[Federal Register Volume 80, Number 172 (Friday, September 4, 2015)]
[Notices]
[Pages 53516-53517]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-22033]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-1728-94 and CMS-2567]
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 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
[[Page 53517]]
minimize the information collection burden.
DATES: Comments must be received by November 3, 2015.
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' 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-10387 Skilled Nursing Facility (SNF) Prospective Payment System and
Consolidated Billing
CMS-2567 Statement of Deficiencies and Plan of Correction and
Supporting Regulations
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; Title of Information Collection: Home Health
Agency 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-1728-94 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. Form Number: CMS-1728-94 (OMB control number: 0938-
0022); Frequency: Annually; Affected Public: Private sector (Business
or other for-profits and Not-for-profit institutions); Number of
Respondents: 11,352; Total Annual Responses: 11,352; Total Annual
Hours: 2,576,904. (For policy questions regarding this collection
contact Angela DiGorgio at 410-786-4516.)
2. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Statement of Deficiencies and Plan of Correction Supporting
Regulations; Use: Section 1864(a) of the Social Security Act requires
that the Secretary use state survey agencies to conduct surveys to
determine whether health care facilities meet Medicare and Clinical
Laboratory Improvement Amendments participation requirements. The Form
CMS-2567 is the means by which the survey findings are documented. This
section of the law further requires that compliance findings resulting
from these surveys be made available to the public within 90 days of
such surveys. The Form CMS-2567 is the vehicle for this disclosure. The
form is also used by health care facilities to document their plan of
correction and by CMS, the states, facilities, purchasers, consumers,
advocacy groups, and the public as a source of information about
quality of care and facility compliance. The regulations at 42 CFR
488.18 require that state survey agencies document all deficiency
findings on a statement of deficiencies and plan of correction, which
is the CMS-2567. Sections 488.26 and 488.28 further delineate how
compliance findings must be recorded and that CMS prescribed forms must
be used. Form Number: CMS-2567 (OMB Control Number: 0938-0391);
Frequency: Yearly and occasionally; Affected Public: Private Sector
(Business or other for-profit and Not-for-profit institutions); Number
of Respondents: 64,500; Total Annual Responses: 64,500; Total Annual
Hours: 128,083. (For policy questions regarding this collection contact
Sharon Lash at 410-786-9457.)
Dated: September 1, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2015-22033 Filed 9-3-15; 8:45 am]
BILLING CODE 4120-01-P