[Federal Register Volume 82, Number 121 (Monday, June 26, 2017)]
[Notices]
[Pages 28852-28853]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-13198]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10292, CMS-10332 and CMS-10239]


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.

DATES: Comments must be received by August 25, 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-10292 State Medicaid HIT Plan, Planning Advance Planning 
Document, and Implementation Advance Planning Document for Section 
4201 of the Recovery Act
CMS-10332 Disclosure Requirement for the In-Office Ancillary 
Services Exception
CMS-10239 Conditions of Participation for Critical Access Hospitals 
(CAH) and Supporting Regulations

    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: State Medicaid 
HIT Plan, Planning Advance Planning Document, and Implementation 
Advance Planning Document for Section 4201 of the Recovery Act; Use: To 
assess the appropriateness of state requests for the administrative 
Federal financial participation for expenditures under their Medicaid 
Electronic Health Record Incentive Program related to health 
information exchange, our staff will review the submitted information 
and documentation to make an approval determination of the state 
advance planning document. Form Number: CMS-10292 (OMB control number: 
0938-1088); Frequency: Once and occasionally; Affected Public: State, 
Local, and Tribal Governments; Number of Respondents: 56; Total Annual 
Responses: 56; Total Annual Hours: 896. (For policy questions regarding 
this collection contact Marty Rice at 410-786-2417.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Disclosure 
Requirement for the In-Office Ancillary Services Exception; Use: 
Section 6003 of the ACA established a disclosure requirement for the 
in-office ancillary services exception to the prohibition of physician 
self-referral for certain imaging services. This section of the ACA 
amended section 1877(b)(2) of the Social Security Act by adding a 
requirement that the referring physician informs the patient, at the 
time of the referral and in writing, that the patient may receive the 
imaging service from another supplier. The implementing regulations are 
at 42 CFR 411.355(b)(7).

[[Page 28853]]

    Physicians who provide certain imaging services (MRI, CT, and PET) 
under the in-office ancillary services exception to the physician self-
referral prohibition are required to provide the disclosure notice as 
well as the list of other imaging suppliers to the patient. The patient 
will then be able to use the disclosure notice and list of suppliers in 
making an informed decision about his or her course of care for the 
imaging service. CMS would use the collected information for 
enforcement purposes. Specifically, if we were investigating the 
referrals of a physician providing advanced imaging services under the 
in-office ancillary services exception, we would review the written 
disclosure in order to determine if it satisfied the requirement. Form 
Number: CMS-10332 (OMB control number: 0938-1133); Frequency: 
Occasionally; Affected Public: State, Local, and Tribal Governments; 
Number of Respondents: 7,100; Total Annual Responses: 759,700; Total 
Annual Hours: 19,638. (For policy questions regarding this collection 
contact Laura Dash at 410-786-8623.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Conditions of 
Participation for Critical Access Hospitals (CAH) and Supporting 
Regulations; Use: At the outset of the critical access hospital (CAH) 
program, the information collection requirements for all CAHs were 
addressed together under the following information collection request: 
CMS-R-48 (OCN: 0938-0328). As the CAH program has grown in both scope 
of services and the number of providers, the burden associated with 
CAHs with distinct part units (DPUs) was separated from the CAHs 
without DPUs. Section 1820(c)(2)(E)(i) of the Social Security Act 
provides that a CAH may establish and operate a psychiatric or 
rehabilitation DPU. Each DPU may maintain up to10 beds and must comply 
with the hospital requirements specified in 42 CFR subparts A, B, C, 
and D of part 482. Presently, 105 CAHs have rehabilitation or 
psychiatric DPUs. The burden associated with CAHs that have DPUs 
continues to be reported under CMS-R-48, along with the burden for all 
4,890 accredited and non-accredited hospitals.
    The CAH conditions of participation and accompanying information 
collection requirements specified in the regulations are used by 
surveyors as a basis for determining whether a CAH meets the 
requirements to participate in the Medicare program. We, along with the 
healthcare industry, believe that the availability to the facility of 
the type of records and general content of records, which this 
regulation specifies, is standard medical practice and is necessary in 
order to ensure the well-being and safety of patients and professional 
treatment accountability. Form Number: CMS-10239 (OMB Control number: 
0938-1043); Frequency: Yearly; Affected Public: Private sector--
Business or other for-profit; Number of Respondents: 1,215; Total 
Annual Responses: 144,585; Total Annual Hours: 24,183. (For policy 
questions regarding this collection contact Mary Collins at 410-786-
3189.)

    Dated: June 20, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-13198 Filed 6-23-17; 8:45 am]
BILLING CODE 4120-01-P