Agency Information Collection Activities: Submission for OMB Review; Comment Request, 11753 [2018-05388]

Agencies

• Centers for Medicare & Medicaid Services
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 83, Number 52 (Friday, March 16, 2018)]
[Notices]
[Page 11753]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-05388]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-29 and CMS-209]


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

AGENCY: Centers for Medicare & Medicaid 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 April 16, 2018.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR, Email: 
[email protected].
    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' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    3. Call the Reports Clearance Office at (410) 786-1326.

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 of Information Collection: Verification of 
Clinic Data--Rural Health Clinic Form and Supporting Regulations; Use: 
The form is utilized as an application to be completed by suppliers of 
Rural Health Clinic (RHC) services requesting participation in the 
Medicare program. This form initiates the process of obtaining a 
decision as to whether the conditions for certification are met as a 
supplier of RHC services. It also promotes data reduction or 
introduction to and retrieval from the Automated Survey Process 
Environment (ASPEN) and related survey and certification databases by 
the CMS Regional Offices. Should any question arise regarding the 
structure of the organization, this information is readily available. 
Form Number: CMS-29 (OMB control number 0938-0074); Frequency: 
Occasionally (initially and then every six years); Affected Public: 
Private Sector (Business or other for-profit and Not-for-profit 
institutions); Number of Respondents: 820; Total Annual Responses: 820; 
Total Annual Hours: 137. (For policy questions regarding this 
collection contact Caroline Gallaher at 410-786-8705.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Laboratory 
Personnel Report (CLIA) and Supporting Regulations; Use: The 
information collected on this survey form is used in the administrative 
pursuit of the Congressionally-mandated program with regard to 
regulation of laboratories participating in CLIA. The surveyor will 
provide the laboratory with the CMS-209 form. While the surveyor 
performs other aspects of the survey, the laboratory will complete the 
CMS-209 by recording the personnel data needed to support their 
compliance with the personnel requirements of CLIA. The surveyor will 
then use this information in choosing a sample of personnel to verify 
compliance with the personnel requirements. Information on personnel 
qualifications of all technical personnel is needed to ensure the 
sample is representative of the entire laboratory. Form Number: CMS-209 
(OMB control number 0938-0151); Frequency: Biennially; Affected Public: 
Private Sector--State, Local, or Tribal Governments; and Federal 
Government; Number of Respondents: 19,051; Total Annual Responses: 
9,592; Total Annual Hours: 4,796. (For policy questions regarding this 
collection contact Kathleen Todd at 410-786-3385.)

    Dated: March 13, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2018-05388 Filed 3-15-18; 8:45 am]
 BILLING CODE 4120-01-P