43378 Federal Register / Vol. 82, No. 178 / Friday, September 15, 2017 / Notices 

EXHIBIT 2—ESTIMATED COST BURDEN OVER 3 YEARS—Continued 

Type of information collection Number of 

respondents 

Total burden 

hours 

Average 

hourly 

wage rate * 

Total cost 

burden 

In-person .......................................................................................................... 600 500 33.51 16,755 

Total .......................................................................................................... 32,700 10,150 na 340,127 

* Based upon the average wages for 29–000 (Healthcare Practitioner and Technical Occupations), ‘‘National Compensation Survey: Occupational Wages in the United States, May 2009,’’ U.S. Department of Labor, Bureau of Labor Statistics. 

Request for Comments 

In accordance with the Paperwork 

Reduction Act, 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 healthcare 

research and healthcare 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. 

Sharon B. Arnold, 

Deputy Director. 

[FR Doc. 2017–19620 Filed 9–14–17; 8:45 am] 

BILLING CODE 4160–90–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifiers: CMS–R–138 and 

CMS–10332] 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

AGENCY: Centers for Medicare & 

Medicaid 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 October 16, 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: 

OIRA_submission@omb.eop.gov. 

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 

https://www.cms.gov/Regulations-andGuidance/Legislation/Paperwork

ReductionActof1995/PRA-Listing.html. 

2. Email your request, including your 

address, phone number, OMB number, 

and CMS document identifier, to 

Paperwork@cms.hhs.gov. 

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 

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: Medicare 

Geographic Classification Review Board 

Procedures and Criteria; Use: During the 

first few years of IPPS, hospitals were 

paid strictly based on their physical 

geographic location concerning the 

wage index (Metropolitan Statistical 

Areas (MSAs)) and the standardized 

amount (rural, other urban, or large 

urban). However, a growing number of 

hospitals became concerned that their 

payment rates were not providing 

accurate compensation. The hospitals 

argued that they were not competing 

with the hospitals in their own 

geographic area, but instead that they 

were competing with hospitals in 

neighboring geographic areas. At that 

point, Congress enacted Section 

1886(d)(10) of the Act which enabled 

hospitals to apply to be considered part 

of neighboring geographic areas for 

payment purposes based on certain 

criteria. The application and decision 

process is administered by the MGCRB 

which is not a part of CMS so that CMS 

could not be accused of any untoward 

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Federal Register / Vol. 82, No. 178 / Friday, September 15, 2017 / Notices 43379 

action. However, CMS needs to remain 

apprised of any potential payment 

changes. Hospitals are required to 

provide CMS with copy of any 

applications that they made to the 

MGCRB. CMS also developed the 

guidelines for the MGCRB that were the 

interim final issue of the Federal 

Register, and must ensure that the 

MGCRB properly applied the 

guidelines. This check and balance 

process also contributes to limiting the 

number of hospitals that ultimately 

need to appeal their MGCRB decisions 

to the CMS Administrator. Form 

Number: CMS–R–138 (OMB control 

number: 0938–0573); Frequency: 

Occasionally; Affected Public: 

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

Respondents: 300; Total Annual 

Responses: 300; Total Annual Hours: 

300. (For policy questions regarding this 

collection contact Noel Manlove at 410– 

786–5161.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Disclosure 

Requirement for the In-Office Ancillary 

Services Exception; Use: Section 6003 of 

the ACA established a disclosure 

requirement for the in-office ancillary 

services exception to the prohibition of 

physician self-referral for certain 

imaging services. This section of the 

ACA amended section 1877(b)(2) of the 

Social Security Act by adding a 

requirement that the referring physician 

informs the patient, at the time of the 

referral and in writing, that the patient 

may receive the imaging service from 

another supplier. The implementing 

regulations are at 42 CFR 411.355(b)(7). 

Physicians who provide certain 

imaging services (MRI, CT, and PET) 

under the in-office ancillary services 

exception to the physician self-referral 

prohibition are required to provide the 

disclosure notice as well as the list of 

other imaging suppliers to the patient. 

The patient will then be able to use the 

disclosure notice and list of suppliers in 

making an informed decision about his 

or her course of care for the imaging 

service. CMS would use the collected 

information for enforcement purposes. 

