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[Federal Register Volume 76, Number 223 (Friday, November 18, 2011)]
[Notices]
[Pages 71568-71569]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-29840]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10366]

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: New collection (request 
for new OMB control number); Title of Information Collection: Nursing 
Home Quality Improvement Questionnaire; Use: The information obtained 
via the Nursing Home Quality Improvement Questionnaire will be utilized 
by CMS staff in the Survey & Certification Group, Division of Nursing 
Homes, to identify areas for quality assurance and performance 
improvement (QAPI) technical assistance (TA) that will be useful to 
nursing facilities as they prepare to meet the new QAPI regulation that 
was mandated as part of the Affordable Care Act. Specifically, the 
information collected through the use of the questionnaire will be used 
to establish a baseline of QAPI practices in nursing homes, gather 
information on the challenges and barriers to implementing effective 
QAPI programs, assess the development of QAPI systems, determine what 
types of TA to make available to nursing homes, and assess the 
potential impact of TA in advancing QAPI in nursing homes; Form Number: 
CMS-10366 (OCN 0938-New); Frequency: Once; Affected Public: Private 
sector (business or other for-profits and not-for-profit institutions) 
and State, Local or Tribal Governments; Number of Respondents: 4,200; 
Total Annual Responses: 4,200; Total Annual Hours: 1,386. (For policy 
questions regarding this collection contact Debra Lyons at (410) 786-
6780. 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 January 17, 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,

[[Page 71569]]

Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number ----------, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: November 15, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-29840 Filed 11-17-11; 8:45 am]
BILLING CODE 4120-01-P
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