[Federal Register Volume 87, Number 163 (Wednesday, August 24, 2022)]
[Notices]
[Pages 51984-51985]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-18195]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10065/10066 & CMS-10611]


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 September 23, 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 
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: Hospital Notices: 
IM/DND; Use: The purpose of the IM is to inform beneficiaries and 
enrollees of their rights as hospital inpatients and how to request a 
discharge appeal by a Quality

[[Page 51985]]

Improvement Organization (QIO) and how to file a request. For all 
Medicare beneficiaries, hospitals must deliver valid, written notice of 
a beneficiary's rights as a hospital inpatient, including discharge 
appeal rights. The hospital must use a standardized notice, as 
specified by CMS. This is satisfied by IM delivery.
    Consistent with 42 CFR 405.1205 for Original Medicare and 422.620 
for Medicare health plans, hospitals must provide the initial IM within 
2 calendar days of admission. A follow-up copy of the signed IM is 
given no more than 2 calendar days before discharge. The follow-up copy 
is not required if the first IM is provided within 2 calendar days of 
discharge. In accordance with 42 CFR 405.1206 for Original Medicare and 
422.622 for Medicare health plans, if a beneficiary/enrollee appeals 
the discharge decision, the beneficiary/enrollee and the QIO must 
receive a detailed explanation of the reasons services should end. This 
detailed explanation is provided to the beneficiary/enrollee using the 
DND, the second notice included in this renewal package. Form Number: 
CMS-10065/10066 (OMB control number: 0938-1019); Frequency: Yearly; 
Affected Public: Private Sector (Business or other for-profits, Not-
for-Profit Institutions); Number of Respondents: 14,087,086; Total 
Annual Responses: 14,087,086; Total Annual Hours: 2,385,107. (For 
policy questions regarding this collection contact Janet Miller at 
[email protected]).
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Medicare Outpatient Observation Notice (MOON); Use: The Medicare 
Outpatient Observation Notice (MOON) serves as the written notice 
component of this mandatory notification process. The standardized 
content of the MOON includes all informational elements required by 
statute, in language understandable to beneficiaries, and fulfils the 
regulatory requirements at 42 CFR part 489.20(y).
    The MOON is a standardized notice delivered to persons entitled to 
Medicare benefits under Title XVIII of the Act who receive more than 24 
hours of observation services, informing them that their hospital stay 
is outpatient and not inpatient, and the implications of being an 
outpatient. This information collection applies to beneficiaries in 
Original Medicare and enrollees in Medicare health plans. Form Number: 
CMS-10611 (OMB control number: 0938-1308); Frequency: Yearly; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 
4,312; Total Annual Responses: 683,222; Total Annual Hours: 170,806. 
(For policy questions regarding this collection contact Janet Miller at 
[email protected]/).

    Dated: August 18, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-18195 Filed 8-23-22; 8:45 am]
BILLING CODE 4120-01-P