Agency Information Collection Activities: Proposed Collection; Comment Request, 24008-24010 [2024-07202]

Download as PDF 24008 Federal Register / Vol. 89, No. 67 / Friday, April 5, 2024 / Notices ESTIMATED ANNUALIZED BURDEN HOURS Number of responses per respondent Number of respondents Total burden (in hours) Form name Parents of children 4–17 years with a persistent tic disorder. Children 4–8 years with a persistent tic disorder. Children 9–11 years with a persistent tic disorder. Adolescents (teens) 12–17 years with a persistent tic disorder. Adults (18–26 years) with a persistent tic disorder. Parent ................................... 225 1 45/60 169 Child 4–8 .............................. 30 1 20/60 10 Child 9–11 ............................ 45 1 45/60 34 Adolescent ............................ 150 1 45/60 113 Adult ...................................... 75 1 1 75 Total ....................................................... ............................................... ........................ ........................ ........................ 401 Jeffrey M. Zirger, Lead, Information Collection Review Office, Office of Public Health Ethics and Regulations, Office of Science, Centers for Disease Control and Prevention. [FR Doc. 2024–07288 Filed 4–4–24; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Operating Officer, Centers for Disease Control and Prevention, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry. Kalwant Smagh, Director, Office of Strategic Business Initiatives, Office of the Chief Operating Officer, Centers for Disease Control and Prevention. Centers for Disease Control and Prevention Advisory Board on Radiation and Worker Health [FR Doc. 2024–07301 Filed 4–4–24; 8:45 am] BILLING CODE 4163–18–P Centers for Disease Control and Prevention (CDC), Department of Health and Human Services (HHS). ACTION: Notice of charter renewal. AGENCY: The Centers for Disease Control and Prevention (CDC), within the Department of Health and Human Services (HHS), announces the renewal of the charter of the Advisory Board on Radiation and Worker Health (ABRWH). FOR FURTHER INFORMATION CONTACT: Rashaun Roberts, Ph.D., Designated Federal Officer, Advisory Board on Radiation and Worker Health, Centers for Disease Control and Prevention, Department of Health and Human Services, 1090 Tusculum Avenue, Mailstop C–24, Cincinnati, Ohio 45226. Telephone: (513) 533–6800; Email: ocas@cdc.gov. SUPPLEMENTARY INFORMATION: CDC is providing notice under 5 U.S.C. 1001– 1014 of the renewal of the charter of the Advisory Board on Radiation and Worker Health, Centers for Disease Control and Prevention, Department of Health and Human Services. This charter has been renewed for a two-year period through March 22, 2026. The Director, Office of Strategic Business Initiatives, Office of the Chief SUMMARY: khammond on DSKJM1Z7X2PROD with NOTICES Average burden per response (in hours) Type of respondents VerDate Sep<11>2014 16:44 Apr 04, 2024 Jkt 262001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifiers: CMS–10545, CMS– R–246, CMS–43 and CMS–10842] 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 (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 SUMMARY: PO 00000 Frm 00048 Fmt 4703 Sfmt 4703 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 June 4, 2024. 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. 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/PRAListing. E:\FR\FM\05APN1.SGM 05APN1 Federal Register / Vol. 89, No. 67 / Friday, April 5, 2024 / Notices 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–10545 Outcome and Assessment Information Set OASIS–E1 CMS–R–246 Medicare Advantage, Medicare Part D, and Medicare FeeFor-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey CMS–43 Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease CMS–10842 End Stage Renal Disease (ESRD) Annual Home Dialysis within Nursing Home Survey Form 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. khammond on DSKJM1Z7X2PROD with NOTICES Information Collection 1. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Outcome and Assessment Information Set OASIS–E1; Use: This request is to modify the Outcome and Assessment Information Set (OASIS) that home health agencies (HHAs) are required to collect to participate in the Medicare program. The current OASIS version, OASIS–E, OMB control number 0938–1279, was approved by the OMB on November 30, 2022, and implemented on January 1, 2023. We are seeking OMB approval for the proposed revised OASIS data set, referred to hereafter as OASIS–E1, scheduled for implementation in the HH VerDate Sep<11>2014 16:44 Apr 04, 2024 Jkt 262001 QRP on January 1, 2025. The OASIS–E1 includes changes related to addition of one item supporting an assessmentbased quality measure (QM), removal of one item due to retirement of a QM, and removal of two data elements no longer used in the HH QRP or for other purposes in CMS programs. Form Number: CMS–10545 (OMB control number: 0938–1279); Frequency: Occasionally; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 11,866; Total Annual Responses: 18,017,056; Total Annual Hours: 16,683,290. (For policy questions regarding this collection contact Jermama Keys at 410–786–7778). 