Federal Register / Vol. 86, No. 149 / Friday, August 6, 2021 / Notices 43257 

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: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Medicare 

Severity Diagnosis Related Groups 

Reclassification Request (MS–DRGs); 

Use: Section 1886(d)(4) of the Act 

establishes a classification system, 

referred to as DRGs, for inpatient 

discharges and adjusts payments under 

the IPPS based on appropriate weighting 

factors assigned to each MS–DRG. 

Section 1886(d)(4)(C)(i) of the Act 

specifies adjustments to the 

classification and weighting factors 

shall occur ‘‘at least annually to reflect 

changes in treatment patterns, 

technology, and other factors which 

may change the relative use of hospital 

resources.’’ 

The requests are evaluated in the 

Division of Coding and DRGs (DCDRG) 

by the DRG and Coding Team and the 

clinical advisors (medical officers) in 

both the Technology, Coding and 

Pricing Group (TCPG) and the Hospital 

and Ambulatory Policy Group (HAPG), 

along with the CMS contractor(s). This 

team participates via conference calls in 

the review of MedPAR claims data to 

analyze and perform clinical review of 

the requested changes. Based on the 

examination of claims data and clinical 

judgment, the team provides 

recommendations to CMS and HHS 

leadership for proposed changes. Per the 

statue, proposed MS–DRG changes and 

payment adjustments must go through 

notice and comment rulemaking giving 

the opportunity for the public to 

comment. Finalized MS–DRG changes 

are effective with discharges on and 

after October 1, consistent with the 

beginning of the fiscal year. CMS makes 

the updated MS–DRG Grouper software 

and related materials that reflects the 

changes available to the public for free 

via download at: https://www.cms.gov/ 

Medicare/Medicare-Fee-for-ServicePayment/AcuteInpatientPPS/MS-DRGClassifications-and-Software. 

When an application is submitted in 

MEARISTM, the DRG and Coding Team 

in DCDRG will have instant access to 

the application request and 

accompanying materials to facilitate a 

more-timely review of the request, 

including the ability to efficiently 

inform other team members involved in 

the process that information is available 

for their review and input. Form 

Number: CMS–10775 (OMB control 

number 0938–New); Frequency: 

Occasionally; Affected Public: Private 

Sector, Business or other for-profits, 

Not-for-profits institutions; Number of 

Respondents: 50; Total Annual 

Responses: 50; Total Annual Hours: 

48,000. (For policy questions regarding 

this collection contact Marilu Hue at 

410–786–4510.) 

Dated: August 3, 2021. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2021–16865 Filed 8–5–21; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Indian Health Service 

Request for Public Comment: 60 Day 

Notice for Extension of the Indian 

Health Service Loan Repayment 

Program (LRP) 

AGENCY: Indian Health Service, HHS. 

ACTION: Notice and request for 

comments. Request for extension of 

approval. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

Indian Health Service (IHS) invites the 

general public to take this opportunity 

to comment on the information 

collection Office of Management and 

Budget (OMB) Control Number 0917– 

0014, titled, ‘‘IHS Loan Repayment 

Program (LRP).’’ 

DATES: Consideration will be given to all 

comments received by October 5, 2021. 

ADDRESSES: For Comments: Submit 

comments to Jackie Santiago by one of 

the following methods: 

• Email: Jackie.Santiago@ihs.gov. 

Comments submitted in response to 

this notice will be made available to the 

public by publishing them in the 30 day 

Federal Register notice for this 

information collection. For this reason, 

please do not include information of a 

confidential nature, such as sensitive 

personal information or proprietary 

information. If comments are submitted 

via email, the email address will be 

automatically captured and included as 

part of the comment that is placed in the 

public docket and made available on the 

internet. Please note that responses to 

this public comment request containing 

any routine notice about the 

confidentiality of the communication 

will be treated as public comments that 

may be made available to the public 

notwithstanding the inclusion of the 

routine notice. 

A copy of the draft supporting 

statement is available at 

www.regulations.gov (see Docket ID 

(IHS_FRDOC_0001)). 

FOR FURTHER INFORMATION CONTACT: To 

request additional information, please 

contact Evonne Bennett, Information 

Collection Clearance Officer at: 

Evonne.Bennett@ihs.gov or 301–443– 

4750. 

SUPPLEMENTARY INFORMATION: This 

previously approved information 

collection project was last published in 

the Federal Register (83 FR 6601) on 

February 14, 2018, and allowed 30 days 

for public comment. No public 

comment was received in response to 

the notice. This notice announces our 

intent to submit this collection, which 

expires November 30, 2021, to OMB for 

approval of an extension and solicit 

comments on specific aspects for the 

proposed information collection. 

The IHS is submitting the proposed 

information collection to OMB for 

review, as required by the Paperwork 

Reduction Act of 1995, as amended, and 

its implementing regulations. This 

notice is soliciting comments from 

members of the public and affected 

agencies as required by 44 U.S.C. 

3506(c)(2)(A) and 5 CFR 1320.8(d) 

concerning the proposed collection of 

information to: (1) Evaluate whether the 

proposed collection of information is 

necessary for the proper performance of 

the functions of the agency, including 

whether the information will have 

practical utility; (2) Evaluate the 

accuracy of the agency’s estimate of the 

burden of the proposed collection of 

information; (3) Enhance the quality, 

utility, and clarity of the information to 

be collected; and (4) Minimize the 

burden of the collection of information 

on those who are to respond; including 


jbell on DSKJLSW7X2PROD with NOTICES
43258 Federal Register / Vol. 86, No. 149 / Friday, August 6, 2021 / Notices 

through the use of appropriate 

automated collection techniques of 

other forms of information technology, 

e.g., permitting electronic submission of 

responses. 

