60-day FRN

60-day FRN Small HC Provider QI 0915-0387.pdf

Small Health Care Provider Quality Improvement Program Performance Improvement Measurement System (PIMS)

60-day FRN

OMB: 0915-0387

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1038

Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Notices

Comments must be received by
March 12, 2018.
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 ll, 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’ website 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
[email protected].
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
William Parham at (410) 786–4669.
SUPPLEMENTARY INFORMATION:

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DATES:

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–209 Laboratory Personnel
Report (CLIA) and Supporting
Regulations
CMS–29 Verification of Clinic
Data—Rural Health Clinic Form and
Supporting Regulations
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.

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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 is readily available. Form
Number: CMS–29 (OMB control number
0938–0074); Frequency: Occasionally
(initially and then every six years);
Affected Public: Private Sector (Business
or other for-profit and Not-for-profit
institutions); Number of Respondents:
820; Total Annual Responses: 820; Total
Annual Hours: 137. (For policy
questions regarding this collection
contact Shonte´ Carter at 410–786–3532.)

Information Collection
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Laboratory
Personnel Report (CLIA) and Supporting
Regulations; Use: The information
collected on this survey form is used in
the administrative pursuit of the
Congressionally-mandated program
with regard to regulation of laboratories
participating in CLIA. The surveyor will
provide the laboratory with the CMS–
209 form. While the surveyor performs
other aspects of the survey, the
laboratory will complete the CMS–209
by recording the personnel data needed
to support their compliance with the
personnel requirements of CLIA. The
surveyor will then use this information
in choosing a sample of personnel to
verify compliance with the personnel
requirements. Information on personnel
qualifications of all technical personnel
is needed to ensure the sample is
representative of the entire laboratory.
Form Number: CMS–209 (OMB control
number 0938–0151); Frequency:
Biennially; Affected Public: Private
Sector—State, Local, or Tribal
Governments; and Federal Government;
Number of Respondents: 19,051; Total
Annual Responses: 9,592; Total Annual
Hours: 4,796. (For policy questions
regarding this collection contact
Kathleen Todd at 410–786–3385.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Verification of
Clinic Data—Rural Health Clinic Form
and Supporting Regulations; Use: The
form is utilized as an application to be
completed by suppliers of Rural Health
Clinic (RHC) services requesting
participation in the Medicare program.
This form initiates the process of
obtaining a decision as to whether the
conditions for certification are met as a
supplier of RHC services. It also
promotes data reduction or introduction
to and retrieval from the Automated
Survey Process Environment (ASPEN)
and related survey and certification
databases by the CMS Regional Offices.
Should any question arise regarding the
structure of the organization, this

Dated: January 4, 2018.
William N. Parham, III,
Director, Paperwork Reduction Staff, Office
of Strategic Operations and Regulatory
Affairs.

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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request Information
Collection Request Title: Small Health
Care Provider Quality Improvement
Program, OMB No. 0915–0387—
Revision.
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
AGENCY:

In compliance with the
requirement for opportunity for public
comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces plans to
submit an Information Collection
Request (ICR), described below, to the
Office of Management and Budget
(OMB). Prior to submitting the ICR to
OMB, HRSA seeks comments from the
public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than March 12, 2018.
ADDRESSES: Submit your comments to
[email protected] or mail the HRSA
Information Collection Clearance
Officer, Room 14N39, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and draft
instruments, email [email protected]
or call Lisa Wright-Solomon, the HRSA
Information Collection Clearance Officer
at (301) 443–1984.
SUPPLEMENTARY INFORMATION: When
submitting comments or requesting
SUMMARY:

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Federal Register / Vol. 83, No. 6 / Tuesday, January 9, 2018 / Notices
information, please include the
information request collection title for
reference.
Information Collection Request Title:
Small Health Care Provider Quality
Improvement Program, OMB No. 0915–
0387—Revision.
Abstract: This program is authorized
by Title III, Public Health Service Act,
Section 330A(g) (42 U.S.C. 254c(g)), as
amended. This authority permits the
Federal Office of Rural Health Policy
(FORHP) to support grants that expand
access to, coordinate, contain the cost
of, and improve the quality of essential
health care services, including
preventive and emergency services,
through the development of health care
networks in rural and frontier areas and
regions. The authority also allows HRSA
to provide funds to rural and frontier
communities to support the direct
delivery of health care and related
services, expand existing services, or
enhance health service delivery through
education, promotion, and prevention
programs.
The purpose of the Small Health Care
Provider Quality Improvement Grant
(Rural Quality) Program is to provide
support to rural primary care providers
for implementation of quality
improvement activities. The program
promotes the development of an
evidence-based culture and delivery of
coordinated care in the primary care
setting. Additional objectives of the

