[Federal Register Volume 78, Number 245 (Friday, December 20, 2013)]
[Notices]
[Pages 77135-77136]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-30337]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10239 and CMS-10496]


Agency Information Collection Activities: Proposed Collection; 
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 (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 any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper performance of the agency's functions; (2) the accuracy of 
the estimated burden; (3) ways to enhance the quality, utility, and 
clarity of the information to be collected; and (4) the use of 
automated collection techniques or other forms of information 
technology to minimize the information collection burden.

DATES: Comments must be received by February 18, 2014.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). To be assured consideration, comments and 
recommendations must be submitted in any one of the following ways:
    1. Electronically. You may send your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) that are accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number ------, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.
    To obtain copies of a supporting statement and any related forms 
for the proposed collection(s) summarized in this notice, you may make 
your request using one of following:
    1. Access CMS' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.

SUPPLEMENTARY INFORMATION: 

Contents

    This notice sets out a summary of the use and burden associated 
with the following information collections. More detailed information 
can be found in each collection's supporting statement and associated 
materials (see ADDRESSES).

CMS-10239 Conditions of Participation for Critical Access Hospitals 
(CAH) and Supporting Regulations; CMS-10496 State Health Insurance 
Exchange Incident 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 Collections

    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Conditions of 
Participation for Critical Access Hospitals (CAH) and Supporting 
Regulations; Use: At the outset of the CAH program, the information 
collection requirements for all CAHs were addressed together under CMS- 
R-48 (OCN: 0938-0328). As the CAH program has grown in scope of 
services and the number of providers, the burden associated with CAHs 
with distinct part units (DPUs) was separated from the CAHs without 
DPUs. Section 1820(c)(2)(E)(i) of the Social Security Act provides that 
a CAH may establish and operate a psychiatric or rehabilitation DPU. 
Each DPU may maintain up to10 beds and must comply with the hospital 
requirements specified in 42 CFR Subparts A, B, C, and D of part 482. 
Presently, 105 CAHs have rehabilitation or psychiatric DPUs. The burden 
associated with CAHs that have DPUs continues to be reported under CMS-
R-48, along with the burden for all 4,890 accredited and non-accredited 
hospitals. Form Number: CMS-10239 (OCN: 0938-1043); Frequency: Yearly; 
Affected Public: Private sector--Business or other for-profit; Number 
of Respondents: 1,233; Total Annual Responses: 152,942; Total Annual 
Hours: 24,723. (For policy questions regarding this collection contact 
Sarah Fahrendorf at 410-786-3112.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Health 
Insurance Exchange Incident Report; Use: We have implemented a Computer 
Matching Agreement (CMA) with the State-Based Administering Entities 
(AEs). This agreement establishes the terms, conditions, safeguards, 
and procedures under which we will disclose certain information to the 
AEs in accordance with the Patient Protection and Affordable Care Act 
of 2010 (Pub. L. 111-148), as amended by the Health Care and Education 
Reconciliation Act (Pub. L. 111-152), which are referred to 
collectively as the Affordable Care Act (ACA), amendments to the Social 
Security Act made by the ACA, and the implementing regulations. The 
AEs, which are state entities administering Insurance Affordability 
Programs, will use the data, accessed through the CMS Data Services Hub 
(Hub), to make Eligibility Determinations for Insurance Affordability 
Programs and certificates of exemption.
    The AEs shall report suspected or confirmed incidents affecting 
loss or suspected loss of PII within one hour of discovery to their 
designated Center for Consumer Information and Insurance Oversight 
State Officer who will then notify the affected Federal agency data 
sources, i.e., Internal Revenue Service, Department of Defense, 
Department of Homeland Security, Social Security Administration, Peace 
Corps, Office of

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Personnel Management and Veterans Health Administration. Additionally, 
AEs shall contact the office of the appropriate Special Agent-in-
Charge, Treasury Inspector General for Tax Administration (TIGTA), and 
the IRS Office of Safeguards within 24 hours of discovery of any 
potential breach, loss, or misuse of Return Information. Form Number: 
CMS-10496 (OCN: 0938-1216); Frequency: Occasionally; Affected Public: 
State, Local or Tribal governments; Number of Respondents: 18; Total 
Annual Responses: 936; Total Annual Hours: 234. (For policy questions 
regarding this collection contact Theodora Wills at 410-786-1504.)

    Dated: December 17, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-30337 Filed 12-19-13; 8:45 am]
BILLING CODE 4120-01-P