Notice2024-17484
Agency Information Collection Activities: Proposed Collection; Comment Request
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
August 7, 2024
Issuing agencies
Health and Human Services DepartmentCenters for Medicare & Medicaid Services
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 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 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.
Full Text
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<title>Federal Register, Volume 89 Issue 152 (Wednesday, August 7, 2024)</title>
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[Federal Register Volume 89, Number 152 (Wednesday, August 7, 2024)]
[Notices]
[Pages 64463-64465]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-17484]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-R-48]
Agency Information Collection Activities: Proposed Collection;
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
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(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 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 October 7, 2024.
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
<a href="http://www.regulations.gov">http://www.regulations.gov</a>. 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: <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 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).
CMS-R-48 Hospital Conditions of Participation (CoPs) and Supporting
Regulations
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 Collections
1. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Hospital Conditions of Participation (CoPs) and Supporting
Regulations; Use: The purpose of this package is to request from the
Office of Management and Budget (OMB) approval of the reinstatement
with change of the information collection request associated with OMB
control number: 0938-0328.
The information collection requirements described herein are needed
to implement the Medicare and Medicaid Conditions of Participation
(CoPs) for a total of 5,132 facilities that includes: 4,994 accredited
and non-accredited hospitals and 138 Critical Access Hospitals (CAHs)
with Distinct Part Units (DPUs); specifically, 119 CAHs with
psychiatric DPUs and 19 CAHs with rehabilitation DPUs. The information
collection requirements for the 1,245 CAHs without DPUs (1,383 total
CAHs less 138 CAHs with DPUs) are covered under OMB control number:
0938-1043 (CMS-10239).
As previous stated, this notice is related to a reinstatement of
the information collection request that expired on 11/30/2017. The
previous iteration of this OMB control number 0938-0328 (approved
November 14, 2014) had a burden of 14,424,655 annual hours. For this
requested reinstatement, with changes, the adjusted annual hourly
burden for industry is 3,566,521 hours at an annual cost of
$310,989,894. The decrease in burden hours is primarily due to the fact
that many of the information collections that were previously required
as CoPs by CMS are now customary and usual industry practice and would
take place in the absence of the Medicare and Medicaid programs. In
addition, where possible, CMS reduced the burden of CoPs with prior
information collections. For example, the burden for individual
hospitals that are part of a multi-hospital system was reduced by
allowing a multi-hospital system, which represent approximately 70% of
hospitals today, to develop a unified Quality Assessment and
Performance Improvement (QAPI) program rather than requiring each
hospital in the system to maintain separate programs and reporting
requirements.
This reinstatement also reflects a change in how the annual burden
costs for information collection requirements for Hospital CoPs are
calculated. In prior submissions, the fully loaded wage estimates
applied only an additional 33% to the hourly wage to account for fringe
benefits. This reinstatement applies an additional 100% to the median
hourly wage to reflect the costs more accurately to hospitals for
compliance with the current CoPs.
Additional changes reflected in this reinstatement are some of the
information collections were placed on participating hospitals as CoPs
during the recent COVID-19 Public Health Emergency (PHE), specifically
regarding collecting and reporting data on incidents and hospital
management of infection diseases. The burden of many of these
information collections were accounted for in other OMB submissions,
such as the ``Unified Hospital Data Surveillance System (U.S.
Healthcare COVID-19 Collection'' (OMB control number 0990-0478), and
some of these collections ended or were revised after HHS declared the
end of the COVID-19 PHE in April 2024. As a result, this reinstatement
does not include information collection requirements that have expired,
and only includes the annual burden and costs to participating
hospitals and CAHs with DPUs for information collections that have
remained as CoPs after the COVID-19 PHE ended. In addition, in
anticipation of an upcoming final rule titled ``Medicare and Medicaid
Programs and the Children's Health Insurance Program; Hospital
Inpatient Prospective Payment Systems for Acute Care Hospitals and the
Long-Term Care Hospital Prospective Payment System and Policy Changes
and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other
Policy Changes,'' this package includes burden
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estimates for additional information collection requirements that CMS
is adding as CoPs in the interest of public health and ensuring
resiliency in the U.S. health care system. The aforementioned final
rule, CMS-1808-F (RIN 0938-AV34), is currently on public display at the
Office of the Federal Register and scheduled for publication on August
28, 2024.
Finally, this reinstatement incorporates additional information
collection requirements associated with a number of new CoPs for
hospitals and CAHs regarding obstetrical services which are outlined in
detail in the July 2024 proposed rule titled ``Medicare and Medicaid
Programs: Hospital Outpatient Prospective Payment and Ambulatory
Surgical Center Payment Systems; Quality Reporting Programs, Including
the Hospital Inpatient Quality Reporting Program; Health and Safety
Standards for Obstetrical Services in Hospitals and Critical Access
Hospitals; Prior Authorization; Requests for Information; Medicaid and
CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls
Exceptions; Individuals Currently or Formerly in Custody of Penal
Authorities; Revision to Medicare Special Enrollment Period for
Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On
Payment for High-Cost Drugs Provided by Indian Health Service and
Tribal Facilities'' (89 FR 59186). Form Number: CMS-R-48 (OMB control
number: 0938-0328); Frequency: Yearly; Affected Public: Private Sector
(Business or other for-profit); Number of Respondents: 4,664; Total
Annual Responses: 2,647,647; Total Annual Hours: 3,566,521 (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. 2024-17484 Filed 8-2-24; 4:15 pm]
BILLING CODE 4120-01-P
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