[Federal Register Volume 82, Number 206 (Thursday, October 26, 2017)]
[Notices]
[Pages 49611-49612]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-23341]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-10114 and CMS-417]


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 November 27, 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_<a href="/cdn-cgi/l/email-protection#8cfff9eee1e5ffffe5e3e2cce3e1eea2e9e3fca2ebe3fa"><span class="__cf_email__" data-cfemail="6b181e09060218180204052b040609450e041b450c041d">[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#bcecddccd9cecbd3ced7fcdfd1cf92d4d4cf92dbd3ca"><span class="__cf_email__" data-cfemail="3b6b5a4b5e494c5449507b58564815535348155c544d">[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 publishing this notice that 
summarizes

[[Page 49612]]

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: National Provider Identifier (NPI) 
Application and Update Form and Supporting Regulations in 45 CFR 
142.408, 45 CFR 162.406, 45 CFR 162.408; Use: The National Provider 
Identifier Application and Update Form is used by health care providers 
to apply for NPIs and furnish updates to the information they supplied 
on their initial applications. The form is also used to deactivate 
their NPIs if necessary. The original application form was approved in 
February 2005 and has been in use since May 23, 2005. The form is 
available on paper or can be completed via a web-based process. Health 
care providers can mail a paper application, complete the application 
via the web-based process via the National Plan and Provider 
Enumeration System (NPPES), or have a trusted organization submit the 
application on their behalf via the Electronic File Interchange (EFI) 
process. The Enumerator uses the NPPES to process the application and 
generate the NPI. NPPES is the Medicare contractor tasked with issuing 
NPIs, and maintaining and storing NPI data. Form Number: CMS-10114 (OMB 
control number: 0938-0931); Frequency: On occasion; Affected Public: 
Business or other for-profit, Not-for-profit institutions, and Federal 
government; Number of Respondents: 1,473,185; Total Annual Responses: 
1,473,185; Total Annual Hours: 250,442. (For policy questions regarding 
this collection contact Kimberly McPhillips at 410-786-5374).
    2. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: Hospice Request for Certification and Supporting 
Regulations; Use: The Hospice Request for Certification Form is the 
identification and screening form used to initiate the certification 
process and to determine if the provider has sufficient personnel to 
participate in the Medicare program. Form Number: CMS-417 (OMB Control 
number: 0938-0313); Frequency: Annually; Affected Public: Private 
Sector--Business or other for-profits; Number of Respondents: 851; 
Total Annual Responses: 851; Total Annual Hours: 213. (For policy 
questions regarding this collection contact Thomas Pryor at 410-786-
1332.)

    Dated: October 23, 2017.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office of Strategic Operations and 
Regulatory Affairs.
[FR Doc. 2017-23341 Filed 10-25-17; 8:45 am]
 BILLING CODE 4120-01-P


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