Notice2026-09832

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
May 18, 2026

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 91 Issue 95 (Monday, May 18, 2026)</title>
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[Federal Register Volume 91, Number 95 (Monday, May 18, 2026)]
[Notices]
[Pages 28596-28597]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-09832]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-381]


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 July 17, 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 
<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).
    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: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Outpatient Physical Therapy/Outpatient Speech Pathology (OPT/OSP) 
Providers Certification Requirements; Use: This is a request for 
revision of form CMS-381 which is required for initial certification, 
during the recertification surveys and when the OPT/SLP requests any 
changes to its locations.
    CMS is implementing a program whereby CORF, RHC, OPT/SLP providers 
and PXR suppliers may recertify every 6 years by self-attesting that 
they meet the CMS requirements instead of receiving a recertification 
survey by the State Survey Agencies (SAs). Because of this new program, 
we have changed the instructions to the CMS-381 form by deleting a 
reference to recertification surveys and replacing it with a reference 
to the ``recertification attestation process.''
    After the start of the self-attestation program, the CMS-381 form 
will be completed when (1) new OPT/SLP providers enter the Medicare 
program (initial certification); (2) when existing OPT/OPS providers 
delete or add a service, or close or add an extension location; or (3) 
when existing OPT/SLP providers are recertified by the State Survey 
Agency (SA) through survey or attestation every 6 years.
    For deemed OPT/SLP providers under a CMS-approved Accrediting 
Organization (AO), the CMS-381 will continue to be part of the 
reaccreditation surveys at least every 36 months. The OPT/SLP providers 
may render services on their already approved premises and the premises 
of other institutions (e.g., skilled nursing facilities) or on a 
premise owned/leased/rented by the OPT/SLP. If the OPT/SLP bills the 
Medicare program for these services and renders these services in an 
area within the institution set aside for rehabilitation care, these 
premises are considered extension locations of the OPT/SLP. However, a 
patient's home is not considered an extension location.
    Extension locations are considered part of the OPT/SLP provider's 
primary location and are subject to the same approval policy as is 
applicable to the OPT/SLP primary site. In addition to meeting 
applicable sections of the conditions of participation for all 
outpatient physical therapy/speech pathology providers, these extension

[[Page 28597]]

locations fall under the OPT/SLP provider agreement and are identified 
under the OPT/SLP provider number.
    Form CMS-381 is used by the SA, AO, and by the CMS Survey 
Operations Group to identify extension locations where services are 
furnished by providers of outpatient physical therapy and speech-
language pathology services. These locations must be known to surveyors 
to ensure the appropriate monitoring of providers' compliance with the 
Federal requirements. Form Number: CMS-381 (OMB control number: 0938-
0273); Frequency: Occasionally; Affected Public: Private Sector; 
Business or other for-profit and not-for-profit institutions; Number of 
Respondents: 501; Total Annual Responses: 501; Total Annual Hours: 229. 
(For policy questions regarding this collection contact Caecilia 
Andrews at 410-786-2190.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impact 
Analysis, Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-09832 Filed 5-15-26; 8:45 am]
BILLING CODE 4120-01-P


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Indexed from Federal Register on May 18, 2026.

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