[Federal Register Volume 82, Number 137 (Wednesday, July 19, 2017)]
[Notices]
[Pages 33133-33134]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-15080]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-216-94 and 265-11]
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 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
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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 18, 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 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: 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-216-94 Organ Procurement Organization/Histocompatibility Laboratory
Cost Report
CMS-265-11 Independent Renal Dialysis Facility 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: Extension of a currently
approved collection; Title of Information Collection: Organ Procurement
Organization/Histocompatibility Laboratory 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-
216-94 cost report is needed to determine a provider's reasonable costs
incurred in furnishing medical services to Medicare beneficiaries and
reimbursement due to or due from a provider. Form Number: CMS-216-94
(OMB Control Number: 0938-0102); Frequency: Annually; Affected Public:
Private Sector: Business or other for-profit, Not-for-profit
institutions; Number of Respondents: 102; Total Annual Responses: 102;
Total Annual Hours: 4590. (For policy questions regarding this
collection contact Amelia Citerone at 410-786-3901).
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Independent Renal
Dialysis Facility 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-265-11 cost report is
needed to determine a provider's reasonable costs incurred in
furnishing medical services to Medicare beneficiaries. Form Number:
CMS-265-11 (OMB control number: 0938-0236); Frequency: Annually;
Affected Public: Private Sector: Business or other for-profit, Not-for-
profit institutions; Number of Respondents: 6,821; Total Annual
Responses: 6,821; Total Annual Hours: 443,365. (For policy questions
regarding this collection contact Gail Duncan at 410-786-7278).
Dated: July 13, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2017-15080 Filed 7-18-17; 8:45 am]
BILLING CODE 4120-01-P