Agency Information Collection Activities: Proposed Collection; Comment Request, 18916-18917 [2014-07582]
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18916
Federal Register / Vol. 79, No. 65 / Friday, April 4, 2014 / Notices
approved collection; Title of
Information Collection: Disclosure for
the In-Office Ancillary Services
Exception; Use: Physicians who provide
certain imaging services (magnetic
resonance imaging, computed
tomography, and positron emission
tomography) under the in-office
ancillary services exception to the
physician self-referral prohibition are
required to create the disclosure notice
as well as the list of other imaging
suppliers to be provided to the patient.
The patient will then be able to use the
disclosure notice and list of suppliers in
making an informed decision about his
or her course of care for the imaging
service. The physician must maintain a
record of the disclosure in the patient’s
medical record. If we were investigating
the referrals of a physician providing
advanced imaging services under the inoffice ancillary services exception, we
would review the written disclosure in
order to determine if the physician
satisfied the requirement. Form
Number: CMS–10332 (OCN: 0938–
1133); Frequency: Occasionally;
Affected Public: Private sector—
Business or other for-profits; Number of
Respondents: 71,000; Total Annual
Responses: 71,106; Total Annual Hours:
125,383. (For policy questions regarding
this collection contact Jacqueline
Proctor at 410–786–8852).
Dated: April 1, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2014–07575 Filed 4–3–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifiers: CMS–437 and CMS–
10332]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
ACTION: Notice.
AGENCY:
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 (the
PRA), federal agencies are required to
publish notice in the Federal Register
concerning each proposed collection of
mstockstill on DSK4VPTVN1PROD with NOTICES
SUMMARY:
VerDate Mar<15>2010
17:37 Apr 03, 2014
Jkt 232001
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
any of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
DATES: Comments must be received by
June 3, 2014.
ADDRESSES: When commenting, please
reference the document identifier or
OMB control number (OCN). 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 https://
www.regulations.gov. 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 llll 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, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION:
Contents
This notice sets out a summary of the
use and burden associated with the
PO 00000
Frm 00040
Fmt 4703
Sfmt 4703
following information collections. More
detailed information can be found in
each collection’s supporting statement
and associated materials (see
ADDRESSES).
CMS–437 Psychiatric Unit Criteria
Work Sheet and Supporting
Regulations
CMS–10332 Disclosure for the InOffice Ancillary Services Exception
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: Reinstatement with Change of
a currently approved collection; Title of
Information Collection: Psychiatric Unit
Criteria Work Sheet and Supporting
Regulations; Use: Certain hospital units
are excluded from the Medicare
Prospective Payment System (PPS). The
exclusion of units is not optional on the
part of the provider but is required by
section 1886(d)(1)(B) of the Social
Security Act. That section excludes
psychiatric hospitals, rehabilitation
hospitals, hospitals whose inpatients are
predominantly individuals under 18
years of age (children’s hospitals), and
psychiatric and rehabilitation units
which are a distinct part of a hospital.
We propose to continue the current
process of performing initial
verifications and annual reverifications
to determine that psychiatric units
continue to comply with the regulatory
criteria at 42 CFR 412.25 and 42 CFR
412.27 of the PPS regulations. These
regulations state the criteria that distinct
part units must meet for exclusion.
If, as a result of the regular survey
process a hospital is certified as a
psychiatric hospital by the State survey
agency (SA), then it automatically
satisfies the regulatory criteria for
exclusion. Thus, no additional
E:\FR\FM\04APN1.SGM
04APN1
18917
Federal Register / Vol. 79, No. 65 / Friday, April 4, 2014 / Notices
verification is required for psychiatric
hospitals. Some verification is needed,
however, to ensure that other types of
hospitals and units meet the criteria for
exclusion. Consequently, we instructed
the Fiscal Intermediaries (FIs) and SAs
to perform certain verification activities,
beginning in October 1983 when PPS
was implemented. We originally
developed the CMS–437 as an SA
Worksheet for verifying exclusions from
PPS for psychiatric units.
