Agency Information Collection Activities: Submission for OMB Review; Comment Request, 71570 [2023-22892]

Agencies

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

[Federal Register Volume 88, Number 199 (Tuesday, October 17, 2023)]
[Notices]
[Page 71570]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2023-22892]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-576 and CMS-576A]


Agency Information Collection Activities: Submission for OMB 
Review; 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 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 November 16, 2023.

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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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: Reinstatement with 
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 seeking reinstatement of a revised 
version of the CMS-576 form. We are also seeking reinstatement for the 
CMS-576A form. The CMS-576 and CMS-576A forms have been updated to a 
fillable .pdf format. In addition, multiple changes were made to the 
CMS-576 and CMS-576A forms.
    Organizations seeking designation from CMS as a qualified and 
approved Organ Procurement Organization (OPO), as per Sec. Sec.  371(a) 
and 1138 of the Social Security Act (``the Act'') must complete and 
submit the CMS-576 form. After designation as an OPO, the organization 
must sign CMS-576A form in order to be reimbursed by Medicare for their 
services. The CMS-576A form requires the OPO ``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.)

    Dated: October 12, 2023.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2023-22892 Filed 10-16-23; 8:45 am]
BILLING CODE 4120-01-P