[Federal Register Volume 86, Number 22 (Thursday, February 4, 2021)]
[Notices]
[Pages 8199-8200]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-02355]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-718--CMS-721, and CMS-724]


Agency Information Collection Activities: Proposed Collection; 
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 (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

[[Page 8200]]

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 April 5, 2021.

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.

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-718--721 Business Proposal Forms for Quality Improvement 
Organizations (QIOs)
CMS-724 Medicare/Medicaid Psychiatric Hospital Survey Data 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: Business Proposal 
Forms for Quality Improvement Organizations (QIOs); Use: The submission 
of proposal information by current quality improvement associations 
(QIOs) and other bidders, on the appropriate forms, will satisfy our 
need for meaningful, consistent, and verifiable data with which to 
evaluate contract proposals. We use the data collected on the forms 
associated with this information collection request to negotiate QIO 
contracts. We will be able to compare the costs reported by the QIOs on 
the cost reports to the proposed costs noted on the business proposal 
forms. Subsequent contract and modification negotiations will be based 
on historic cost data. The business proposal forms will be one element 
of the historical cost data from which we can analyze future proposed 
costs. In addition, the business proposal format will standardize the 
cost proposing and pricing process among all QIOs. With well-defined 
cost centers and line items, proposals can be compared among QIOs for 
reasonableness and appropriateness. Form Number: CMS-718-721 (OMB 
control number: 0938-0579); Frequency: Annually; Affected Public: 
Business or other for-profits and Not-for-profit institutions; Number 
of Respondents: 58; Total Annual Responses: 58; Total Annual Hours: 
2,320. (For policy questions regarding this collection contact Benjamin 
Bernstein at 410-786-6570.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare/Medicaid 
Psychiatric Hospital Survey Data and Supporting Regulations; Use: The 
CMS-724 form is used to collect data that assists us in program 
planning and evaluation and in maintaining an accurate database on 
providers participating in the psychiatric hospital program. 
Specifically, we use the information collected on this form in 
evaluating the Medicare psychiatric hospital program. The form is also 
used for audit purposes; determining patient population and 
characteristics of the hospital; and survey term composition. Form 
Number: CMS-724 (OMB control number: 0938-0378); Frequency: Annually; 
Affected Public: Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 19; Total Annual Responses: 191; 
Total Annual Hours: 96. (For policy questions regarding this collection 
contact Caroline Gallaher at 410-786-8705.)

    Dated: February 1, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-02355 Filed 2-3-21; 8:45 am]
BILLING CODE 4120-01-P