[Federal Register Volume 86, Number 115 (Thursday, June 17, 2021)]
[Notices]
[Page 32270]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-12807]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-417 and CMS-209]


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 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 July 19, 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.

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: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Hospice Request for Certification and Supporting 
Regulations; Use: The Hospice Request for Certification Form is the 
identification and screening form used to initiate the certification 
process and to determine if the provider has sufficient personnel to 
participate in the Medicare program. The CMS-417 form is completed by 
existing hospices at the time of their recertification surveys, to 
update their certification information. Form Number: CMS-417 (OMB 
Control number: 0938-0313); Frequency: Annually; Affected Public: 
Private Sector--Business or other for-profits; Number of Respondents: 
2,059; Total Annual Responses: 2,059; Total Annual Hours: 1,544. (For 
policy questions regarding this collection contact Caroline Gallaher at 
410-786-8705.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Laboratory 
Personnel Report (CLIA) and Supporting Regulations; Use: The 
information collected on this survey form is used in the administrative 
pursuit of the Congressionally-mandated program with regard to 
regulation of laboratories participating in CLIA. The surveyor will 
provide the laboratory with the CMS-209 form. While the surveyor 
performs other aspects of the survey, the laboratory will complete the 
CMS-209 by recording the personnel data needed to support their 
compliance with the personnel requirements of CLIA. The surveyor will 
then use this information in choosing a sample of personnel to verify 
compliance with the personnel requirements. Information on personnel 
qualifications of all technical personnel is needed to ensure the 
sample is representative of the entire laboratory. Form Number: CMS-209 
(OMB control number 0938-0151); Frequency: Biennially; Affected Public: 
Private Sector--State, Local, or Tribal Governments; and Federal 
Government; Number of Respondents: 19,163; Total Annual Responses: 
9,582; Total Annual Hours: 4,791. (For policy questions regarding this 
collection contact Kathleen Todd at 410-786-3385.)

    Dated: June 14, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-12807 Filed 6-16-21; 8:45 am]
BILLING CODE 4120-01-P