[Federal Register Volume 82, Number 137 (Wednesday, July 19, 2017)]
[Notices]
[Pages 33133-33134]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-15080]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-216-94 and 265-11]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

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

[[Page 33134]]

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 September 18, 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 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: 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-216-94 Organ Procurement Organization/Histocompatibility Laboratory 
Cost Report
CMS-265-11 Independent Renal Dialysis Facility Cost Report
    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: Organ Procurement 
Organization/Histocompatibility Laboratory Cost Report; Use: Providers 
of services participating in the Medicare program are required under 
sections 1815(a) and 1861(v)(1)(A) of the Social Security Act (42 
U.S.C. 1395g) to submit annual information to achieve settlement of 
costs for health care services rendered to Medicare beneficiaries. In 
addition, regulations at 42 CFR 413.20 and 413.24 require adequate cost 
data and cost reports from providers on an annual basis. The Form CMS-
216-94 cost report is needed to determine a provider's reasonable costs 
incurred in furnishing medical services to Medicare beneficiaries and 
reimbursement due to or due from a provider. Form Number: CMS-216-94 
(OMB Control Number: 0938-0102); Frequency: Annually; Affected Public: 
Private Sector: Business or other for-profit, Not-for-profit 
institutions; Number of Respondents: 102; Total Annual Responses: 102; 
Total Annual Hours: 4590. (For policy questions regarding this 
collection contact Amelia Citerone at 410-786-3901).
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Independent Renal 
Dialysis Facility Cost Report; Use: Providers of services participating 
in the Medicare program are required under sections 1815(a) and 
1861(v)(1)(A) of the Social Security Act (42 U.S.C. 1395g) to submit 
annual information to achieve settlement of costs for health care 
services rendered to Medicare beneficiaries. In addition, regulations 
at 42 CFR 413.20 and 413.24 require adequate cost data and cost reports 
from providers on an annual basis. The Form CMS-265-11 cost report is 
needed to determine a provider's reasonable costs incurred in 
furnishing medical services to Medicare beneficiaries. Form Number: 
CMS-265-11 (OMB control number: 0938-0236); Frequency: Annually; 
Affected Public: Private Sector: Business or other for-profit, Not-for-
profit institutions; Number of Respondents: 6,821; Total Annual 
Responses: 6,821; Total Annual Hours: 443,365. (For policy questions 
regarding this collection contact Gail Duncan at 410-786-7278).

    Dated: July 13, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-15080 Filed 7-18-17; 8:45 am]
 BILLING CODE 4120-01-P