[Federal Register Volume 89, Number 113 (Tuesday, June 11, 2024)]
[Notices]
[Pages 49178-49179]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-12774]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-381 and CMS-R-38]


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 11, 2024.

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, 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 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: Revision of a currently 
approved collection; Title of Information Collection: Identification of 
Extension Units of Medicare Approved Outpatient Physical Therapy/
Outpatient Speech Pathology (OPT/OSP) Providers and Supporting 
Regulations; Use: Form CMS-381 was developed to ensure that each OPT/
OSP extension location at which OPT/OSP providers furnish services, 
must be reported by the providers to the State Survey Agencies (SAs). 
Form CMS-381 is completed when: (1) new OPT/OSP providers enter the 
Medicare program; (2) when existing OPT/OPS providers delete or add a 
service, or close or add an extension location; or, (3) when existing 
OPT/OSP providers are recertified by the State Survey Agency every 6 
years.
    In 2022, CMS transitioned some of the certification processes to 
the Center for Program Integrity (CPI) and the Medicare Administrative 
Contractor (MAC). Prior to the transition, the CMS Survey Operations 
Group was involved in the processing of the extension location 
requests. As a result of the new processing instructions, CMS is now 
reconciling the Form CMS-381 with updates to the instructions. 
Additionally, CMS has revised the Form CMS-381 to incorporate the 
initial enrollment of OPT/OSPs which was previously completed on the 
Form CMS-1856 (0938-0065). CMS has combined the forms into one form in 
order to further align with the transitioned processes and streamline 
the requests from the provider community. This change will decrease the 
burden on both the provider community as well as CMS. Furthermore, this 
change will also allow for OPTs who wish to initially enroll in the 
Medicare program to submit an extension location request with the 
initial enrollment. The State Survey Agency or Accrediting Organization 
(for those OPTs requesting deemed status) will survey the extension 
location during the initial survey to verify compliance with the 
Medicare conditions. Form Number: CMS-381 (OMB control number: 0938-
0273); Frequency: Occasionally; Affected Public: Private Sector; 
Business or other for-profit and not-for-profit institutions;

[[Page 49179]]

Number of Respondents: 506; Total Annual Responses: 506; Total Annual 
Hours: 253. (For policy questions regarding this collection contact 
Caecilia Andrews at 410-786-2190.)
    2. Type of Information Collection Request: Reinstatement of a 
previously approved collection; Title of Information Collection: 
Conditions for Certification for Rural Health Clinics and Conditions 
for Coverage for Federally Qualified Health Centers in 42 CFR 491; Use: 
The Conditions for Medicare Certification (CfCs) for Rural Health 
Clinics (RHCs) are based on criteria prescribed in law and designed to 
ensure that each RHC has properly trained staff to provide appropriate 
care and to assure a safe physical environment for patients. The 
information collection requirements described herein are needed to 
implement the Medicare and Medicaid CfCs for a total of 5,349 RHCs. 
These requirements are similar in intent to standards developed by 
industry organizations such as the Joint Commission on Accreditation of 
Hospitals, and the National League of Nursing/American Public 
Association, and merely reflect accepted standards of management and 
care to which rural health clinics must adhere.
    Federally Qualified Health Centers (FQHCs) are also subject to 
Conditions for Certification to participate in the Medicare and 
Medicaid programs. These health and safety standards are the foundation 
for improving quality and protecting the health and safety of Medicare 
and Medicaid beneficiaries. The information collection requirements 
described herein affect approximately 11,252 FQHCs. The current 
information collection requirements at 42 CFR 491.9(b) and 491.11 are 
applicable to both RHCs and FQHCs. Form Number: CMS-R-38 (OMB control 
number: 0938-0334); Frequency: Recordkeeping and Reporting--Annually; 
Affected Public: Business or other for-profits; Number of Respondents: 
17,663; Total Annual Responses: 17,663; Total Annual Hours: 104,245. 
(For policy questions regarding this collection contact Claudia Molinar 
at 410-786-8445.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-12774 Filed 6-10-24; 8:45 am]
BILLING CODE 4120-01-P