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicare Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) Survey; Use: CMS is required to collect and report information on the quality of health care services and prescription drug coverage available to persons enrolled in a Medicare health or prescription drug plan under provisions in the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA). Specifically, the MMA under Sec. 1860D–4 (Information to Facilitate Enrollment) requires CMS to conduct consumer satisfaction surveys regarding Medicare prescription drug plans and Medicare Advantage plans and report this information to Medicare beneficiaries prior to the Medicare annual enrollment period. The Medicare CAHPS survey meets the requirement of collecting and publicly reporting consumer satisfaction information. The Balanced Budget Act of 1997 also requires the collection of information about fee-for-service plans. The CAHPS survey measures are incorporated into the Part C and D Star Ratings that are published on www.medicare.gov each fall to help consumers choose a Medicare plan. A subset of the CAHPS measures is also included in the Medicare & You Handbook. CAHPS information from MA contracts also feeds into the calculation of MA Quality Bonus Payment Ratings that are required by statute and regulation. The primary purpose of the Medicare CAHPS surveys is to provide information to Medicare beneficiaries to help them make more informed choices among health and prescription drug plans available to them. Survey results are reported by CMS in the Medicare & You Handbook published each fall and on the Medicare Plan Finder website. PO 00000 Frm 00049 Fmt 4703 Sfmt 4703 24009 Beneficiaries can compare CAHPS scores for each health and drug plan as well as compare MA and FFS scores when making enrollment decisions. The Medicare CAHPS also provides data to help CMS and others monitor the quality and performance of Medicare health and prescription drug plans and identify areas to improve the quality of care and services provided to enrollees of these plans. CAHPS data are included in the Medicare Part C & D Star Ratings and used to calculate MA Quality Bonus Payments. Form Number: CMS–R–246 (OMB control number: 0938–0732); Frequency: Yearly; Affected Public: Individuals and Households Number of Respondents: 794,500; Total Annual Responses: 794,500; Total Annual Hours: 192,265. (For policy questions regarding this collection contact Lauren Fuentes at 410–786–2290 or lauren.fuentes@cms.hhs.gov). 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease; Use: Form CMS–43 (Application for Part A (Hospital Insurance) and Part B (Medical Insurance) for People with End-Stage Renal Disease) supports section 226A(a) of the Social Security Act (the Act) and corresponding regulations at 42 CFR 406.7(c)(3) and 406.13. Individuals with End-Stage Renal Disease (ESRD) have the opportunity to apply for Medicare benefits and obtain premium-free Part A if they meet certain criteria outlined in statute. Sections 226A of the Act authorizes entitlement for Medicare Hospital Insurance (Part A) if the individual with ESRD files an application for benefits and meets the requisite contributions through one’s own employment or the employment of a related individual to meet the statutory definition of a ‘‘currently insured’’ individual outlined in section 214 of the Act. Further, for individuals who meet the requirements for premium-free Part A entitlement, Medicare coverage starts based on the dates in which the individual started dialysis treatment or had a kidney transplant. These statutory provisions are codified at 42 CFR 406.7(c)(3) and 407.13. Form Number: CMS–43 (OMB control number: 0938–0080); Frequency: Once; Affected Public: Individuals and Households Number of Respondents: 45,200; Total Annual Responses: 45,200; Total Annual Hours: 18,984. (For policy questions regarding this collection contact Candace Carter at E:\FR\FM\05APN1.SGM 05APN1 khammond on DSKJM1Z7X2PROD with NOTICES 24010 Federal Register / Vol. 89, No. 67 / Friday, April 5, 2024 / Notices 410–786–8466 or Candace.Carter@ cms.hhs.gov). 4. Type of Information Collection Request: New collection (Request for a new OMB control number); Title of Information Collection: End Stage Renal Disease (ESRD) Annual Home Dialysis within Nursing Home Survey Form; Use: The End Stage Renal Disease (ESRD) Network program is responsible to collect, validate, and analyze data as well as to evaluate the process by which facilities determine the appropriateness of patients for a treatment modality. Additional responsibilities of the ESRD Network program include encouraging participation in the placement of patients in a self-care setting, such as home hemodialysis or peritoneal dialysis, as described in Sec. 1881. [42 U.S.C. 1395rr] (c)(1)(A)(i)(2) of the Social Security Act. On September 21, 2018, CMS clarified guidance that residents in a nursing home facility can receive dialysis either administered and/or supervised by personnel who meet the criteria for training, and competency verification at 42 CFR 494.100(a) and (b) for providing dialysis. The provision of dialysis within a nursing home requires that the dialysis facility have an agreement with the nursing home. This guidance was reinforced and updated on March 22, 2023, in a memo to