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[Federal Register Volume 82, Number 170 (Tuesday, September 5, 2017)]
[Notices]
[Pages 41966-41967]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-18738]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-102 and CMS-105, and CMS-10631]

Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid 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 (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 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 November 6, 2017.

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 _________, 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' Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to [email protected].
    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-102 and CMS-105 Clinical Laboratory Improvement Amendments of 
1988 (CLIA) Budget Workload Reports and Supporting Regulations
CMS-10631 The PACE Organization Application Process in 42 CFR part 
460

    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 without change 
of a currently approved collection; Title of Information Collection: 
Clinical Laboratory Improvement Amendments of 1988 (CLIA) Budget 
Workload Reports and Supporting Regulations; Use: We will use the 
collected information to determine the amount of Federal reimbursement 
for surveys conducted. Use of the information includes program 
evaluation, audit, budget formulation and budget approval. Form CMS-102 
is a multi-purpose form designed to capture and record all budget and 
expenditure data. Form CMS-105 captures the annual projected CLIA 
workload that the State survey agency will accomplish. Our regional 
offices also use the information to approve the annual projected CLIA 
workload. The information is required as part of the section 1864 
agreement with the state. Form Numbers: CMS-102 and CMS-105 (OMB 
control number: 0938-0599); Frequency: Quarterly; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 50; Total 
Annual Responses: 50; Total Annual Hours: 1,700. (For policy questions 
regarding this collection contact Jeffrey Pleines at 410-786-0684.)
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: The PACE 
Organization Application Process in 42 CFR part 460; Use: Initial 
application requirements for the PACE program are currently set forth 
in 42 CFR 460.12 and in the PACE Manual, Ch. 17. Until recently, the 
submission of initial and SAE PACE applications and supporting 
information was in paper format. These

[[Page 41967]]

applications are often hundreds of pages long, expensive to reproduce 
and transmit, and administratively inefficient, as staff reviewing 
different parts of the application are located in different physical 
locations and must receive hard copies of the material. However, 
beginning in 2016 and 2017, initial and SAE PACE applications, 
respectively, are being submitted via a new automated, electronic 
submission process. As with initial applications, an application also 
must be submitted for a PO that seeks to expand its service area and/or 
add a new service site, and with OMB approval, an automated application 
process will now also be required of PACE organizations submitting 
service area expansion applications. The collection specific to the 
application was approved by OMB for a 3-year period, which expires 
March 31, 2020. Approval is now requested for revisions to this 
currently-approved collection, which includes modifications to the PACE 
application. Form Number: CMS-10631 (OMB control number: 0938-1326); 
Frequency: Once and occasionally; Affected Public: Private sector 
(Business or other for-profits and Not-for-profit institutions) and 
State, Local, or Tribal Governments; Number of Respondents: 730; Total 
Annual Responses: 84; Total Annual Hours: 4,626. (For policy questions 
regarding this collection contact Stacy Davis at 410-786-7813.)

    Dated: August 30, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-18738 Filed 9-1-17; 8:45 am]
 BILLING CODE 4120-01-P
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