83_FR_56303 83 FR 56085 - Agency Information Collection Activities: Proposed Collection; Comment Request

83 FR 56085 - Agency Information Collection Activities: Proposed Collection; Comment Request

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

Federal Register Volume 83, Issue 218 (November 9, 2018)

Page Range56085-56086
FR Document2018-24592

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 218 (Friday, November 9, 2018)
[Federal Register Volume 83, Number 218 (Friday, November 9, 2018)]
[Notices]
[Pages 56085-56086]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-24592]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-R-240 and CMS-10164]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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 (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 January 8, 2019.

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 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: 

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).


[[Page 56086]]


CMS-R-240 Prospective Payments for Hospital Outpatient Services
CMS-10164 Medicare EDI Enrollment Form and EDI Registration

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

Information Collection

    1. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Prospective Payments for Hospital Outpatient Services; Use: Section 
1833(t) of the Act, as added by section 4523 of the Balanced Budget Act 
of 1997 (the BBA) requires the Secretary to establish a prospective 
payment system (PPS) for hospital outpatient services. Successful 
implementation of an outpatient PPS requires that CMS distinguish 
facilities or organizations that function as departments of hospitals 
from those that are freestanding, so that CMS can determine which 
services should be paid under the OPPS, the clinical laboratory fee 
schedule, or other payment provisions applicable to services furnished 
to hospital outpatients. Information from the reports required under 
sections 413.65(b)(3) and (c) is needed to make these determinations. 
In addition, section 1866(b)(2) of the Act authorizes hospitals and 
other providers to impose deductible and coinsurance charges for 
facility services, but does not allow such charges by facilities or 
organizations which are not provider-based. Implementation of this 
provision requires that CMS have information from the required reports, 
so it can determine which facilities are provider-based. Form Number: 
CMS-R-240 (OMB control number: 0938-0798); Frequency: Yearly; Affected 
Public: Private Sector (Business or other for-profits, Not-for-Profit 
Institutions); Number of Respondents: 750; Total Annual Responses: 
13,649,150; Total Annual Hours: 680,920 (For policy questions regarding 
this collection contact Emily Lipkin at 410-786-3633.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Medicare EDI Enrollment Form and EDI Registration; Use: The Congress, 
recognizing the need to simplify the administration of health care 
transactions, enacted the Health Insurance Portability and 
Accountability Act of 1996 (HIPAA), Public Law 104-191, on August 21, 
1996. Title II, Subtitle F of this legislation directs the Secretary of 
the Department of Health and Human Services to develop unique standards 
for specified electronic transactions and code sets for those 
transactions. The purpose of this Subtitle is to improve the Medicare 
and Medicaid programs in particular and the efficiency and 
effectiveness of the health care industry in general through the 
establishment of standards and requirements to facilitate the 
electronic transmission of certain health information. This Subtitle 
also requires that the Secretary adopt standards for financial and 
administrative transactions, and data elements for those transactions 
to enable health information to be exchanged electronically. The 
Standards for Electronic Transactions final rule, 45 CFR part 162 
Subpart K Sec.  162.1101 through Subpart R Sec.  162.1802, (hereinafter 
referred to as ``Transactions Rule'') published August 17, 2000 adopted 
standards for health care transactions and code sets. Subsequent to the 
Transactions Rule, CMS-0003-P and CMS-0005-P proposed modifications to 
the adopted standards essential to permit initial implementation of the 
standards throughout the entire healthcare industry.
    Currently, Medicare contractors have a process in place to enroll 
providers for electronic billing and other EDI transactions. In support 
of the HIPAA Transactions Rule, the purpose of this Paperwork Reduction 
Act (PRA) request is to establish a common form that is sufficient to 
address all HIPAA transactions. Form Number: CMS-10164 (OMB control 
number: 0938-0983); Frequency: Hourly; Affected Public: Private Sector 
(Business or other for-profits, Not-for-Profit Institutions); Number of 
Respondents: 193,268; Number of Responses: 193,268; Total Annual Hours: 
64,423. (For policy questions regarding this collection, contact Matt 
Klischer at 410-786-7488.)