Specifically, if we were investigating the 

referrals of a physician providing 

advanced imaging services under the inoffice ancillary services exception, we 

would review the written disclosure in 

order to determine if it satisfied the 

requirement. Form Number: CMS– 

10332 (OMB control number: 0938– 

1133); Frequency: Occasionally; 

Affected Public: State, Local, and Tribal 

Governments; Number of Respondents: 

7,100; Total Annual Responses: 

759,700; Total Annual Hours: 19,638. 

(For policy questions regarding this 

collection contact Laura Dash at 410– 

786–8623.) 

Dated: September 11, 2017. 

William N. Parham, III, 

Director, Paperwork Reduction Staff, Office 

of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2017–19521 Filed 9–14–17; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Community Living 

Agency Information Collection 

Activities; Proposed Collection; Public 

Comment Request; Revision of a 

Currently Approved Information 

Collection (ICR–REV); State Plan for 

Assistive Technology (OMB Approval 

Number 0985–0048) 

AGENCY: Administration for Community 

Living, Department of Health and 

Human Services. 

ACTION: Notice. 

SUMMARY: The Administration for 

Community Living (ACL) is announcing 

an opportunity for the public to 

comment on ACL’s intention to collect 

information necessary to determine 

grantee compliance with Section 4 of 

the Assistive Technology Act of 1998, as 

amended (AT Act). Under the 

Paperwork Reduction Act of 1995 

(PRA), Federal agencies are required to 

publish a notice in the Federal Register 

concerning each proposed collection of 

information, including each proposed 

extension of an existing collection of 

information, and to allow 60 days for 

public comment in response to the 

proposed action. This notice solicits 

comments on a proposed revision to an 

existing information collection related 

to the State Grants for Assistive 

Technology Program State Plan for AT, 

formerly the 664 Report. 

DATES: Submit written or electronic 

comments on the collection of 

information by November 14, 2017. 

ADDRESSES: Submit electronic 

comments on the collection of 

information to: Robert.Groenendaal@

acl.hhs.gov. Submit written comments 

on the collection of information by mail 

to Robert Groenendaal, U.S. Department 

of Health and Human Services, 

Administration for Community Living, 

Washington, DC 20201. 

FOR FURTHER INFORMATION CONTACT: 

Robert Groenendaal at (202) 795–7356 

or Robert.Groenendaal@acl.hhs.gov. 

SUPPLEMENTARY INFORMATION: Section 4 

of the AT Act establishes formula grants 

to states to support comprehensive 

statewide programs (Statewide AT 

Programs) that conduct activities that 

improve access to and acquisition of AT 

devices and services for individuals 

with disabilities across the lifespan and 

across a wide array of disabilities, and 

their family members, guardians, 

advocates, and authorized 

representatives. State Grants for AT 

program conducts the following statelevel and state leadership activities: 

State financing, device demonstration, 

device loans, device reutilization, 

training and technical assistance, public 

awareness, and information and referral. 

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. 

‘‘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 provide a 60-day notice in 

the Federal Register concerning each 

proposed collection of information, 

including each proposed extension or 

update of an existing collection of 

information, before submitting the 

collection to OMB for approval. The 

proposed data collection represents a 

revision of a currently approved 

collection (ICR–Rev). In order to comply 

with the above requirement, ACL is 

requesting approval of a revision of a 

previously approved collection, the 

State Grants for Assistive Technology 

Program State Plan for AT, formerly 

known as the 664 report (0985–0048). 

With respect to the following 

collection of information, ACL invites 

comments on: (1) Whether the proposed 

collection of information is necessary 

for the proper performance of ACL’s 

functions, including whether the 

information will have practical utility; 

(2) the accuracy of ACL’s estimate of the 

burden of the proposed collection of 

information, including the validity of 

the methodology and assumptions used; 

(3) ways to enhance the quality, utility, 

and clarity of the information to be 

collected; and (4) ways to minimize the 

burden of the collection of information 

on respondents, including through the 

use of automated collection techniques 

when appropriate, and other forms of 

information technology. 

The State Plan for AT is submitted 

every three years and updated annually 

by all State Grants for AT programs 

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