Notice2026-12105

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
June 16, 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 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

<html>
<head>
<title>Federal Register, Volume 91 Issue 115 (Tuesday, June 16, 2026)</title>
</head>
<body><pre>
[Federal Register Volume 91, Number 115 (Tuesday, June 16, 2026)]
[Notices]
[Pages 36144-36145]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-12105]


=======================================================================
-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-43 and CMS-10791]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
Services (HHS).

ACTION: Notice.

-----------------------------------------------------------------------

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

[[Page 36145]]

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 16, 2026.

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.

Information Collection

    1. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Conditions of Coverage for Portable X-ray Suppliers and 
Supporting Regulations; Use: Portable X-ray services are basic 
radiology studies (predominately chest and extremity X-rays) that are 
performed on residents in Skilled Nursing Facilities (SNFs) or Long-
term Care Facilities (LTCs) or those who are homebound and unable to 
travel to an outpatient radiology facility. Portable X-ray suppliers 
must comply with health and safety requirements under Title 42 Code of 
Regulations (CFR) Section 486, Subpart C in order to receive payment 
for services from the Medicare and Medicaid programs. The Centers for 
Medicare and Medicaid Services (CMS) use the ICs to ensure suppliers 
are in compliance. Form Number: CMS-R-43 (OMB Control number: 0938-
0338); Frequency: Yearly; Affected Public: Business or other for-profit 
and Not-for-profit institutions; Number of Respondents: 540; Total 
Annual Responses: 1,080; Total Annual Hours: 340. (For policy questions 
regarding this collection contact Claudia Molinar at 410-786-8445.)
    2. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Requirements Related to Surprise Billing; Part II; Use: The 
collection of information is associated with the October 7, 2021 (86 FR 
55980) interim final rules. The collection has two components:
    A. Good Faith Estimates. Providers and facilities must inform 
uninsured (or self-pay) individuals of their right to receive a good 
faith estimate (GFE) of expected charges for items and services. They 
must also furnish a good faith estimate of expected charges to 
uninsured (or self-pay) individuals for scheduled items and services 
and upon request, which provides uninsured (or self-pay) individuals 
information about health care pricing before receiving care. This 
information would allow uninsured (or self-pay) individuals to evaluate 
options for receiving health care and make cost-conscious health care 
purchasing decisions and reduces surprises regarding individuals' 
health care costs for items and services. Additionally, uninsured (or 
self-pay) individuals need a good faith estimate to initiate the 
patient-provider dispute resolution process.
    B. Certification and Recertification of SDR Entities. HHS requests 
information from entities seeking to be certified or recertified as an 
SDR entity. This information is used to assess whether or not the 
entity satisfies the requirements for certification. Entities must 
submit information on their organizational structure, policies and 
procedures, staff qualifications, conflict-of-interest safeguards, and 
operational capacity, along with attestations of compliance with 
applicable standards. This information allows HHS to determine the 
entity's eligibility and capability to perform SDR functions 
effectively and impartially. Form Number: CMS-10791 (OMB control 
number: 0938-1433); Frequency: Annually; Affected Public: Private 
sector (Business or other for-profits and Not-for-profit institutions); 
Number of Respondents: 511,749; Total Annual Responses: 5,248,414; 
Total Annual Hours: 3,498,944. (For policy questions regarding this 
collection contact Daniel Kidane at <a href="/cdn-cgi/l/email-protection#b1d5d0dfd8d4dd9fdad8d5d0dfd4f1d2dcc29fd9d9c29fd6dec7"><span class="__cf_email__" data-cfemail="afcbcec1c6cac381c4c6cbcec1caefccc2dc81c7c7dc81c8c0d9">[email&#160;protected]</span></a>.)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-12105 Filed 6-15-26; 8:45 am]
BILLING CODE 4120-01-P


</pre><script data-cfasync="false" src="/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js"></script></body>
</html>
Indexed from Federal Register on June 16, 2026.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.