Agency Information Collection Activities: Proposed Collection; Comment Request

Published date16 February 2022
Citation87 FR 8842
Record Number2022-03286
SectionNotices
CourtCenters For Medicare & Medicaid Services,Health And Human Services Department
Federal Register, Volume 87 Issue 32 (Wednesday, February 16, 2022)
[Federal Register Volume 87, Number 32 (Wednesday, February 16, 2022)]
                [Notices]
                [Page 8842]
                From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
                [FR Doc No: 2022-03286]
                [[Page 8842]]
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                DEPARTMENT OF HEALTH AND HUMAN SERVICES
                Centers for Medicare & Medicaid Services
                [Document Identifiers: CMS-10779 and CMS-3427]
                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 April 18, 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
                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 https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.
                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-10779--Complaints Submission Process under the No Surprises Act
                CMS-3427--End Stage Renal Disease Application and Survey and
                Certification Report
                 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: Complaints
                Submission Process under the No Surprises Act; Use: The No Surprises
                Act directs the Departments to establish a process to receive
                complaints regarding violations of the application of qualifying
                payment amount (QPA) requirements by group health plans and health
                insurance issuers offering group or individual health coverage. The No
                Surprises Act also directs HHS to establish a process to receive
                consumer complaints regarding violations by health care providers,
                facilities, and providers of air ambulance services regarding balance
                billing requirements and to respond to such complaints within 60 days.
                CMS will request information from non-federal governmental plans and
                issuers, health care providers, facilities, providers of air ambulance
                services, and individuals to review and process a complaint for
                potential violations of balance billing requirements. Form Number: CMS-
                10779 (OMB control number: 0938-1406); Frequency: Occasionally;
                Affected Public: Private Sector (Business or other for-profit and Not-
                for-profit institutions); Number of Respondents: 39,000; Total Annual
                Responses: 39,000; Total Annual Hours: 19,500. (For policy questions
                regarding this collection contact Patrick Edwards at 301-492-4371.)
                 2. Type of Information Collection Request: Reinstatement with
                change of a previously approved collection; Title of Information
                Collection: End Stage Renal Disease Application and Survey and
                Certification Report; Use: The Form CMS-3427 is required for each new
                ESRD facility seeking initial certification and for each existing
                facility seeking recertification, relocation, expansion/change of
                service(s), or change of ownership. The form is also used for
                information collection purposes related to a complaint survey of an
                ESRD facility. The Form CMS-3427 information is currently collected on
                paper as a manual option or may be completed in an online fillable
                format based on facility preference. This online form is a step in the
                direction towards electronic submission. Form Number: CMS-3427 (OMB
                control number: 0938-0360); Frequency: Every three years; Affected
                Public: Private sector (Business or other for-profit and Not-for profit
                institutions); Number of Respondents: 7,883; Total Annual Responses:
                2,601; Total Annual Hours: 866. (For policy questions regarding this
                collection contact Jennifer Milby at 410-786-8828.)
                 Dated: February 10, 2022.
                William N. Parham, III,
                Director, Paperwork Reduction Staff, Office of Strategic Operations and
                Regulatory Affairs.
                [FR Doc. 2022-03286 Filed 2-15-22; 8:45 am]
                BILLING CODE P
                

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