program include improved health
outcomes for patients, enhanced chronic
disease management, and better
engagement of patients and their
caregivers. Organizations participating
in the program are required to use an
evidence-based quality improvement
model; develop, implement and assess
effectiveness of quality improvement
initiatives; and use health information
technology (HIT) to collect and report
data. HIT may include an electronic
patient registry or an electronic health
record, and is a critical component for
improving quality and patient
outcomes. With HIT, it is possible to
generate timely and meaningful data,
which helps providers track and plan
care.
Need and Proposed Use of the
Information: FORHP collects this
information to quantify the impact of
grant funding on access to health care,
quality of services, and improvement of
health outcomes. FORHP uses the data
for program improvement and grantees
use the data for performance tracking.
The measures encompass access to care,
population demographics, consortium/
network, sustainability, quality
improvement implementation strategies,
clinical, and optional topic utilization.
The proposed Rural Quality draft
measures reflect a reduced number of
measures: 25 total (previously 43),
which includes 18 required measures
Number of
respondents

sradovich on DSK3GMQ082PROD with NOTICES

Form name

Number of
responses per
respondent

applicable to all awardees in addition to
7 optional measures. Proposed revisions
specifically include the following: (1)
Alignment of clinical measures to
current National Quality Forum
endorsement recommendations and (2)
broadened orientation of measures for
improved applicability across variety of
rural quality improvement project topic
areas.
Likely Respondents: The respondents
would be award recipients of the Small
Health Care Provider Quality
Improvement Program.
Burden Statement: Burden in this
context means the time expended by
persons to generate, maintain, retain,
disclose or provide the information
requested. This includes the time
needed to review instructions; to
develop, acquire, install, and utilize
technology and systems for the purpose
of collecting, validating, and verifying
information, processing and
maintaining information, and disclosing
and providing information; to train
personnel and to be able to respond to
a collection of information; to search
data sources; to complete and review
the collection of information; and to
transmit or otherwise disclose the
information. The total annual burden
hours estimated for this ICR are
summarized in the table below.
Total Estimated Annualized Burden
Hours:
Total
responses

Average
burden per
response
(in hours)

Total
burden
hours

Small Health Care Provider Quality Improvement Program
Performance Improvement Measurement System
(PIMS) Measurement .......................................................

32

1

32

26

832

Total ..............................................................................

32

........................

32

........................

832

HRSA specifically requests comments
on: (1) The necessity and utility of the
proposed information collection for the
proper performance of the agency’s
functions; (2) the accuracy of the
estimated burden; (3) ways to enhance
the quality, utility, and clarity of the
information to be collected; and (4) the
use of automated collection techniques
or other forms of information
technology to minimize the information
collection burden.

DEPARTMENT OF HEALTH AND
HUMAN SERVICES

Amy McNulty,
Acting Director, Division of the Executive
Secretariat.

AGENCY:

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Health Resources and Services
Administration
Agency Information Collection
Activities: Proposed Collection: Public
Comment Request; Information
Collection Request Title: Radiation
Exposure Screening and Education
Program, OMB No. 0906–0012—
Revision
Health Resources and Services
Administration (HRSA), Department of
Health and Human Services.
ACTION: Notice.
In compliance with the
requirement for opportunity for public

SUMMARY:

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comment on proposed data collection
projects of the Paperwork Reduction Act
of 1995, HRSA announces plans to
submit an Information Collection
Request (ICR), described below, to the
Office of Management and Budget
(OMB). Prior to submitting the ICR to
OMB, HRSA seeks comments from the
public regarding the burden estimate,
below, or any other aspect of the ICR.
DATES: Comments on this ICR should be
received no later than March 12, 2018.
ADDRESSES: Submit your comments to
[email protected] or mail the HRSA
Information Collection Clearance
Officer, Room 14N39, 5600 Fishers
Lane, Rockville, MD 20857.
FOR FURTHER INFORMATION CONTACT: To
request more information on the

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