Federal Register / Vol. 82, No. 179 / Monday, September 18, 2017 / Notices 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 

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. 

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/Paperwork

ReductionActof1995. 

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: 

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 


sradovich on DSKBBY8HB2PROD with NOTICES
43550 Federal Register / Vol. 82, No. 179 / Monday, September 18, 2017 / Notices 

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 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

National Institutes of Health 

Center for Scientific Review; Notice of 

Closed Meetings 

Pursuant to section 10(d) of the 

Federal Advisory Committee Act, as 

amended, notice is hereby given of the 

following meetings. 

The meetings will be closed to the 

public in accordance with the 

provisions set forth in sections 

552b(c)(4) and 552b(c)(6), Title 5 U.S.C., 

as amended. The grant applications and 

the discussions could disclose 

confidential trade secrets or commercial 

property such as patentable material, 

and personal information concerning 

individuals associated with the grant 

applications, the disclosure of which 

would constitute a clearly unwarranted 

invasion of personal privacy. 

Name of Committee: Vascular and 

Hematology Integrated Review Group; 

Hypertension and Microcirculation Study 

Section. 

Date: October 10–11, 2017. 

Time: 8:00 a.m. to 5:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Residence Inn Bethesda, 7335 

Wisconsin Avenue, Bethesda, MD 20814. 

Contact Person: Ai-Ping Zou, MD, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive, Room 4118, 

MSC 7814, Bethesda, MD 20892, 301–408– 

9497, zouai@mail.nih.gov. 

Name of Committee: Brain Disorders and 

Clinical Neuroscience Integrated Review 

Group; Clinical Neuroscience and 

Neurodegeneration Study Section. 

Date: October 10–11, 2017. 

Time: 8:00 a.m. to 5:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 6701 

Rockledge Drive, Bethesda, MD 20892. 

Contact Person: Alessandra C. Rovescalli, 

Ph.D., Scientific Review Officer, National 

Institutes of Health, Center for Scientific 

Review, 6701 Rockledge Drive, Rm 5205 

MSC7846, Bethesda, MD 20892, (301) 435– 

1021, rovescaa@mail.nih.gov. 

Name of Committee: Cardiovascular and 

Respiratory Sciences Integrated Review 

Group; Lung Injury, Repair, and Remodeling 

Study Section. 

Date: October 10–11, 2017. 

Time: 8:00 a.m. to 5:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Embassy Suites at the Chevy Chase 

Pavilion, 4300 Military Road NW., 

Washington, DC 20015. 

Contact Person: Ghenima Dirami, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive, Room 4122, 

MSC 7814, Bethesda, MD 20892, 240–498– 

7546, diramig@csr.nih.gov. 

Name of Committee: Population Sciences 

and Epidemiology Integrated Review Group; 

Infectious Diseases, Reproductive Health, 

Asthma and Pulmonary Conditions, Study 

Section. 

Date: October 10–11, 2017. 

Time: 8:00 a.m. to 6:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Bethesda North Marriott Hotel & 

Conference Center, Montgomery County 

Conference Center Facility, 5701 Marinelli 

Road, North Bethesda, MD 20852. 

Contact Person: Lisa Steele, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive, Room 3139, 

MSC 7770, Bethesda, MD 20892, (301) 257– 

2638, steeleln@csr.nih.gov. 

Name of Committee: Biological Chemistry 

and Macromolecular Biophysics Integrated 

Review Group; Macromolecular Structure 

and Function D Study Section. 

Date: October 11, 2017. 

Time: 8:00 a.m. to 7:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: National Institutes of Health, 6701 

Rockledge Drive, Bethesda, MD 20892. 

Contact Person: James W. Mack, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive, Room 4154, 

MSC 7806, Bethesda, MD 20892, (301) 435– 

2037, mackj2@csr.nih.gov. 

Name of Committee: Center for Scientific 

Review Special Emphasis Panel; Cellular and 

Molecular Technologies. 

Date: October 11–12, 2017. 

Time: 8:00 a.m. to 6:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Bethesda North Marriott Hotel & 

Conference Center, 5701 Marinelli Road, 

Bethesda, MD 20852. 

Contact Person: Tatiana V. Cohen, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive Room 5213, 

Bethesda, MD 20892, 301–455–2364, 

tatiana.cohen@nih.gov. 

Name of Committee: Infectious Diseases 

and Microbiology Integrated Review Group; 

Vector Biology Study Section. 

Date: October 11, 2017. 

Time: 8:00 a.m. to 5:00 p.m. 

Agenda: To review and evaluate grant 

applications. 

Place: Cambria Suites Rockville, 1 Helen 

Henegham Way, Rockville, MD 20850. 

Contact Person: Liangbiao Zheng, Ph.D., 

Scientific Review Officer, Center for 

Scientific Review, National Institutes of 

Health, 6701 Rockledge Drive, Room 3214, 


sradovich on DSKBBY8HB2PROD with NOTICES