Since April 9, 1994, PPS-excluded
psychiatric units already excluded from
the PPS have met CMS’s annual
requirement for PPS-exclusion by selfattesting that they remain in compliance
with the PPS exclusion criteria. Under
the current procedure, all psychiatric
units applying for first-time exclusion
are surveyed by the SAs. The SAs also
perform surveys to investigate
complaint allegations and conduct
annual sample reverification surveys on
5 percent of all psychiatric units. The
aforementioned exclusions continue to
exist and thus we propose to continue
to use the Criteria Worksheet, Forms
CMS–437, for verifying first-time
exclusions from the PPS, for complaint
surveys, for its annual 5 percent
validation sample, and for facility selfattestation. These forms are related to
the survey and certification and
Medicare approval of the PPS-excluded
units. Form Number: CMS–437 (OCN:
0938–0358); Frequency: Annually;
Affected Public: Private sector—
Business or other for-profits; Number of
Respondents: 1,614; Total Annual
Responses: 1,614; Total Annual Hours:
Dated: April 1, 2014.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
404. (For policy questions regarding this
collection contact Donald Howard at
410–786–6764.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Disclosure for
the In-Office Ancillary Services
Exception; Use: Physicians who provide
certain imaging services (magnetic
resonance imaging, computed
tomography, and positron emission
tomography) under the in-office
ancillary services exception to the
physician self-referral prohibition are
required to create the disclosure notice
as well as the list of other imaging
suppliers to be provided to the patient.
The patient will then be able to use the
disclosure notice and list of suppliers in
making an informed decision about his
or her course of care for the imaging
service. The physician must maintain a
record of the disclosure in the patient’s
medical record. If we were investigating
the referrals of a physician providing
advanced imaging services under the inoffice ancillary services exception, we
would review the written disclosure in
order to determine if the physician
satisfied the requirement. Form
Number: CMS–10332 (OCN: 0938–
1133); Frequency: Occasionally;
Affected Public: Private sector—
Business or other for-profits; Number of
Respondents: 71,000; Total Annual
Responses: 71,106; Total Annual Hours:
125,383. (For policy questions regarding
this collection contact Jacqueline
Proctor at 410–786–8852).
[FR Doc. 2014–07582 Filed 4–3–14; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; Comment Request Proposed
Projects
Title: Family Violence Prevention and
Services: Grants to States; Native
American Tribes and Alaskan Native
Villages; and State Domestic Violence
Coalitions
OMB No.: 0970–0280
Description: The Family Violence
Prevention and Services Act (FVPSA),
42 U.S.C. 10401 et seq., authorizes the
Department of Health and Human
Services to award grants to States,
Tribes—and Tribal Organizations, and
State Domestic Violence Coalitions for
family violence prevention and
intervention activities. The proposed
information collection activities will be
used to make grant award decisions and
to monitor grant performance.
Respondents: State Agencies
Administering FVPSA Grants; Tribal
Governments and Tribal Organizations;
and State Domestic Violence Coalitions.
ANNUAL BURDEN ESTIMATES
Number of
responses per
respondent
Number of
respondents
Instrument
Average
burden hours
per response
Total burden
hours
53
150
56
53
150
56
1
1
1
1
1
1
10
5
10
10
10
10
530
750
560
530
1,500
560
Estimated Total Annual Burden Hours .....................................................
mstockstill on DSK4VPTVN1PROD with NOTICES
State Grant Application ....................................................................................
Tribal Grant Application ...................................................................................
State Domestic Violence Coalition Application ................................................
State FVPSA Grant Performance Progress Report ........................................
Tribal FVPSA Grant Performance Progress Report ........................................
State Domestic Violence Coalition Performance Progress Report .................
........................
........................
........................
4,430
In compliance with the requirements
of Section 506(c)(2)(A) of the Paperwork
Reduction Act of 1995, the
Administration for Children and
Families is soliciting public comment
on the specific aspects of the
information collection described above.
Copies of the proposed collection of
information can be obtained and
comments may be forwarded by writing
to the Administration for Children and
Families, Office of Planning, Research
VerDate Mar<15>2010
17:37 Apr 03, 2014
Jkt 232001
and Evaluation, 370 L’Enfant
Promenade SW., Washington, DC 20447,
Attn: ACF Reports Clearance Officer.
Email address: infocollection@
acf.hhs.gov. All requests should be
identified by the title of the information
collection.
The Department specifically requests
comments on: (a) Whether the proposed
collection of information is necessary
for the proper performance of the
functions of the agency, including
PO 00000
Frm 00041
Fmt 4703
Sfmt 4703
whether the information shall have
practical utility; (b) the accuracy of the
agency’s estimate of the burden of the
proposed collection of information; (c)
the quality, utility, and clarity of the
information to be collected; and (d)
ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Consideration will be given to
E:\FR\FM\04APN1.SGM
04APN1
]]>Agencies
[Federal Register Volume 79, Number 65 (Friday, April 4, 2014)]
[Notices]
[Pages 18916-18917]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-07582]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifiers: CMS-437 and CMS-10332]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid 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 (the 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 any of the following subjects: (1)
The necessity and utility of the proposed information collection for
the proper performance of the agency's functions; (2) the accuracy of
the estimated burden; (3) ways to enhance the quality, utility, and
clarity of the information to be collected; and (4) the use of
automated collection techniques or other forms of information
technology to minimize the information collection burden.
