[Federal Register Volume 87, Number 119 (Wednesday, June 22, 2022)]
[Notices]
[Pages 37338-37339]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-13278]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-2552-10 and CMS-10416]


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 22, 2022.

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.

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

[[Page 37339]]

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 with 
change of a previously approved collection; Title of Information 
Collection: Hospital and Health Health Care Complex Cost Report; Use: 
CMS requires the Form CMS-2552-10 to determine a hospital's reasonable 
cost incurred in furnishing medical services to Medicare beneficiaries 
and calculate the hospital reimbursement. Hospitals paid under a 
prospective payment system (PPS) may receive reimbursement in addition 
to the PPS for hospital-specific adjustments such as Medicare 
reimbursable bad debts, disproportionate share, uncompensated care, 
direct and indirect medical education costs, and organ acquisition 
costs. CMS uses the Form CMS-2552-10 for rate setting; payment 
refinement activities, including developing a hospital market basket; 
and Medicare Trust Fund projections; and to support program operations. 
Additionally, the Medicare Payment Advisory Commission (MedPAC) uses 
the hospital cost report data to calculate Medicare margins (a measure 
of the relationship between Medicare's payments and providers' Medicare 
costs) and analyze data to formulate Medicare Program recommendations 
to Congress.
    This submission seeks to reinstate the information collection 
request. The changes in burden and cost for the Form CMS-2552-10 are a 
result of the following three factors.
     The number of respondents decreased by 13 (from 6,088 in 
2018 to 6,075 in 2022), which is the net result of new hospitals 
certified to participate in the Medicare program and existing hospitals 
terminated from the Medicare program;
     The hourly rates and associated administrative/overhead 
costs increased based on data from the BLS 2021 Occupation Outlook 
Handbook (for categories 43-3031, bookkeeping, accounting and auditing 
clerks, and 13-2011, accounting and audit professionals) that resulted 
in an increased cost per provider from $31,411.36 in 2018 to $34,367.18 
in 2022; and,
     The per-respondent burden increased by 1 hour (from 673 
hours in 2018 to 674 hours in 2022), the result of adding the Worksheet 
S-10, Part II, for hospitals to report the hospital uncompensated and 
indigent care data for the hospital CCN, and adding the Worksheet D-6, 
Parts I, II, and III, for hospitals to report the acquisition cost of 
allogeneic hematopoietic stem cells for transplant.
    Form Number: CMS-2552-10 (OMB control number: 0938-0050); 
Frequency: Occasionally; Affected Public: Private Sector; Business or 
other for-profit and not-for-profit institutions; Number of 
Respondents: 6,075; Total Annual Responses: 6,075; Total Annual Hours: 
4,094,550. (For policy questions regarding this collection contact Gail 
Duncan at 410-786-7278.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Blueprint for 
Approval of State-based Exchange; Use: The Patient Protection and 
Affordable Care Act (ACA) and its implementing regulations provide 
states with flexibility in the design and operation of Exchanges to 
ensure states are implementing Exchanges that best meet the needs of 
their consumers. States can choose to establish and operate a State-
based Exchange (SBE) or a State-based Exchange on the Federal Platform 
(SBE-FP). To ensure a state can operate a successful and compliant SBE 
or SBE-FP, it is critical that states provide CMS with a complete and 
thorough Exchange Blueprint Application, Declaration of Intent Letter, 
and attest to demonstrate operational readiness. The information 
collected from states will be used by CMS, IRS, SSA and reviewed by 
other Federal agencies to determine if a state can implement a complete 
and fully operational Exchange. Form Number: CMS-10416 (OMB control 
number: 0938-1172); Frequency: Annually; Affected Public: State, Local, 
or Tribal governments; Number of Respondents: 4; Total Annual 
Responses: 21; Total Annual Hours: 126. (For policy questions regarding 
this collection contact Shilpa Gogna at 301-492-4257.)

    Dated: June 15, 2022.
William N. Parham III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-13278 Filed 6-21-22; 8:45 am]
BILLING CODE 4120-01-P