83_FR_18389 83 FR 18308 - Agency Information Collection Activities: Proposed Collection; Comment Request

83 FR 18308 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 81 (April 26, 2018)

Page Range18308-18309
FR Document2018-08723

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 83 Issue 81 (Thursday, April 26, 2018)
[Federal Register Volume 83, Number 81 (Thursday, April 26, 2018)]
[Notices]
[Pages 18308-18309]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-08723]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-2540-10]


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 June 25, 2018.

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' website 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 Paperwork@cms.hhs.gov.
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: William Parham at (410) 786-4669.

SUPPLEMENTARY INFORMATION: 

[[Page 18309]]

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-2540-10 Skilled Nursing Facility and Skilled Nursing Facility Cost 
Report

    Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain 
approval from the Office of Management and Budget (OMB) for each 
collection of information they conduct or sponsor. The term 
``collection of information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 
1320.3(c) and includes agency requests or requirements that members of 
the public submit reports, keep records, or provide information to a 
third party. Section 3506(c)(2)(A) of the PRA requires federal agencies 
to publish a 60-day notice in the Federal Register concerning each 
proposed collection of information, including each proposed extension 
or reinstatement of an existing collection of information, before 
submitting the collection to OMB for approval. To comply with this 
requirement, CMS is publishing this notice.

Information Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Skilled Nursing 
Facility and Skilled Nursing Facility 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-
2540-10 cost report is needed to determine a provider's reasonable cost 
incurred in furnishing medical services to Medicare beneficiaries and 
reimbursement due to or from a provider. Reimbursement outside of the 
PPS may be for payment of Medicare reimbursable bad debt. Form Number: 
CMS-2540-10 (OMB control number: 0938-0463); Frequency: Yearly; 
Affected Public: Private Sector; Not-for-profit institutions, 
Businesses or other for-profits; Number of Respondents: 14,486; Total 
Annual Responses: 14,486; Total Annual Hours: 2,926,172. (For policy 
questions regarding this collection contact Julie Stankivic at 410-786-
5725.)

    Dated: April 20, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-08723 Filed 4-25-18; 8:45 am]
 BILLING CODE 4120-01-P



