[Federal Register Volume 87, Number 214 (Monday, November 7, 2022)]
[Notices]
[Pages 67036-67037]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-24230]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1572]


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 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 January 6, 2023.

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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: 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-1572 Home Health Agency Survey and Deficiencies Report

    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

[[Page 67037]]

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: Home Health 
Agency Survey and Deficiencies Report; Use: This is a request to revise 
form CMS-1572 by adding fillable text or check blocks to each data 
field, thus converting it to a fillable .pdf format. A previous version 
of the CMS-1572 form had been in a fillable format. However, when it 
was revised in the past, it was placed into a non-fillable format. We 
also added a new selection to item #7. The CMS-1572 form is used by 
State Survey Agencies (SAs) when surveying Home Health Agencies (HHAs) 
and to collect information about an HHA. These regulations were created 
by CMS under the authority of sections 1861(o) and 1891 of the Social 
Security Act (``the Act'').
    In the Medicare and Medicaid programs, CMS is responsible for 
developing Conditions of Participation (CoPs) that facilities must meet 
to become eligible to receive Medicare payments. State survey agencies 
(SAs) conduct on-site surveys of Home Health Agencies (HHAs) to ensure 
that HHA facilities are in compliance with these requirements.
    Surveys of HHA providers are intended to ensure and strengthen 
patient health and safety, to enhance quality of care by emphasizing 
outcomes rather than process, to implement the Omnibus Reconciliation 
Act of 1987 (OBRA 87), and to achieve more effective compliance with 
Federal requirements. The CMS-1572 HHA survey form reflects this 
fundamental change and directs surveyors to observe and monitor the 
provision of care in the home setting. HHA surveyors use the CMS-1572 
form to assist and direct them in evaluating important information 
relating to the quality of services provided HHAs in the home setting. 
Moreover, the CMS-1572 form represents a deficiency-based approach to 
evaluating and reporting compliance. Form Number: CMS-1572 (OMB control 
number: 0938-0355); Frequency: Yearly; Affected Public: State, Local or 
Tribal Government; Number of Respondents: 3,833; Total Annual 
Responses: 3,833; Total Annual Hours: 1,917. (For policy questions 
regarding this collection contact Caroline Gallaher at 410-786-8705.)

    Dated: November 2, 2022.
William N. Parham, III
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-24230 Filed 11-4-22; 8:45 am]
BILLING CODE 4120-01-P