Agency Information Collection Activities: Proposed Collection; Comment Request, 73786-73787 [2021-28217]
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73786
Federal Register / Vol. 86, No. 246 / Tuesday, December 28, 2021 / Notices
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of a previously approved collection;
Title of Information Collection:
Independent Rural Health Clinic Cost
Report; Use: Under the authority of
sections 1815(a) and 1833(e) of the
Social Security Act (42 U.S.C. 1395g),
CMS requires that providers of services
participating in the Medicare program
submit information to determine costs
for health care services rendered to
Medicare beneficiaries. CMS requires
that providers follow reasonable cost
principles under 1861(v)(1)(A) of the
Act when completing the Medicare cost
report. Regulations at 42 CFR 413.20
and 413.24 require that providers
submit acceptable cost reports on an
annual basis and maintain sufficient
financial records and statistical data,
capable of verification by qualified
auditors.
CMS requires Form CMS–222–17 to
determine an RHC’s reasonable costs
incurred in furnishing medical services
to Medicare beneficiaries and
reimbursement due to or from an RHC.
Each RHC submits the cost report to its
contractor for a reimbursement
determination. Section 1874A of the Act
describes the functions of the
contractor.
CMS regulations at 42 CFR
413.24(f)(4)(ii) requires that each RHC
submit an annual cost report to their
contractor in American Standard Code
for Information Interchange (ASCII)
electronic cost report (ECR) format.
RHCs submit the ECR file to contractors
using a compact disk (CD), flash drive,
or the CMS approved Medicare Cost
Report E-filing (MCREF) portal, [URL:
https://mcref.cms.gov]. Form Number:
CMS–222–17 (OMB control number:
0938–0107); Frequency: Yearly; Affected
Public: Private Sector, State, Local, or
Tribal Governments, Federal
Government, Business or other forprofits, Not-for-profits institutions;
Number of Respondents: 1,724; Total
Annual Responses: 1,724; Total Annual
Hours: 94,820. (For policy questions
regarding this collection contact LuAnn
Piccione at (410) 786–5423.
Dated: December 22, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–28216 Filed 12–27–21; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–R–194]
Agency Information Collection
Activities: Proposed Collection;
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 (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
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
February 28, 2022.
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: ll, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
SUMMARY:
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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
https://www.cms.gov/Regulations-andGuidance/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–R–194 Medicare
Disproportionate Share Adjustment
for Hospitals and Supporting
Regulations in 42 CFR 412.106
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: Medicare
Disproportionate Share Adjustment for
Hospitals and Supporting Regulations in
42 CFR 412.106; Use: Section
1886(d)(5)(F) of the Social Security Act
and 42 CFR 412.106. 42 CFR 412.106
allows hospitals to request that the
Medicare fraction of the DSH
adjustment be calculated on a cost
reporting basis rather than a federal
fiscal year. Once requested, the hospital
must accept the result irrespective of
whether it increases or decreases their
DSH payment. The routine use
procedure and the DUA (OMB # 0938–
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Federal Register / Vol. 86, No. 246 / Tuesday, December 28, 2021 / Notices
0734) allows hospitals to request the
detailed Medicare data so they can make
an informed choice before deciding
whether to request that the Medicare
fraction be calculated on the basis of a
cost reporting period rather than a
federal fiscal year. Form Number: CMS–
R–194 (OMB control number: 0938–
0691); Frequency: Occasionally;
Affected Public: Private Sector; Number
of Respondents: 800; Total Annual
Responses: 800; Total Annual Hours:
400. (For policy questions regarding this
collection contact Noel Manlove at 410–
786–5161).
Dated: December 22, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2021–28217 Filed 12–27–21; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Proposed Information Collection
Activity; State Access and Visitation
Grant Application (OMB #0970–0482)
Office of Child Support
Enforcement, Administration for
Children and Families, HHS.
ACTION: Request for public comment.
AGENCY:
The federal Office of Child
Support Enforcement (OCSE),
Administration for Children and
Families (ACF), U.S. Department of
Health and Human Services (HHS) is
requesting a 3-year extension of the
State Access and Visitation Grant
Application (OMB #0970–0482,
expiration 5/31/2022). There are
changes requested to the form.
DATES: Comments due within 60 days of
publication. In compliance with the
requirements of the Paperwork
Reduction Act of 1995, ACF is soliciting
SUMMARY:
public comment on the specific aspects
of the information collection described
above.
ADDRESSES: You can obtain copies of the
proposed collection of information and
submit comments by emailing
infocollection@acf.hhs.gov. Identify all
requests by the title of the information
collection.
