[Federal Register Volume 88, Number 113 (Tuesday, June 13, 2023)]
[Notices]
[Page 38513]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-12535]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-576 and CMS-576A]


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 August 14, 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-576/576A Organ Procurement Organization (OPO) Request for 
Designation as an OPO, Health Insurance Benefits Agreement, and 
Supporting Regulations

    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: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Organ Procurement Organization (OPO) Request for 
Designation as an OPO, Health Insurance Benefits Agreement, and 
Supporting Regulations; Use: We are seeking reinstatement of a revised 
version of the CMS-576 form. We are also seeking reinstatement for the 
CMS-576A form. The CMS-576 and CMS-576A forms have been updated to a 
fillable .pdf format. In addition, multiple changes were made to the 
CMS-576 and CMS-576A forms.
    Organizations seeking designation from CMS as a qualified and 
approved Organ Procurement Organization (OPO), as per sections 371(a) 
and 1138 of the Social Security Act (``the Act'') must complete and 
submit the CMS-576 form. After designation as an OPO, the organization 
must sign CMS-576A form in order to be reimbursed by Medicare for their 
services. The CMS-576A form requires the OPO ``to maintain compliance 
with the requirements of titles XVIII and XIX of the Act, section1138 
of the Act, applicable regulations including the conditions set forth 
in part 486, subpart G, title 42 of the Code of Federal Regulations, 
those conditions of the Organ Procurement and Transplantation Network 
established under section 372 of the Public Health Service Act that 
have been approved by the Secretary, and to report promptly to CMS. 
Form Number: CMS-576 and 576A (OMB Control Number: 0938-0512); 
Frequency: Occasionally; Affected Public: Private sector (business or 
other for-profit and not-for-profit institutions); Number of 
Respondents: 16; Total Annual Responses: 16; Total Annual Hours: 32. 
(For policy questions regarding this collection contact Caroline 
Gallaher at 410-786-8705.)

    Dated: June 7, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-12535 Filed 6-12-23; 8:45 am]
BILLING CODE 4120-01-P