[Federal Register Volume 82, Number 179 (Monday, September 18, 2017)]
[Notices]
[Pages 43549-43550]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-19795]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-437 and CMS-10515]


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 17, 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 <a href="/cdn-cgi/l/email-protection#0b5b6a7b6e797c6479604b68667825636378256c647d"><span class="__cf_email__" data-cfemail="6636071603141109140d26050b15480e0e1548010910">[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: 

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-437 Psychiatric Unit Criteria Work Sheet
CMS-10515 Payment Collections Operations Contingency Plan

    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: Reinstatement with 
Change of a currently approved collection; Title of Information 
Collection: Psychiatric Unit Criteria Work Sheet; Use: Certain

[[Page 43550]]

specialty hospitals and hospital specialty distinct-part units may be 
excluded from the Inpatient Medicare Prospective Payment System (IPPS) 
and be paid at a different rate. These specialty hospitals and 
distinct-part units of hospitals include Inpatient Rehabilitation 
Facilities (IRFs) units, Inpatient Rehabilitation Facilities (IRFs) 
hospitals and Inpatient Psychiatric Facilities (IPFs).
    CMS regulations at 42 CFR 412.20 through 412.29 describe the 
criteria under which these specialty hospitals and specialty distinct-
part hospital units are excluded from the IPPS. Form CMS-437 is used by 
Inpatient Psychiatric Facilities (IPFs) to attest to meeting the 
necessary requirements that make them exempt for receiving payment from 
Medicare under the IPPS. These IPFs must use CMS-437 to attest that 
they meet the requirements for IPPS exempt status prior to being placed 
into excluded status. IPFs must re-attest to meeting the exclusion 
criteria annually. Form Number: CMS-437 (OMB control number: 0938-
0358); Frequency: Annually; Affected Public: Private sector--Business 
or other for-profits; Number of Respondents: 1,616; Total Annual 
Responses: 1,616; Total Annual Hours: 1,212. (For policy questions 
regarding this collection contact Caroline Gallaher at 410-786-8705.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Payment 
Collections Operations Contingency Plan; Use: Section 1402 of the PPACA 
provides for the reduction of cost sharing for certain individuals 
enrolled in a QHP through an Exchange, and section 1412 of the PPACA 
provides for the advance payment of these reductions to issuers. The 
data collection will be used by HHS to make payments or collect charges 
from SBE issuers under the following programs: advance payments of the 
premium tax credit, advanced cost-sharing reductions, and Exchange user 
fees. The workbook template was used to make payments in January 2014 
and will continue through December 2020, as may be required based on 
HHS's operational progress. Form Number: CMS-10515 (OMB Control Number: 
0938-1217); Frequency: Monthly; Affected Public: Private sector 
(Business or other for-profits and not-for-profit institutions); Number 
of Respondents: 575; Total Annual Responses: 7,475; Total Annual Hours: 
51,175. (For policy questions regarding this collection contact Jaya 
Ghildiyal at 301-492-5149).

    Dated: September 13, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-19795 Filed 9-15-17; 8:45 am]
 BILLING CODE 4120-01-P


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