Agency Information Collection Activities: Submission for OMB Review; Comment Request, 8200-8202 [2021-02358]
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Federal Register / Vol. 86, No. 22 / Thursday, February 4, 2021 / Notices
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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
April 5, 2021.
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 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 lllll, 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’ website address at
website address at https://www.cms.gov/
Regulations-and-Guidance/Legislation/
PaperworkReductionActof1995/PRAListing.html.
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).
CMS–718—721 Business Proposal
Forms for Quality Improvement
Organizations (QIOs)
CMS–724 Medicare/Medicaid
Psychiatric Hospital Survey Data and
Supporting Regulations
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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: Extension of a currently
approved collection; Title of
Information Collection: Business
Proposal Forms for Quality
Improvement Organizations (QIOs); Use:
The submission of proposal information
by current quality improvement
associations (QIOs) and other bidders,
on the appropriate forms, will satisfy
our need for meaningful, consistent, and
verifiable data with which to evaluate
contract proposals. We use the data
collected on the forms associated with
this information collection request to
negotiate QIO contracts. We will be able
to compare the costs reported by the
QIOs on the cost reports to the proposed
costs noted on the business proposal
forms. Subsequent contract and
modification negotiations will be based
on historic cost data. The business
proposal forms will be one element of
the historical cost data from which we
can analyze future proposed costs. In
addition, the business proposal format
will standardize the cost proposing and
pricing process among all QIOs. With
well-defined cost centers and line items,
proposals can be compared among QIOs
for reasonableness and appropriateness.
Form Number: CMS–718–721 (OMB
control number: 0938–0579); Frequency:
Annually; Affected Public: Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
58; Total Annual Responses: 58; Total
Annual Hours: 2,320. (For policy
questions regarding this collection
contact Benjamin Bernstein at 410–786–
6570.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare/
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Medicaid Psychiatric Hospital Survey
Data and Supporting Regulations; Use:
The CMS–724 form is used to collect
data that assists us in program planning
and evaluation and in maintaining an
accurate database on providers
participating in the psychiatric hospital
program. Specifically, we use the
information collected on this form in
evaluating the Medicare psychiatric
hospital program. The form is also used
for audit purposes; determining patient
population and characteristics of the
hospital; and survey term composition.
Form Number: CMS–724 (OMB control
number: 0938–0378); Frequency:
Annually; Affected Public: Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
19; Total Annual Responses: 191; Total
Annual Hours: 96. (For policy questions
regarding this collection contact
Caroline Gallaher at 410–786–8705.)
Dated: February 1, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–02355 Filed 2–3–21; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–71, CMS–370
and CMS–377, CMS–1572, and CMS–R–65]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
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
(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
SUMMARY:
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Federal Register / Vol. 86, No. 22 / Thursday, February 4, 2021 / Notices
amended Title XI of the Social Security
Act to create the Utilization and Quality
Control Peer Review Organization (PRO)
program which replaces the Professional
Standards Review Organization (PSRO)
program and streamlines peer review
activities. The term PRO has been
renamed Quality Improvement
Organization (QIO). This information
DATES: Comments on the collection(s) of
collection describes the review
information must be received by the
functions to be performed by the QIO.
OMB desk officer by March 8, 2021.
It outlines relationships among QIOs,
ADDRESSES: Written comments and
providers, practitioners, beneficiaries,
recommendations for the proposed
intermediaries, and carriers. Form
information collection should be sent
Number: CMS–R–71 (OMB control
within 30 days of publication of this
number: 0938–0445); Frequency: Yearly;
notice to www.reginfo.gov/public/do/
Affected Public: Business or other forPRAMain. Find this particular
profit and Not-for-profit institutions;
information collection by selecting
Number of Respondents: 6,939; Total
‘‘Currently under 30-day Review—Open Annual Responses: 972,478; Total
for Public Comments’’ or by using the
Annual Hours: 1,034,655. (For policy
search function.
questions regarding this collection
To obtain copies of a supporting
contact Kimberly Harris at 401–837–
statement and any related forms for the
1118.)
proposed collection(s) summarized in
2. Type of Information Collection
this notice, you may make your request
Request: Extension of a currently
using the following:
approved collection; Titles of
1. Access CMS’ website address at
Information Collection: ASC Forms for
website address at https://www.cms.gov/ Medicare Program Certification; Use:
Regulations-and-Guidance/Legislation/
The form CMS–370 titled ‘‘Health
PaperworkReductionActof1995/PRAInsurance Benefits Agreement’’ is used
Listing.html
for the purpose of establishing an ASC’s
eligibility for payment under Title XVIII
FOR FURTHER INFORMATION CONTACT:
of the Social Security Act (the ‘‘Act’’).