                                             18308                         Federal Register / Vol. 83, No. 81 / Thursday, April 26, 2018 / Notices

                                             document is not a regulatory or                         for FY 2018, that is effective October 1,             information from the public. Under the
                                             deregulatory action for the purposes of                 2017. As this document merely informs                 Paperwork Reduction Act of 1995 (the
                                             Executive Order 13771.                                  the public of these extensions, it is not             PRA), federal agencies are required to
                                                                                                     a rule and does not require any notice                publish notice in the Federal Register
                                             G. Conclusion
                                                                                                     and comment rulemaking. To the extent                 concerning each proposed collection of
                                               Overall, IPPS hospitals are projected                 any of the policies articulated in this               information (including each proposed
                                             to experience an increase in estimated                  document constitute interpretations of                extension or reinstatement of an existing
                                             payments of $468 million as a result of                 the statute’s requirements or procedures              collection of information) and to allow
                                             the changes made by sections 50204 and                  that will be used to implement the                    60 days for public comment on the
                                             50205 of the Bipartisan Budget Act of                   statute’s directive; they are interpretive            proposed action. Interested persons are
                                             2018 presented in this document. The                    rules, general statements of policy, and              invited to send comments regarding our
                                             analysis above, together with the                       rules of agency procedure or practice,                burden estimates or any other aspect of
                                             preamble, provides a Regulatory                         which are not subject to notice and                   this collection of information, including
                                             Flexibility Analysis. Furthermore, the                  comment rulemaking or a delayed                       the necessity and utility of the proposed
                                             previous analysis, together with the                    effective date.                                       information collection for the proper
                                             preamble, provides a Regulatory Impact                     However, to the extent that notice and             performance of the agency’s functions,
                                             Analysis. In accordance with the                        comment rulemaking or a delay in                      the accuracy of the estimated burden,
                                             provisions of Executive Order 12866,                    effective date or both would otherwise                ways to enhance the quality, utility, and
                                             this document was reviewed by the                       apply, we find good cause to waive such               clarity of the information to be
                                             Office of Management and Budget.                        requirements. Specifically, we find it                collected, and the use of automated
                                             V. Waiver of Proposed Rulemaking and                    unnecessary to undertake notice and                   collection techniques or other forms of
                                             Delay of Effective Date                                 comment rulemaking in this instance as                information technology to minimize the
                                                                                                     this document does not propose to make                information collection burden.
                                                We ordinarily publish a notice of                    any substantive changes to the policies
                                             proposed rulemaking in the Federal                                                                            DATES: Comments must be received by
                                                                                                     or methodologies already in effect as a
                                             Register and invite public comment                      matter of law, but simply applies                     June 25, 2018.
                                             prior to a rule taking effect in                        payment adjustments under the                         ADDRESSES: When commenting, please
                                             accordance with section 553(b) of the                   Bipartisan Budget Act of 2018 to these                reference the document identifier or
                                             Administrative Procedure Act (APA)                      existing policies and methodologies. As               OMB control number. To be assured
                                             and section 1871 of the Act. In addition,               the changes outlined in this document                 consideration, comments and
                                             in accordance with section 553(d) of the                have already taken effect, it would also              recommendations must be submitted in
                                             APA and section 1871(e)(1)(B)(i) of the                 be impracticable to undertake notice                  any one of the following ways:
                                             Act, we ordinarily provide a 30 day                     and comment rulemaking. For these                       1. Electronically. You may send your
                                             delay to a substantive rule’s effective                 reasons, we also find that a waiver of                comments electronically to http://
                                             date. For substantive rules that                        any delay in effective date, if it were               www.regulations.gov. Follow the
                                             constitute major rules, in accordance                   otherwise applicable, is necessary to                 instructions for ‘‘Comment or
                                             with 5 U.S.C. 801, we ordinarily provide                comply with the requirements of the                   Submission’’ or ‘‘More Search Options’’
                                             a 60-day delay in the effective date.                   Bipartisan Budget Act of 2018.                        to find the information collection
                                                None of the processes or effective date              Therefore, we find good cause to waive                document(s) that are accepting
                                             requirements apply, however, when the                   notice and comment procedures as well                 comments.
                                             rule in question is interpretive, a general             as any delay in effective date, if such                 2. By regular mail. You may mail
                                             statement of policy, or a rule of agency                procedures or delays are required at all.             written comments to the following
                                             organization, procedure or practice.                                                                          address: CMS, Office of Strategic
                                                                                                       Dated: March 29, 2018.
                                             They also do not apply when the statute                                                                       Operations and Regulatory Affairs,
                                             establishes rules that are to be applied,               Seema Verma,
                                                                                                                                                           Division of Regulations Development,
                                             leaving no discretion or gaps for an                    Administrator, Centers for Medicare &
                                                                                                     Medicaid Services.                                    Attention: Document Identifier/OMB
                                             agency to fill in through rulemaking.                                                                         Control Number ______, Room C4–26–
                                                In addition, an agency may waive                     [FR Doc. 2018–08704 Filed 4–24–18; 4:15 pm]
                                                                                                                                                           05, 7500 Security Boulevard, Baltimore,
                                             notice and comment rulemaking, as well                  BILLING CODE 4120–01–P
                                                                                                                                                           Maryland 21244–1850.
                                             as any delay in effective date, when the                                                                        To obtain copies of a supporting
                                             agency for good cause finds that notice                                                                       statement and any related forms for the
                                             and public comment on the rule as well                  DEPARTMENT OF HEALTH AND
                                                                                                     HUMAN SERVICES                                        proposed collection(s) summarized in
                                             the effective date delay are                                                                                  this notice, you may make your request
                                             impracticable, unnecessary, or contrary                 Centers for Medicare & Medicaid                       using one of following:
                                             to the public interest. In cases where an               Services                                                1. Access CMS’ website address at
                                             agency finds good cause, the agency                                                                           https://www.cms.gov/Regulations-and-
                                             must incorporate a statement of this                    [Document Identifiers: CMS–2540–10]
                                                                                                                                                           Guidance/Legislation/
                                             finding and its reasons in the rule                                                                           PaperworkReductionActof1995/PRA-
                                             issued.                                                 Agency Information Collection
                                                                                                     Activities: Proposed Collection;                      Listing.html.
                                                The policies being publicized in this
                                                                                                     Comment Request                                         2. Email your request, including your
                                             document do not constitute agency
                                                                                                                                                           address, phone number, OMB number,
                                             rulemaking. Rather, the statute, as                     AGENCY: Centers for Medicare &                        and CMS document identifier, to
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                                             amended by the Bipartisan Budget Act                    Medicaid Services, HHS.                               Paperwork@cms.hhs.gov.
                                             of 2018, has already required that the                  ACTION: Notice.                                         3. Call the Reports Clearance Office at
                                             agency make these changes, and we are
                                                                                                                                                           (410) 786–1326.
                                             simply notifying the public of the                      SUMMARY: The Centers for Medicare &
                                             extension of certain temporary changes                  Medicaid Services (CMS) is announcing                 FOR FURTHER INFORMATION CONTACT:
                                             to the payment adjustment for low-                      an opportunity for the public to                      William Parham at (410) 786–4669.
                                             volume hospitals and the MDH program                    comment on CMS’ intention to collect                  SUPPLEMENTARY INFORMATION:



