8200 Federal Register / Vol. 86, No. 22 / Thursday, February 4, 2021 / Notices 

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 5, 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 lllll, 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/PRAListing.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–718—721 Business Proposal 

Forms for Quality Improvement 

Organizations (QIOs) 

CMS–724 Medicare/Medicaid 

Psychiatric Hospital Survey Data 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: Business 

Proposal Forms for Quality 

Improvement Organizations (QIOs); Use: 

The submission of proposal information 

by current quality improvement 

associations (QIOs) and other bidders, 

on the appropriate forms, will satisfy 

our need for meaningful, consistent, and 

verifiable data with which to evaluate 

contract proposals. We use the data 

collected on the forms associated with 

this information collection request to 

negotiate QIO contracts. We will be able 

to compare the costs reported by the 

QIOs on the cost reports to the proposed 

costs noted on the business proposal 

forms. Subsequent contract and 

modification negotiations will be based 

on historic cost data. The business 

proposal forms will be one element of 

the historical cost data from which we 

can analyze future proposed costs. In 

addition, the business proposal format 

will standardize the cost proposing and 

pricing process among all QIOs. With 

well-defined cost centers and line items, 

proposals can be compared among QIOs 

for reasonableness and appropriateness. 

Form Number: CMS–718–721 (OMB 

control number: 0938–0579); Frequency: 

Annually; Affected Public: Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

58; Total Annual Responses: 58; Total 

Annual Hours: 2,320. (For policy 

questions regarding this collection 

contact Benjamin Bernstein at 410–786– 

6570.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare/ 

Medicaid Psychiatric Hospital Survey 

Data and Supporting Regulations; Use: 

The CMS–724 form is used to collect 

data that assists us in program planning 

and evaluation and in maintaining an 

accurate database on providers 

participating in the psychiatric hospital 

program. Specifically, we use the 

information collected on this form in 

evaluating the Medicare psychiatric 

hospital program. The form is also used 

for audit purposes; determining patient 

population and characteristics of the 

hospital; and survey term composition. 

Form Number: CMS–724 (OMB control 

number: 0938–0378); Frequency: 

Annually; Affected Public: Business or 

other for-profits and Not-for-profit 

institutions; Number of Respondents: 

19; Total Annual Responses: 191; Total 

Annual Hours: 96. (For policy questions 

regarding this collection contact 

Caroline Gallaher at 410–786–8705.) 

Dated: February 1, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–02355 Filed 2–3–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–71, CMS–370 

and CMS–377, CMS–1572, and CMS–R–65] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate or any 

other aspect of this collection of 

information, including the necessity and 

utility of the proposed information 

collection for the proper performance of 


jbell on DSKJLSW7X2PROD with NOTICES
Federal Register / Vol. 86, No. 22 / Thursday, February 4, 2021 / Notices 8201 

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 on the collection(s) of 

information must be received by the 

OMB desk officer by March 8, 2021. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

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 the following: 

1. Access CMS’ website address at 

website address at https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Quality 

Improvement Organization (QIO) 

Assumption of Responsibilities and 

Supporting Regulations; Use: The Peer 

Review Improvement Act of 1982 

amended Title XI of the Social Security 

Act to create the Utilization and Quality 

Control Peer Review Organization (PRO) 

program which replaces the Professional 

Standards Review Organization (PSRO) 

program and streamlines peer review 

activities. The term PRO has been 

renamed Quality Improvement 

Organization (QIO). This information 

collection describes the review 

functions to be performed by the QIO. 

It outlines relationships among QIOs, 

providers, practitioners, beneficiaries, 

intermediaries, and carriers. Form 

Number: CMS–R–71 (OMB control 

number: 0938–0445); Frequency: Yearly; 

Affected Public: Business or other forprofit and Not-for-profit institutions; 

Number of Respondents: 6,939; Total 

Annual Responses: 972,478; Total 

Annual Hours: 1,034,655. (For policy 

questions regarding this collection 

contact Kimberly Harris at 401–837– 

1118.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Titles of 

Information Collection: ASC Forms for 

Medicare Program Certification; Use: 

The form CMS–370 titled ‘‘Health 

Insurance Benefits Agreement’’ is used 

for the purpose of establishing an ASC’s 

eligibility for payment under Title XVIII 

of the Social Security Act (the ‘‘Act’’). 

This agreement, upon acceptance by the 

Secretary of Health & Human Services, 

shall be binding on the ASC and the 

Secretary. The agreement may be 

terminated by either party in accordance 

with regulations. In the event of 

termination of this agreement, payment 

will not be available for the ASC’s 

services furnished to Medicare 

beneficiaries on or after the effective 

date of termination. 

The CMS–377 form is used by ASCs 

to initiate both the initial and renewal 

survey by the State Survey Agency, 

which provides the certification 

required for an ASC to participate in the 

Medicare program. An ASC must 

complete the CMS–377 form and send it 

to the appropriate State Survey Agency 

prior to their scheduled accreditation 

renewal date. The CMS–377 form 

provides the State Survey Agency with 

information about the ASC facility’s 

characteristics, such as, determining the 

size and the composition of the survey 

team on the basis of the number of ORs/ 

procedure rooms and the types of 

surgical procedures performed in the 

ASC. Form Numbers: CMS–370 and 

CMS–377 (OMB control number: 0938– 

0266); Frequency: Occasionally; 

Affected Public: Private Sector— 

Business or other for-profit and Not-forprofit institutions; Number of 

Respondents: 1,567; Total Annual 

Responses: 1,567; Total Annual Hours: 

1,012. (For policy questions regarding 

this collection contact Caroline Gallaher 

at 410–786–8705.) 