SUPPLEMENTARY INFORMATION:
Description: The Personal
Responsibility and Work Opportunity
Reconciliation Act of 1996 created the
‘‘Grants to States for Access and
Visitation’’ program (AV grant program).
Funding for the program began in fiscal
year 1997 with a capped, annual
entitlement of $10 million. The
statutory goal of the program is to
provide funds to states that will enable
them to provide services for the purpose
of increasing noncustodial parent access
to and visitation with their children.
State governors decide which state
entity will be responsible for
implementing the AV grant program in
addition to determining who will be
served, what services will be provided,
and whether the services will be
statewide or in local jurisdictions. The
statute specifies certain activities that
may be funded, including voluntary and
mandatory mediation, counseling,
education, the development of parenting
plans, supervised visitation, and the
development of guidelines for visitation
and alternative custody arrangements.
Even though OCSE manages this
program, funding for the AV grant is
separate from funding for federal and
state administration of the child support
program.
Section 469B(e)(3) of the Social
Security Act (Pub. L. 104–193) requires
that each state receiving an AV grant
award shall monitor, evaluate, and
report on such programs in accordance
with regulations. Additionally, the
Catalog of Federal Domestic Assistance
states that there is an application
requirement for Grants to States for
Access and Visitation Programs
(93.597). The application process assists
OCSE in complying with this
requirement and emphasizes program
efficiency, coordination of services,
building support for parenting time
services, and ensuring the safety of
parents and children.
Specifically, the application requires
states to submit a detailed program plan
indicating how they anticipate spending
their funds within the program statute
and regulations. The applications cover
3 fiscal years and any changes made to
the plan during the 3-year period will
require a notification of change to
OCSE.
OCSE will review the applications to
ensure that planned services meet the
requirements laid out in section
469B(e)(3) of the Social Security Act
(Pub. L. 104–193). This review will
include monitoring of program
compliance and the safe delivery of
services. In addition to monitoring, the
report will also assist in OCSE’s ability
to provide technical assistance to states
that request assistance.
The State Access and Visitation Grant
Application is proposing changes to the
application itself, including
requirements for states and territories to:
—Address disparities in access;
—ensure the proactive identification of
systemic barriers to AV grant services
for people of color and other
underserved populations;
—describe how grant activities will
redress such barriers; and
—describe how outreach and
recruitment efforts will promote
equity in access for underserved or
marginalized populations.
The grant application also expands
requirements for partnerships with
domestic violence service providers to
address the access issues experienced
by marginalized victims of domestic
violence.
Respondents: Recipients of the State
Access and Visitation Grant (54 states
and territories).
ANNUAL BURDEN ESTIMATES
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State Access and Visitation Grant Application ....................
Estimated Total Annual Burden
Hours: 180.
Comments: The Department
specifically requests comments on: (a)
Whether the proposed collection of
information is necessary for the proper
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Total
number of
responses per
respondent
Total
number of
respondents
Instrument
I
54
I
1
Average
burden hours
per response
I
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
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10
Total
burden hours
I
540
Annual
burden hours
I
180
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
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Agencies
[Federal Register Volume 86, Number 246 (Tuesday, December 28, 2021)]
[Notices]
[Pages 73786-73787]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-28217]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-R-194]
Agency Information Collection Activities: Proposed Collection;
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 (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 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 February 28, 2022.
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: __, 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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.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-R-194 Medicare Disproportionate Share Adjustment for Hospitals and
Supporting Regulations in 42 CFR 412.106
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: Medicare
Disproportionate Share Adjustment for Hospitals and Supporting
Regulations in 42 CFR 412.106; Use: Section 1886(d)(5)(F) of the Social
Security Act and 42 CFR 412.106. 42 CFR 412.106 allows hospitals to
request that the Medicare fraction of the DSH adjustment be calculated
on a cost reporting basis rather than a federal fiscal year. Once
requested, the hospital must accept the result irrespective of whether
it increases or decreases their DSH payment. The routine use procedure
and the DUA (OMB # 0938-
[[Page 73787]]
0734) allows hospitals to request the detailed Medicare data so they
can make an informed choice before deciding whether to request that the
Medicare fraction be calculated on the basis of a cost reporting period
rather than a federal fiscal year. Form Number: CMS-R-194 (OMB control
number: 0938-0691); Frequency: Occasionally; Affected Public: Private
Sector; Number of Respondents: 800; Total Annual Responses: 800; Total
Annual Hours: 400. (For policy questions regarding this collection
contact Noel Manlove at 410-786-5161).
Dated: December 22, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2021-28217 Filed 12-27-21; 8:45 am]
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