Agency Information Collection Activities: Proposed Collection; Comment Request
| Citation | 86 FR 46854 |
| Record Number | 2021-17908 |
| Published date | 20 August 2021 |
| Section | Notices |
| Court | Centers For Medicare & Medicaid Services |
Federal Register, Volume 86 Issue 159 (Friday, August 20, 2021)
[Federal Register Volume 86, Number 159 (Friday, August 20, 2021)]
[Notices]
[Pages 46854-46855]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2021-17908]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10280, CMS-1557 and CMS-3070G-I]
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 October 19, 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: __, 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/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-10280 Home Health Change of Care Notice
CMS-1557 Survey Report Form for Clinical Laboratory Improvement
Amendments (CLIA) and Supporting Regulations
CMS-3070G-I ICF/IID Survey Report Form 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 the Information Collection: Home Health
Change of Care Notice; Use: The purpose of the Home Health Change of
Care Notice (HHCCN) is to notify original Medicare beneficiaries
receiving home health care benefits of plan of care changes. Home
health agencies (HHAs) are required to provide written notice to
Original Medicare beneficiaries under various circumstances involving
the reduction or termination of items and/or services consistent with
Home Health Agencies Conditions of Participation (COPs).
The home health COP requirements are set forth in Sec. 1891[42
U.S.C. 1395bbb] of the Social Security Act (the Act). The implementing
regulations under 42 CFR 484.10(c) specify that Medicare patients
receiving HHA services have rights. The patient has the right to be
informed, in advance about the care to be furnished, and of any changes
in the care to be furnished. The HHA must advise the patient in advance
of the disciplines that will furnish care, and the frequency of visits
proposed to be furnished. The HHA must advise the patient in advance of
any change in the plan of care before the change is made.''
Notification is required for covered and non-covered services
listed in the plan of care (POC). The beneficiary will use the
information provided to decide whether or not to pursue alternative
options to continue receiving the care noted on the HHCCN. Form Number:
CMS-10280 (OMB control number: 0938-1196); Frequency: Yearly; Affected
Public: Private Sector (Business or other for-profits, Not-for-Profit
Institutions); Number of Respondents: 11,157; Total Annual Responses:
12,385,108; Total Annual Hours: 824,848. (For policy questions
regarding this collection contact Jennifer McCormick at 410-786-2852.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Survey Report
Form for Clinical Laboratory Improvement Amendments (CLIA) and
Supporting Regulations; Use: The form is used to report surveyor
findings during a CLIA survey. For each type of survey conducted (i.e.,
initial certification, recertification, validation, complaint,
addition/deletion of specialty/subspecialty, transfusion fatality
investigation, or revisit inspections) the Survey Report Form
incorporates the requirements specified in the CLIA regulations. Form
Number: CMS-1557 (OMB control number: 0938-0544); Frequency:
Biennially; Affected Public: Private sector (Business or other for-
profit and Not-for-profit institutions, State, Local or Tribal
Governments and Federal Government); Number of Respondents: 15,975;
Total
[[Page 46855]]
Annual Responses: 7,988; Total Annual Hours: 3,994. (For policy
questions regarding this collection contact Kathleen Todd at 410-786-
3385).
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: ICF/IID Survey
Report Form and Supporting Regulations; Use: The information collected
with forms 3070G, CMS-3070H and CMS-3070I is used by the surveyors from
the State Survey Agencies (SAs) to determine the level of compliance
with the ICF/IID Conditions of Participation (CoPs) necessary to
participate in the Medicare/Medicaid program and to report any non-
compliance with the ICF/IID CoPs to the Federal government. These forms
summarize the survey team characteristics, facility characteristics,
client population, and the special needs of clients. These forms are
used in conjunction with the CMS regulation text and additional
surveyor aids such as the CMS interpretive guidelines and probes. The
CMS-3070G-I forms serves as coding worksheets, designed to facilitate
data entry and retrieval into the Automated Survey Processing
Environment Suite (ASPEN) in the State and at the CMS regional offices.
Form Number: CMS-3070G-I (OMB control number: 0938-0062); Frequency:
Reporting--Yearly; Affected Public: Business or other for-profits and
Not-for-profit institutions; Number of Respondents: 5,758; Total Annual
Responses: 5,758; Total Annual Hours: 17,274. (For policy questions
regarding this collection contact Caroline Gallaher at 410-786-8705.)
Dated: August 17, 2021.
William N. Parham, III
Director, Paperwork Reduction Staff, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2021-17908 Filed 8-19-21; 8:45 am]
BILLING CODE 4120-01-P
