[Federal Register Volume 82, Number 227 (Tuesday, November 28, 2017)]
[Notices]
[Pages 56243-56244]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-25612]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-R-185, CMS-437 and CMS-10515]


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 December 28, 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 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: 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 currently 
approved collection; Title of Information Collection: Granting and 
Withdrawal of Deeming Authority to Private Nonprofit Accreditation 
Organizations and CLIA Exemption Under State Laboratory Programs; Use: 
The information required is necessary to determine whether a private 
accreditation organization/State licensure program standards and 
accreditation/licensure process is at least equal to or more stringent 
than those of the Clinical Laboratory Improvement Amendments of 1988 
(CLIA). If an accreditation organization is approved, the laboratories 
that it accredits are ``deemed'' to meet the CLIA requirements based on 
this accreditation. Similarly, if a State licensure program is 
determined to have requirements that are equal to or more stringent 
than those of CLIA, its laboratories are considered to be exempt from 
CLIA certification and requirements. The information collected will be 
used by HHS to: Determine comparability/equivalency of the 
accreditation organization standards and policies or State licensure 
program standards and policies to those of the CLIA program; to ensure 
the continued comparability/equivalency of the standards; and to 
fulfill certain statutory reporting requirements. Form Number: CMS-R-
185 (OMB control number: 0938-0686); Frequency: Occasionally; Affected 
Public: Private Sector--Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 9; Total Annual Responses: 
9; Total Annual Hours: 5,464. (For policy questions regarding this 
collection contact Arlene Lopez at 410-786-6782.)
    2. Type of Information Collection Request: Reinstatement with 
Change of a previously approved collection; Title of Information 
Collection: Psychiatric Unit Criteria Work Sheet; Use: Certain 
specialty hospitals and hospital specialty distinct-part units may be 
excluded from the Inpatient Medicare Prospective Payment System (IPPS) 
and be paid at a different rate. These specialty hospitals and 
distinct-part units of hospitals include Inpatient Rehabilitation 
Facilities (IRFs) units, Inpatient Rehabilitation Facilities (IRFs) 
hospitals and Inpatient Psychiatric Facilities (IPFs).
    CMS regulations at 42 CFR 412.20 through 412.29 describe the 
criteria under which these specialty hospitals and specialty distinct-
part hospital units are excluded from the IPPS. Form CMS-437 is used by 
Inpatient Psychiatric Facilities (IPFs) to attest to meeting the 
necessary requirements that make them exempt for receiving payment from 
Medicare under the IPPS. These IPFs must use CMS-437 to attest that 
they meet the requirements for IPPS exempt status prior to being placed 
into excluded status. The IPFs must re-attest to meeting the exclusion 
criteria annually. Form Number: CMS-437 (OMB control number: 0938-
0358); Frequency: Annually; Affected Public: Private sector--Business 
or other for-profits; Number of Respondents: 1,616; Total Annual 
Responses: 1,616; Total Annual Hours: 1,212. (For policy questions 
regarding this collection contact Caroline Gallaher at 410-786-8705.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Payment 
Collections Operations Contingency

[[Page 56244]]

Plan; Use: Under sections 1401, 1411, and 1412 of the Affordable Care 
Act and 45 CFR part 155 subpart D, an Exchange makes an advance 
determination of tax credit eligibility for individuals who enroll in 
QHP coverage through the Exchange and seek financial assistance. Using 
information available at the time of enrollment, the Exchange 
determines whether the individual meets the income and other 
requirements for advance payments and the amount of the advance 
payments that can be used to pay premiums. Advance payments are made 
periodically under section 1412 of the Affordable Care Act to the 
issuer of the QHP in which the individual enrolls. Section 1402 of the 
Affordable Care Act provides for the reduction of cost sharing for 
certain individuals enrolled in a QHP through an Exchange, and section 
1412 of the Affordable Care Act provides for the advance payment of 
these reductions to issuers. The statute directs issuers to reduce cost 
sharing for essential health benefits for individuals with household 
incomes between 100 and 400 percent of the Federal poverty level (FPL) 
who are enrolled in a silver level QHP through an individual market 
Exchange and are eligible for advance payments of the premium tax 
credit. The data collection will be used by HHS to make payments or 
collect charges from issuers under the following programs: advance 
payments of the premium tax credit, advanced cost-sharing reductions, 
and Marketplace user fees. The template will be used to make payments 
in January 2014 and for a number of months thereafter, as may be 
required based on HHS's operational progress. Form Number: CMS-10515 
(OMB control number: 0938-1217); Frequency: Monthly; Affected Public: 
Private sector (Business or other for-profits and not-for-profit 
institutions); Number of Respondents: 575; Total Annual Responses: 
7,475; Total Annual Hours: 51,175. (For policy questions regarding this 
collection contact Jaya Ghildiyal at 301-492-5149).

    Dated: November 21, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-25612 Filed 11-27-17; 8:45 am]
 BILLING CODE 4120-01-P