    Dated: November 6, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-24592 Filed 11-8-18; 8:45 am]
 BILLING CODE 4120-01-P



                                                                            Federal Register / Vol. 83, No. 218 / Friday, November 9, 2018 / Notices                                          56085

                                               abbreviated version of the RFI rating                   Information requests can also be                      proposed action. Interested persons are
                                               system consistent with the Board’s                      submitted by email to DCAS@CDC.GOV.                   invited to send comments regarding our
                                               practice for BHCs outlined in SR 13–21.                 SUPPLEMENTARY INFORMATION:                            burden estimates or any other aspect of
                                               An offsite review of the SLHC will be                     Authority: 42 U.S.C. 7384q(b). 42 U.S.C.
                                                                                                                                                             this collection of information, including
                                               conducted upon receipt of the lead                      7384l(14)(C).                                         the necessity and utility of the proposed
                                               depository institution’s report of                        On October 18, 2018, as provided for                information collection for the proper
                                               examination. The supervisory cycle will                 under 42 U.S.C. 7384l(14)(C), the                     performance of the agency’s functions,
                                               be determined by the examination                        Secretary of HHS designated the                       the accuracy of the estimated burden,
                                               frequency of the lead depository                        following class of employees as an                    ways to enhance the quality, utility, and
                                               institution and the SLHC will be                        addition to the SEC:                                  clarity of the information to be
                                               assigned only a risk management rating                                                                        collected, and the use of automated
                                               and a composite rating.                                   All employees of the Department of
                                                                                                       Energy, its predecessor agencies, and its
                                                                                                                                                             collection techniques or other forms of
                                                  Moreover, SLHCs have been subject to                                                                       information technology to minimize the
                                                                                                       contractors or subcontractors who worked in
                                               the RFI rating system on indicative basis               any area at the Sandia National Laboratories          information collection burden.
                                               for the past seven years, which has                     in Albuquerque, New Mexico, during the                DATES: Comments must be received by
                                               provided SLHCs the opportunity to                       period from January 1, 1995, through                  January 8, 2019.
                                               adjust to the RFI rating system. The full               December 31, 1996, for a number of work
                                               application of the RFI rating system to                 days aggregating at least 250 work days,              ADDRESSES: When commenting, please
                                               small non-commercial and non-                           occurring either solely under this                    reference the document identifier or
                                               insurance SLHCs will not create any                     employment or in combination with work                OMB control number. To be assured
                                               new economic impact on small entities.                  days within the parameters established for            consideration, comments and
                                                  In light of the foregoing, the Board                 one or more other classes of employees                recommendations must be submitted in
                                                                                                       included in the Special Exposure Cohort.              any one of the following ways:
                                               does not believe that this final rule will
                                               have a significant economic impact on                      This designation will become                         1. Electronically. You may send your
                                               any small entities and therefore believes               effective on November 17, 2018, unless                comments electronically to http://
                                               that there are no significant alternatives              Congress provides otherwise prior to the              www.regulations.gov. Follow the
                                               that would reduce the economic impact                   effective date. After this effective date,            instructions for ‘‘Comment or
                                               on small entities.                                      HHS will publish a notice in the                      Submission’’ or ‘‘More Search Options’’
                                                                                                       Federal Register reporting the addition               to find the information collection
                                                 By order of the Board of Governors of the
                                               Federal Reserve System, November 2, 2018.               of this class to the SEC or the result of             document(s) that are accepting
                                               Ann Misback,
                                                                                                       any provision by Congress regarding the               comments.
                                                                                                       decision by HHS to add the class to the                 2. By regular mail. You may mail
                                               Secretary of the Board.
                                                                                                       SEC.                                                  written comments to the following
                                               [FR Doc. 2018–24496 Filed 11–8–18; 8:45 am]
                                                                                                       John J. Howard,
