35784 Federal Register / Vol. 87, No. 113 / Monday, June 13, 2022 / Notices 

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 

August 12, 2022. 

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 

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

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. 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–10237—Applications for Part C 

Medicare Advantage, 1876 Cost Plans, 

and Employer Group Waiver Plans to 

Provide Part C Benefits 

CMS–10407—Summary of Benefits and 

Coverage and Uniform Glossary 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Applications for 

Part C Medicare Advantage, 1876 Cost 

Plans, and Employer Group Waiver 

Plans to Provide Part C Benefits; Use: 

Collection of this information is 

mandated by the Code of Federal 

Regulations, MMA, and CMS 

regulations at 42 CFR 422, subpart K, in 

‘‘Application Procedures and Contracts 

for Medicare Advantage Organizations.’’ 

In addition, the Medicare Improvement 

for Patients and Providers Act of 2008 

(MIPPA) further amended titles XVII 

and XIX of the Social Security Act. 

This information collection includes 

the process for organizations wishing to 

provide healthcare services under MA 

plans. These organizations must 

complete an application annually (if 

required), file a bid, and receive final 

approval from CMS. The MA 

application process has two options for 

applicants that include (1) request for 

new MA product or (2) request for 

expanding the service area of an existing 

product. CMS utilizes the application 

process as the means to review, assess 

and determine if applicants are 

compliant with the current 

requirements for participation in the 

MA program and to make a decision 

related to contract award. This 

collection process is the only 

mechanism for organizations to 

complete the required MA application 

process. Form Number: CMS–10237 

(OMB control number: 0938–0935); 

Frequency: Yearly; Affected Public: 

Private Sector (Business or other forprofits, Not-for-Profit Institutions); 

Number of Respondents: 500; Total 

Annual Responses: 500; Total Annual 

Hours: 9,173. (For policy questions 

regarding this collection contact Keith 

Penn-Jones at 410–786–3104.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Summary of 

Benefits and Coverage and Uniform 

Glossary; Use: This information 

collection will ensure that over 30 

million consumers shopping for or 

enrolled in private, individually 

purchased, or non-federal governmental 

group health plan coverage receive the 

consumer protections of the Affordable 

Care Act. Employers, employees, and 

individuals will use this information to 

compare coverage options prior to 

selecting coverage and to understand 

the terms of, and extent of medical 

benefits offered by, their coverage (or 

exceptions to such coverage or benefits) 

once they have coverage. Form Number: 

CMS–10407 (OMB control number 

0938–1146); Frequency: Annually; 

Affected Public: Private Sector— 

Business or other for-profits and Notfor-profit institutions; Number of 

Respondents: 90,805; Number of 

Responses: 10,507,165; Total Annual 

Hours: 204,140. (For policy questions 

regarding this collection contact Daniel 

Kidane at daniel.kidane@cms.hhs.gov.) 

Dated: June 7, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–12652 Filed 6–10–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10668 and 

CMS–10455] 

Agency Information Collection 

Activities: Proposed Collection; 

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 (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 


khammond on DSKJM1Z7X2PROD with NOTICES
Federal Register / Vol. 87, No. 113 / Monday, June 13, 2022 / Notices 35785 

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 

August 12, 2022. 

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 

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

Regulations-and-Guidance/Legislation/ 

PaperworkReductionActof1995/PRAListing. 

FOR FURTHER INFORMATION CONTACT: 

William N. 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–10668 Applications for Part C 