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                                                                           Federal Register / Vol. 83, No. 81 / Thursday, April 26, 2018 / Notices                                          18309

                                             Contents                                                questions regarding this collection                   Supportive Services for Holocaust
                                               This notice sets out a summary of the                 contact Julie Stankivic at 410–786–                   Survivors.
                                                                                                     5725.)                                                   Recipient: The Jewish Federations of
                                             use and burden associated with the
                                                                                                        Dated: April 20, 2018.
                                                                                                                                                           North America.
                                             following information collections. More                                                                          Period of Performance: The
                                             detailed information can be found in                    William N. Parham, III,
                                                                                                                                                           supplement award will be issued for the
                                             each collection’s supporting statement                  Director, Paperwork Reduction Staff, Office           fourth year of the five-year project
                                             and associated materials (see                           of Strategic Operations and Regulatory                period of September 30, 2015 through
                                             ADDRESSES).                                             Affairs.
                                                                                                                                                           September 29, 2020.
                                                                                                     [FR Doc. 2018–08723 Filed 4–25–18; 8:45 am]              Total Award Amount: $4,935,000 in
                                             CMS–2540–10 Skilled Nursing
                                             Facility and Skilled Nursing Facility                   BILLING CODE 4120–01–P                                FY 2018.
                                             Cost Report                                                                                                      Award Type: Cooperative Agreement
                                                                                                                                                           Supplement.
                                               Under the PRA (44 U.S.C. 3501–                        DEPARTMENT OF HEALTH AND                                 Statutory Authority: The Older
                                             3520), federal agencies must obtain                     HUMAN SERVICES                                        Americans Act (OAA) of 1965, as
                                             approval from the Office of Management                                                                        amended, Public Law 109–365—Title 4,
                                             and Budget (OMB) for each collection of                 Administration for Community Living                   Section 411.
                                             information they conduct or sponsor.                                                                             Basis for Award: The Jewish
                                             The term ‘‘collection of information’’ is               Announcing the Intent To Award a
                                                                                                                                                           Federations of North America (JFNA) is
                                             defined in 44 U.S.C. 3502(3) and 5 CFR                  Single-Source Supplement for the
                                                                                                                                                           currently funded to carry out the
                                             1320.3(c) and includes agency requests                  Advancing Person-Centered, Trauma-                    objectives of this project, entitled
                                             or requirements that members of the                     Informed Supportive Services for                      Advancing PCTI Supportive Services for
                                             public submit reports, keep records, or                 Holocaust Survivors Program                           Holocaust Survivors for the period of
                                             provide information to a third party.                                                                         September 30, 2015 through September
                                             Section 3506(c)(2)(A) of the PRA                           The Administration for Community
                                                                                                                                                           29, 2020. Since project implementation
                                             requires federal agencies to publish a                  Living (ACL) announces the intent to
                                                                                                                                                           began in late 2015, the grantee has
                                             60-day notice in the Federal Register                   award a single-source supplement to the
                                                                                                                                                           accomplished a great deal. The
                                             concerning each proposed collection of                  current cooperative agreement held by
                                                                                                                                                           supplement will enable the grantee to
                                             information, including each proposed                    the Jewish Federations of North
                                                                                                                                                           carry their work even further, serving
                                             extension or reinstatement of an existing               America for the project Advancing
                                                                                                                                                           more Holocaust survivors and providing
                                             collection of information, before                       Person-Centered, Trauma-Informed
                                                                                                                                                           even more comprehensive training and
                                             submitting the collection to OMB for                    Supportive Services for Holocaust
