[Federal Register Volume 82, Number 179 (Monday, September 18, 2017)]
[Notices]
[Pages 43548-43549]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-19787]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10292 and CMS-R-148]


Agency Information Collection Activities: Submission for OMB 
Review; 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 (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 October 18, 2017.

ADDRESSES: When commenting on the proposed information collections, 
please reference the document identifier or OMB control number. To be 
assured consideration, comments and recommendations must be received by 
the OMB desk officer via one of the following transmissions: OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-5806 OR Email: 
<a href="/cdn-cgi/l/email-protection#c58a8c97849ab6b0a7a8acb6b6acaaab85aaa8a7eba0aab5eba2aab3"><span class="__cf_email__" data-cfemail="9ad5d3c8dbc5e9eff8f7f3e9e9f3f5f4daf5f7f8b4fff5eab4fdf5ec">[email protected]</span></a>.
    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 Web site address at https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html.
    2. Email your request, including your address, phone number, OMB 
number, and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#f1a190819483869e839ab1929c82df999982df969e87"><span class="__cf_email__" data-cfemail="702011001502071f021b30131d035e1818035e171f06">[email protected]</span></a>.
    3. Call the Reports Clearance Office at (410) 786-1326.

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

[[Page 43549]]

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: State Medicaid 
HIT Plan, Planning Advance Planning Document, and Implementation 
Advance Planning Document for Section 4201 of the Recovery Act; Use: To 
assess the appropriateness of state requests for the administrative 
Federal financial participation for expenditures under their Medicaid 
Electronic Health Record Incentive Program related to health 
information exchange, our staff will review the submitted information 
and documentation to make an approval determination of the state 
advance planning document. Form Number: CMS-10292 (OMB control number: 
0938-1088); Frequency: Once and occasionally; Affected Public: State, 
Local, and Tribal Governments; Number of Respondents: 56; Total Annual 
Responses: 56; Total Annual Hours: 896. (For policy questions regarding 
this collection contact Marty Rice at 410-786-2417.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Limitations on 
Provider Related Donations and Health Care Related Taxes; Limitation on 
Payment to Disproportionate Share Hospitals; Medicaid and Supporting 
Regulations in 42 CFR 433.68, 433.74 and 447.272; Use: States may 
request a waiver of the broad based and uniformity tax program 
requirements. Each state must demonstrate that its tax program(s) do 
not violate the hold harmless provision. Additionally, state Medicaid 
agencies must report (quarterly) on health care related taxes collected 
and the source of provider related donations received by the state or 
unit of local government. Each state must maintain, in readily 
reviewable form, supporting documentation that provides a detailed 
description of each donation and tax program being reported, as well as 
the source and use of all donations received and collected. Without 
this information, the amount of Federal financial participation payable 
to a state cannot be determined; Form Number: CMS-R-148 (OMB control 
number: 0938-0618); Frequency: Quarterly and occasionally; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 50; 
Total Annual Responses: 40; Total Annual Hours: 3,200. (For policy 
questions regarding this collection contact Stuart Goldstein at 410-
786-0694.)

    Dated: September 13, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-19787 Filed 9-15-17; 8:45 am]
BILLING CODE 4120-01-P


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