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[Federal Register Volume 90, Number 9 (Wednesday, January 15, 2025)]
[Notices]
[Pages 3872-3873]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2025-00696]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-71 and CMS-855B]

Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 14, 2025.

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, please access 
the CMS PRA website by copying and pasting the following web address 
into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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: Quality 
Improvement Organization (QIO) Assumption of Responsibilities and 
Supporting Regulations; Use: The Peer Review Improvement Act of 1982 
amended Title XI of the Social Security Act to create the Utilization 
and Quality Control Peer Review Organization (PRO) program which 
replaces the Professional Standards Review Organization (PSRO) program 
and streamlines peer review activities. The term PRO has been renamed 
Quality Improvement Organization (QIO). This information collection 
describes the review functions to be performed by the QIO. It outlines 
relationships among QIOs, providers, practitioners, beneficiaries, 
intermediaries, and carriers. Form Number: CMS-R-71 (OMB control 
number: 0938-0445); Frequency: Yearly; Affected Public: Business or 
other for-profit and Not-for-profit institutions; Number of 
Respondents: 6,120; Total Annual Responses: 502,246; Total Annual 
Hours: 1,091,597. (For policy questions regarding this collection 
contact Cheryl Lehane at 617-461-4888.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Medicare Enrollment Application for Clinics/Group Practices 
and Other Suppliers; Use: Various sections of the Act, the United 
States Code (U.S.C.), Internal Revenue Service (IRS) Code, and the CFR 
require providers and suppliers to furnish information concerning the 
amounts due and the identification of individuals or entities that 
furnish medical services to beneficiaries before payment can be made. 
The Form CMS-855B application is submitted when the applicant first 
requests Medicare enrollment. The application is used by the MACs to 
collect data to ensure the applicant has the necessary credentials to 
provide the health care services for which they intend to bill 
Medicare; this includes data that allows the Medicare contractor to 
correctly price, process, and pay the applicant's claims. It also 
gathers information that enables MACs to ensure that the supplier is 
neither excluded from the Medicare program nor debarred, suspended, or 
excluded from any other Federal agency or program. The application is 
also used by

[[Page 3873]]

enrolled suppliers when they are reporting a change in their ownership, 
a change in their current Medicare enrollment information, or are 
revalidating or reactivating their Medicare enrollment. Form Number: 
CMS-855B (OMB control number: 0938-1377); Frequency: Occasionally; 
Affected Public: Private Sector; Business or other for-profits, and 
Not-for Profits; Number of Respondents: 132,800; Number of Responses: 
132,800; Total Annual Hours: 155,884. (For questions regarding this 
collection, contact Frank Whalen at 410-786-1302 or 
[email protected].)

William N. Parham, III,
Director, Division of Information Collections and Regulatory Impacts, 
Office of Strategic Operations and Regulatory Affairs.
[FR Doc. 2025-00696 Filed 1-14-25; 8:45 am]
BILLING CODE 4120-01-P
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