2784 Federal Register / Vol. 83, No. 13 / Friday, January 19, 2018 / Notices 

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 

(in hours) 

Total ........................................... ........................................................... ........................ ........................ ........................ 123 

Leroy A. Richardson, 

Chief, Information Collection Review Office, 

Office of Scientific Integrity, Office of the 

Associate Director for Science, Office of the 

Director, Centers for Disease Control and 

Prevention. 

[FR Doc. 2018–00926 Filed 1–18–18; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10549 and CMS– 

10455] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Department of 

Health and Human Services. 

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 20, 2018. 

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’ website address at 

website address at https://www.cms.gov/ 

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

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: 

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: Reinstatement without change 

of a previously approved collection; 

Title of Information Collection: New 

Technology Payments for APCs Under 

the Outpatient Prospective Payment 

System; Use: CMS needs to keep pace 

with emerging new technologies and 

make them accessible to Medicare 

beneficiaries in a timely manner. It is 

necessary that we continue to collect 

appropriate information from interested 

parties such as hospitals, medical 

device manufacturers, pharmaceutical 

companies and others that bring to our 

attention specific services that they 

wish us to evaluate for New Technology 

APC payment. We are making no 

changes to the information that we 

collect. The information that we seek to 

continue to collect is necessary to 

determine whether certain new services 

are eligible for payment in New 

Technology APCs, to determine 

appropriate coding and to set an 

appropriate 4 payment rate for the new 

technology service. The intent of these 

provisions is to ensure timely 

beneficiary access to new and 

appropriate technologies. Form Number: 

CMS–10054 (OMB control number: 

0938–0860); Frequency: Annually; 

Affected Public: Private Sector (Business 

or other For-profits); Number of 

Respondents: 10; Total Annual 

Responses: 10; Total Annual Hours: 

160. (For policy questions regarding this 

collection contact Joshua McFeeters at 

410–786–9732). 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Report of a 

Hospital Death Associated with 

Restraint or Seclusion; Use: The 

regulation that was published on May, 

16, 2012 (77 FR 29074) included a 

reduction in the reporting requirement 

related to hospital deaths associated 

with the use of restraint or seclusion, 

§ 482.13(g). Hospitals must use Form 

CMS–10455 to report those deaths 

associated with restraint and/or 

seclusion directly to the Centers for 

Medicare & Medicaid Services (CMS) 

Regional Office (RO). This requirement 

also applies to rehabilitation or 

psychiatric distinct part units (DPUs) in 

Critical Access Hospitals (CAHs). The 

RO must provide hospitals with 

instructions for submitting the form fax 

and/or email, based on RO preference. 

Hospitals are no longer required to 

report to CMS those deaths where there 


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Federal Register / Vol. 83, No. 13 / Friday, January 19, 2018 / Notices 2785 

was no use of seclusion and the only 

restraint was 2-point soft wrist restraints 

beginning in May 9, 2014. This 

reporting requirement change resulted 

in no necessary edits to the form CMS– 

10455 as soft wrist restraints may be 

used in combination with other types of 

restraints. It was estimated that this 

would reduce the volume of reports that 

must be submitted by 90 percent for 

hospitals. In addition, the final rule 

replaced the previous requirement for 

reporting via telephone to CMS, which 

proved to be cumbersome for both CMS 

and hospitals, with a requirement that 

allows submission of reports via 

telephone, facsimile or electronically, as 

determined by CMS. 

Form CMS–10455 is being revised in 

order to obtain the necessary 

information for the ROs to make a 

determination whether or not to 

authorize an on-site investigation 

related to the details surrounding the 

death of individuals associated with 

restraint and/or seclusion. Form 

Number: CMS–10455 (OMB control 

number: 0938–1210); Frequency: 

Occasionally; Affected Public: Private 

Sector; Number of Respondents: 6,389; 

Number of Responses: 6,389; Total 

Annual Hours: 2,619. (For policy 

questions regarding this collection 

contact Karina Meushaw at 410–786– 

1000.) 

Dated: January 12, 2018. 

Martique Jones, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–00834 Filed 1–18–18; 8:45 am] 

BILLING CODE 4120–01–P 

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, Department of 

Health and Human Services. 

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 (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 

March 20, 2018. 

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 lll, 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 

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: 

William 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–10390 Hospice Quality 

Reporting Program 

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 

Type of Information Collection 

Request: Extension of a currently 

approved collection without change; 

Title of Information Collection: Hospice 

Quality Reporting Program; Use: The 

Hospice Item Set (HIS) is a 

standardized, patient-level data 

collection tool developed specifically 

for use by hospices. It is currently used 

for the collection of quality measure 

data pertaining to the Hospice Quality 

Reporting Program (HQRP). Since April 

1, 2017, hospices have been using the 

HIS V2.00.0 which specifies the 

collection of data items that support 

eight National Quality Forum (NQF) 

endorsed Quality Measures (QMs) and 

an additional measure pair for hospice. 

All Medicare-certified hospice providers 

are required to submit HIS admission 

and discharge records to CMS for each 

patient admission and discharge. The 

HIS contains data elements that are used 

by the CMS to calculate these measures 

and also allows CMS to collect quality 

data from hospices in compliance with 

Section 3004 of the Affordable Care Act. 

Form Number: CMS–10390 (OMB 

control number: 0938–1153); Frequency: 

On Occasion; Affected Public: State, 

Local, or Tribal Governments, Private 

Sector (not-for-profit institutions); 

individuals or households; Number of 

Respondents: 4,259; Total Annual 

Responses: 4,259; Total Annual Hours: 

686,630. For policy questions regarding 

this collection contact Cindy Massuda at 

(410) 786–0652. 


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