View Information Collection Request (ICR) Package
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Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0938-0995
ICR Reference No:
200710-0938-003
Status:
Historical Inactive
Previous ICR Reference No:
200607-0938-017
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA
Type of Information Collection:
Reinstatement with change of a previously approved collection
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Withdrawn
Conclusion Date:
04/10/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
10/09/2007
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
36 Months From Approved
Responses
0
0
0
Time Burden (Hours)
0
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
Section 1877(f) of the Social Security Act requires that each entity providing covered services for which payment may be made shall provide the Secretary with the information concerning the entity's ownership, investment, and compensation arrangements. Section 5006 of the DRA requires us to consider the issue of annual disclosure of investment and compensation arrangements information. In the Final Report to Congress and Strategic and Implementing Plan required under this section, released August 2006, we stated that pursuant to 42 CFR section 411.361 we would require hospitals to provide us information on a periodic basis concerning their investment and compensation relationships with physicians. We are limiting our initial disclosure to 500 of the 6,175 Medicare participating hospitals. The 500 hospitals selected are 290 that did not respond to our voluntary DRA survey, plus an additional 210 hospitals selected from across the country.
Authorizing Statute(s):
US Code:
42 USC 1395
Name of Law: Prohibition of Certain Referrals
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
0938-AF58
Final or interim final rulemaking
56 FR 61374
12/03/1991
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 28056
05/18/2007
30-day Notice:
Federal Register Citation:
Citation Date:
72 FR 52568
09/14/2007
Did the Agency receive public comments on this ICR?
Yes
Number of Information Collection (IC) in this ICR:
1
IC Title
Form No.
Form Name
Disclosure of Financial Relationships Report ("DFRR") - Section 5006 of the DRA-CMS 10236
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Miscellaneous Actions
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
Pursuant to Section 5006 of the Deficit Reduction Act of 2005, the Secretary was required to submit a Strategic and Implementing Plan to Congress concerning physician investment in specialty hospitals. In the August 8, 2006 Report to Congress, the Secretary stated that we would begin a regular financial disclosure process, pursuant to our authority at Section 1877(f) of the Social Security Act. The mandatory completion of the DFRR by 500 hospitals is the first step toward implementing a regular financial disclosure process that would apply to all Medicare participating hospitals.
Annual Cost to Federal Government:
$1,635,000
Does this IC contain surveys, censuses, or employ statistical methods?
No
Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002?
No
Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]?
Uncollected
Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]?
Uncollected
Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)?
Uncollected
Is this ICR related to the Pandemic Response?
Uncollected
Agency Contact:
Bonnie Harkless 4107865666
Common Form ICR:
No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(a) It is necessary for the proper performance of agency functions;
(b) It avoids unnecessary duplication;
(c) It reduces burden on small entities;
(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;
(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;
(f) It indicates the retention periods for recordkeeping requirements;
(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.
(i) It uses effective and efficient statistical survey methodology (if applicable); and
(j) It makes appropriate use of information technology.
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Certification Date:
10/05/2007
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