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[Federal Register Volume 79, Number 21 (Friday, January 31, 2014)]
[Notices]
[Pages 5416-5417]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-02065]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10515 and CMS-R-48]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid 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 any of the following subjects: (1) 
The necessity and utility of the proposed information collection for 
the proper 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.

DATES: Comments must be received by April 4, 2014:

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number (OCN). 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,

[[Page 5417]]

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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
    3. Call the Reports Clearance Office at (410) 786-1326.

FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326

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-10515 Payment Collections Operations Contingency Plan
CMS-R-48 Hospital Conditions of Participation and Supporting 
Regulations

    Under the Paperwork Reduction Act (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 Collections
    1. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Payment 
Collection Operations Contingency Plan; Use: Under sections 1401, 1411, 
and 1412 of the Affordable Care Act and 45 CFR part 155 subpart D, an 
Exchange makes an advance determination of tax credit eligibility for 
individuals who enroll in Qualified Health Plan (QHP) coverage through 
the Exchange and seek financial assistance. Using information available 
at the time of enrollment, the Exchange determines whether the 
individual meets the income and other requirements for advance payments 
and the amount of the advance payments that can be used to pay 
premiums. Advance payments are made periodically under section 1412 of 
the Affordable Care Act to the issuer of the QHP in which the 
individual enrolls. Section 1402 of the Affordable Care Act provides 
for the reduction of cost sharing for certain individuals enrolled in a 
QHP through an Exchange, and section 1412 of the Affordable Care Act 
provides for the advance payment of these reductions to issuers. The 
statute directs issuers to reduce cost sharing for essential health 
benefits for individuals with household incomes between 100 and 400 
percent of the Federal poverty level (FPL) who are enrolled in a silver 
level QHP through an individual market Exchange and are eligible for 
advance payments of the premium tax credit. Health insurance issuers 
will manually enter enrollment and payment data into a Microsoft Excel-
based spreadsheet, and submit the information to HHS. The data 
collection will be used by HHS to make payments or collect charges from 
issuers under the following programs: advance payments of the premium 
tax credit, advanced cost-sharing reductions, and Marketplace user 
fees. HHS will use the information collected to make payments and 
collect charges in January 2014 and for a number of months thereafter, 
as may be required based on HHS' operational progress. Form Number: 
CMS-10515 (OCN: 0938-1217); Frequency: Monthly; Affected Public: 
Private sector (business or other for-profits and not-for-profit 
institutions); Number of Respondents: 575; Total Annual Responses: 
7,475; Total Annual Hours: 51,175. (For policy questions regarding this 
collection contact Jaya Ghildiyal at 301-492-5149.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospital 
Conditions of Participation and Supporting Regulations; Use: The 
information collection requirements described in this information 
collection request are needed to implement the Medicare and Medicaid 
conditions of participation (CoP) for 4,890 accredited and non-
accredited hospitals and an additional 101 critical access hospitals 
(CAHs) that have distinct part psychiatric or rehabilitation units 
(DPUs). CAHs that have DPUs must comply with all of the hospital CoPs 
on these units. Thus, this package reflects the paperwork burden for a 
total of 4,991 (that is, 4,890 hospitals and 101 CAHs which include 81 
CAHs that have psychiatric DPUs and 20 CAHs that have rehabilitation 
DPUs). The information collection requirements for the remaining 1,183 
CAHs have been reported in a separate package under CMS-10239.
    The CoPs and accompanying requirements specified in the supporting 
regulations are used by our surveyors as a basis for determining 
whether a hospital qualifies for a provider agreement under Medicare 
and Medicaid. CMS and the health care industry believe that the 
availability to the facility of the type of records and general content 
of records, which this regulation specifies, is standard medical 
practice and is necessary in order to ensure the well-being and safety 
of patients and professional treatment accountability. Form Number: 
CMS-R-48 (OCN: 0938-0328); Frequency: Yearly; Affected Public: Private 
sector (business or other for-profits); Number of Respondents: 4,991; 
Total Annual Responses: 1,342,424; Total Annual Hours: 18,84,0617. (For 
policy questions regarding this collection contact Scott Cooper at 410-
786-9465.)

    Dated: January 28, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-02065 Filed 1-30-14; 8:45 am]
BILLING CODE 4120-01-P
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