[Federal Register Volume 72, Number 217 (Friday, November 9, 2007)]
[Notices]
[Pages 63613-63614]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-21990]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10239 and CMS-R-48]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding this burden estimate 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 minimize the information collection burden.
    1. Type of Information Collection Request: New collection; Title of 
Information Collection: Conditions of Participation for Critical Access 
Hospitals; Use: With this submission, we are creating a new information 
collection request for critical access hospitals (CAH). Currently, the 
information collection requirements associated with the critical access 
hospital (CAH) conditions of participation (CoPs) are included with the 
hospital CoPs reported under CMS-R-48 (0938-0328). Because the CAH 
program has grown in scope of services and the number of providers, we 
have removed the CAH burden from the CMS-R-48 with the exception of the 
burden associated with the 101 CAHs that have distinct part units 
(DPUs), and created a separate information collection request for OMB 
review and approval. Section 1820(c)(2)(E)(i) of the Social Security 
Act states that if a CAH operates a distinct part psychiatric or 
rehabilitation unit it must have 10 beds or less in the DPU and it must 
comply with the hospital requirements specified in 42 CFR Subpart A, B, 
C, and D of part 482. Based on 2007 data from HRSA, 81 CAHs have 
psychiatric distinct part units (DPUs) and 20 CAHs have rehabilitation 
DPUs. The burden associated with the 101 CAHs with DPUs is reported in 
CMS-R-48. Form Number: CMS-10239 (OMB: 0938-New); Frequency: 
Yearly; Affected Public: Private sector--Business or other for-profit; 
Number of Respondents: 1,189; Total Annual Responses: 137,990; Total 
Annual Hours: 23,291.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospital 
Conditions of Participation and Supporting Regulations in 42 CFR 
482.12, 482.13, 482.21, 482.22, 482.23, 482.24, 482.27, 482.30, 482.41, 
482.43, 482.45, 482.53, 482.56, 482.57, 482.60, 482.61, 482.62, and 
485.616 and 485.631; Use: The information collection requirements 
described in this information collection request are needed to 
implement the Medicare and Medicaid conditions of participation (CoP) 
for 4,890 accredited and non-accredited hospitals and an additional 101 
critical access hospitals (CAHs) that have distinct part psychiatric or 
rehabilitation units (DPUs). CAHs that have DPUs must comply with all 
of the hospital CoPs on these units. Thus, this package reflects the 
paperwork burden for a total of 4,991 (that is, 4,890 hospitals and 101 
CAHs which include 81 CAHs that have psychiatric DPUs and 20 CAHs that 
have rehabilitation DPUs). The information collection requirements for 
the remaining 1,183 CAHs have been reported in a separate package under 
CMS-10239.
    The CoPs and accompanying requirements specified in the regulations 
are used by our surveyors as a basis for determining whether a hospital 
qualifies for a provider agreement under Medicare and Medicaid. CMS and 
the health care industry believe that the availability to the facility 
of the type of records and general content of records, which this 
regulation specifies, is standard medical practice and is necessary in 
order to ensure the well-being and safety of patients and professional 
treatment

[[Page 63614]]

accountability. Form Number: CMS-R-48 (OMB: 0938-328); 
Frequency: Yearly; Affected Public: Private sector--Business or other 
for-profit; Number of Respondents: 4,991; Total Annual Responses: 
1,120,817; Total Annual Hours: 9,151,200.57.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or E-mail your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected], or call 
the Reports Clearance Office on (410) 786-1326.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received at the address below, 
no later than 5 p.m. on January 8, 2008. CMS, Office of Strategic 
Operations and Regulatory Affairs, Division of Regulations 
Development--B, Attention: William N. Parham, III, Room C4-26-05, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: November 2, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E7-21990 Filed 11-8-07; 8:45 am]
BILLING CODE 4120-01-P