Agency Information Collection Activities: Proposed Collection; 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 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.
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<title>Federal Register, Volume 89 Issue 156 (Tuesday, August 13, 2024)</title>
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[Federal Register Volume 89, Number 156 (Tuesday, August 13, 2024)]
[Notices]
[Pages 65914-65915]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2024-18031]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-10239]
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 (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
Office of Management and Budget (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="https://www.regulations.gov">https://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
[[Page 65915]]
and associated materials (see ADDRESSES).
CMS-10239 Conditions of Participation for Critical Access Hospitals
(CAH) and Supporting Regulations
Under the PRA (44 U.S.C. 3501-3520), Federal agencies must obtain
approval from 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: Conditions of Participation for Critical Access Hospitals
(CAH) and Supporting Regulations; Use: The purpose of this package is
to request from the Office of Management and Budget (OMB) the approval
to reinstate, with changes, the information collection request,
associated with OMB Control Number 0938-1043, titled ``Critical Access
Hospital (CAH) Conditions of Participation (CoPs) and Supporting
Regulations.''
Sections 1820 and 1861(mm) of the Social Security Act provide that
CAHs participating Medicare meet certain specified requirements. The
regulations containing the information collection requirements are
located at 42 CFR part 485, subpart F. These regulations implement
sections 1102, 1138, 1814(a)(8), 1820(a-f), 1861(mm), 1864, and 1871 of
the Act.
This is a reinstatement of the information collection request that
expired on March 31, 2024. The previous iteration of this OMB No. 0938-
1043 (approved March 25, 2021) had a burden of 33,905 annual hours. For
this requested reinstatement, with changes, the estimated total annual
burden hours for the industry is 898,332 hours and the estimated annual
burden costs are $74,020,673.
The increase in burden hours from the prior package is primarily
due to new information collections associated with new CoPs for CAHs
outlined in the two CMS rules referenced below. The new CoPs include
multiple information collection requirements that are one-time burdens
for developing new policies and protocols and ongoing reporting
requirements, such as daily or biweekly reporting of respiratory
illnesses as well as maternal deaths. The reasons for the increased
information collections are discussed in more detail in the rules and
are summarized in the information collection request.
(1) Obstetrical services included in the proposed rule, 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 (July 22, 2024) (hereinafter referred to
as the ``July 2024 Proposed Rule'').
(2) Reporting of acute respiratory illnesses in the interest of
public health and ensuring resiliency in the U.S. health care system
included in the Final rule: 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.
The aforementioned final rule, CMS-1808-F (RIN 0938-AV34), is currently
on display at the Office of the Federal Register and scheduled for
publication on August 28, 2024 (hereinafter referred to as the ``August
2024 Final Rule'').
The change in total burden hours is also due to prior information
collection requests are exempt from the PRA because the requirements
are customary and usual industry practice and would take place in the
absence of the Medicare and Medicaid programs. Form Number: CMS-10239
(OMB control number: 0938-1043); Frequency: Yearly; Affected Public:
Private Sector (Business or other for-profit); Number of Respondents:
1,245; Total Annual Responses: 9,145; Total Annual Hours: 898,332 (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. 2024-18031 Filed 8-8-24; 4:15 pm]
BILLING CODE 4120-01-P
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