1038 Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Notices 

DATES: Comments must be received by 

March 12, 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 ll, 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/Paperwork

ReductionActof1995. 

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–209 Laboratory Personnel 

Report (CLIA) and Supporting 

Regulations 

CMS–29 Verification of Clinic 

Data—Rural Health Clinic Form and 

Supporting Regulations 

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: Laboratory 

Personnel Report (CLIA) and Supporting 

Regulations; Use: The information 

collected on this survey form is used in 

the administrative pursuit of the 

Congressionally-mandated program 

with regard to regulation of laboratories 

participating in CLIA. The surveyor will 

provide the laboratory with the CMS– 

209 form. While the surveyor performs 

other aspects of the survey, the 

laboratory will complete the CMS–209 

by recording the personnel data needed 

to support their compliance with the 

personnel requirements of CLIA. The 

surveyor will then use this information 

in choosing a sample of personnel to 

verify compliance with the personnel 

requirements. Information on personnel 

qualifications of all technical personnel 

is needed to ensure the sample is 

representative of the entire laboratory. 

Form Number: CMS–209 (OMB control 

number 0938–0151); Frequency: 

Biennially; Affected Public: Private 

Sector—State, Local, or Tribal 

Governments; and Federal Government; 

Number of Respondents: 19,051; Total 

Annual Responses: 9,592; Total Annual 

Hours: 4,796. (For policy questions 

regarding this collection contact 

Kathleen Todd at 410–786–3385.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Verification of 

Clinic Data—Rural Health Clinic Form 

and Supporting Regulations; Use: The 

form is utilized as an application to be 

completed by suppliers of Rural Health 

Clinic (RHC) services requesting 

participation in the Medicare program. 

This form initiates the process of 

obtaining a decision as to whether the 

conditions for certification are met as a 

supplier of RHC services. It also 

promotes data reduction or introduction 

to and retrieval from the Automated 

Survey Process Environment (ASPEN) 

and related survey and certification 

databases by the CMS Regional Offices. 

Should any question arise regarding the 

structure of the organization, this 

information is readily available. Form 

Number: CMS–29 (OMB control number 

0938–0074); Frequency: Occasionally 

(initially and then every six years); 

Affected Public: Private Sector (Business 

or other for-profit and Not-for-profit 

institutions); Number of Respondents: 

820; Total Annual Responses: 820; Total 

Annual Hours: 137. (For policy 

questions regarding this collection 

contact Shonte ́ Carter at 410–786–3532.) 

Dated: January 4, 2018. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2018–00198 Filed 1–8–18; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request Information 

Collection Request Title: Small Health 

Care Provider Quality Improvement 

Program, OMB No. 0915–0387— 

Revision. 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than March 12, 2018. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, Room 14N39, 5600 Fishers 

Lane, Rockville, MD 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and draft 

instruments, email paperwork@hrsa.gov 

or call Lisa Wright-Solomon, the HRSA 

Information Collection Clearance Officer 

at (301) 443–1984. 

SUPPLEMENTARY INFORMATION: When 

submitting comments or requesting 


sradovich on DSK3GMQ082PROD with NOTICES
Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Notices 1039 

information, please include the 

information request collection title for 

reference. 

Information Collection Request Title: 

Small Health Care Provider Quality 

Improvement Program, OMB No. 0915– 

0387—Revision. 

Abstract: This program is authorized 

by Title III, Public Health Service Act, 

Section 330A(g) (42 U.S.C. 254c(g)), as 

amended. This authority permits the 

Federal Office of Rural Health Policy 

(FORHP) to support grants that expand 

access to, coordinate, contain the cost 

of, and improve the quality of essential 

health care services, including 

preventive and emergency services, 

through the development of health care 

networks in rural and frontier areas and 

regions. The authority also allows HRSA 

to provide funds to rural and frontier 

communities to support the direct 

delivery of health care and related 

services, expand existing services, or 

enhance health service delivery through 

education, promotion, and prevention 

programs. 