3. Type of Information Collection 

Request: Reinstatement with change of a 

previously approved collection; Title of 

Information Collection: Home Health 

Agency Survey and Deficiencies Report; 

Use: In order to participate in the 

Medicare Program as a Home Health 

Agency (HHA) provider, the HHA must 

meet federal standards. This form is 

used to record information and patients’ 

health and provider compliance with 

requirements and to report the 

information to the federal government. 

Form Number: CMS–1572 (OMB control 

number: 0938–0355); Frequency: Yearly; 

Affected Public: State, Local or Tribal 

Government; Number of Respondents: 

3,833; Total Annual Responses: 3,833; 

Total Annual Hours: 1,917. (For policy 

questions regarding this collection 

contact Tara Lemons at 410–786–3030.) 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Final Peer 

Review Organizations Sanction 

Regulations; Use: The Peer Review 

Improvement Act of 1982 amended Title 

XI of the Social Security Act (the Act), 

creating the Utilization and Quality 

Control Peer Review Organization 

Program. Section 1156 of the Act 

imposes obligations on health care 

practitioners and others who furnish or 

order services or items under Medicare. 

This section also provides for sanction 

actions, if the Secretary determines that 

the obligations as stated by this section 

are not met. Quality Improvement 

Organizations (QIOs) are responsible for 

identifying violations. The QIOs may 

allow practitioners or other entities, 

opportunities to submit relevant 

information before determining that a 

violation has occurred. The information 

collection requirements contained in 

this information collection request are 

used by the QIOs to collect the 

information necessary to make their 

decision. Form Number: CMS–R–65 

(OMB control number: 0938–0444); 

Frequency: Occasionally; Affected 

Public: Private sector—Business or other 

for-profit and Not-for-profit institutions; 

Number of Respondents: 18; Total 

Annual Responses: 18; Total Annual 

Hours: 4,716. (For policy questions 

regarding this collection contact 

Kimberly Harris at 401–837–1118.) 


jbell on DSKJLSW7X2PROD with NOTICES
8202 Federal Register / Vol. 86, No. 22 / Thursday, February 4, 2021 / Notices 

Dated: February 1, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–02358 Filed 2–3–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10292] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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 

(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 

a second opportunity for public 

comment on the notice. Interested 

persons are invited to send comments 

regarding the burden estimate 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 on the collection(s) of 

information must be received by the 

OMB desk officer by March 8, 2021. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

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/PRAListing.html. 

2. Call the Reports Clearance Office at 

(410) 786–1326. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

SUPPLEMENTARY INFORMATION: Under the 

Paperwork Reduction Act of 1995 (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 (44 U.S.C. 

3506(c)(2)(A)) requires federal agencies 

to publish a 30-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 that summarizes 

the following proposed collection(s) of 

information for public comment: 

1. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: State Medicaid 

HIT Plan, Planning Advance Planning 

Document, and Implementation 

Advance Planning Document for 

Section 4201 of the Recovery Act; Use: 

To assess the appropriateness of state 

requests for the administrative Federal 

financial participation for expenditures 

under their Medicaid Electronic Health 

Record Incentive Program related to 

health information exchange, our staff 

will review the submitted information 

and documentation to make an approval 

determination of the state advance 

planning document. Form Number: 

CMS–10292 (OMB control number: 

0938–1088); Frequency: Once and 

occasionally; Affected Public: State, 

Local, and Tribal Governments; Number 

of Respondents: 56; Total Annual 

Responses: 56; Total Annual Hours: 

896. (For policy questions regarding this 

collection contact Edward Dolly at 410– 

786–8554.) 

Dated: February 1, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–02319 Filed 2–3–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Office of the Secretary 

Findings of Research Misconduct; 

Correction 

AGENCY: Office of the Secretary, HHS. 

ACTION: Correction of notice. 

SUMMARY: This document corrects errors 

that appeared in the notice published in 

the November 7, 2019, Federal Register 

entitled ‘‘Findings of Research 

Misconduct.’’ 

DATES: 

Effective Date: February 4, 2021. 

Applicability Date: The correction 

notice is applicable for the Findings of 

Research Misconduct notice published 

on November 7, 2019. 

FOR FURTHER INFORMATION CONTACT: Ms. 

Karen Gorirossi or Dr. Alexander Runko 

at 240–453–8800. 

SUPPLEMENTARY INFORMATION: 

I. Background 

In FR Doc. 2019–24291 of November 

7, 2019 (84 FR 60097–60098), there 

were errors involving incorrect citations 

for published papers affecting six 

paragraphs on page 60098. The errors 

are identified and corrected in the 

Correction of Errors section below. 

II. Correction of Errors 

In FR Doc. 2019–24291 of November 

7, 2019 (84 FR 60097–60098), make the 

following corrections: 

1. On page 60098, first column, in FR 

Doc. 2019–24291, fifth paragraph, lines 

1–2, change ‘‘Am. J. Physiol. Lung Cell. 

Mol. Biol.’’ to ‘‘Am. J. Resp. Cell. Mol. 

Biol.’’ and in lines 3–5, remove 

‘‘(hereafter referred to as ‘‘Am. J. 

Physiol. Lung Cell. Mol. Biol. 2011b 

paper).’’ 

2. On page 60098, first column, in FR 

Doc. 2019–24291, twelfth paragraph, 

lines 1–2, change ‘‘Am. J. Physiol. Lung 

Cell. Mol. Biol.’’ to ‘‘Am. J. Resp. Cell. 

Mol. Biol.’’ 

3. On page 60098, first column, in FR 

Doc. 2019–24291, sixteenth paragraph, 

lines 1–2, change ‘‘J. Immunol. 

2007;2179:4367–75’’ to ‘‘J. Immunol. 

2007;179:4367–75.’’ 

4. On page 60098, second column, in 

FR Doc. 2019–24291, second paragraph, 


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