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[Federal Register Volume 77, Number 138 (Wednesday, July 18, 2012)]
[Notices]
[Pages 42316-42317]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-17378]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-2567]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.
    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding this burden estimate or any other aspect of this 
collection of information, including any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper

[[Page 42317]]

performance of the agency's functions; (2) the accuracy of the 
estimated burden; (3) ways to enhance the quality, utility, and clarity 
of the information to be collected; and (4) the use of automated 
collection techniques or other forms of information technology to 
minimize the information collection burden.
    1. Type of Information Collection Request: Extension without change 
of a currently approved collection. Title of Information Collection: 
Deficiencies and Plan of Correction (CMS-2567) and Supporting 
Regulations contained in 42 CFR 488.18, 488.26, and 488.28. Use: 
Section 1864(a) of the Social Security Act requires that the Secretary 
use State survey agencies to conduct surveys to determine whether 
health care facilities meet Medicare and Clinical Laboratory 
Improvement Amendments participation requirements. The CMS-2567 form is 
the means by which the survey findings are documented. This section of 
the law further requires that compliance findings resulting from these 
surveys be made available to the public within 90 days of such surveys. 
The CMS-2567 from is the vehicle for this disclosure. The regulations 
at 42 CFR 488.18 require that State survey agencies document all 
deficiency findings on a statement of deficiencies and plan of 
correction, which is the CMS-2567. 42 CFR 488.26 and 488.28 further 
delineate how compliance findings must be recorded and that CMS 
prescribed forms must be used.
    The form is also used by health care facilities to document their 
plan of correction and by CMS, the States, facilities, purchasers, 
consumers, advocacy groups, and the public as a source of information 
about quality of care and facility compliance.
    Form Number: CMS-2567 (OCN 0938-0391). Frequency: Yearly and 
occasionally. Affected Public: Private Sector (Business or other for-
profit and not-for-profit institutions). Number of Respondents: 62,000. 
Total Annual Responses: 62,000. Total Annual Hours: 134,540. (For 
policy questions regarding this collection contact Angela Mason-Elbert 
at 410-786-8279. For all other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov, or call 
the Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by September 17, 2012.
    1. Electronically. You may submit 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) 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.

    Dated: July 12, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-17378 Filed 7-17-12; 8:45 am]
BILLING CODE 4120-01-P
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