Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 68449 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity,Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2014–27018 Filed 11–14–14; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10530, CMS– 

1880 and CMS–1882] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 (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 

January 16, 2015. 

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 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’ 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–10530 Ambulatory Surgical 

Center Quality Reporting Program 

CMS–1880 and CMS–1882 Certification 

as a Supplier of Portable X-Ray and 

Portable X-Ray Survey Report Form 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: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Ambulatory 

Surgical Center Quality Reporting 

Program; Use: Our quality reporting 

programs promote higher quality, more 

efficient health care for Medicare 

beneficiaries. We have implemented 

quality measure reporting programs for 

multiple settings, including for 

ambulatory surgical centers. Section 

109(b) of the Tax Relief and Health Care 

Act of 2006 (TRHCA) (Pub. L. 109–432) 

amended section 1833(i) of the Act by 

re-designating clause (iv) as clause (v) 

and adding new clause (iv) to paragraph 

(2)(D) and by adding new paragraph (7). 

Section 1833(i)(2)(D)(iv) of the Act 

authorizes, but does not require, the 

Secretary to implement the revised ASC 

payment system ‘‘in a manner so as to 

provide for a reduction in any annual 

update for failure to report on quality 

measures in accordance with paragraph 

(7).’’ Section 1833(i)(7)(A) of the Act 

states that the Secretary may provide 

that any ASC that does not submit 

quality measures to the Secretary in 

accordance with paragraph (7) will 

incur a 2.0 percentage point reduction 

to any annual increase provided under 

the revised ASC payment system for 

such year. Sections 1833(t)(17)(C)(i) and 

(ii) of the Act require the Secretary to 

develop measures appropriate for the 

measurement of the quality of care 

furnished in outpatient settings. 

Section 3014 of the Affordable Care 

Act of 2010 (ACA) modified section 

1890(b) of the Social Security Act to 

require CMS to develop quality and 

efficiency measures through a 

‘‘consensus-based entity’’. To fulfill this 

requirement, the Measure Applications 

Partnership (MAP) was formed to 

review measures consistent with these 

requirements. The MAP is convened by 

the National Quality Forum (NQF), a 

national consensus organization. In 

implementing this and other quality 

reporting programs, our overarching 

goal is to support the National Quality 

Strategy’s goals of better health for 

individuals, better health for 

populations, and lower costs for health 

care. 

This information is used to direct 

contractors, including Quality 

Improvement Organizations (QIOs), to 

focus on particular areas of 

improvement, and to develop quality 

improvement initiatives. The 

information is made available to ASCs 

for their use in internal quality 

improvement initiatives. Most 

importantly, this information is 


asabaliauskas on DSK5VPTVN1PROD with NOTICES
68450 Federal Register / Vol. 79, No. 221 / Monday, November 17, 2014 / Notices 

available to Medicare beneficiaries, as 

well as to the general public, to provide 

information to assist them in making 

decisions about their health care. Form 

Number: CMS–10530 (OMB control 

number: 0938–NEW); Frequency: 

Annually; Affected Public: Business or 

other for-profits and not-for-profit 

institutions; Number of Respondents: 

5,250; Total Annual Responses: 

744,816; Total Annual Hours: 444,790. 

(For policy questions regarding this 

collection contact Anita Bhatia at 410– 

786–7236.) 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection. Title of 

Information Collection: Certification as 

a Supplier of Portable X-Ray and 

Portable X-Ray Survey Report Form and 

Supporting Regulations. Use: CMS–1880 

is initially completed by suppliers of 

portable X-ray services, expressing an 

interest in and requesting participation 

in the Medicare program. This form 

initiates the process of obtaining a 

decision as to whether the conditions of 

coverage are met as a portable X-ray 

supplier. It also promotes data reduction 

or introduction to, and retrieval from, 

the Certification and Survey Provider 

Enhanced Reporting (CASPER) by the 

CMS Regional Offices (ROs). 

The CMS–1882 is used by the State 

survey agency to provide data collected 

during an on-site survey of a supplier of 

portable X-ray services to determine 

compliance with the applicable 

conditions of participation and to report 

this information to the Federal 

Government. The form is primarily a 

coding worksheet designed to facilitate 

data reduction and retrieval into the 

ASPEN system at the CMS Regional 

Offices. The form includes basic 

information on compliance (i.e., met, 

not met, explanatory statements) and 

does not require any descriptive 

information regarding the survey 

activity itself. We have the 

responsibility and authority for 

certification decisions which are based 

on supplier compliance with the 

applicable conditions of participation. 

The information needed to make these 

decisions is available to us only through 

the use of information abstracted from 

the survey report form. Form Numbers: 

CMS–1880 and CMS–1882 (OMB 

control number: 0938–0027); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 579; Total Annual 

Responses: 86; Total Annual Hours: 

151. (For policy questions regarding this 

collection contact James Cowher at 410– 

786–1948.) 

Dated: November 12, 2014. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2014–27137 Filed 11–14–14; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier CMS–10422] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

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 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 on the collection(s) of 

information must be received by the 

OMB desk officer by December 17, 2014. 

ADDRESSES: When commenting on the 

proposed information collections, 

please reference the document identifier 

or OMB control number. To be assured 

consideration, comments and 

recommendations must be received by 

the OMB desk officer via one of the 

following transmissions: OMB, Office of 

Information and Regulatory Affairs, 

Attention: CMS Desk Officer, Fax 

Number: (202) 395–5806 or Email: 

OIRA_submission@omb.eop.gov. 

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: 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: Revision of a currently 

approved collection; Title of 

Information Collection: Payments for 

Services Furnished by Certain Primary 

Care Providers and Supporting 

Regulations in 42 CFR 438.804, 447.400, 

and 447.410; Use: The information will 

be used to document expenditures for 

the specified primary care services in 

the baseline period for the purpose of 

then calculating the expenditure eligible 

for 100 federal matching funds in 

calendar years 2015 and 2016, should 

Congress extend the availability of such 

funding and make no additional 

changes in statutory language 

necessitating programmatic alterations. 

Form Number: CMS–10422 (OMB 

control number: 0938–1170); Frequency: 

Yearly, once, and occasionally; Affected 

Public: State, Local, or Tribal 

Governments; Number of Respondents: 

51; Total Annual Responses: 126,021; 

Total Annual Hours: 63,240. (For policy 

questions regarding this collection 


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