Agency Information Collection Activities: Proposed Collection; Comment Request
| Published date | 02 April 2021 |
| Citation | 86 FR 17392 |
| Record Number | 2021-06873 |
| Section | Notices |
| Court | Centers For Medicare & Medicaid Services,Health And Human Services Department |
Federal Register, Volume 86 Issue 62 (Friday, April 2, 2021)
[Federal Register Volume 86, Number 62 (Friday, April 2, 2021)]
[Notices]
[Pages 17392-17393]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-06873]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-417 and CMS-209]
Agency Information Collection Activities: Proposed Collection;
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 (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 June 1, 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
http://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: CMS-P-0015A, 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-417 Hospice Request for Certification and Supporting Regulations
CMS-209 Laboratory Personnel Report (CLIA) and Supporting Regulations
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: Hospice Request
for Certification and Supporting Regulations; Use: The Hospice Request
for Certification Form is the identification and screening form used to
initiate the certification process and to determine if the provider has
sufficient personnel to participate in the Medicare program. The CMS-
417 form is completed by existing hospices at the time of their
recertification surveys, to update their certification information.
Form Number: CMS-417 (OMB Control number: 0938-0313); Frequency:
Annually; Affected Public: Private Sector--Business or other for-
profits; Number of Respondents: 2,059; Total Annual Responses: 2,059;
Total Annual Hours: 1,544 (For policy questions regarding this
collection contact Caroline Gallaher at 410-786-8705.)
2. Type of Information Collection Request: Revision 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: 19,163; Total Annual Responses:
9,582; Total Annual Hours: 4,791. (For policy questions
[[Page 17393]]
regarding this collection contact Kathleen Todd at 410-786-3385.)
Dated: March 30, 2021.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2021-06873 Filed 4-1-21; 8:45 am]
BILLING CODE 4120-01-P