                                                                                                                                                             address: CMS, Office of Strategic
                                               BILLING CODE 6210–01–P
                                                                                                                                                             Operations and Regulatory Affairs,
                                                                                                       Director, National Institute for Occupational
                                                                                                       Safety and Health.                                    Division of Regulations Development,
                                                                                                                                                             Attention: Document Identifier/OMB
                                               DEPARTMENT OF HEALTH AND                                [FR Doc. 2018–24530 Filed 11–8–18; 8:45 am]
                                                                                                                                                             Control Number ll, Room C4–26–05,
                                               HUMAN SERVICES                                          BILLING CODE 4163–19–P
                                                                                                                                                             7500 Security Boulevard, Baltimore,
                                               Centers for Disease Control and                                                                               Maryland 21244–1850.
                                               Prevention                                              DEPARTMENT OF HEALTH AND                                To obtain copies of a supporting
                                                                                                       HUMAN SERVICES                                        statement and any related forms for the
                                               Decision to Designate a Class of                                                                              proposed collection(s) summarized in
                                               Employees From the Sandia National                      Centers for Medicare & Medicaid                       this notice, you may make your request
                                               Laboratories in Albuquerque, New                        Services                                              using one of following:
                                               Mexico, To Be Included in the Special                                                                           1. Access CMS’ website address at
                                                                                                       [Document Identifier CMS–R–240 and CMS–
                                               Exposure Cohort                                         10164]
                                                                                                                                                             website address at https://www.cms.gov/
                                                                                                                                                             Regulations-and-Guidance/Legislation/
                                               AGENCY: National Institute for                                                                                PaperworkReductionActof1995/PRA-
                                               Occupational Safety and Health                          Agency Information Collection
                                                                                                       Activities: Proposed Collection;                      Listing.html.
                                               (NIOSH), Centers for Disease Control                                                                            2. Email your request, including your
                                               and Prevention, Department of Health                    Comment Request
                                                                                                                                                             address, phone number, OMB number,
                                               and Human Services.                                     AGENCY: Centers for Medicare &                        and CMS document identifier, to
                                               ACTION: Notice.                                         Medicaid Services.                                    Paperwork@cms.hhs.gov.
                                                                                                       ACTION: Notice.                                         3. Call the Reports Clearance Office at
                                               SUMMARY:   HHS gives notice of a
                                               decision to designate a class of                        SUMMARY:   The Centers for Medicare &                 (410) 786–1326.
                                               employees from the Sandia National                      Medicaid Services (CMS) is announcing                 FOR FURTHER INFORMATION CONTACT:
                                               Laboratories in Albuquerque, New                        an opportunity for the public to                      William Parham at (410) 786–4669.
                                               Mexico, as an addition to the Special                   comment on CMS’ intention to collect                  SUPPLEMENTARY INFORMATION:
                                               Exposure Cohort (SEC) under the Energy                  information from the public. Under the
                                               Employees Occupational Illness                          Paperwork Reduction Act of 1995 (the                  Contents
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                                               Compensation Program Act of 2000.                       PRA), federal agencies are required to                  This notice sets out a summary of the
                                               FOR FURTHER INFORMATION CONTACT:                        publish notice in the Federal Register                use and burden associated with the
                                               Stuart L. Hinnefeld, Director, Division                 concerning each proposed collection of                following information collections. More
                                               of Compensation Analysis and Support,                   information (including each proposed                  detailed information can be found in
                                               NIOSH, 1090 Tusculum Avenue, MS C–                      extension or reinstatement of an existing             each collection’s supporting statement
                                               46, Cincinnati, OH 45226–1938,                          collection of information) and to allow               and associated materials (see
                                               Telephone 1–877–222–7570.                               60 days for public comment on the                     ADDRESSES).



