[Federal Register Volume 79, Number 197 (Friday, October 10, 2014)]
[Notices]
[Pages 61308-61309]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2014-24244]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10292, CMS-R-185 and CMS-287-05]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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 (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 a second opportunity 
for public comment on the notice. Interested persons are invited to 
send comments regarding the 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.

[[Page 61309]]


DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by November 10, 2014.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR Email: 
[email protected].
    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: Under the Paperwork Reduction Act of 1995 
(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 (44 U.S.C. 3506(c)(2)(A)) requires 
federal agencies to publish a 30-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 that 
summarizes the following proposed collection(s) of information for 
public comment:
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Medicaid 
HIT Plan, Planning Advance Planning Document, and Implementation 
Advance Planning Document for Section 4201 of the Recovery Act; Use: To 
assess the appropriateness of state requests for the administrative 
Federal financial participation for expenditures under their Medicaid 
Electronic Health Record Incentive Program related to health 
information exchange, our staff will review the submitted information 
and documentation to make an approval determination of the state 
advance planning document. Form Number: CMS-10292 (OMB control number 
0938-1088); Frequency: Once and occasionally; Affected Public: State, 
Local, and Tribal Governments; Number of Respondents: 56; Total Annual 
Responses: 56; Total Annual Hours: 896. (For policy questions regarding 
this collection contact Thomas Romano at 410-786-0465).
    2. Type of Information Collection Request: Extension of currently 
approved collection; Title of Information Collection: Granting and 
Withdrawal of Deeming Authority to Private Nonprofit Accreditation 
Organizations and of State Exemption Under State Laboratory Programs 
and Supporting Regulations; Use: The information required is necessary 
to determine whether a private accreditation organization/State 
licensure program standards and accreditation/licensure process is at 
least equal to or more stringent than those of the Clinical Laboratory 
Improvement Amendments of 1988 (CLIA). If an accreditation organization 
is approved, the laboratories that it accredits are ``deemed'' to meet 
the CLIA requirements based on this accreditation. Similarly, if a 
State licensure program is determined to have requirements that are 
equal to or more stringent than those of CLIA, its laboratories are 
considered to be exempt from CLIA certification and requirements. The 
information collected will be used by HHS to: determine comparability/
equivalency of the accreditation organization standards and policies or 
State licensure program standards and policies to those of the CLIA 
program; to ensure the continued comparability/equivalency of the 
standards; and to fulfill certain statutory reporting requirements. 
Form No.: CMS-R-185 (OMB control number: 0938-0686); Frequency: 
Occasionally; Affected Public: Private Sector--Business or other for-
profits and Not-for-profit institutions; Number of Respondents: 12; 
Total Annual Responses: 96; Total Annual Hours: 384. (For policy 
questions regarding this collection contact Arlene Lopez at 410-786-
6782.)
    3. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Home Office Cost Statement Form; 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 413.17, 413.20 and 413.24 require adequate cost 
data and cost reports from providers on an annual basis. The home 
office cost statement form is filed annually by chain organizations to 
report costs directly related to services furnished to individual 
providers that are related to patient care plus an appropriate share of 
indirect costs. Form Number: CMS-287-05 (OMB control number: 0938-
0202); Frequency: Yearly; Affected Public: Private sector--Business or 
other for-profit and Not-for-profit institutions; Number of 
Respondents: 1,686; Total Annual Responses: 1,686; Total Annual Hours: 
785,676. (For policy questions regarding this collection contact Yaakov 
Feinstein at 410-786-5834.)

    Dated: October 7, 2014.
Martique Jones,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2014-24244 Filed 10-9-14; 8:45 am]
BILLING CODE 4120-01-P