[Federal Register Volume 89, Number 166 (Tuesday, August 27, 2024)]
[Notices]
[Page 68618]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-19220]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-370 and CMS-377]


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 26, 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: Reinstatement without 
change of a previously approved collection; Titles of Information 
Collection: ASC Forms for Medicare Program Certification; Use: The form 
CMS-370 titled ``Health Insurance Benefits Agreement'' is used for the 
purpose of establishing an ASC's eligibility for payment under Title 
XVIII of the Social Security Act (the ``Act''). This agreement, upon 
acceptance by the Secretary of Health & Human Services, shall be 
binding on the ASC and the Secretary. The agreement may be terminated 
by either party in accordance with regulations. In the event of 
termination of this agreement, payment will not be available for the 
ASC's services furnished to Medicare beneficiaries on or after the 
effective date of termination.
    The CMS-377 form is used by ASCs to initiate both the initial and 
renewal survey by the State Survey Agency, which provides the 
certification required for an ASC to participate in the Medicare 
program. An ASC must complete the CMS-377 form and send it to the 
appropriate State Survey Agency prior to their scheduled accreditation 
renewal date. The CMS-377 form provides the State Survey Agency with 
information about the ASC facility's characteristics, such as, 
determining the size and the composition of the survey team on the 
basis of the number of ORs/procedure rooms and the types of surgical 
procedures performed in the ASC. Form Numbers: CMS-370 and CMS-377 (OMB 
control number: 0938-0266); Frequency: Occasionally; Affected Public: 
Private Sector--Business or other for-profit and Not-for-profit 
institutions; Number of Respondents: 1,711; Total Annual Responses: 
1,711; Total Annual Hours: 1,559. (For policy questions regarding this 
collection contact Caroline Gallaher at 410-786-8705.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-19220 Filed 8-26-24; 8:45 am]
BILLING CODE 4120-01-P