Title: 0917–0014, ‘‘Indian Health 

Service Loan Repayment Program.’’ 

Type of Information Collection 

Request: Three year extension approval 

of this information collection. 

OMB Control Number: 0917–0014. 

Forms: Educational and Professional 

Background, Financial Information, and 

General Applicant Information (i.e., all 

forms are part of the LRP application). 

The LRP application is available in an 

electronically fillable and fileable 

format. 

Need and Use of Information 

Collection: The IHS LRP identifies 

health professionals with pre-existing 

financial obligations for education 

expenses that meet program criteria and 

who are qualified and willing to serve 

at, often remote, IHS health care 

facilities. Under the program, eligible 

health professionals sign a contract 

through which the IHS agrees to repay 

part or all of their indebtedness in 

exchange for an initial two-year service 

commitment to practice fulltime at an 

eligible Indian health program. This 

program is necessary to augment the 

critically low health professional staff at 

IHS health care facilities. 

Eligible health professionals wishing 

to have their health education loans 

repaid may apply to the IHS LRP. A 

two-year contract obligation is signed by 

both parties, and the individual agrees 

to work at an eligible Indian health 

program location and provide health 

services to American Indian and Alaska 

Native individuals. 

The information collected via the online application from individuals is 

analyzed and a score is given to each 

applicant. This score will determine 

which applicants will be awarded each 

fiscal year. The administrative scoring 

system assigns a score to the geographic 

location according to vacancy rates for 

that fiscal year and also considers 

whether the location is in an isolated 

area. When an applicant accepts 

employment at a location, the applicant 

in turn ‘‘picks-up’’ the score of that 

location. 

Status of the Proposed Information 

Collection: Renewal of a current 

collection. 

Affected Public: Individuals and 

households. 

Type of Respondents: Individuals. 

The table below provides: Types of 

data collection instruments, estimated 

number of respondents, Number of 

responses per respondent, annual 

number of responses, Average burden 

hour per response, and Total annual 

burden hour(s). 

ESTIMATED BURDEN HOURS

Data collection instrument(s) Number of 

respondents 

Number of 

responses per 

respondent 

Average 

burden per 

response 

(in hours) 

Total annual 

responses 

(in hours) 

LRP Application ............................................................................................... 1,999 1 1.5 2,998.5 

LRP Application (3 forms in total) 

There are no Capital Costs, Operating 

Costs, and/or Maintenance Costs to 

report. 

Elizabeth A. Fowler, 

Acting Director, Indian Health Service. 

[FR Doc. 2021–16837 Filed 8–5–21; 8:45 am] 

BILLING CODE 4165–16–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Submission for OMB Review; 30-Day 

Comment Request; Post-Award 

Reporting Requirements Including 

Research Performance Progress 

Report Collection (Office of the 

Director) 

AGENCY: National Institutes of Health, 

Health and Human Services (HHS). 

ACTION: Notice. 

SUMMARY: In compliance with the 

Paperwork Reduction Act of 1995, the 

National Institutes of Health (NIH) has 

submitted to the Office of Management 

and Budget (OMB) a request for review 

and approval of the information 

collection listed below. 

DATES: Comments regarding this 

information collection are best assured 

of having their full effect if received 

within 30-days of the date of this 

publication. 

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. 

FOR FURTHER INFORMATION CONTACT: To 

request more information on the 

proposed project or to obtain a copy of 

the data collection plans and 

instruments, contact: Ms. Mikia P. 

Currie, Program Analyst, Office of 

Policy for Extramural Research 

Administration, 6705 Rockledge Drive, 

Suite 350, Bethesda, Maryland 20892, or 

call a non-toll-free number 301–435– 

0941 or Email your request, including 

your address to 

ProjectClearanceBranch@mail.nih.gov. 

Formal requests for additional plans and 

instruments must be requested in 

writing. 

SUPPLEMENTARY INFORMATION: This 

proposed information collection was 

previously published in the Federal 

Register on April 12, 2021, pages 

18994–18995 (86 FR 18994) and 

allowed 60 days for public comment. No 

public comments were received. The 

purpose of this notice is to allow an 

additional 30 days for public comment. 

The Office of the Director (OD) Office of 

Policy and Extramural Research 

Administration (OPERA), National 

Institutes of Health, may not conduct or 

sponsor, and the respondent is not 

required to respond to, an information 

collection that has been extended, 

revised, or implemented on or after 

October 1, 1995, unless it displays a 

currently valid OMB control number. 

In compliance with Section 

3507(a)(1)(D) of the Paperwork 

Reduction Act of 1995, the National 

Institutes of Health (NIH) has submitted 

to the Office of Management and Budget 

(OMB) a request for review and 

approval of the information collection 

listed below. 

Proposed Collection: Public Health 

Service (PHS) Post-award Reporting 

Requirements Including Research 

Performance Progress Report Collection, 

Revision, OMB 0925–0002, Expiration 

Date 2/28/2023, Office of the Director 

(OD), National Institutes of Health 

(NIH). 

Need and Use of Information 

Collection: This collection is being 

revised to omit the Inclusion Enrollment 


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