[Federal Register Volume 86, Number 17 (Thursday, January 28, 2021)]
[Notices]
[Pages 7401-7402]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-01896]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10332]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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

[[Page 7402]]

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 March 1, 2021.

ADDRESSES: Written comments and recommendations for the proposed 
information collection should be sent within 30 days of publication of 
this notice to www.reginfo.gov/public/do/PRAMain. Find this particular 
information collection by selecting ``Currently under 30-day Review--
Open for Public Comments'' or by using the search function.
    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. 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 a currently 
approved collection; Title of Information Collection: Disclosure 
Requirement for the In-Office Ancillary Services Exception; Use: 
Section 6003 of the Affordable Care Act (ACA) established a new 
disclosure requirement that a physician must perform for certain 
imaging services to meet the in-office ancillary services exception to 
the prohibition of the physician self-referral law. This section of the 
ACA amended section 1877(b)(2) of the 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.
    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: 
Private Sector, Business or other for-profits, Not-for-profits 
institutions; Number of Respondents: 2,239; Total Annual Responses: 
989,971; Total Annual Hours: 18,694. (For questions regarding this 
collection contact Laura Dash at 410-786-8623.)

    Dated: January 25, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-01896 Filed 1-27-21; 8:45 am]
BILLING CODE 4120-01-P