Notice2026-19913
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
September 29, 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 187 (Tuesday, September 29, 2026)</title>
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[Federal Register Volume 91, Number 187 (Tuesday, September 29, 2026)]
[Notices]
[Pages 61406-61407]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2026-19913]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-576/CMS-576A and CMS-1728-20]
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 November 30, 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 Collections
1. Type of Information Collection Request: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Organ Procurement Organization (OPO) Request for
Designation as an OPO, Health Insurance Benefits Agreement, and
Supporting Regulations; Use: We are requesting reinstatement without
change of the OMB approval for the
[[Page 61407]]
CMS-576 and CMS-576A forms. A Centers for Medicare & Medicaid Services
(CMS) approved (OPO) is an organization that is certified by CMS and
responsible for facilitating the procurement, recovery, and
distribution of human organs for transplantation. They must abide by
CMS regulations and undergo regular inspections to ensure compliance
with performance standards.
Organizations seeking initial designation from CMS as a qualified
and approved OPO, as per Sec. Sec. 371(a) and 1138 of the Social
Security Act (``the Act'') must complete and submit the CMS-576 form,
titled ``Organ Procurement Organization (OPO) Request for Designation
as An OPO Under Sec. 1138 Of the Social Security Act.'' After
designation as an OPO, the organization must sign a ``Health Insurance
Benefits Agreement'' (CMS-576A form) in order to be reimbursed by
Medicare for their services.
The CMS-576A form requires OPOs to agree to comply with current CMS
regulations. This includes an agreement to maintain compliance with the
requirements of titles XVIII and XIX of the Act, Sec. 1138 of the Act,
applicable regulations including the conditions set forth in Part 486,
subpart G, title 42 of the Code of Federal Regulations, those
conditions of the Organ Procurement and Transplantation Network
established under Sec. 372 of the Public Health Service Act that have
been approved by the Secretary, and to report promptly to CMS. Form
Number: CMS-576 and 576A (OMB Control Number: 0938-0512); Frequency:
Occasionally; Affected Public: Private Sector (Business or other for-
profit and Not-for-profit institutions); Number of Respondents: 16;
Total Annual Responses: 16; Total Annual Hours: 32. (For policy
questions regarding this collection contact Caroline Gallaher at 410-
786-8705.)
2. Type of Information Collection Request: Extension of currently
approved; Title of Information Collection: Home Health Agency Cost
Report; Use: The Form CMS-1728-20 cost report is used to determine a
provider's reasonable cost incurred in furnishing medical services to
Medicare beneficiaries and reimbursement due to or from a provider. The
Form CMS-1728-20 cost report is also used for annual rate setting and
payment refinement activities, including developing a home health
market basket. Additionally, the Medicare Payment Advisory Commission
(MedPAC) uses the home health cost report data to calculate Medicare
margins, to formulate recommendations to Congress regarding the HHA
PPS, and to conduct additional analysis of the HHA PPS.
The primary function of the cost report is to implement the
principles of cost reimbursement which require that HHAs maintain
sufficient financial records and statistical data for proper
determination of costs payable under the program. The S series of
worksheets collects the provider's location, CBSA, date of
certification, operations, and unduplicated census days. The A series
of worksheets collects the provider's trial balance of expenses for
overhead costs, direct patient care services by level of care, and non-
revenue generating cost centers. The B series of worksheets allocates
the overhead costs to the revenue and non-revenue generating cost
centers using functional statistical bases. The C series of worksheets
computes the average cost per visit for HHA services. The D series of
worksheets are Medicare specific and are used to determine
reimbursement due to the provider or program. The F series of
worksheets collect data from a provider's balance sheet and income
statement. Form Number: CMS-1728-20 (OMB control number: 0938-0022);
Frequency: Yearly; Affected Public: Private Sector--Business or other
for-profits, Not-for-profit institutions; Number of Respondents:
12,240; Total Annual Responses: 12,240; Total Annual Hours: 2,421,900.
(For policy questions regarding this collection contact LuAnn Piccione
at (410) 786-5423.)
William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts,
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2026-19913 Filed 9-28-26; 8:45 am]
BILLING CODE 4169-69-P
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