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[Federal Register Volume 79, Number 95 (Friday, May 16, 2014)]
[Notices]
[Pages 28522-28523]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-11391]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-718-721, CMS-222-92]

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: 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 July 15, 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, 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-718-721 Business Proposal Forms for Quality Improvement 
Organizations (QIOs)

CMS-222-92 Independent Rural Health Clinic/Freestanding Federally 
Qualified Health Center Cost Report

    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: Revision of a previously 
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: 20; Total Annual Responses: 20; Total Annual Hours: 
1,000. (For policy

[[Page 28523]]

questions regarding this collection contact Clarissa Whatley at 410-
786-7154.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Independent Rural 
Health Clinic/Freestanding Federally Qualified Health Center Cost 
Report; Use: Providers of services participating in the Medicare 
program are required under sections 1815(a) and 1861(v)(1)(A) of the 
Social Security Act (42 U.S.C. 1395g) to submit annual information to 
achieve settlement of costs for health care services rendered to 
Medicare beneficiaries. In addition, regulations at 42 CFR 413.20 and 
413.24 require adequate cost data and cost reports from providers on an 
annual basis. The Form CMS-222-92 cost report is needed to determine 
the provider's reasonable costs incurred in furnishing medical services 
to Medicare beneficiaries and reimbursement due to or due from the 
provider. Form Number: CMS-222-92 (OMB control number: 0938-0107); 
Frequency: Annually; Affected Public: Business or other for-profits and 
Not-for-profit institutions; Number of Respondents: 3,264; Total Annual 
Responses: 3,264; Total Annual Hours: 163,200. (For policy questions 
regarding this collection contact Leonard Fisher at 410-786-4574.)

    Dated: May 13, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-11391 Filed 5-15-14; 8:45 am]
BILLING CODE 4120-01-P
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