[Federal Register Volume 82, Number 128 (Thursday, July 6, 2017)]
[Notices]
[Pages 31331-31333]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-14109]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS- R-138, CMS-18F5 and CMS-10651]
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 the necessity and utility of the
proposed
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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 September 5, 2017.
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 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 [email protected].
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).
CMS-R-138 Medicare Geographic Classification Review Board Procedures
and Criteria
CMS-18F5 Application for Hospital Insurance and Supporting Regulations
CMS-10651 CMS Tribal Long Term Services and Supports (LTSS) Program
Survey
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: Extension of a currently
approved collection; Title of Information Collection: Medicare
Geographic Classification Review Board Procedures and Criteria; Use:
During the first few years of IPPS, hospitals were paid strictly based
on their physical geographic location concerning the wage index
(Metropolitan Statistical Areas (MSAs)) and the standardized amount
(rural, other urban, or large urban). However, a growing number of
hospitals became concerned that their payment rates were not providing
accurate compensation. The hospitals argued that they were not
competing with the hospitals in their own geographic area, but instead
that they were competing with hospitals in neighboring geographic
areas. At that point, Congress enacted Section 1886(d)(10) of the Act
which enabled hospitals to apply to be considered part of neighboring
geographic areas for payment purposes based on certain criteria. The
application and decision process is administered by the MGCRB which is
not a part of CMS so that CMS could not be accused of any untoward
action. However, CMS needs to remain apprised of any potential payment
changes. Hospitals are required to provide CMS with copy of any
applications that they made to the MGCRB. CMS also developed the
guidelines for the MGCRB that were the interim final issue of the
Federal Register, and must ensure that the MGCRB properly applied the
guidelines. This check and balance process also contributes to limiting
the number of hospitals that ultimately need to appeal their MGCRB
decisions to the CMS Administrator. Form Number: CMS-R-138 (OMB control
number: 0938-0573); Frequency: Occasionally; Affected Public:
Businesses or other for-profits and Not-for-profit institutions; Number
of Respondents: 300; Total Annual Responses: 300; Total Annual Hours:
300. (For policy questions regarding this collection contact Noel
Manlove at 410-786-5161.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Application for
Hospital Insurance and Supporting Regulations; Use: Individuals who are
already entitled to retirement or disability benefits under Social
Security or Railroad Retirement Board (RRB) benefits are automatically
entitled to premium-free Medicare Hospital Insurance (Part A) when they
attain age 65 or reach the 25th month of disability benefit
entitlement. These individuals do not file a separate application for
Medicare Part A because their application for Social Security or RRB
benefits is also an application for Part A. The form is for individuals
who are not eligible for Social Security for RRB benefits, but may
qualify for premium-free Medicare Part A based on certain requirements
outlined in Sec. 406.11 and 406.15 or for certain disabled individuals
who may enroll in premium Medicare Part A based on certain requirements
outlined in Sec. 406.20. Individuals may also choose to enroll in
Medicare Part B at the same time they apply for Medicare Part A. Form
Number: CMS-18F5 (OMB control number: 0938-0251); Frequency: Once;
Affected Public: Individuals or households; Number of Respondents:
51,000; Total Annual Responses: 51,000; Total Annual Hours: 29,580.
(For policy questions regarding this collection contact Carla Patterson
at 410-786-8911.)
3. Type of Information Collection Request: New collection (request
for a new OMB control number); Title of Information Collection: CMS
Tribal Long Term Services and Supports (LTSS) Program Survey; Use: The
Survey will provide CMS with an inventory of LTSS programs for older
adults or individuals with disabilities managed by American Indian and
Alaska Native (AI/AN) tribes. Information on tribal LTSS programs has
previously been gathered through publicly available data via online
research. However, not all of the information, including program
contact
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information and program focus, are regularly available online as tribal
Web sites are not updated frequently. Therefore, the survey will enable
the collection of the most accurate information possible.
The respondents include 424 LTSS programs run by AI/AN tribes. Once
the survey has been conducted, CMS will feature the survey data,
specifically a list of AI/AN managed LTSS programs, online on CMS.gov.
The dissemination of survey data on CMS.gov will allow tribal
communities and the general public to access this important data.
Documentation of these programs will support sharing of LTSS best
practices and innovative models employed in Indian Country. CMS will
use the survey data to generate further content on LTSS in Indian
Country, including literature reviews and reports on best practices.
Form Number: CMS-10651 (OMB control number: 0938-TBD); Frequency:
Yearly; Affected Public: State, Local, or Tribal Governments; Number of
Respondents: 425; Total Annual Responses: 425; Total Annual Hours: 106.
(For policy questions regarding this collection contact John Johns at
410-786-7253).
Dated: June 29, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-14109 Filed 7-5-17; 8:45 am]
BILLING CODE 4120-01-P