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[Federal Register Volume 77, Number 156 (Monday, August 13, 2012)]
[Notices]
[Pages 48158-48159]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-19689]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10390]

Agency Information Collection Activities: Submission for OMB 
Review; 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), Department of Health and Human Services, 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 performance of 
the Agency's function; (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: Revision of a currently 
approved collection;
    Title of Information Collection: Hospice Quality Reporting Program; 
Use: Section 1814(i)(5) of the Social Security Act (the Act) added by 
section 3004 of the Patient Protection and Affordable Care Act, Public 
Law 111-148, enacted on March 23, 2010 (Affordable Care Act) authorizes 
the Secretary to establish a quality reporting for hospices. Section 
1814(i)(5)(A)(i) of the Act requires the Secretary, beginning with FY 
2014, reduce the market basket update by 2 percentage points for any 
hospice that does not comply with the quality data submission 
requirements with respect to that fiscal year.
    The Hospice Quality Data Submission Form was created for hospice 
providers to collect specified quality data and submit that data to 
CMS, for the data collection period starting October 1, 2012, through 
December 31, 2012, and continuing on a calendar year thereafter. 
Webinar training on data collection and data submission has been and 
will continue to be provided by CMS. Use of the Hospice Quality Data 
Submission Form is necessary in order for hospices to submit the 
quality data specified for the Hospice Quality Reporting Program. Form 
Number: CMS-10390 (OCN: 0938-1153); Frequency: Yearly; Affected Public: 
Individuals and households; Number of Respondents: 3632; Total Annual 
Responses: 7264; Total Annual Hours: 657,392. (For policy questions 
regarding this collection contact Robin Dowell at 410-786-0060. 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.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received by the OMB desk 
officer at

[[Page 48159]]

the address below, no later than 5 p.m. on September 12, 2012.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov.

    Dated: August 7, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-19689 Filed 8-10-12; 8:45 am]
BILLING CODE 4120-01-P
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