Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 25273 

bBased on the mean wages for Family Medicine Physicians (Code 29–1215). cBased on the mean wages for HC Support Occupations (Code 31–0000). 

Occupational Employment Statistics, May 2020 National Occupational Employment and Wage Estimates United States, U.S. Department of 

Labor, Bureau of Labor Statistics. https://www.bls.gov/oes/current/oes_nat.htm#b29-0000. 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, 44 U.S.C. 3501–3520, 

comments on AHRQ’s information 

collection are requested with regard to 

any of the following: (a) Whether the 

proposed collection of information is 

necessary for the proper performance of 

AHRQ’s health care research and health 

care information dissemination 

functions, including whether the 

information will have practical utility; 

(b) the accuracy of AHRQ’s estimate of 

burden (including hours and costs) of 

the proposed collection(s) of 

information; (c) ways to enhance the 

quality, utility and clarity of the 

information to be collected; and (d) 

ways to minimize the burden of the 

collection of information upon the 

respondents, including the use of 

automated collection techniques or 

other forms of information technology. 

Comments submitted in response to 

this notice will be summarized and 

included in the Agency’s subsequent 

request for OMB approval of the 

proposed information collection. All 

comments will become a matter of 

public record. 

Dated: April 22, 2022. 

Marquita Cullom, 

Associate Director. 

[FR Doc. 2022–09026 Filed 4–27–22; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10391, CMS– 

R–74, CMS–R–306, and CMS–10791] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services, Health and Human 

Services (HHS). 

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 May 31, 2022. 

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, you may make your request 

using one of following: 

1. Access CMS’ website address at 

website address at: https://

www.cms.gov/Regulations-andGuidance/Legislation/ 

PaperworkReductionActof1995/PRAListing.html. 

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: Methods for 

Assuring Access to Covered Medicaid 

Services Under 42 CFR 447.203 and 

447.204; Use: Current regulations at 42 

CFR 447.203(b) require states to develop 

an access monitoring review plan 

(AMRP) that is updated at least every 

three years for: Primary care services, 

physician specialist services, behavioral 

health services, pre and post-natal 

obstetric services (including labor and 

delivery), and home health services. 

When states reduce rates for other 

Medicaid services, they must add those 

services to the AMRP and monitor the 

effects of the rate reductions for 3 years. 

If access issues are detected, a state 

must submit a corrective action plan to 

CMS within 90 days and work to 

address the issues within 12 months. 

Section 447.203(b)(7) requires that states 

have mechanisms to obtain ongoing 

beneficiary and provider feedback. A 

state is also required to maintain a 

record of data on public input and how 

the state responded to the input. Prior 

to submitting proposals to reduce or 

restructure Medicaid service payment 

rates, states must receive input from 

beneficiaries, providers, and other 

affected stakeholders on the extent of 

beneficiary access to the affected 

services. 

The information is used by states to 

document that access to care is in 

compliance with section 1902(a)(30)(A) 

of the Social Security Act, to identify 

issues with access within a state’s 

Medicaid program, and to inform any 

necessary programmatic changes to 

address issues with access to care. CMS 

uses the information to make informed 

approval decisions on State plan 

amendments that propose to make 

Medicaid rate reductions or restructure 

payment rates and to provide the 

necessary information for CMS to 

monitor ongoing compliance with 

section 1902(a)(30)(A). Beneficiaries, 

providers and other affected 

stakeholders may use the information to 


jspears on DSK121TN23PROD with NOTICES1
25274 Federal Register / Vol. 87, No. 82 / Thursday, April 28, 2022 / Notices 

raise access issues to state Medicaid 

agencies and work with agencies to 

address those issues. Form Number: 

CMS–10391 (OMB control number: 

0938–1134); Frequency: Annually; 

Affected Public: State, Local, or Tribal 

Governments); Number of Respondents: 

51; Total Annual Responses: 212; Total 

Annual Hours: 12,262. (For questions 

regarding this collection contact Jeremy 

Silanskis at 410–786–1592.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Income and 

Eligibility Verification System Reporting 

and Supporting Regulations; Use: 

Section 1137 of the Social Security Act 

requires that States verify the income 

and eligibility information contained on 

the applicant’s application and in the 

applicant’s case file through data 

matches with the agencies and entities 

identified in this section. The State 

Medicaid/CHIP agency will report the 

existence of a system to collect all 

information needed to determine and 

redetermine eligibility for Medicaid and 

CHIP. The State Medicaid/CHIP agency 

will attest to using the PARIS system in 

determining beneficiary eligibility in 

Medicaid or CHIP benefit programs. 

