[Federal Register Volume 82, Number 53 (Tuesday, March 21, 2017)]
[Notices]
[Pages 14514-14516]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-05541]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10326, and CMS-10452]


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 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 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 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.

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DATES: Comments must be received by May 22, 2017.

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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    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: William Parham at 410-786-4669.

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-10326 Electronic Submission of Medicare Graduate Medical Education 
(GME) Affiliation Agreements
CMS-10452 CMS Enterprise Identity Management

    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.

Information Collection

    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Electronic 
Submission of Medicare Graduate Medical Education (GME) Affiliation 
Agreements; Use: Sections 1886(h)(4)(F) and 1886(d)(5)(B)(v) of the Act 
establish limits on the number of allopathic and osteopathic FTE 
residents that hospitals may count for purposes of calculating direct 
GME payments and the indirect medical education (IME) adjustment. In 
addition, under the authority granted by section 1886(h)(4)(H)(ii) of 
the Act, the Secretary issued regulations on May 12, 1998 (63 FR 26358) 
to allow institutions that are members of the same Medicare GME 
affiliated group to elect to apply their direct GME and IME FTE 
resident caps based on the aggregate cap of all hospitals that are part 
of a Medicare GME affiliation group. Under those regulations, specified 
at Sec.  413.79(f) for direct GME and at Sec.  412.105(f)(1)(vi) for 
IME, hospitals that are part of the same Medicare GME affiliated group 
are permitted to adjust each hospital's caps to reflect the rotation of 
residents among affiliated hospitals during an academic year. Under 
Sec.  413.75(b), a Medicare GME affiliated group may be formed by two 
or more hospitals if: (1) The hospitals are located in the same urban 
or rural area or in a contiguous area and have a shared rotational 
arrangement as specified at Sec.  413.79(f)(2); (2) the hospitals are 
not located in the same or in a contiguous area, but have a shared 
rotational arrangement and they are jointly listed as the sponsor, 
primary clinical site, or major participating institution for one or 
more programs as these terms are used in the most recent publication of 
the Graduate Medical Education Directory, or as the sponsor or is 
listed under ``affiliations and outside rotations'' for one or more 
programs in Opportunities, Directory of Osteopathic Post-Doctoral 
Education Programs; or (3) effective beginning July 1, 2003, two or 
more hospitals are under common ownership and have a shared rotational 
arrangement under Sec.  413.79(f)(2). Form Number: CMS-10326 (OMB 
control number: 0938-1111); Frequency: Annually; Affected Public: 
Private sector--Business or other for-profit and Not-for-profit 
institutions; Number of Respondents: 125; Total Annual Responses: 125; 
Total Annual Hours: 166. (For policy questions regarding this 
collection contact Renate Dombrowski at 410-786-4645.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: CMS Enterprise 
Identity Management; Use: HIPAA regulations require covered entities to 
verify the identity of the person requesting Personal Health 
Information (PHI) and the person's authority to have access to that 
information. Per the HIPAA Security Rule, covered entities, regardless 
of their size, are required under Section 164.312(a)(2)(i) to ``assign 
a unique name and/or number for identifying and tracking user 
identity.'' A `user' is defined in Section 164.304 as a ``person or 
entity with authorized access''. Accordingly, the Security Rule 
requires covered entities to assign a unique name and/or number to each 
employee or workforce member who uses a system that receives, maintains 
or transmits electronic PHI, so that system access and activity can be 
identified and tracked by user. This pertains to workforce members 
within health plans, group health plans, small or large provider 
offices, clearinghouses and beneficiaries. Federal law requires that 
CMS take precautions to minimize the security risk to the Federal 
information system. FIPS PUB 201-1 Para 1.2: ``Homeland Security 
Presidential Directive 12 (HSPD 12), signed by the President on August 
27, 2004, established the requirements for a common identification 
standard for the identification of credentials issued by Federal 
Departments and agencies to Federal employees and contractors 
(including contractor employees) for gaining physical access to 
Federally controlled facilities and logical access to Federally 
controlled information systems. HSPD 12 directs the department of 
Commerce to develop a Federal Information Processing Standards (FIPS) 
publication to define such a common identification credential.'' Form 
Number: CMS-10452 (OMB control number: 0938-1236); Frequency: Annually; 
Affected Public: Individuals and Households; Number of Respondents: 
750,000; Total Annual Responses: 750,000; Total Annual Hours: 300,000. 
(For policy questions regarding this collection contact Robert Burger 
at 410-786-2125.)


[[Page 14516]]


    Dated: March 16, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-05541 Filed 3-20-17; 8:45 am]
 BILLING CODE 4120-01-P