Medicare Advantage, 1876 Cost Plans, 

and Employer Group Waiver Plans to 

Provide Part C Benefits 

CMS–10455 Report of a Hospital Death 

Associated with Restraint or 

Seclusion 

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: Revision of a currently 

approved collection; Quality Measures 

and Administrative Procedures for the 

Hospital-Acquired Condition Reduction 

Program; Use: The Centers for Medicare 

& Medicaid Services (CMS) is 

committed to promoting higher quality 

healthcare and improving outcomes for 

Medicare beneficiaries. The HospitalAcquired Condition (HAC) Reduction 

Program is established by section 

1886(p) of the Social Security Act, as 

added by Section 3008 of the Affordable 

Care Act (Pub. L. 111–148), and requires 

the Secretary to reduce payments to 

subsection (d) hospitals in the worstperforming quartile of all subsection (d) 

hospitals by 1 percent effective 

beginning on October 1, 2014 and 

subsequent years. For the FY 2025 

program year we are proposing in the 

Fiscal Year (FY) 2023 Inpatient 

Prospective Payment System (IPPS)/ 

Long-Term Care Hospital (LTCH) PPS 

proposed rule to suppress all six 

measures in the HAC Reduction 

Program and not calculate measure 

scores or Total HAC Scores for any 

hospital such that no hospital will 

receive a payment reduction due to the 

significant impacts of the COVID–19 

pandemic on the quality measures. We 

are not proposing any policies in the FY 

2023 IPPS/LTCH PPS proposed rule 

which result in a change to our 

estimated burden. To administer its 

requirements, the HAC Reduction 

Program relies on data collection 

established through the Centers for 

Disease Control and Prevention’s (CDC) 

OMB control number, 0920–0666, and 

validation processes established through 

the Hospital Inpatient Quality Reporting 

(IQR) Program’s OMB control number, 

0938–1022. However, in the FY 2019 

IPPS/LTCH PPS final rule, the Hospital 

IQR Program finalized the removal of 

the CDC National Healthcare Safety 

Network (NHSN) Healthcare-associated 

Infection (HAI) measures and NHSN 

HAI validation processes beginning on 

January 1, 2020. To continue validation 

of these measures, the HAC Reduction 

Program adopted validation templates 

similar to the ones previously used 

under the Hospital IQR Program. These 

templates continue the HAC Reduction 

Program’s use and validation of NHSN 

HAI data. 

The HAC Reduction Program 

identifies the worst-performing quartile 

of hospitals by calculating a Total HAC 

Score derived from the CMS Patient 

Safety and Adverse Events Composite 

(CMS PSI 90) and NHSN HAI measures, 

which require that we collect claimsbased and chart-abstracted measures 

data, respectively. The HAC Reduction 

Program validates NHSN HAI data 

reported by subsection (d) hospitals to 

ensure that hospitals report correct 

NHSH HAI measure data, and the Total 

HAC Score is calculated using accurate 

data. The HAC Reduction Program may 

penalize any hospitals that fail 

validation by assigning the maximum 

Winsorized z-score for the set of 

measures that fail validation, for use in 

the Total HAC Score calculation. The 

collection of information for validation 

is necessary to ensure that the HAC 

Reduction Program and Total HAC 

Score are administered fairly. 

The HAC Reduction Program will 

continue to receive NHSN HAI data for 

hospitals from CDC. Because the burden 

associated with submitting data for the 

HAI measures (CDI, CAUTI, CLABSI, 

MRSA, and SSI) is captured under a 

separate OMB control number, 0920– 

0666, we do not provide an independent 

estimate of the burden associated with 

collecting data for these measures for 

the HAC Reduction Program. We also do 

not provide an estimate of burden for 

the claims-based PSI 90 measure, 

because this measure is collected using 

Medicare FFS claims that hospitals are 

already submitting to the Medicare 

program for payment purposes. We also 

do not provide an estimate of burden for 

validation of data submitted for the PSI 

90 measure, because Medicare claims 

are audited under the Medicare Fee for 

Service (FFS) Recovery Audit Program. 

Form Number: CMS–10668 (OMB 

control number: 0938–1352); Frequency: 

Yearly; Affected Public: Private Sector 

(Business or other for-profit and Not-forprofit institutions) Federal Government, 

and State, Local or Tribal Governments; 

Number of Respondents: 400; Total 

Annual Responses: 400; Total Annual 

Hours: 28,800. (For policy questions 


khammond on DSKJM1Z7X2PROD with NOTICES
35786 Federal Register / Vol. 87, No. 113 / Monday, June 13, 2022 / Notices 

regarding this collection contact Jennifer 

Tate at 410–786–0428). 

