[Federal Register Volume 76, Number 127 (Friday, July 1, 2011)]
[Notices]
[Pages 38657-38658]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-16599]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-2540-10 and CMS-10385]


Agency Information Collection Activities: Submission for OMB 
Review; 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), Department of Health and Human Services, 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 function; (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: Revision of a currently 
approved collection; Title of Information Collection: Skilled Nursing 
Facility and Skilled Nursing Facility Health Care Complex Cost Report. 
Use: Form CMS 2540-10 is used by Skilled Nursing Facilities (SNFs) and 
Skilled Nursing Facility Complexes participating in the Medicare 
program to report the health care costs to determine the amount of 
reimbursable costs for services rendered to Medicare beneficiaries. It 
is 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. The revision is due to new reporting 
requirements as mandated by the Patient Protection and Affordability 
Act section 6104. Section 6104(1) of Public Law 111-148 amended Sec.  
1888(f) of the Social Security Act (``Reporting of Direct Care 
Expenditures''), by requiring that SNFs separately report expenditures 
for wages and benefits for direct care staff (registered nurses, 
licensed professional nurses, certified nurse assistants, and other 
medical and therapy staff). In implementing these changes Worksheet S-
3, part V, was added. With the addition of this worksheet the average 
recordkeeping time for each provider will be increased by 5 hours and 
the average reporting time by 1 hour. Form Number: CMS-2540-10 
(OMB: 0938-0463); Frequency: Yearly; Affected Public: Private 
Sector; Business or other for-profit and not-for-profit institutions; 
Number of Respondents: 15,071; Total Annual Responses: 15,071; Total 
Annual Hours: 3,171,602 (For policy questions regarding this collection 
contact Amelia Citerone. at 410-786-3901. For all other issues call 
410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Expedited 
Checklist: Medicaid Eligibility & Enrollment Systems--Advance Planning 
Document (E&E-APD); Use: Under sections 1903(a)(3)(A)(i) and 
1903(a)(3)(B) of the Social Security Act, CMS has issued new standards 
and conditions that must be met by States for Medicaid technology 
investments (including traditional claims processing systems, as well 
as eligibility systems) to be eligible for enhanced match funding. The 
Checklist will be submitted by States to the E&E APD

[[Page 38658]]

National Coordinator for review and coordination in the Eligibility/
Enrollment Systems APD approval assignment. The information requested 
on the Checklist will be used to determine and approve enhanced FFP to 
States and to determine how States are complying with the seven 
standards and conditions; Form Number: CMS-10385 (OMB: 0938-
1125); Frequency: Occasionally; Affected Public: State, Local, or 
Tribal Governments; Number of Respondents: 56; Total Annual Responses: 
168; Total Annual Hours: 204. (For policy questions regarding this 
collection contact Richard Friedman at 410-786-4451. For all other 
issues call 410-786-1326.)
    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 by the OMB desk 
officer at the address below, no later than 5 p.m. on August 1, 2011.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, Fax Number: (202) 395-6974, E-mail: [email protected].

    Dated: June 28, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2011-16599 Filed 6-30-11; 8:45 am]
BILLING CODE 4120-01-P