Notice2025-20368

Agency Information Collection Activities: Submission for OMB Review; 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
November 20, 2025

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 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.

Full Text

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<title>Federal Register, Volume 90 Issue 222 (Thursday, November 20, 2025)</title>
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[Federal Register Volume 90, Number 222 (Thursday, November 20, 2025)]
[Notices]
[Pages 52406-52407]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2025-20368]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10079, CMS-855S, CMS-10052 and CMS-10495]


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 December 22, 2025.

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, 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 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: Extension of a currently 
approved collection; Title: Hospital Wage Index Occupational Mix 
Survey; Use: Section 304(c) of Public Law 106-554 amended section 
1886(d)(3)(E) of the Social Security Act to require CMS to collect data 
every 3 years on the occupational mix of employees for each

[[Page 52407]]

short-term, acute care hospital participating in the Medicare program, 
in order to construct an occupational mix adjustment to the wage index, 
for application beginning October 1, 2004 (the FY 2005 wage index). The 
purpose of the occupational mix adjustment is to control for the effect 
of hospitals' employment choices on the wage index. For example, 
hospitals may choose to employ different combinations of registered 
nurses, licensed practical nurses, nursing aides, and medical 
assistants for the purpose of providing nursing care to their patients. 
The varying labor costs associated with these choices reflect hospital 
management decisions rather than geographic differences in the costs of 
labor.
    CMS takes the data collected from the approximately 3,200 IPPS 
providers participating in the Medicare program and runs the data 
through mathematical formulas to create the occupational mix adjustment 
to the wage index. CMS informs hospitals of the occupational mix 
adjusted wage indexes through notice and comment rulemaking each year. 
Form Number: CMS-10079 (OMB control number: 0938-0907); Frequency: 
Annually; Affected Public: Private Sector, Business or other for-profit 
and not-for-profit institutions; Number of Respondents: 3,100; Number 
of Responses: 3,100; Total Annual Hours: 1,488,000. (For policy 
questions regarding this collection contact Noel Manlove at 410-786-
5161.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Enrollment Application--Durable Medical Equipment, Prosthetics, 
Orthotics and Supplies (DMEPOS) Suppliers; Use: The primary function of 
the Form CMS-855S Medicare enrollment application for suppliers of 
durable medical equipment, prosthetics, orthotics, and supplies 
(DMEPOS) is to gather information from the supplier that tells us who 
the supplier is, whether the supplier meets certain qualifications to 
be a Medicare DMEPOS supplier, where the supplier practices or renders 
services, and other information necessary to establish correct claims 
payments. Form Number: CMS-855S (OMB control number: 0938-1056); 
Frequency: Yearly; Affected Public: Private Sector, Business or other 
for-profits and Not-for-profit institutions; Number of Respondents: 
32,790; Total Annual Responses: 32,790; Total Annual Hours: 67,886. 
(For policy questions regarding this collection contact Frank Whelan at 
410-786-1302.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Recognition of 
Pass-Through Payment for Additional (New) Categories of Devices under 
the Outpatient Prospective Payment System and Supporting Regulations; 
Use: The transitional pass-through provision provides a way for 
ensuring appropriate payment for new technologies whose use and costs 
are not adequately represented in the base year claims data on which 
the outpatient PPS is constructed as required by law. Categories of 
medical devices will receive transitional pass-through payments for 2 
to 3 years from the date payments are initiated for the category. 
However, the underlying provision is permanent and provides an on-going 
mechanism for reflecting timely introduction of new items into the 
payment structure.
    Interested parties such as hospitals, device manufacturers, 
pharmaceutical companies, and physicians apply for transitional pass-
through payment for certain items used with services covered in the 
outpatient PPS. After we receive all requested information, we evaluate 
the information to determine if the creation of an additional category 
of medical devices for transitional pass-through payments is justified. 
We may request additional information related to the proposed new 
device category, as needed. We advise the applicant of our decision, 
and update the outpatient PPS during its next scheduled quarterly 
payment update cycle to reflect any newly approved device categories. 
We list below the information that we require from all applicants. The 
following information is required to process requests for additional 
categories of medical devices for transitional pass-through payments. 
Form Number: CMS-10052 (OMB control number: 0938-0857); Frequency: 
Annually; Affected Public: Private Sector, Business or other for-
profits; Number of Respondents: 16; Number of Responses: 16; Total 
Annual Hours: 16. (For questions regarding this collection contact 
Amanda Rhee at 410-786-3888.)
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Registration, 
Attestation, Dispute Resolution and Correction, Assumptions Document 
and Data Retention Requirements for Open Payments; Use: The Patient 
Protection and Affordable Care Act was enacted on March 23, 2010 (Pub. 
L. 111-148). This statute amended section 1128 of the Social Security 
Act (the Act) by adding a new subsection G that requires applicable 
manufacturers of drugs, devices, biologics, or medical supplies covered 
under title XVIII of the Act (Medicare) or a State plan under title XIX 
(Medicaid) or XXI of the Act (the Children's Health Insurance Program, 
or CHIP) to report annually to the Secretary certain payments or other 
transfers of value to physicians and teaching hospitals. Section 1128G 
of the Act also requires applicable manufacturers and applicable group 
purchasing organizations (GPOs) to report certain information regarding 
the ownership or investment interests held by physicians or the 
immediate family members of physicians in such entities, as well as any 
payments provided to such physicians.
    The submitted information facilitates various aspects of the 
program. The information collected through the registration process is 
used by CMS to validate registration for applicable manufacturers, 
applicable GPOs, covered recipients, and physician owners or investors 
that are registering for Open Payments. Details collected during the 
dispute resolution and correction process allows CMS to notify 
applicable manufacturers and applicable GPOs that a covered recipient 
or physician owner or investor is initiating a dispute regarding data 
submitted about them and allow CMS to relay the nature of the dispute. 
The assumptions documents submitted by applicable manufacturers or 
applicable GPOs assist CMS in providing guidance (for example, 
determining form and nature of payment categories, calculating the 
value of a payment, determining the date of payment, and reporting the 
terms of an ownership or investment interest). Form Number: CMS-10495 
(OMB control number: 0938-1237); Frequency: Annually; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 1,788; 
Total Annual Responses: 1,788; Total Annual Hours: 1,950,948. (For 
policy questions regarding this collection contact Kathleen Ott at 410-
786-4246.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-20368 Filed 11-19-25; 8:45 am]
BILLING CODE 4120-01-P


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Indexed from Federal Register on November 20, 2025.

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