[Federal Register Volume 81, Number 242 (Friday, December 16, 2016)]
[Notices]
[Pages 91177-91178]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2016-30349]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-2744]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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: the 
necessity and utility of the proposed information collection for the 
proper performance of the agency's functions; the accuracy of the 
estimated burden; ways to enhance the quality, utility, and clarity of 
the information to be collected; and the use of automated collection 
techniques or other forms of information technology to minimize the 
information collection burden.

DATES: Comments on the collection(s) of information must be received by 
the OMB desk officer by January 17, 2017.

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: OIRA_ 
[email protected].

[[Page 91178]]

    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 
previously approved collection; Title of Information Collection: End 
Stage Renal Disease (ESRD) Medical Information Facility Survey; Use: 
The ESRD Program Management and Medical Information System (PMMIS) 
Facility Certification/Survey Record contains provider-specific and 
aggregate patient population data on beneficiaries treated by that 
provider obtained from the Annual Facility Survey form (CMS-2744). The 
Facility Certification portion of the record captures certification and 
other information about ESRD facilities approved by Medicare to provide 
kidney dialysis and transplant services. The Facility Survey portion of 
the record captures activities performed during the calendar year as 
well as aggregate year-end population counts for both Medicare 
beneficiaries and non-Medicare patients. The survey includes the 
collection on hemodialysis patients dialyzing more than 4 times per 
week, vocational rehabilitation and staffing. The aggregate patient 
information is collected from each Medicare-approved provider of 
dialysis and kidney transplant services. The information is used to 
assess and evaluate the local, regional and national levels of medical 
and social impact of ESRD care and is used extensively by researchers 
and suppliers of services for trend analysis. Form Number: CMS-2744 
(OMB control number: 0938-0447); Frequency: Yearly; Affected Public: 
Business or other for-profit, Not-for-profit institutions; Number of 
Respondents: 5,964; Total Annual Responses: 5,964; Total Annual Hours: 
47,712. (For policy questions regarding this collection contact Renee 
Dupee at 410-786-6747)

    Dated: December 13, 2016.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2016-30349 Filed 12-15-16; 8:45 am]
 BILLING CODE 4120-01-P