[Federal Register Volume 84, Number 187 (Thursday, September 26, 2019)]
[Notices]
[Pages 50846-50847]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-20871]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-855B]


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.

[[Page 50847]]


DATES: Comments must be received by November 25, 2019.

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' website address at website 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 N. 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-855 Medicare Enrollment Application for Clinics/Group Practices 
and Other Suppliers
    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: New collection (Request 
for a new OMB control number); Title of Information Collection: 
Medicare Enrollment Application for Clinics/Group Practices and Other 
Suppliers Revision; Use: The primary function of the CMS-855B Medicare 
enrollment application for suppliers, also known as Health Diagnosing 
and Treating Practitioners, is to gather information from the supplier 
that tells CMS who the supplier is, whether the supplier meets certain 
qualifications to be a Medicare health care provider or supplier, where 
the supplier practices or renders services, and other information 
necessary to establish correct claims payments.
    The CMS-855B form includes an attachment for Opioid Treatment 
Programs (OTPs). This attachment is only used to capture the OTP 
personnel and consists of limited data fields (name, Social Security 
Number, National Provider Identifier, and license number) in response 
to the ``SUPPORT for Patients and Communities Act'' that was signed 
into law on October 24, 2018. This legislation was designed to 
alleviate the nationwide opioid crisis by: (1) Reducing the abuse and 
supply of opioids; (2) helping individuals recover from opioid 
addiction and supporting the families of these persons; and (3) 
establishing innovative and long-term solutions to the crisis. Section 
2005 of the SUPPORT Act establishes a new Medicare Part B benefit for 
opioid use disorder (OUD) treatment services furnished by opioid 
treatment programs (OTPs) beginning on or after January 1, 2020. Form 
Number: CMS-855B (OMB control number: 0938-New); Frequency: Annually; 
Affected Public: Individuals and households; Number of Respondents: 
327,696; Total Annual Responses: 327,696; Total Annual Hours: 522,041. 
For questions regarding this collection contact Kim McPhillips at 410-
786-5374.

    Dated: September 20, 2019.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2019-20871 Filed 9-25-19; 8:45 am]
 BILLING CODE 4120-01-P