection                Responses: 4,247; Total Annual Hours:
                                                a second opportunity for public                         of information, before submitting the
                                                comment on the notice. Interested                                                                              18,284. (For policy questions regarding
                                                                                                        collection to OMB for approval. To                     this collection contact Jacqueline Leach
                                                persons are invited to send comments                    comply with this requirement, CMS is
                                                regarding the burden estimate or any                                                                           at 410–786–4282.)
                                                                                                        publishing this notice that summarizes
                                                other aspect of this collection of                      the following proposed collection(s) of                   Dated: January 11, 2017.
                                                information, including the necessity and                information for public comment:                        William N. Parham, III,
                                                utility of the proposed information                       1. Type of Information Collection                    Director, Paperwork Reduction Staff, Office
                                                collection for the proper performance of                Request: Revision of a currently                       of Strategic Operations and Regulatory,
                                                the agency’s functions, the accuracy of                 approved collection; Title of                          Affairs.
                                                the estimated burden, ways to enhance                   Information Collection: ICF/IID Survey                 [FR Doc. 2017–00863 Filed 1–13–17; 8:45 am]
                                                the quality, utility, and clarity of the                Report Form and Supporting                             BILLING CODE 4120–01–P
                                                information to be collected and the use                 Regulations; Use: The information
                                                of automated collection techniques or                   collected with forms 3070G–I is used to
                                                other forms of information technology to                determine the level of compliance with                 DEPARTMENT OF HEALTH AND
                                                minimize the information collection                     Intermediate Care Facilities for                       HUMAN SERVICES
                                                burden.                                                 Individuals with Intellectual Disabilities             Centers for Medicare & Medicaid
                                                DATES: Comments on the collection(s) of                 (ICF/IID) CoPs necessary to participate                Services
                                                information must be received by the                     in the Medicare/Medicaid program.
                                                OMB desk officer by February 16, 2017.                  Information needed to monitor the                      [Document Identifier: CMS–10638]
                                                ADDRESSES: When commenting on the                       State’s performance as well as the ICF/
                                                                                                        IID program in general, is available to                Agency Information Collection
                                                proposed information collections,
                                                                                                        CMS only through the use of                            Activities: Proposed Collection;
                                                please reference the document identifier
                                                                                                        information abstracted from the survey                 Comment Request
                                                or OMB control number. To be assured
                                                consideration, comments and                             report form. The form serves as a coding               AGENCY: Centers for Medicare &
                                                recommendations must be received by                     worksheet designed to facilitate data                  Medicaid Services, HHS.
                                                the OMB desk officer via one of the                     entry and retrieval into the Automated                 ACTION: Notice.
                                                following transmissions: OMB, Office of                 Survey Processing Environment Suite
                                                Information and Regulatory Affairs,                     (ASPEN) in the State and at the CMS                    SUMMARY:   The Centers for Medicare &
                                                Attention: CMS Desk Officer, Fax                        regional offices. Form Number: CMS–                    Medicaid Services (CMS) is announcing
                                                Number: (202) 395–5806 OR, Email:                       3070G–I (OMB control number: 0938–                     an opportunity for the public to
                                                OIRA_submission@omb.eop.gov.                            0062); Frequency: Reporting—Yearly;                    comment on CMS’ intention to collect
                                                   To obtain copies of a supporting                     Affected Public: Business or other for-                information from the public. Under the
                                                statement and any related forms for the                 profits and Not-for-profit institutions;               Paperwork Reduction Act of 1995 (the
                                                                                                                                                               PRA), federal agencies are required to
sradovich on DSK3GMQ082PROD with NOTICES




                                                proposed collection(s) summarized in                    Number of Respondents: 6,310; Total
                                                this notice, you may make your request                  Annual Responses: 6,310; Total Annual                  publish notice in the Federal Register
                                                using one of following:                                 Hours: 18,930. (For policy questions                   concerning each proposed collection of
                                                   1. Access CMS’ Web site address at                   regarding this collection contact Melissa              information (including each proposed
                                                http://www.cms.hhs.gov/                                 Rice at 410–786–3270.)                                 extension or reinstatement of an existing
                                                PaperworkReductionActof1995.                               2. Type of Information Collection                   collection of information) and to allow
                                                   2. Email your request, including your                Request: Revision of a currently                       60 days for public comment on the
                                                address, phone number, OMB number,                      approved collection; Title of                          proposed action. Interested persons are


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Document Created: 2017-01-14 01:44:40
Document Modified: 2017-01-14 01:44:40
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 February 16, 2017.
ContactReports Clearance Office at (410) 786- 1326.
FR Citation82 FR 4887 

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