                                                                                                                                                           technical assistance in the development
                                             approval. To comply with this                           Survivors. The purpose of this project is
                                                                                                                                                           of PCTI supportive services. The
                                             requirement, CMS is publishing this                     to, (1) advance the development and
                                                                                                                                                           additional funding will not be used to
                                             notice.                                                 expansion of person-centered, trauma-
                                                                                                                                                           begin new projects or activities.
                                                                                                     informed (PCTI) supportive services for                  The JFNA is uniquely positioned to
                                             Information Collection                                  Holocaust survivors living in the U.S.                complete the work called for under this
                                               1. Type of Information Collection                     and, (2) improve the nation’s overall                 project. JFNA and its project partners,
                                             Request: Extension of a currently                       capacity to deliver PCTI health and                   including the Network of Jewish Human
                                             approved collection; Title of                           human services for this population and                Services Agencies (NJHSA), and the
                                             Information Collection: Skilled Nursing                 to any older adult with a history of                  Conference on Material Claims Against
                                             Facility and Skilled Nursing Facility                   trauma. The administrative supplement                 Germany (Claims Conference), have the
                                             Cost Report; Use: Providers of services                 for FY 2018 will be in the amount of                  cultural competence and long history of
                                             participating in the Medicare program                   $2,467,000, bringing the total award for              serving and advocating for Holocaust
                                             are required under sections 1815(a),                    FY 2018 to $4,935,000.                                survivors. Additionally, JFNA is already
                                             1833(e) and 1861(v)(1)(A) of the Social                    The additional funding will not be                 working in collaboration with numerous
                                             Security Act (42 U.S.C. 1395g) to submit                used to begin new projects, but to serve              partners representing a broad cross
                                             annual information to achieve                           more Holocaust survivors with vital                   section of the Jewish human services
                                             settlement of costs for health care                     supports such as legal assistance, case               network (e.g., Selfhelp Community
                                             services rendered to Medicare                           management, transportation, medication                Services, Bet Tzedek, The Blue Card,
                                             beneficiaries. In addition, regulations at              management, social engagement                         and the Orthodox Union of America)
                                             42 CFR 413.20 and 413.24 require                        activities designed to reduce isolation,              and the ‘‘mainstream aging services
                                             adequate cost data and cost reports from                loneliness and depression, and supports               network,’’ (e.g., Meals on Wheels of
                                             providers on an annual basis. The Form                  for family caregivers, all of which will              America (MoWA), the National
                                             CMS–2540–10 cost report is needed to                    employ PCTI approaches. The                           Association of Area Agencies on Aging
                                             determine a provider’s reasonable cost                  additional funds will also be used to                 (n4a), the National Council on Aging
                                             incurred in furnishing medical services                 expand existing technical assistance                  (NCOA), Leading Age and other
                                             to Medicare beneficiaries and                           activities, under the second objective, in            members of the Leadership Council of
                                             reimbursement due to or from a                          a variety of ways, including replicating              Aging Organizations [LCAO]).
                                             provider. Reimbursement outside of the                  and translating proven models of PCTI                    Establishing an entirely new grant
                                             PPS may be for payment of Medicare                      developed under this grant; developing                project at this time would be potentially
                                             reimbursable bad debt. Form Number:                     new training materials, curricula and                 disruptive to the current work already
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                                             CMS–2540–10 (OMB control number:                        partnerships to aid in the replication of             well under way. More importantly, the
                                             0938–0463); Frequency: Yearly; Affected                 PCTI practices; enhance and expand the                Holocaust survivors currently being
                                             Public: Private Sector; Not-for-profit                  evaluation activities currently under                 served by this project could be
                                             institutions, Businesses or other for-                  way; and enhance website capacities for               negatively impacted by a service
                                             profits; Number of Respondents: 14,486;                 improved information dissemination.                   disruption, thus posing the risk of re-
                                             Total Annual Responses: 14,486; Total                      Program Name: Advancing Person-                    traumatization and further negative
                                             Annual Hours: 2,926,172. (For policy                    Centered, Trauma-Informed (PCTI)                      impacts on health and wellbeing. If this


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Document Created: 2018-11-02 08:19:23
Document Modified: 2018-11-02 08:19:23
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 June 25, 2018.
ContactWilliam Parham at (410) 786-4669.
FR Citation83 FR 18308 

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