[Federal Register Volume 81, Number 113 (Monday, June 13, 2016)]
[Notices]
[Pages 38186-38187]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-13800]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-R-142 and CMS-588]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

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 require; 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 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.

DATES: Comments must be received by August 9, 2016.

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: Reports Clearance Office at (410) 786-
1326.

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-R-142 Examination and Treatment for Emergency Medical Conditions 
and Women in Labor;

CMS-588 Electronic Funds Transfer Authorization Agreement

    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.
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Examination and 
Treatment for Emergency Medical Conditions and Women in Labor; Use: In 
accordance with to regulation sections 488.18, 489.20 and 489.24, 
during Medicare surveys of hospitals and State agencies CMS will review 
hospital records for lists of on-call physicians, and will review and 
obtain the information which must be recorded on hospital medical 
records for individuals with emergency medical conditions and women in 
labor, and the emergency department reporting information Medicare 
participating hospitals and Medicare State survey agencies must pass on 
to CMS. Additionally, CMS will use the QIO Report assessing whether an 
individual had an emergency condition and whether the individual was 
stabilized to determine whether to impose a CMP or physician exclusion 
sanctions. Without such information, CMS will be unable to make the 
hospital emergency services compliance determinations that Congress 
expects CMS to make under sections 1154, 1866 and 1867 of the Act. Form 
Number: CMS-R-142 (OMB control number: 0938-0667); Frequency: 
Occasionally; Affected Public: Private Sector; Number of Respondents: 
6,149; Total Annual Responses: 6,149; Total Annual Hours: 1. (For 
policy questions regarding this collection contact Renate Dombrowski at 
410-786-4645.)

[[Page 38187]]

    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Electronic Funds 
Transfer Authorization Agreement; Use: The information is needed to 
allow providers to receive funds electronically in their bank accounts. 
Form Number: CMS-588 (OMB control number: 0938-0626); Frequency: On 
occasion; Affected Public: Business or other for-profit, Not-for-profit 
institutions; Number of Respondents: 45,807; Total Annual Responses: 
45,807; Total Annual Hours: 22,543. (For policy questions regarding 
this collection contact Kimberly McPhillips at 410-786-4645.)

    Dated: June 7, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-13800 Filed 6-10-16; 8:45 am]
 BILLING CODE 4120-01-P