[Federal Register Volume 86, Number 208 (Monday, November 1, 2021)]
[Notices]
[Pages 60244-60245]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-23779]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers CMS-1557 and CMS-370G-I]


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 December 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.

[[Page 60245]]


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: Survey Report 
Form for Clinical Laboratory Improvement Amendments (CLIA) and 
Supporting Regulations; Use: The form is used to report surveyor 
findings during a CLIA survey. For each type of survey conducted (i.e., 
initial certification, recertification, validation, complaint, 
addition/deletion of specialty/subspecialty, transfusion fatality 
investigation, or revisit inspections) the Survey Report Form 
incorporates the requirements specified in the CLIA regulations. Form 
Number: CMS-1557 (OMB control number: 0938-0544); Frequency: 
Biennially; Affected Public: Private sector (Business or other for-
profit and Not-for-profit institutions, State, Local or Tribal 
Governments and Federal Government); Number of Respondents: 15,975; 
Total Annual Responses: 7,988; Total Annual Hours: 3,994. (For policy 
questions regarding this collection contact Kathleen Todd at 410-786-
3385).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: ICF/IID Survey 
Report Form and Supporting Regulations; Use: The information collected 
with forms 3070G, CMS-3070H and CMS-3070I is used by the surveyors from 
the State Survey Agencies (SAs) to determine the level of compliance 
with the ICF/IID Conditions of Participation (CoPs) necessary to 
participate in the Medicare/Medicaid program and to report any non-
compliance with the ICF/IID CoPs to the Federal government. These forms 
summarize the survey team characteristics, facility characteristics, 
client population, and the special needs of clients. These forms are 
used in conjunction with the CMS regulation text and additional 
surveyor aids such as the CMS interpretive guidelines and probes. The 
CMS-3070G-I forms serves as coding worksheets, designed to facilitate 
data entry and retrieval into the Automated Survey Processing 
Environment Suite (ASPEN) in the State and at the CMS regional offices. 
Form Number: CMS-3070G-I (OMB control number: 0938-0062); Frequency: 
Reporting--Yearly; Affected Public: Business or other for-profits and 
Not-for-profit institutions; Number of Respondents: 5,758; Total Annual 
Responses: 5,758; Total Annual Hours: 17,274. (For policy questions 
regarding this collection contact Caroline Gallaher at 410-786-8705.)

    Dated: October 27, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2021-23779 Filed 10-29-21; 8:45 am]
BILLING CODE 4120-01-P