Federal Register / Vol. 87, No. 5 / Friday, January 7, 2022 / Notices 979 

ESTIMATED ANNUALIZED BURDEN HOURS—Continued 

Type of respondents Form name Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total 

burden hours 

Isolated or Quarantined 

individuals.

42 CFR 71.33 Report by persons in isolation or 

surveillance (No Form).

11 1 3/60 1 

Total ........................ .............................................................................. ........................ ........................ ........................ 23,467 

Jeffrey M. Zirger, 

Lead, Information Collection Review Office, 

Office of Scientific Integrity, Office of Science, 

Centers for Disease Control and Prevention. 

[FR Doc. 2022–00102 Filed 1–6–22; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2567] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

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 

(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 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 on the collection(s) of 

information must be received by the 

OMB desk officer by February 7, 2022. 

ADDRESSES: Written comments and 

recommendations for the proposed 

information collection should be sent 

within 30 days of publication of this 

notice to www.reginfo.gov/public/do/ 

PRAMain. Find this particular 

information collection by selecting 

‘‘Currently under 30-day Review—Open 

for Public Comments’’ or by using the 

search function. 

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’ website address at 

website address at: https://

www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

FOR FURTHER INFORMATION CONTACT: 

William Parham at (410) 786–4669. 

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: Extension of a currently 

approved collection; Title of 

Information Collection: Statement of 

Deficiency and Plan of Correction Use: 

The form CMS–2567 is the means by 

which State and CMS surveyors 

document findings of compliance or 

noncompliance (deficiencies) resulting 

from inspection of Medicare, Medicaid, 

and Clinical Laboratory Improvement 

Amendments (CLIA) laboratories. The 

form CMS–2567 is the legal, 

documentary basis for CMS’ 

certification of a facility’s compliance or 

noncompliance with the Medicare/ 

Medicaid Conditions of Participation or 

Coverage, and the requirements for 

Nursing Home participation and CLIA 

certification. 

In December, 2020, Congress passed 

the Consolidated Appropriations Act, 

2021 (CAA, 2021). Section 407 of CAA, 

2021, amended Part A of Title XVIII of 

the Social Security Act (the Act) at 

section 1822 establishing hospice 

program survey and enforcement 

requirements. This amendment, in part, 

now requires the Accrediting 

Organizations (AOs) that accredit 

hospice programs to include the form 

CMS–2567 to document the findings of 

their hospice program surveys 

beginning on October 1, 2021. As of 

June 2021, there are three AOs with 

CMS-approved hospice accreditation 

programs. The AOs survey 

approximately half of the over 5,000 

Medicare-certified hospice programs, 

while the SAs survey the remaining 

half. Form Numbers: CMS–2567 (OMB 

control number: 0938–0391); Frequency: 

Yearly and Occasionally; Affected 

Public: Private Sector (Business or forprofits and Not-for-profit institutions); 

Number of Respondents: 65,948; Total 

Annual Responses: 65,948; Total 

Annual Hours: 1,187,064. (For policy 

questions regarding this collection 

contact Caroline Gallaher at 410–786– 

8705.) 

Dated: January 4, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–00125 Filed 1–6–22; 8:45 am] 

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