the State Survey Agency Directors titled, ‘‘Guidance and Survey Process for Reviewing Home Dialysis Services in a Nursing Home REVISED’’. Since the provision of dialysis within nursing homes is relatively new, CMS designed the CMS– 10842 form to capture home modality information from dialysis facilities that provide dialysis within the nursing home in alignment with the Centers for Disease Control and Prevention (CDC). The care provided to residents of a nursing home is of particular interest because of the fragile health state of the patient and the susceptibility to infection. Each facility certification/ survey record represents one provider. CMS–10842 collects information on dialysis facilities providing home dialysis services within the nursing home related to the number of patients, setting of dialysis services provided, who is providing dialysis services, who is providing dressing changes to dialysis access, staff education and use of CDC Core Interventions used. The aggregate patient information is collected from each Medicare-approved home dialysis provider to identify the specialized needs of the ESRD community where home dialysis is provided in Long Term Care facilities. Form Number: CMS– VerDate Sep<11>2014 16:44 Apr 04, 2024 Jkt 262001 10842 (OMB control number: 0938– NEW); Frequency: Yearly; Affected Public: Private Sector (Business or other for-profit and Not-for-profit institutions); Number of Respondents: 7,726; Total Annual Responses: 7,726; Total Annual Hours: 5,795. (For policy questions regarding this collection contact Christina Goatee at 410–786– 6689). William N. Parham, III, Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2024–07202 Filed 4–4–24; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Administration for Children and Families Submission for Office of Management and Budget Review; Proposed Information Collection Activity; Tribal Early Childhood Facilities Combined Application Guide (New Collection) Office of Early Childhood Development, Administration for Children and Families, U.S. Department of Health and Human Services. ACTION: Request for public comments. AGENCY: The Office of Early Childhood Development (ECD), Administration for Children and Families (ACF), U.S. Department of Health and Human Services (HHS), is requesting Office of Management and Budget (OMB) approval of the Tribal Early Childhood Facilities Combined Application Guide for joint applications for construction and major renovation projects using both Head Start and Child Care and Development Fund (CCDF) resources. DATES: Comments due within 30 days of publication. OMB must make a decision about the collection of information between 30 and 60 days after publication of this document in the Federal Register. Therefore, a comment is best assured of having its full effect if OMB receives it within 30 days of publication. 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. You can also obtain SUMMARY: PO 00000 Frm 00050 Fmt 4703 Sfmt 4703 copies of the proposed collection of information by emailing infocollection@ acf.hhs.gov. Identify all emailed requests by the title of the information collection. SUPPLEMENTARY INFORMATION: Description: Funding for facilities under the CCDF is authorized by Section 658O(c)(6) of the Child Care and Development Block Grant (CCDBG) Act, 42 U.S.C. 9858(c)(6), and is managed by the Office of Child Care (OCC). Funding for Head Start facilities projects is authorized by 45 CFR part 1303 (Subpart E) Head Start Program Performance Standards and is managed by the Office of Head Start (OHS). The guide streamlines the process for Tribal CCDF Lead Agencies and American Indian and Alaska Native (AI/AN) Head Start programs submitting collaborative, joint applications to use federal CCDF and Head Start funds for facilities projects where funds can be used for reasonable costs and fees related to planning for a facilities project and to support the application development in tribal communities. Both funds aim to construct or improve early childhood facilities, often serving the same children, but application submission and review processes are currently unique to each respective funding stream. The proposed information collection will provide instructions to Tribal CCDF Lead Agencies and AI/AN Head Start programs on submitting joint plans for how proposed facilities projects will enable the programs to better serve current AI/AN families or increase enrollment currently limited by inadequate facilities. The guide will provide critical information and resources, so recipients understand the requirements of each program and develop plans that reflect the needs of their communities. Reducing and streamlining administrative burdens for tribal constituents follows policy priorities laid out in the 2022 HHS Equity Action Plan and is in alignment with Executive Order 14095—Executive Order on Increasing Access to HighQuality Care and Supporting Caregivers. Respondents: AI/AN Head Start Facilities and Tribal CCDF Lead Agencies (information collection does not include direct interaction with individuals or families that receive the services). Annual Burden Estimates: We estimate at most 10 applications per year and have estimated burden based on this maximum number. E:\FR\FM\05APN1.SGM 05APN1