Form Number: CMS–R–74 (OMB control 

number: 0938–0467); Frequency: 

Occasionally; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 55; Total Annual 

Responses: 3,241; Total Annual Hours: 

1,071. (For policy questions regarding 

this collection contact Stephanie Bell at 

410–786–0617.) 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Use of Restraint 

and Seclusion in Psychiatric Residential 

Treatment Facilities (PRTFs) for 

Individuals Under Age 21 and 

Supporting Regulations; Use: 

Psychiatric residential treatment 

facilities are required to report deaths, 

serious injuries and attempted suicides 

to the State Medicaid Agency and the 

Protection and Advocacy Organization. 

They are also required to provide 

residents the restraint and seclusion 

policy in writing, and to document in 

the residents’ records all activities 

involving the use of restraint and 

seclusion. Form Number: CMS–R–306 

(OMB control number: 0938–0833); 

Frequency: Occasionally; Affected 

Public: Private sector (Business or other 

for-profits); Number of Respondents: 

390; Total Annual Responses: 

1,466,823; Total Annual Hours: 449,609. 

(For policy questions regarding this 

collection contact Kirsten Jensen at 410– 

786–8146.) 

4. Type of Information Collection 

Request: New collection (Request for a 

new OMB control number); Title of 

Information Collection: Requirements 

Related to Surprise Billing; Part II; Use: 

On December 27, 2020, the 

Consolidated Appropriations Act, 2021 

(CAA), which includes the No Surprises 

Act, was signed into law. The No 

Surprises Act provides Federal 

protections against surprise billing and 

limits out-of-network cost sharing under 

many of the circumstances in which 

surprise bills arise most frequently. The 

information requirements of the October 

2021 interim final rules included in 

CMS–10791 have two components: 

Good Faith Estimates. Providers and 

facilities must furnish a good faith 

estimate of expected items and services 

beginning on or after January 1, 2022, 

which will allow uninsured (or self-pay) 

individuals to have access to 

information about health care pricing 

before receiving care. This information 

will allow uninsured (or self-pay) 

individuals to evaluate options for 

receiving health care, make costconscious health care purchasing 

decisions, and reduce surprises in 

relation to their health care costs for 

items and services. Additionally, 

uninsured (or self-pay) individuals will 

need a good faith estimate to initiate the 

patient-provider dispute resolution 

process. HHS will request information 

from entities seeking to be certified or 

recertified as an SDR entity. This 

information will be used to assess 

whether or not the entity satisfies the 

requirements for certification. Form 

Number: CMS–10791 (OMB control 

number: 0938–NEW); Frequency: 

Annually; Affected Public: Private 

sector (Business or other for-profits and 

Not-for-profit institutions); Number of 

Respondents: 4,010,691; Total Annual 

Responses: 4,010,691; Total Annual 

Hours: 6,242,227. For policy questions 

regarding this collection contact Janny 

Frimpong at 301–492–4174. 

Dated: April 25, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–09112 Filed 4–27–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

[OMB No. 0970–0427] 

Submission for OMB Review; Head 

Start Program Information Report 

AGENCY: Office of Head Start, 

Administration for Children and 

Families, HHS. 

ACTION: Request for public comment. 

SUMMARY: The Administration for 

Children and Families’ (ACF) is 

requesting a 3-year extension of the 

Head Start Program Information Report 

(PIR), Monthly Enrollment reporting 

instrument, and Center Locations and 

Contacts instrument (OMB #0970–0427, 

expiration 4/30/2022). OHS has made 

updates to these instruments, as 

described below. 

DATES: Comments due within 30 days of 

publication. OMB must make a decision 

about the collection of information 

between 30 and 60 days after 

publication of this document in the 

Federal Register. Therefore, a comment 

is best assured of having its full effect 

if OMB receives it within 30 days of 

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. You can also obtain 

copies of the proposed collection of 

information by emailing infocollection@

acf.hhs.gov. Identify all emailed 

requests by the title of the information 

collection. 

SUPPLEMENTARY INFORMATION: 

Description: OHS is requesting an 

extension, with changes, of the Head 

Start PIR information collection 

authority. The following instruments are 

included in this information collection: 

(1) PIR, (2) Monthly Enrollment, and (3) 

Center Locations and Contacts. The PIR 

is used for federal program management 

purposes including to promote decisionmaking using data, is a major source of 

information used to respond to 

Congressional and public inquiries 

about Head Start programs, and is used 

often by researchers. Monthly 

enrollment reporting supports oversight 

activities related to promoting full 

enrollment of programs. Center 

locations and contact reporting is used 


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