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: Provisions 

implementing this statutory reporting 

requirement for hospitals participating 

in Medicare are found at 42 CFR 

482.13(g), as revised in the final rule 

that published on May 16, 2012 (77 FR 

29034). This regulation also applies to 

Critical Access Hospitals (CAHs) with 

distinct part units (DPUs); since CAH 

DPUs are subject to the Hospital 

Conditions of Participation. The 

regulation at 42 CFR 482.13(g) requires 

that hospitals and CAHs with DPUs 

report deaths associated with the use of 

restraint and/or seclusion directly to the 

CMS locations. This regulation requires 

that information about patient deaths 

associated with the use of restraint and/ 

or seclusion must be reported to the 

CMS Locations using the online CMS– 

10455 form titled ‘‘Report Of A Hospital 

Death Associated With The Use Of 

Restraint Or Seclusion.’’ 

When a death occurs in a hospital 

(including Critical Access Hospital 

(CAH) with a rehabilitation or 

psychiatric Distinct Part Unit (DPU)) 

that is associated with the use of 

restraints and/or seclusion, the hospital 

staff must complete the online Form 

CMS–10455 (42 CFR 482.13(g)(1). The 

hospital staff must also document the 

date and time that CMS was notified of 

the death in the patient’s medical record 

(42 CFR 482.13(g)(3)(i). 

When a death occurs during the use 

of 2-point soft cloth wrist restraints with 

no seclusion, or within 24 hours after 

the patient was removed from such 

restraints, the hospital must document 

the information required by 42 CFR 

482.13(g)(4)(ii) into a hospital log or 

internal system within 7 days from the 

date of death (42 CFR 482.13(g)(4)(i). 

The hospital is not required to submit 

this log or internal records to the CMS 

Location, however, they must be made 

available in either written or electronic 

form to CMS immediately upon request 

(42 CFR 482.13(g)(4)(iii). In addition, 

the hospital staff must also document 

the date and time that the required 

information was entered into the 

hospital’s log or internal system in the 

patient’s medical record (42 CFR 

482.13(g)(3)(ii). Form Number: CMS– 

10455 (OMB control number: 0938– 

1210); Frequency: Occasionally; 

Affected Public: Private Sector; Number 

of Respondents: 3,137; Number of 

Responses: 3,137; Total Annual Hours: 

1,210. (For policy questions regarding 

this collection contact Caroline Gallaher 

at 410–786–8705.) 

Dated: June 8, 2022. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2022–12721 Filed 6–10–22; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–10520] 

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 July 13, 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: 

https://www.cms.gov/Regulationsand-Guidance/Legislation/Paperwork

ReductionActof1995/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: Revision of a currently 

approved collection; Title of 

Information Collection: Marketplace 

Quality Standards; Use: The Patient 

Protection and Affordable Care Act 

establishes requirements to support the 

delivery of quality health care coverage 

for health insurance issuers offering 

Qualified Health Plans (QHPs) in 

Exchanges. Section 1311(c)(3) of the 

Patient Protection and Affordable Care 

Act directs the Secretary to develop a 

system to rate QHPs on the basis of 

quality and price and requires 

Exchanges to display this quality rating 

information on their respective 

websites. Section 1311(c)(4) of the 

Patient Protection and Affordable Care 

Act requires the Secretary to develop an 

enrollee satisfaction survey system to 

assess enrollee experience with each 

QHP (with more than 500 enrollees in 

the previous year) offered through an 

Exchange. Section 1311(h) requires 

QHPs to contract with certain hospitals 

that meet specific patient safety and 

health care quality standards. 

This collection of information is 

necessary to provide adequate and 

timely health care quality information 


khammond on DSKJM1Z7X2PROD with NOTICES