Agencies

[Federal Register Volume 89, Number 67 (Friday, April 5, 2024)]
[Notices]
[Pages 24008-24010]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-07202]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10545, CMS-R-246, CMS-43 and CMS-10842]


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 (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 June 4, 2024.

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, 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.

[[Page 24009]]


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-10545 Outcome and Assessment Information Set OASIS-E1
CMS-R-246 Medicare Advantage, Medicare Part D, and Medicare Fee-For-
Service Consumer Assessment of Healthcare Providers and Systems (CAHPS) 
Survey
CMS-43 Application for Part A (Hospital Insurance) and Part B (Medical 
Insurance) for People with End-Stage Renal Disease
CMS-10842 End Stage Renal Disease (ESRD) Annual Home Dialysis within 
Nursing Home Survey Form

    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: Revision of a currently 
approved collection; Title of Information Collection: Outcome and 
Assessment Information Set OASIS-E1; Use: This request is to modify the 
Outcome and Assessment Information Set (OASIS) that home health 
agencies (HHAs) are required to collect to participate in the Medicare 
program. The current OASIS version, OASIS-E, OMB control number 0938-
1279, was approved by the OMB on November 30, 2022, and implemented on 
January 1, 2023. We are seeking OMB approval for the proposed revised 
OASIS data set, referred to hereafter as OASIS-E1, scheduled for 
implementation in the HH QRP on January 1, 2025. The OASIS-E1 includes 
changes related to addition of one item supporting an assessment-based 
quality measure (QM), removal of one item due to retirement of a QM, 
and removal of two data elements no longer used in the HH QRP or for 
other purposes in CMS programs. Form Number: CMS-10545 (OMB control 
number: 0938-1279); Frequency: Occasionally; Affected Public: Private 
Sector (Business or other for-profit and Not-for-profit institutions); 
Number of Respondents: 11,866; Total Annual Responses: 18,017,056; 
Total Annual Hours: 16,683,290. (For policy questions regarding this 
collection contact Jermama Keys at 410-786-7778).
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage, Medicare Part D, and Medicare Fee-For-Service Consumer 
Assessment of Healthcare Providers and Systems (CAHPS) Survey; Use: CMS 
is required to collect and report information on the quality of health 
care services and prescription drug coverage available to persons 
enrolled in a Medicare health or prescription drug plan under 
provisions in the Medicare Prescription Drug, Improvement, and 
Modernization Act of 2003 (MMA). Specifically, the MMA under Sec. 
1860D-4 (Information to Facilitate Enrollment) requires CMS to conduct 
consumer satisfaction surveys regarding Medicare prescription drug 
plans and Medicare Advantage plans and report this information to 
Medicare beneficiaries prior to the Medicare annual enrollment period. 
The Medicare CAHPS survey meets the requirement of collecting and 
publicly reporting consumer satisfaction information. The Balanced 
Budget Act of 1997 also requires the collection of information about 
fee-for-service plans. The CAHPS survey measures are incorporated into 
the Part C and D Star Ratings that are published on www.medicare.gov 
each fall to help consumers choose a Medicare plan. A subset of the 
CAHPS measures is also included in the Medicare & You Handbook. CAHPS 
information from MA contracts also feeds into the calculation of MA 
Quality Bonus Payment Ratings that are required by statute and 
regulation.
    The primary purpose of the Medicare CAHPS surveys is to provide 
information to Medicare beneficiaries to help them make more informed 
choices among health and prescription drug plans available to them. 
Survey results are reported by CMS in the Medicare & You Handbook 
published each fall and on the Medicare Plan Finder website. 
Beneficiaries can compare CAHPS scores for each health and drug plan as 
well as compare MA and FFS scores when making enrollment decisions. The 
Medicare CAHPS also provides data to help CMS and others monitor the 
quality and performance of Medicare health and prescription drug plans 
and identify areas to improve the quality of care and services provided 
to enrollees of these plans. CAHPS data are included in the Medicare 
Part C & D Star Ratings and used to calculate MA Quality Bonus 
Payments. Form Number: CMS-R-246 (OMB control number: 0938-0732); 
Frequency: Yearly; Affected Public: Individuals and Households Number 
of Respondents: 794,500; Total Annual Responses: 794,500; Total Annual 
Hours: 192,265. (For policy questions regarding this collection contact 
Lauren Fuentes at 410-786-2290 or [email protected]).
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Application for 
Part A (Hospital Insurance) and Part B (Medical Insurance) for People 
with End-Stage Renal Disease; Use: Form CMS-43 (Application for Part A 
(Hospital Insurance) and Part B (Medical Insurance) for People with 
End-Stage Renal Disease) supports section 226A(a) of the Social 
Security Act (the Act) and corresponding regulations at 42 CFR 
406.7(c)(3) and 406.13.
    Individuals with End-Stage Renal Disease (ESRD) have the 
opportunity to apply for Medicare benefits and obtain premium-free Part 
A if they meet certain criteria outlined in statute. Sections 226A of 
the Act authorizes entitlement for Medicare Hospital Insurance (Part A) 
if the individual with ESRD files an application for benefits and meets 
the requisite contributions through one's own employment or the 
employment of a related individual to meet the statutory definition of 
a ``currently insured'' individual outlined in section 214 of the Act. 
Further, for individuals who meet the requirements for premium-free 
Part A entitlement, Medicare coverage starts based on the dates in 
which the individual started dialysis treatment or had a kidney 
transplant. These statutory provisions are codified at 42 CFR 
406.7(c)(3) and 407.13. Form Number: CMS-43 (OMB control number: 0938-
0080); Frequency: Once; Affected Public: Individuals and Households 
Number of Respondents: 45,200; Total Annual Responses: 45,200; Total 
Annual Hours: 18,984. (For policy questions regarding this collection 
contact Candace Carter at