The purpose of the Small Health Care 

Provider Quality Improvement Grant 

(Rural Quality) Program is to provide 

support to rural primary care providers 

for implementation of quality 

improvement activities. The program 

promotes the development of an 

evidence-based culture and delivery of 

coordinated care in the primary care 

setting. Additional objectives of the 

program include improved health 

outcomes for patients, enhanced chronic 

disease management, and better 

engagement of patients and their 

caregivers. Organizations participating 

in the program are required to use an 

evidence-based quality improvement 

model; develop, implement and assess 

effectiveness of quality improvement 

initiatives; and use health information 

technology (HIT) to collect and report 

data. HIT may include an electronic 

patient registry or an electronic health 

record, and is a critical component for 

improving quality and patient 

outcomes. With HIT, it is possible to 

generate timely and meaningful data, 

which helps providers track and plan 

care. 

Need and Proposed Use of the 

Information: FORHP collects this 

information to quantify the impact of 

grant funding on access to health care, 

quality of services, and improvement of 

health outcomes. FORHP uses the data 

for program improvement and grantees 

use the data for performance tracking. 

The measures encompass access to care, 

population demographics, consortium/ 

network, sustainability, quality 

improvement implementation strategies, 

clinical, and optional topic utilization. 

The proposed Rural Quality draft 

measures reflect a reduced number of 

measures: 25 total (previously 43), 

which includes 18 required measures 

applicable to all awardees in addition to 

7 optional measures. Proposed revisions 

specifically include the following: (1) 

Alignment of clinical measures to 

current National Quality Forum 

endorsement recommendations and (2) 

broadened orientation of measures for 

improved applicability across variety of 

rural quality improvement project topic 

areas. 

Likely Respondents: The respondents 

would be award recipients of the Small 

Health Care Provider Quality 

Improvement Program. 

Burden Statement: Burden in this 

context means the time expended by 

persons to generate, maintain, retain, 

disclose or provide the information 

requested. This includes the time 

needed to review instructions; to 

develop, acquire, install, and utilize 

technology and systems for the purpose 

of collecting, validating, and verifying 

information, processing and 

maintaining information, and disclosing 

and providing information; to train 

personnel and to be able to respond to 

a collection of information; to search 

data sources; to complete and review 

the collection of information; and to 

transmit or otherwise disclose the 

information. The total annual burden 

hours estimated for this ICR are 

summarized in the table below. 

Total Estimated Annualized Burden 

Hours: 

Form name Number of 

respondents 

Number of 

responses per 

respondent 

Total 

responses 

Average 

burden per 

response 

(in hours) 

Total 

burden 

hours 

Small Health Care Provider Quality Improvement Program 

Performance Improvement Measurement System 

(PIMS) Measurement ....................................................... 32 1 32 26 832 

Total .............................................................................. 32 ........................ 32 ........................ 832 

HRSA specifically requests comments 

on: (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. 

Amy McNulty, 

Acting Director, Division of the Executive 

Secretariat. 

[FR Doc. 2018–00173 Filed 1–8–18; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Proposed Collection: Public 

Comment Request; Information 

Collection Request Title: Radiation 

Exposure Screening and Education 

Program, OMB No. 0906–0012— 

Revision 

AGENCY: Health Resources and Services 

Administration (HRSA), Department of 

Health and Human Services. 

ACTION: Notice. 

SUMMARY: In compliance with the 

requirement for opportunity for public 

comment on proposed data collection 

projects of the Paperwork Reduction Act 

of 1995, HRSA announces plans to 

submit an Information Collection 

Request (ICR), described below, to the 

Office of Management and Budget 

(OMB). Prior to submitting the ICR to 

OMB, HRSA seeks comments from the 

public regarding the burden estimate, 

below, or any other aspect of the ICR. 

DATES: Comments on this ICR should be 

received no later than March 12, 2018. 

ADDRESSES: Submit your comments to 

paperwork@hrsa.gov or mail the HRSA 

Information Collection Clearance 

Officer, Room 14N39, 5600 Fishers 

Lane, Rockville, MD 20857. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 


sradovich on DSK3GMQ082PROD with NOTICES