William Parham at (410) 786–4669.
This agreement, upon acceptance by the
SUPPLEMENTARY INFORMATION: Under the
Secretary of Health & Human Services,
Paperwork Reduction Act of 1995 (PRA) shall be binding on the ASC and the
(44 U.S.C. 3501–3520), federal agencies
Secretary. The agreement may be
must obtain approval from the Office of
terminated by either party in accordance
Management and Budget (OMB) for each with regulations. In the event of
collection of information they conduct
termination of this agreement, payment
or sponsor. The term ‘‘collection of
will not be available for the ASC’s
information’’ is defined in 44 U.S.C.
services furnished to Medicare
3502(3) and 5 CFR 1320.3(c) and
beneficiaries on or after the effective
includes agency requests or
date of termination.
requirements that members of the public
The CMS–377 form is used by ASCs
submit reports, keep records, or provide to initiate both the initial and renewal
information to a third party. Section
survey by the State Survey Agency,
3506(c)(2)(A) of the PRA (44 U.S.C.
which provides the certification
3506(c)(2)(A)) requires federal agencies
required for an ASC to participate in the
to publish a 30-day notice in the
Medicare program. An ASC must
Federal Register concerning each
complete the CMS–377 form and send it
proposed collection of information,
to the appropriate State Survey Agency
including each proposed extension or
prior to their scheduled accreditation
reinstatement of an existing collection
renewal date. The CMS–377 form
of information, before submitting the
provides the State Survey Agency with
collection to OMB for approval. To
information about the ASC facility’s
comply with this requirement, CMS is
characteristics, such as, determining the
publishing this notice that summarizes
size and the composition of the survey
the following proposed collection(s) of
team on the basis of the number of ORs/
information for public comment:
procedure rooms and the types of
1. Type of Information Collection
surgical procedures performed in the
Request: Extension of a currently
ASC. Form Numbers: CMS–370 and
approved collection; Title of
CMS–377 (OMB control number: 0938–
Information Collection: Quality
0266); Frequency: Occasionally;
Improvement Organization (QIO)
Affected Public: Private Sector—
Business or other for-profit and Not-forAssumption of Responsibilities and
profit institutions; Number of
Supporting Regulations; Use: The Peer
Respondents: 1,567; Total Annual
Review Improvement Act of 1982
jbell on DSKJLSW7X2PROD with NOTICES
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.
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8201
Responses: 1,567; Total Annual Hours:
1,012. (For policy questions regarding
this collection contact Caroline Gallaher
at 410–786–8705.)
3. Type of Information Collection
Request: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Home Health
Agency Survey and Deficiencies Report;
Use: In order to participate in the
Medicare Program as a Home Health
Agency (HHA) provider, the HHA must
meet federal standards. This form is
used to record information and patients’
health and provider compliance with
requirements and to report the
information to the federal government.
Form Number: CMS–1572 (OMB control
number: 0938–0355); Frequency: Yearly;
Affected Public: State, Local or Tribal
Government; Number of Respondents:
3,833; Total Annual Responses: 3,833;
Total Annual Hours: 1,917. (For policy
questions regarding this collection
contact Tara Lemons at 410–786–3030.)
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Final Peer
Review Organizations Sanction
Regulations; Use: The Peer Review
Improvement Act of 1982 amended Title
XI of the Social Security Act (the Act),
creating the Utilization and Quality
Control Peer Review Organization
Program. Section 1156 of the Act
imposes obligations on health care
practitioners and others who furnish or
order services or items under Medicare.
This section also provides for sanction
actions, if the Secretary determines that
the obligations as stated by this section
are not met. Quality Improvement
Organizations (QIOs) are responsible for
identifying violations. The QIOs may
allow practitioners or other entities,
opportunities to submit relevant
information before determining that a
violation has occurred. The information
collection requirements contained in
this information collection request are
used by the QIOs to collect the
information necessary to make their
decision. Form Number: CMS–R–65
(OMB control number: 0938–0444);
Frequency: Occasionally; Affected
Public: Private sector—Business or other
for-profit and Not-for-profit institutions;
Number of Respondents: 18; Total
Annual Responses: 18; Total Annual
Hours: 4,716. (For policy questions
regarding this collection contact
Kimberly Harris at 401–837–1118.)