[[Page 24010]]

410-786-8466 or [email protected]).
    4. Type of Information Collection Request: New collection (Request 
for a new OMB control number); Title of Information Collection: End 
Stage Renal Disease (ESRD) Annual Home Dialysis within Nursing Home 
Survey Form; Use: The End Stage Renal Disease (ESRD) Network program is 
responsible to collect, validate, and analyze data as well as to 
evaluate the process by which facilities determine the appropriateness 
of patients for a treatment modality. Additional responsibilities of 
the ESRD Network program include encouraging participation in the 
placement of patients in a self-care setting, such as home hemodialysis 
or peritoneal dialysis, as described in Sec. 1881. [42 U.S.C. 1395rr] 
(c)(1)(A)(i)(2) of the Social Security Act. On September 21, 2018, CMS 
clarified guidance that residents in a nursing home facility can 
receive dialysis either administered and/or supervised by personnel who 
meet the criteria for training, and competency verification at 42 CFR 
494.100(a) and (b) for providing dialysis. The provision of dialysis 
within a nursing home requires that the dialysis facility have an 
agreement with the nursing home. This guidance was reinforced and 
updated on March 22, 2023, in a memo to the State Survey Agency 
Directors titled, ``Guidance and Survey Process for Reviewing Home 
Dialysis Services in a Nursing Home REVISED''. Since the provision of 
dialysis within nursing homes is relatively new, CMS designed the CMS-
10842 form to capture home modality information from dialysis 
facilities that provide dialysis within the nursing home in alignment 
with the Centers for Disease Control and Prevention (CDC).
    The care provided to residents of a nursing home is of particular 
interest because of the fragile health state of the patient and the 
susceptibility to infection. Each facility certification/survey record 
represents one provider. CMS-10842 collects information on dialysis 
facilities providing home dialysis services within the nursing home 
related to the number of patients, setting of dialysis services 
provided, who is providing dialysis services, who is providing dressing 
changes to dialysis access, staff education and use of CDC Core 
Interventions used. The aggregate patient information is collected from 
each Medicare-approved home dialysis provider to identify the 
specialized needs of the ESRD community where home dialysis is provided 
in Long Term Care facilities. Form Number: CMS-10842 (OMB control 
number: 0938-NEW); Frequency: Yearly; Affected Public: Private Sector 
(Business or other for-profit and Not-for-profit institutions); Number 
of Respondents: 7,726; Total Annual Responses: 7,726; Total Annual 
Hours: 5,795. (For policy questions regarding this collection contact 
Christina Goatee at 410-786-6689).

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2024-07202 Filed 4-4-24; 8:45 am]
BILLING CODE 4120-01-P


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