[Federal Register Volume 79, Number 63 (Wednesday, April 2, 2014)]
[Notices]
[Pages 18555-18556]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-07405]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-370 and CMS-377]
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
[[Page 18556]]
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 June 2, 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-370 and CMS-377 Health Insurance Benefits Agreement and Ambulatory
Surgical Center Request for Certification or Update of Certification
Information in the Medicare Program
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: Revision of a currently
approved collection; Titles of Information Collection: Health Insurance
Benefits Agreement and Ambulatory Surgical Request for Certification or
Update of Certification Information in the Medicare Program; Use: The
CMS-370 is used to establish eligibility for payment. This agreement,
upon submission by the ambulatory surgical center (ASC) and acceptance
for filing by the Secretary of Health & Human Services, shall be
binding on both the ASC and the Secretary. The agreement may be
terminated by either party in accordance with regulations. In the event
of termination, payment will not be available for ASC services
furnished on or after the effective date of termination.
The CMS-377 is used to collect facility-specific characteristics
that facilitate CMS' oversight of ambulatory surgical centers (ASCs).
The CMS-377 is submitted by ASCs when they request initial
certification of compliance with the ASC conditions for coverage or to
update an ASC's existing certification information. It is also used by
State agencies who conduct certification surveys on CMS' behalf to
maintain information on the facility's characteristics that facilitate
conducting surveys, e.g., determining the size and the composition of
the survey team on the basis of the number of operating and procedure
rooms and the types of surgical procedures performed in the ASC. Form
Numbers: CMS-370 and CMS-377 (OCN: 0938-0266); Frequency: Occasionally;
Affected Public: Private sector--business or other for-profit and not-
for-profit institutions; Number of Respondents: 5,449; Total Annual
Responses: 1,833; Total Annual Hours: 633. (For policy questions
regarding this collection contact Erin McCoy at 410-786-2337.)
Dated: March 28, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-07405 Filed 4-1-14; 8:45 am]
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