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                                               56086                        Federal Register / Vol. 83, No. 218 / Friday, November 9, 2018 / Notices

                                               CMS–R–240 Prospective Payments for                      (OMB control number: 0938–0798);                      Frequency: Hourly; Affected Public:
                                                 Hospital Outpatient Services                          Frequency: Yearly; Affected Public:                   Private Sector (Business or other for-
                                               CMS–10164 Medicare EDI Enrollment                       Private Sector (Business or other for-                profits, Not-for-Profit Institutions);
                                                 Form and EDI Registration                             profits, Not-for-Profit Institutions);                Number of Respondents: 193,268;
                                                 Under the PRA (44 U.S.C. 3501–                        Number of Respondents: 750; Total                     Number of Responses: 193,268; Total
                                               3520), federal agencies must obtain                     Annual Responses: 13,649,150; Total                   Annual Hours: 64,423. (For policy
                                               approval from the Office of Management                  Annual Hours: 680,920 (For policy                     questions regarding this collection,
                                               and Budget (OMB) for each collection of                 questions regarding this collection                   contact Matt Klischer at 410–786–7488.)
                                               information they conduct or sponsor.                    contact Emily Lipkin at 410–786–3633.)                   Dated: November 6, 2018.
                                               The term ‘‘collection of information’’ is                  2. Type of Information Collection                  William N. Parham, III,
                                               defined in 44 U.S.C. 3502(3) and 5 CFR                  Request: Reinstatement of a previously
                                                                                                                                                             Director, Paperwork Reduction Staff, Office
                                               1320.3(c) and includes agency requests                  approved collection; Title of                         of Strategic Operations and Regulatory
                                               or requirements that members of the                     Information Collection: Medicare EDI                  Affairs.
                                               public submit reports, keep records, or                 Enrollment Form and EDI Registration;                 [FR Doc. 2018–24592 Filed 11–8–18; 8:45 am]
                                               provide information to a third party.                   Use: The Congress, recognizing the need
                                                                                                                                                             BILLING CODE 4120–01–P
                                               Section 3506(c)(2)(A) of the PRA                        to simplify the administration of health
                                               requires federal agencies to publish a                  care transactions, enacted the Health
                                               60-day notice in the Federal Register                   Insurance Portability and                             DEPARTMENT OF HEALTH AND
                                               concerning each proposed collection of                  Accountability Act of 1996 (HIPAA),                   HUMAN SERVICES
                                               information, including each proposed                    Public Law 104–191, on August 21,
                                               extension or reinstatement of an existing               1996. Title II, Subtitle F of this                    Food and Drug Administration
                                               collection of information, before                       legislation directs the Secretary of the
                                               submitting the collection to OMB for                    Department of Health and Human                        [Docket No. FDA–2018–N–4099]
                                               approval. To comply with this                           Services to develop unique standards
                                                                                                       for specified electronic transactions and             Tedor Pharma, Inc., et al.; Withdrawal
                                               requirement, CMS is publishing this
                                                                                                       code sets for those transactions. The                 of Approval of 10 Abbreviated New
                                               notice.
                                                                                                       purpose of this Subtitle is to improve                Drug Applications
                                               Information Collection                                  the Medicare and Medicaid programs in                 AGENCY:   Food and Drug Administration,
                                                 1. Type of Information Collection                     particular and the efficiency and                     HHS.
                                               Request: Reinstatement of a previously                  effectiveness of the health care industry
                                                                                                                                                             ACTION:   Notice.
                                               approved collection; Title of                           in general through the establishment of
                                               Information Collection: Prospective                     standards and requirements to facilitate              SUMMARY:   The Food and Drug
                                               Payments for Hospital Outpatient                        the electronic transmission of certain                Administration (FDA or Agency) is
                                               Services; Use: Section 1833(t) of the Act,              health information. This Subtitle also                withdrawing approval of 10 abbreviated
                                               as added by section 4523 of the                         requires that the Secretary adopt                     new drug applications (ANDAs) from
                                               Balanced Budget Act of 1997 (the BBA)                   standards for financial and                           multiple applicants. The applicants
                                               requires the Secretary to establish a                   administrative transactions, and data                 notified the Agency in writing that the
                                               prospective payment system (PPS) for                    elements for those transactions to enable             drug products were no longer marketed
                                               hospital outpatient services. Successful                health information to be exchanged                    and requested that the approval of the
                                               implementation of an outpatient PPS                     electronically. The Standards for                     applications be withdrawn.
                                               requires that CMS distinguish facilities                Electronic Transactions final rule, 45
                                                                                                                                                             DATES: Approval is withdrawn as of
                                               or organizations that function as                       CFR part 162 Subpart K § 162.1101
                                                                                                       through Subpart R § 162.1802,                         December 10, 2018.
                                               departments of hospitals from those that
                                               are freestanding, so that CMS can                       (hereinafter referred to as ‘‘Transactions            FOR FURTHER INFORMATION CONTACT:
                                               determine which services should be                      Rule’’) published August 17, 2000                     Trang Tran, Center for Drug Evaluation
                                               paid under the OPPS, the clinical                       adopted standards for health care                     and Research, Food and Drug
                                               laboratory fee schedule, or other                       transactions and code sets. Subsequent                Administration, 10903 New Hampshire
                                               payment provisions applicable to                        to the Transactions Rule, CMS–0003–P                  Ave., Bldg. 75, Rm. 1671, Silver Spring,
                                               services furnished to hospital                          and CMS–0005–P proposed                               MD 20993–0002, 240–402–7945,
                                               outpatients. Information from the                       modifications to the adopted standards                Trang.Tran@fda.hhs.gov.
                                               reports required under sections                         essential to permit initial                           SUPPLEMENTARY INFORMATION: The
                                               413.65(b)(3) and (c) is needed to make                  implementation of the standards                       applicants listed in the table have
                                               these determinations. In addition,                      throughout the entire healthcare                      informed FDA that these drug products
                                               section 1866(b)(2) of the Act authorizes                industry.                                             are no longer marketed and have
                                               hospitals and other providers to impose                    Currently, Medicare contractors have               requested that FDA withdraw approval
                                               deductible and coinsurance charges for                  a process in place to enroll providers for            of the applications under the process
                                               facility services, but does not allow such              electronic billing and other EDI                      described in § 314.150(c) (21 CFR
                                               charges by facilities or organizations                  transactions. In support of the HIPAA                 314.150(c)). The applicants have also,
                                               which are not provider-based.                           Transactions Rule, the purpose of this                by their requests, waived their
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                                               Implementation of this provision                        Paperwork Reduction Act (PRA) request                 opportunity for a hearing. Withdrawal
                                               requires that CMS have information                      is to establish a common form that is                 of approval of an application or
                                               from the required reports, so it can                    sufficient to address all HIPAA                       abbreviated application under
                                               determine which facilities are provider-                transactions. Form Number: CMS–10164                  § 314.150(c) is without prejudice to
                                               based. Form Number: CMS–R–240                           (OMB control number: 0938–0983);                      refiling.




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Document Created: 2018-11-09 03:33:51
Document Modified: 2018-11-09 03:33:51
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 January 8, 2019.
ContactWilliam Parham at (410) 786-4669.
FR Citation83 FR 56085 

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