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8202
Federal Register / Vol. 86, No. 22 / Thursday, February 4, 2021 / Notices
Dated: February 1, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–02358 Filed 2–3–21; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
FOR FURTHER INFORMATION CONTACT:
Centers for Medicare & Medicaid
Services
William Parham at (410) 786–4669.
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, Health and Human
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
(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.
SUMMARY:
Comments on the collection(s) of
information must be received by the
OMB desk officer by March 8, 2021.
ADDRESSES: Written comments and
recommendations for the proposed
information collection should be sent
within 30 days of publication of this
notice to www.reginfo.gov/public/do/
PRAMain. 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
jbell on DSKJLSW7X2PROD with NOTICES
VerDate Sep<11>2014
17:13 Feb 03, 2021
Jkt 253001
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: State Medicaid
HIT Plan, Planning Advance Planning
Document, and Implementation
Advance Planning Document for
Section 4201 of the Recovery Act; Use:
To assess the appropriateness of state
requests for the administrative Federal
financial participation for expenditures
under their Medicaid Electronic Health
Record Incentive Program related to
health information exchange, our staff
will review the submitted information
and documentation to make an approval
determination of the state advance
planning document. Form Number:
CMS–10292 (OMB control number:
0938–1088); Frequency: Once and
occasionally; Affected Public: State,
Local, and Tribal Governments; Number
of Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
896. (For policy questions regarding this
collection contact Edward Dolly at 410–
786–8554.)
SUPPLEMENTARY INFORMATION:
[Document Identifier: CMS–10292]
DATES:
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/PRAListing.html.
2. Call the Reports Clearance Office at
(410) 786–1326.
PO 00000
Frm 00043
Fmt 4703
Sfmt 4703
Dated: February 1, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–02319 Filed 2–3–21; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Office of the Secretary
Findings of Research Misconduct;
Correction
Office of the Secretary, HHS.
Correction of notice.
AGENCY:
ACTION:
This document corrects errors
that appeared in the notice published in
the November 7, 2019, Federal Register
entitled ‘‘Findings of Research
Misconduct.’’
SUMMARY:
DATES:
Effective Date: February 4, 2021.
Applicability Date: The correction
notice is applicable for the Findings of
Research Misconduct notice published
on November 7, 2019.
FOR FURTHER INFORMATION CONTACT: Ms.
Karen Gorirossi or Dr. Alexander Runko
at 240–453–8800.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 2019–24291 of November
7, 2019 (84 FR 60097–60098), there
were errors involving incorrect citations
for published papers affecting six
paragraphs on page 60098. The errors
are identified and corrected in the
Correction of Errors section below.
II. Correction of Errors
In FR Doc. 2019–24291 of November
7, 2019 (84 FR 60097–60098), make the
following corrections:
1. On page 60098, first column, in FR
Doc. 2019–24291, fifth paragraph, lines
1–2, change ‘‘Am. J. Physiol. Lung Cell.
Mol. Biol.’’ to ‘‘Am. J. Resp. Cell. Mol.
Biol.’’ and in lines 3–5, remove
‘‘(hereafter referred to as ‘‘Am. J.
Physiol. Lung Cell. Mol. Biol. 2011b
paper).’’
2. On page 60098, first column, in FR
Doc. 2019–24291, twelfth paragraph,
lines 1–2, change ‘‘Am. J. Physiol. Lung
Cell. Mol. Biol.’’ to ‘‘Am. J. Resp. Cell.
Mol. Biol.’’
3. On page 60098, first column, in FR
Doc. 2019–24291, sixteenth paragraph,
lines 1–2, change ‘‘J. Immunol.
2007;2179:4367–75’’ to ‘‘J. Immunol.
2007;179:4367–75.’’
4. On page 60098, second column, in
FR Doc. 2019–24291, second paragraph,
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]]>Agencies
[Federal Register Volume 86, Number 22 (Thursday, February 4, 2021)]
[Notices]
[Pages 8200-8202]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-02358]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-71, CMS-370 and CMS-377, CMS-1572, and CMS-
R-65]
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
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
[[Page 8201]]
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 March 8, 2021.
