[Federal Register Volume 82, Number 10 (Tuesday, January 17, 2017)]
[Notices]
[Page 4887]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00863]



[[Page 4887]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-3070G-I and CMS-R-38]


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 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 February 16, 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: 
[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: Revision of a currently 
approved collection; Title of Information Collection: ICF/IID Survey 
Report Form and Supporting Regulations; Use: The information collected 
with forms 3070G-I is used to determine the level of compliance with 
Intermediate Care Facilities for Individuals with Intellectual 
Disabilities (ICF/IID) CoPs necessary to participate in the Medicare/
Medicaid program. Information needed to monitor the State's performance 
as well as the ICF/IID program in general, is available to CMS only 
through the use of information abstracted from the survey report form. 
The form serves as a coding worksheet designed to facilitate data entry 
and retrieval into the Automated Survey Processing Environment Suite 
(ASPEN) in the State and at the CMS regional offices. Form Number: CMS-
3070G-I (OMB control number: 0938-0062); Frequency: Reporting--Yearly; 
Affected Public: Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 6,310; Total Annual Responses: 
6,310; Total Annual Hours: 18,930. (For policy questions regarding this 
collection contact Melissa Rice at 410-786-3270.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Conditions for 
Certification for Rural Health Clinics; Use: The Rural Health Clinic 
(RHC) conditions of certification are based on criteria prescribed in 
law and are designed to ensure that each facility has a properly 
trained staff to provide appropriate care and to assure a safe physical 
environment for patients. We use these conditions of participation to 
certify RHCs wishing to participate in the Medicare program. These 
requirements are similar in intent to standards developed by industry 
organizations such as the Joint Commission on Accreditation of 
Hospitals, and the National League of Nursing and the American Public 
Association and merely reflect accepted standards of management and 
care to which rural health clinics must adhere. Form Number: CMS-R-38 
(OMB control number: 0938-0334); Frequency: Recordkeeping and 
Reporting--Annually; Affected Public: Business or other for-profits; 
Number of Respondents: 4,247; Total Annual Responses: 4,247; Total 
Annual Hours: 18,284. (For policy questions regarding this collection 
contact Jacqueline Leach at 410-786-4282.)

    Dated: January 11, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory, Affairs.
[FR Doc. 2017-00863 Filed 1-13-17; 8:45 am]
 BILLING CODE 4120-01-P