DATES: Comments must be received by June 3, 2014.
ADDRESSES: When commenting, please reference the document identifier or
OMB control number (OCN). 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
https://www.regulations.gov. 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, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
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).
CMS-437 Psychiatric Unit Criteria Work Sheet and Supporting Regulations
CMS-10332 Disclosure for the In-Office Ancillary Services Exception
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: Reinstatement with
Change of a currently approved collection; Title of Information
Collection: Psychiatric Unit Criteria Work Sheet and Supporting
Regulations; Use: Certain hospital units are excluded from the Medicare
Prospective Payment System (PPS). The exclusion of units is not
optional on the part of the provider but is required by section
1886(d)(1)(B) of the Social Security Act. That section excludes
psychiatric hospitals, rehabilitation hospitals, hospitals whose
inpatients are predominantly individuals under 18 years of age
(children's hospitals), and psychiatric and rehabilitation units which
are a distinct part of a hospital.
We propose to continue the current process of performing initial
verifications and annual reverifications to determine that psychiatric
units continue to comply with the regulatory criteria at 42 CFR 412.25
and 42 CFR 412.27 of the PPS regulations. These regulations state the
criteria that distinct part units must meet for exclusion.
If, as a result of the regular survey process a hospital is
certified as a psychiatric hospital by the State survey agency (SA),
then it automatically satisfies the regulatory criteria for exclusion.
Thus, no additional
[[Page 18917]]
verification is required for psychiatric hospitals. Some verification
is needed, however, to ensure that other types of hospitals and units
meet the criteria for exclusion. Consequently, we instructed the Fiscal
Intermediaries (FIs) and SAs to perform certain verification
activities, beginning in October 1983 when PPS was implemented. We
originally developed the CMS-437 as an SA Worksheet for verifying
exclusions from PPS for psychiatric units.
Since April 9, 1994, PPS-excluded psychiatric units already
excluded from the PPS have met CMS's annual requirement for PPS-
exclusion by self-attesting that they remain in compliance with the PPS
exclusion criteria. Under the current procedure, all psychiatric units
applying for first-time exclusion are surveyed by the SAs. The SAs also
perform surveys to investigate complaint allegations and conduct annual
sample reverification surveys on 5 percent of all psychiatric units.
The aforementioned exclusions continue to exist and thus we propose to
continue to use the Criteria Worksheet, Forms CMS-437, for verifying
first-time exclusions from the PPS, for complaint surveys, for its
annual 5 percent validation sample, and for facility self-attestation.
These forms are related to the survey and certification and Medicare
approval of the PPS-excluded units. Form Number: CMS-437 (OCN: 0938-
0358); Frequency: Annually; Affected Public: Private sector--Business
or other for-profits; Number of Respondents: 1,614; Total Annual
Responses: 1,614; Total Annual Hours: 404. (For policy questions
regarding this collection contact Donald Howard at 410-786-6764.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Disclosure for
the In-Office Ancillary Services Exception; Use: Physicians who provide
certain imaging services (magnetic resonance imaging, computed
tomography, and positron emission tomography) under the in-office
ancillary services exception to the physician self-referral prohibition
are required to create the disclosure notice as well as the list of
other imaging suppliers to be provided to the patient. The patient will
then be able to use the disclosure notice and list of suppliers in
making an informed decision about his or her course of care for the
imaging service. The physician must maintain a record of the disclosure
in the patient's medical record. If we were investigating the referrals
of a physician providing advanced imaging services under the in-office
ancillary services exception, we would review the written disclosure in
order to determine if the physician satisfied the requirement. Form
Number: CMS-10332 (OCN: 0938-1133); Frequency: Occasionally; Affected
Public: Private sector--Business or other for-profits; Number of
Respondents: 71,000; Total Annual Responses: 71,106; Total Annual
Hours: 125,383. (For policy questions regarding this collection contact
Jacqueline Proctor at 410-786-8852).
Dated: April 1, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2014-07582 Filed 4-3-14; 8:45 am]
BILLING CODE 4120-01-P