ADDRESSES: Written comments and recommendations for the proposed
information collection should be sent within 30 days of publication of
this notice to www.reginfo.gov/public/do/PRAMain. 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, you may make
your request using the following:
1. Access CMS' website address at website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html
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: Quality
Improvement Organization (QIO) Assumption of Responsibilities and
Supporting Regulations; Use: The Peer Review Improvement Act of 1982
amended Title XI of the Social Security Act to create the Utilization
and Quality Control Peer Review Organization (PRO) program which
replaces the Professional Standards Review Organization (PSRO) program
and streamlines peer review activities. The term PRO has been renamed
Quality Improvement Organization (QIO). This information collection
describes the review functions to be performed by the QIO. It outlines
relationships among QIOs, providers, practitioners, beneficiaries,
intermediaries, and carriers. Form Number: CMS-R-71 (OMB control
number: 0938-0445); Frequency: Yearly; Affected Public: Business or
other for-profit and Not-for-profit institutions; Number of
Respondents: 6,939; Total Annual Responses: 972,478; Total Annual
Hours: 1,034,655. (For policy questions regarding this collection
contact Kimberly Harris at 401-837-1118.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Titles of Information Collection: ASC Forms for
Medicare Program Certification; Use: The form CMS-370 titled ``Health
Insurance Benefits Agreement'' is used for the purpose of establishing
an ASC's eligibility for payment under Title XVIII of the Social
Security Act (the ``Act''). This agreement, upon acceptance by the
Secretary of Health & Human Services, shall be binding on the ASC and
the Secretary. The agreement may be terminated by either party in
accordance with regulations. In the event of termination of this
agreement, payment will not be available for the ASC's services
furnished to Medicare beneficiaries on or after the effective date of
termination.
The CMS-377 form is used by ASCs to initiate both the initial and
renewal survey by the State Survey Agency, which provides the
certification required for an ASC to participate in the Medicare
program. An ASC must complete the CMS-377 form and send it to the
appropriate State Survey Agency prior to their scheduled accreditation
renewal date. The CMS-377 form provides the State Survey Agency with
information about the ASC facility's characteristics, such as,
determining the size and the composition of the survey team on the
basis of the number of ORs/procedure rooms and the types of surgical
procedures performed in the ASC. Form Numbers: CMS-370 and CMS-377 (OMB
control number: 0938-0266); Frequency: Occasionally; Affected Public:
Private Sector--Business or other for-profit and Not-for-profit
institutions; Number of Respondents: 1,567; Total Annual Responses:
1,567; Total Annual Hours: 1,012. (For policy questions regarding this
collection contact Caroline Gallaher at 410-786-8705.)
3. Type of Information Collection Request: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Home Health Agency Survey and Deficiencies Report; Use: In
order to participate in the Medicare Program as a Home Health Agency
(HHA) provider, the HHA must meet federal standards. This form is used
to record information and patients' health and provider compliance with
requirements and to report the information to the federal government.
Form Number: CMS-1572 (OMB control number: 0938-0355); Frequency:
Yearly; Affected Public: State, Local or Tribal Government; Number of
Respondents: 3,833; Total Annual Responses: 3,833; Total Annual Hours:
1,917. (For policy questions regarding this collection contact Tara
Lemons at 410-786-3030.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Final Peer Review
Organizations Sanction Regulations; Use: The Peer Review Improvement
Act of 1982 amended Title XI of the Social Security Act (the Act),
creating the Utilization and Quality Control Peer Review Organization
Program. Section 1156 of the Act imposes obligations on health care
practitioners and others who furnish or order services or items under
Medicare. This section also provides for sanction actions, if the
Secretary determines that the obligations as stated by this section are
not met. Quality Improvement Organizations (QIOs) are responsible for
identifying violations. The QIOs may allow practitioners or other
entities, opportunities to submit relevant information before
determining that a violation has occurred. The information collection
requirements contained in this information collection request are used
by the QIOs to collect the information necessary to make their
decision. Form Number: CMS-R-65 (OMB control number: 0938-0444);
Frequency: Occasionally; Affected Public: Private sector--Business or
other for-profit and Not-for-profit institutions; Number of
Respondents: 18; Total Annual Responses: 18; Total Annual Hours: 4,716.
(For policy questions regarding this collection contact Kimberly Harris
at 401-837-1118.)
[[Page 8202]]
Dated: February 1, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2021-02358 Filed 2-3-21; 8:45 am]
BILLING CODE 4120-01-P
