[Federal Register Volume 87, Number 32 (Wednesday, February 16, 2022)]
[Notices]
[Page 8842]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2022-03286]



[[Page 8842]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10779 and CMS-3427]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Health and Human 
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 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 April 18, 2022.

ADDRESSES: When commenting, please reference the document identifier or 
OMB control number. 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' website address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

FOR FURTHER INFORMATION CONTACT: William N. Parham at (410) 786-4669.

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-10779--Complaints Submission Process under the No Surprises Act
CMS-3427--End Stage Renal Disease Application and Survey and 
Certification 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: Extension of a currently 
approved collection; Title of Information Collection: Complaints 
Submission Process under the No Surprises Act; Use: The No Surprises 
Act directs the Departments to establish a process to receive 
complaints regarding violations of the application of qualifying 
payment amount (QPA) requirements by group health plans and health 
insurance issuers offering group or individual health coverage. The No 
Surprises Act also directs HHS to establish a process to receive 
consumer complaints regarding violations by health care providers, 
facilities, and providers of air ambulance services regarding balance 
billing requirements and to respond to such complaints within 60 days. 
CMS will request information from non-federal governmental plans and 
issuers, health care providers, facilities, providers of air ambulance 
services, and individuals to review and process a complaint for 
potential violations of balance billing requirements. Form Number: CMS-
10779 (OMB control number: 0938-1406); Frequency: Occasionally; 
Affected Public: Private Sector (Business or other for-profit and Not-
for-profit institutions); Number of Respondents: 39,000; Total Annual 
Responses: 39,000; Total Annual Hours: 19,500. (For policy questions 
regarding this collection contact Patrick Edwards at 301-492-4371.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: End Stage Renal Disease Application and Survey and 
Certification Report; Use: The Form CMS-3427 is required for each new 
ESRD facility seeking initial certification and for each existing 
facility seeking recertification, relocation, expansion/change of 
service(s), or change of ownership. The form is also used for 
information collection purposes related to a complaint survey of an 
ESRD facility. The Form CMS-3427 information is currently collected on 
paper as a manual option or may be completed in an online fillable 
format based on facility preference. This online form is a step in the 
direction towards electronic submission. Form Number: CMS-3427 (OMB 
control number: 0938-0360); Frequency: Every three years; Affected 
Public: Private sector (Business or other for-profit and Not-for profit 
institutions); Number of Respondents: 7,883; Total Annual Responses: 
2,601; Total Annual Hours: 866. (For policy questions regarding this 
collection contact Jennifer Milby at 410-786-8828.)

    Dated: February 10, 2022.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2022-03286 Filed 2-15-22; 8:45 am]
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