[Federal Register Volume 87, Number 111 (Thursday, June 9, 2022)]
[Notices]
[Pages 35218-35219]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-12379]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10328]


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 35219]]

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 August 8, 2022.

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.

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-10328--Medicare Self-Referral Disclosure Protocol

    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: Revision of a currently 
approved collection; Title of Information Collection: Medicare Self-
Referral Disclosure Protocol; Use: Section 6409 of the ACA requires the 
Secretary to establish a voluntary self-disclosure process that allows 
providers of services and suppliers to self-disclose actual or 
potential violations of section 1877 of the Act. The SRDP is a 
voluntary self-disclosure process that allows providers of services and 
suppliers to disclose actual or potential violations of section 1877 of 
the Act. For purposes of the SRDP, a person submitting a disclosure to 
the SRDP will be referred to as a ``disclosing party.'' CMS analyzes 
the disclosed conduct to determine compliance with section 1877 of the 
Act and the application of the exceptions to the physician self-
referral prohibition.
    Specifically, under the proposal a physician practice disclosing 
group practice noncompliance will submit an SRDP form consisting of the 
following components: (1) the SRDP Disclosure Form, (2) a single Group 
Practice Information Form covering all the physicians in the practice 
who made prohibited referrals to the practice, and (3) a Financial 
Analysis Worksheet. All other entities will continue to submit 
disclosures using the SRDP Disclosure Form, separate Physician 
Information Forms for each physician covered in the self-disclosure, 
and a Financial Analysis Worksheet. Form Number: CMS-10328 (OMB control 
number: 0938-1106); Frequency: Yearly; Affected Public: Private Sector 
(Business or other for-profits, Not-for-Profit Institutions); Number of 
Respondents: 100; Total Annual Responses: 200; Total Annual Hours: 
5,000. (For policy questions regarding this collection contact Matthew 
Edgar at 410-786-0698.)

    Dated: June 3, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-12379 Filed 6-8-22; 8:45 am]
BILLING CODE 4120-01-P