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[Federal Register Volume 79, Number 114 (Friday, June 13, 2014)]
[Notices]
[Pages 33928-33929]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2014-13858]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10332]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

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 (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 July 14, 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

[[Page 33929]]

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: Disclosure for 
the In-Office Ancillary Services Exception; Use: Physicians who provide 
certain imaging services (magnetic resonance imaging, computed 
tomography, and positron emission tomography) under the in-office 
ancillary services exception to the physician self-referral prohibition 
are required to create the disclosure notice as well as the list of 
other imaging suppliers to be provided to the patient. The patient can 
use the disclosure notice and list of suppliers in making an informed-
decision about his or her course of care for the imaging service. The 
physician must maintain a record of the disclosure in the patient's 
medical record. If we were investigating the referrals of a physician 
providing advanced imaging services under the in-office ancillary 
services exception, we would review the written disclosure to determine 
whether the physician satisfied the requirement.
    Form Number: CMS-10332 (OMB control number: 0938-1133); Frequency: 
Occasionally; Affected Public: Private sector--Business or other for-
profits; Number of Respondents: 71,000; Total Annual Responses: 71,106; 
Total Annual Hours: 125,383. (For policy questions regarding this 
collection contact Jacqueline Proctor at 410-786-8852.)

    Dated: June 10, 2014.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2014-13858 Filed 6-12-14; 8:45 am]
BILLING CODE 4120-01-P
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