[Federal Register Volume 89, Number 116 (Friday, June 14, 2024)]
[Notices]
[Pages 50589-50590]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-13130]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10545 and CMS-10842]


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 15, 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

[[Page 50590]]

approved collection; Title of Information Collection: Outcome and 
Assessment Information Set OASIS-E1; Use: This request is to modify the 
Outcome and Assessment Information Set (OASIS) that home health 
agencies (HHAs) are required to collect to participate in the Medicare 
program. The current OASIS version, OASIS-E, OMB control number 0938-
1279, was approved by the OMB on November 30, 2022, and implemented on 
January 1, 2023. We are seeking OMB approval for the proposed revised 
OASIS data set, referred to hereafter as OASIS-E1, scheduled for 
implementation in the HH QRP on January 1, 2025. The OASIS-E1 includes 
changes related to addition of one item supporting an assessment-based 
quality measure (QM), removal of one item due to retirement of a QM, 
and removal of two data elements no longer used in the HH QRP or for 
other purposes in CMS programs. Form Number: CMS-10545 (OMB control 
number: 0938-1279); Frequency: Occasionally; Affected Public: Private 
Sector (Business or other for-profit and Not-for-profit institutions); 
Number of Respondents: 11,866; Total Annual Responses: 18,017,056; 
Total Annual Hours: 16,683,290. (For policy questions regarding this 
collection contact Jermama Keys at 410-786-7778).
    2. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: End 
Stage Renal Disease (ESRD) Annual Home Dialysis within Nursing Home 
Survey Form; Use: The End Stage Renal Disease (ESRD) Network program is 
responsible to collect, validate, and analyze data as well as to 
evaluate the process by which facilities determine the appropriateness 
of patients for a treatment modality. Additional responsibilities of 
the ESRD Network program include encouraging participation in the 
placement of patients in a self-care setting, such as home hemodialysis 
or peritoneal dialysis, as described in sec. 1881. [42 U.S.C. 1395rr] 
(c)(1)(A)(i)(2) of the Social Security Act. On September 21, 2018, CMS 
clarified guidance that residents in a nursing home facility can 
receive dialysis either administered and/or supervised by personnel who 
meet the criteria for training, and competency verification at 42 CFR 
494.100(a) and (b) for providing dialysis. The provision of dialysis 
within a nursing home requires that the dialysis facility have an 
agreement with the nursing home. This guidance was reinforced and 
updated on March 22, 2023, in a memo to the State Survey Agency 
Directors titled, ``Guidance and Survey Process for Reviewing Home 
Dialysis Services in a Nursing Home REVISED''. Since the provision of 
dialysis within nursing homes is relatively new, CMS designed the CMS-
10842 form to capture home modality information from dialysis 
facilities that provide dialysis within the nursing home in alignment 
with the Centers for Disease Control and Prevention (CDC).
    The care provided to residents of a nursing home is of particular 
interest because of the fragile health state of the patient and the 
susceptibility to infection. Each facility certification/survey record 
represents one provider. CMS-10842 collects information on dialysis 
facilities providing home dialysis services within the nursing home 
related to the number of patients, setting of dialysis services 
provided, who is providing dialysis services, who is providing dressing 
changes to dialysis access, staff education and use of CDC Core 
Interventions used. The aggregate patient information is collected from 
each Medicare-approved home dialysis provider to identify the 
specialized needs of the ESRD community where home dialysis is provided 
in Long Term Care facilities. Form Number: CMS-10842 (OMB control 
number: 0938-NEW); Frequency: Yearly; Affected Public: Private Sector 
(Business or other for-profit and Not-for-profit institutions); Number 
of Respondents: 7,726; Total Annual Responses: 7,726; Total Annual 
Hours: 5,795. (For policy questions regarding this collection contact 
Christina Goatee at 410-786-6689).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-13130 Filed 6-13-24; 8:45 am]
BILLING CODE 4120-01-P