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[Federal Register Volume 77, Number 107 (Monday, June 4, 2012)]
[Notices]
[Page 32977]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-13402]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10390]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, HHS.

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid 
Services (CMS) is publishing the following summary of proposed 
collections for public comment. Interested persons are invited to send 
comments regarding this 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.
    1. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Hospice Quality 
Reporting Program; Use: Section 1814(i)(5) of the Social Security Act 
(the Act) added by section 3004 of the Patient Protection and 
Affordable Care Act, Public Law 111-148, enacted on March 23, 2010 
(Affordable Care Act) authorizes the Secretary to establish a quality 
reporting for hospices. Section 1814(i)(5)(A)(i) of the Act requires 
the Secretary, beginning with FY 2014, reduce the market basket update 
by 2 percentage points for any hospice that does not comply with the 
quality data submission requirements with respect to that fiscal year.
    The Hospice Quality Data Submission Form was created for hospice 
providers to collect specified quality data and submit that data to 
CMS, for the data collection period starting October 1, 2012, through 
December 31, 2012, and continuing on a calendar year thereafter. 
Webinar training on data collection and data submission has been and 
will continue to be provided by CMS. Use of the Hospice Quality Data 
Submission Form is necessary in order for hospices to submit the 
quality data specified for the Hospice Quality Reporting Program. Form 
Number: CMS-10390 (OCN: 0938-1153); Frequency: Yearly; Affected Public: 
Individuals and households; Number of Respondents: 3632; Total Annual 
Responses: 7264; Total Annual Hours: 657,392. (For policy questions 
regarding this collection contact Robin Dowell at 410-786-0060. For all 
other issues call 410-786-1326.)
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web Site address at http://www.cms.hhs.gov/PaperworkReductionActof1995, 
or email your request, including your address, phone number, OMB 
number, and CMS document identifier, to Paperwork@cms.hhs.gov, or call 
the Reports Clearance Office on (410) 786-1326.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by August 3, 2012:
    1. Electronically. You may submit 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) 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.

    Dated: May 29, 2012.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2012-13402 Filed 6-1-12; 8:45 am]
BILLING CODE 4120-01-P
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