[Federal Register Volume 80, Number 20 (Friday, January 30, 2015)]
[Pages 5120-5122]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2015-01777]



Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10530, CMS-1880 and CMS-1882]

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

ACTION: Notice.


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

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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 

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by March 2, 2015.

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-

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: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Ambulatory Surgical Center Quality Reporting Program; Use: Our quality 
reporting programs promote higher quality, more efficient health care 
for Medicare beneficiaries. We have implemented quality measure 
reporting programs for multiple settings, including for ambulatory 
surgical centers. Section 109(b) of the Tax Relief and Health Care Act 
of 2006 (TRHCA) (Pub. L. 109-432) amended section 1833(i) of the Act by 
re-designating clause (iv) as clause (v) and adding new clause (iv) to 
paragraph (2)(D) and by adding new paragraph (7). Section 
1833(i)(2)(D)(iv) of the Act authorizes, but does not require, the 
Secretary to implement the revised ASC payment system ``in a manner so 
as to provide for a reduction in any annual update for failure to 
report on quality measures in accordance with paragraph (7).'' Section 
1833(i)(7)(A) of the Act states that the Secretary may provide that any 
ASC that does not submit quality measures to the Secretary in 
accordance with paragraph (7) will incur a 2.0 percentage point 
reduction to any annual increase provided under the revised ASC payment 
system for such year. Sections 1833(t)(17)(C)(i) and (ii) of the Act 
require the Secretary to develop measures appropriate for the 
measurement of the quality of care furnished in outpatient settings.
    Section 3014 of the Affordable Care Act of 2010 (ACA) modified 
section 1890(b) of the Social Security Act to require CMS to develop 
quality and efficiency measures through a ``consensus-based entity''. 
To fulfill this requirement, the Measure Applications Partnership (MAP) 
was formed to review measures consistent with these requirements. The 
MAP is convened by the National Quality Forum (NQF), a national 
consensus organization. In implementing this and other quality 
reporting programs, our overarching goal is to support the National 
Quality Strategy's goals of better health for individuals, better 
health for populations, and lower costs for health care.
    This information is used to direct contractors, including Quality 
Improvement Organizations (QIOs), to focus on particular areas of 
improvement, and to develop quality improvement initiatives. The 
information is made available to ASCs for their use in internal quality 
improvement initiatives. Most importantly, this information is 
available to Medicare beneficiaries, as well as to the general public, 
to provide information to assist them in making decisions about their 
health care. Form Number: CMS-10530 (OMB control number: 0938-NEW); 
Frequency: Annually; Affected Public: Private sector (business or other 
for-profits and not-for-profit institutions); Number of Respondents: 
5,250; Total Annual Responses: 744,816; Total Annual Hours: 444,790. 
(For policy questions regarding this collection contact Anita Bhatia at 
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey 
Report Form and Supporting Regulations; Use: CMS-1880 is initially 
completed by suppliers of portable X-ray services, expressing an 
interest in and requesting participation in the Medicare program. This 
form initiates the process of obtaining a decision as to whether the 
conditions of coverage are met as a portable X-ray supplier. It also 
promotes data reduction or introduction to, and retrieval from, the 
Certification and Survey Provider Enhanced Reporting (CASPER) by the 
CMS Regional Offices (ROs).
    The CMS-1882 is used by the State survey agency to provide data 
collected during an on-site survey of a supplier of portable X-ray 
services to determine compliance with the applicable conditions of 
participation and to report this information to the Federal Government. 
The form is primarily a coding worksheet designed to facilitate data 
reduction and retrieval into the ASPEN system at the CMS Regional 
Offices. The form includes basic information on compliance (i.e., met, 
not met, explanatory statements) and does not require any descriptive 
information regarding the survey activity itself. We have the 
responsibility and authority for certification decisions which are 
based on supplier compliance with the applicable conditions of 
participation. The information needed to make these decisions is 
available to us only through the use of information abstracted from the 
survey report form. Form Numbers: CMS-1880 and CMS-1882 (OMB control 
number: 0938-0027); Frequency: Occasionally; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 579; Total Annual 
Responses: 86; Total Annual Hours: 151. (For policy questions regarding 
this collection contact James Cowher at 410-786-1948.)

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    Dated: January 27, 2015.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2015-01777 Filed 1-29-15; 8:45 am]