[Federal Register Volume 91, Number 65 (Monday, April 6, 2026)]
[Notices]
[Pages 17280-17281]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2026-06573]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-5]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Health and Human
Services (HHS).
ACTION: Notice.
-----------------------------------------------------------------------
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 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
[[Page 17281]]
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 June 5, 2026.
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).
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: Extension of a currently
approved collection; Title of Information Collection: Physician
Certifications/Recertifications in Skilled Nursing Facilities Manual
Instruction; Use: Section 1814(a) of the Social Security Act (the Act)
requires specific certifications in order for Medicare payments to be
made for certain services. Before the enactment of the Omnibus Budget
Reconciliation Act of 1989 (OBRA1989, Pub. L. 101-239), section
1814(a)(2) of the Act required that, in the case of posthospital
extended care services, a physician certify that the services are or
were required to be given because the individual needs or needed, on a
daily basis, skilled nursing care (provided directly by or requiring
the supervision of skilled nursing personnel) or other skilled
rehabilitation services that, as a practical matter, can only be
provided in a SNF on an inpatient basis.
The Medicare program requires, as a condition for Medicare Part A
payment for posthospital skilled nursing facility (SNF) services, that
a physician or other authorized practitioner must certify and
periodically recertify that a beneficiary requires an SNF level of
care. The physician certification and recertification is intended to
ensure that the beneficiary's need for services has been established
and then reviewed and updated at appropriate intervals. The
documentation is a condition for Medicare Part A payment for post-
hospital SNF care. Form Number: CMS-R-5 (OMB control number 0938-0454);
Frequency: Occasionally; Affected Public: Private Sector (Business or
other for-profits); Number of Respondents: 3,882,413; Number of
Responses: 3,882,413; Total Annual Hours: 480,957. (For policy
questions regarding this collection contact Patricia Taft at 410-786-
4561).
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-06573 Filed 4-3-26; 8:45 am]
BILLING CODE 4120-01-P