[Federal Register Volume 79, Number 95 (Friday, May 16, 2014)]
[Notices]
[Pages 28522-28523]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-11391]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-718-721, CMS-222-92]
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: 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 July 15, 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-718-721 Business Proposal Forms for Quality Improvement
Organizations (QIOs)
CMS-222-92 Independent Rural Health Clinic/Freestanding Federally
Qualified Health Center 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: Revision of a previously
approved collection; Title of Information Collection: Business Proposal
Forms for Quality Improvement Organizations (QIOs); Use: The submission
of proposal information by current quality improvement associations
(QIOs) and other bidders, on the appropriate forms, will satisfy our
need for meaningful, consistent, and verifiable data with which to
evaluate contract proposals. We use the data collected on the forms
associated with this information collection request to negotiate QIO
contracts. We will be able to compare the costs reported by the QIOs on
the cost reports to the proposed costs noted on the business proposal
forms. Subsequent contract and modification negotiations will be based
on historic cost data. The business proposal forms will be one element
of the historical cost data from which we can analyze future proposed
costs. In addition, the business proposal format will standardize the
cost proposing and pricing process among all QIOs. With well-defined
cost centers and line items, proposals can be compared among QIOs for
reasonableness and appropriateness. Form Number: CMS-718-721 (OMB
control number: 0938-0579); Frequency: Annually; Affected Public:
Business or other for-profits and Not-for-profit institutions; Number
of Respondents: 20; Total Annual Responses: 20; Total Annual Hours:
1,000. (For policy
[[Page 28523]]
questions regarding this collection contact Clarissa Whatley at 410-
786-7154.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Independent Rural
Health Clinic/Freestanding Federally Qualified Health Center Cost
Report; Use: Providers of services participating in the Medicare
program are required under sections 1815(a) 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-222-92 cost report is needed to determine
the provider's reasonable costs incurred in furnishing medical services
to Medicare beneficiaries and reimbursement due to or due from the
provider. Form Number: CMS-222-92 (OMB control number: 0938-0107);
Frequency: Annually; Affected Public: Business or other for-profits and
Not-for-profit institutions; Number of Respondents: 3,264; Total Annual
Responses: 3,264; Total Annual Hours: 163,200. (For policy questions
regarding this collection contact Leonard Fisher at 410-786-4574.)
Dated: May 13, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-11391 Filed 5-15-14; 8:45 am]
BILLING CODE 4120-01-P