Agency Information Collection Activities: Submission for OMB Review; Comment Request
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Abstract
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.
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<title>Federal Register, Volume 87 Issue 119 (Wednesday, June 22, 2022)</title>
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[Federal Register Volume 87, Number 119 (Wednesday, June 22, 2022)]
[Notices]
[Pages 37338-37339]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-13278]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-2552-10 and CMS-10416]
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 22, 2022.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to <a href="http://www.reginfo.gov/public/do/PRAMain">www.reginfo.gov/public/do/PRAMain</a>. 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, you may make
your request using one of following:
1. Access CMS' website address at website address at: <a href="https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing">https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing</a>.
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
[[Page 37339]]
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 with
change of a previously approved collection; Title of Information
Collection: Hospital and Health Health Care Complex Cost Report; Use:
CMS requires the Form CMS-2552-10 to determine a hospital's reasonable
cost incurred in furnishing medical services to Medicare beneficiaries
and calculate the hospital reimbursement. Hospitals paid under a
prospective payment system (PPS) may receive reimbursement in addition
to the PPS for hospital-specific adjustments such as Medicare
reimbursable bad debts, disproportionate share, uncompensated care,
direct and indirect medical education costs, and organ acquisition
costs. CMS uses the Form CMS-2552-10 for rate setting; payment
refinement activities, including developing a hospital market basket;
and Medicare Trust Fund projections; and to support program operations.
Additionally, the Medicare Payment Advisory Commission (MedPAC) uses
the hospital cost report data to calculate Medicare margins (a measure
of the relationship between Medicare's payments and providers' Medicare
costs) and analyze data to formulate Medicare Program recommendations
to Congress.
This submission seeks to reinstate the information collection
request. The changes in burden and cost for the Form CMS-2552-10 are a
result of the following three factors.
<bullet> The number of respondents decreased by 13 (from 6,088 in
2018 to 6,075 in 2022), which is the net result of new hospitals
certified to participate in the Medicare program and existing hospitals
terminated from the Medicare program;
<bullet> The hourly rates and associated administrative/overhead
costs increased based on data from the BLS 2021 Occupation Outlook
Handbook (for categories 43-3031, bookkeeping, accounting and auditing
clerks, and 13-2011, accounting and audit professionals) that resulted
in an increased cost per provider from $31,411.36 in 2018 to $34,367.18
in 2022; and,
<bullet> The per-respondent burden increased by 1 hour (from 673
hours in 2018 to 674 hours in 2022), the result of adding the Worksheet
S-10, Part II, for hospitals to report the hospital uncompensated and
indigent care data for the hospital CCN, and adding the Worksheet D-6,
Parts I, II, and III, for hospitals to report the acquisition cost of
allogeneic hematopoietic stem cells for transplant.
Form Number: CMS-2552-10 (OMB control number: 0938-0050);
Frequency: Occasionally; Affected Public: Private Sector; Business or
other for-profit and not-for-profit institutions; Number of
Respondents: 6,075; Total Annual Responses: 6,075; Total Annual Hours:
4,094,550. (For policy questions regarding this collection contact Gail
Duncan at 410-786-7278.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Blueprint for
Approval of State-based Exchange; Use: The Patient Protection and
Affordable Care Act (ACA) and its implementing regulations provide
states with flexibility in the design and operation of Exchanges to
ensure states are implementing Exchanges that best meet the needs of
their consumers. States can choose to establish and operate a State-
based Exchange (SBE) or a State-based Exchange on the Federal Platform
(SBE-FP). To ensure a state can operate a successful and compliant SBE
or SBE-FP, it is critical that states provide CMS with a complete and
thorough Exchange Blueprint Application, Declaration of Intent Letter,
and attest to demonstrate operational readiness. The information
collected from states will be used by CMS, IRS, SSA and reviewed by
other Federal agencies to determine if a state can implement a complete
and fully operational Exchange. Form Number: CMS-10416 (OMB control
number: 0938-1172); Frequency: Annually; Affected Public: State, Local,
or Tribal governments; Number of Respondents: 4; Total Annual
Responses: 21; Total Annual Hours: 126. (For policy questions regarding
this collection contact Shilpa Gogna at 301-492-4257.)
Dated: June 15, 2022.
William N. Parham III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2022-13278 Filed 6-21-22; 8:45 am]
BILLING CODE 4120-01-P
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