CMS PRA Notice: Religious Nonmedical Health Care Institutions Conditions of Participation

Content

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 (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 May 18, 2026.

ADDRESSES:

Written comments and recommendations for the proposed information collection should be sent within 30 days of publication
of this notice to www.reginfo.gov/public/do/PRAMain. Find this particular information collection by selecting “Currently under 30-day Review—Open for Public Comments” or by
using the search function.

To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice,
please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.

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 the following proposed collection(s) of information for public comment.

1. Type of Information Collection Request: Existing Collection in use without an OMB control number; Title of Information Collection: Religious Nonmedical Health Care Institutions (RNHCIs) Conditions of Participation; Use: The purpose of this package is to request approval for this existing collection in use without an OMB Control Number for Religious Nonmedical Health Care Institutions (RNHCIs) Conditions of Participation (CoPs). RNHCIs are facilities that provide non-medical nursing items and services to patients who choose to rely solely upon a religious method of healing and for whom the acceptance of medical health services would be inconsistent with their religious beliefs.

The information collections (ICs) for RNHCIs enable CMS to ensure these facilities comply with health and safety requirements
under Title 42 Code of Regulations (CFR) Section 403, Subpart G. The specific ICs associated with burdens are as follows:
IC-1: §§ 403.724(a)(2) & (a)(3)—Sign, Date & Notarize election statement; IC-2: § 403.724(a)(4)—Copy & Submit Election Statement
to CMS; IC-3: § 403.730(a)—Provide Patients Notice of Rights; IC-4: § 403.736(a)—Provide Discharge Plan.

The previous iteration of this package included an estimated annual burden of 1,943 hours and an annual cost of $79,998. For
this iteration, the total annual hourly burden is revised to 824 hours, with an annual burden cost of $38,113. There is no
collection instrument. Form Number: CMS-10712 (OMB control number: 0938-NEW); Frequency: Quarterly; Affected Public: Private Sector—Not-for-profit institutions; Number of Respondents: 56; Total Annual Responses: 2,476; Total Annual Hours: 824. (For policy questions regarding this collection contact Claudia Molinar at (410) 786-8445.)

1. Type of Information Collection Request: Reinstatement with change of a previously approved collection; Title of Information Collection: Conditions of Participation for Transplant Programs; Use: The purpose of this package is to request approval from the Office of Management and Budget (OMB) to reinstate, with change, the information collection request for OMB Control No. 0938-1069, which expired on November 30, 2022. The information collection request described herein is associated with the Conditions of Participation (CoPs) for Transplant Programs, specified at Title 42 Code for Regulations (CFR) Sections §§ 482.68 to 482.104.

A certified Transplant Program is an approved Medicare provider type that is located within an approved Medicare Hospital
provider type. Approved Medicare dialysis facilities also work in conjunction with Transplant Programs, as they support patients
before and possibly after kidney transplants. Transplant Programs may receive payment for heart, heart-lung, intestine, kidney,
liver, lung, and pancreas transplants if, and only if, they are in compliance with the Conditions of Participation (CoPs)
specified in 42 CFR 482.68 to 482.104.

The previous iteration was approved on November 29, 2019, with an estimated annual burden of 2,593 hours and an annual cost
of $181,130. For this re-instatement, the total annual hourly burden is revised to 3,340, with an annual burden cost of $352,462.
The 29% increase in burden hours (from 2,593 to 3,340) is primarily due to the addition of one missing IC, (IC-3), minor corrections
to burden estimates, and updating labor wage data to more recently available data. Form Number: CMS-10266 (OMB control number: 0938-1069); Frequency: Yearly; Affected Public: Private sector Business or other

  for-profits and Not-for-profit institutions; *Number of Respondents:* 476; *Total Annual Responses:* 476; *Total Annual Hours:* 3,340. (For policy questions regarding this collection contact Claudia Molinar at 410-786-8445.)

William N. Parham III, Director, Division of Information Collections and Regulatory Impacts, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 2026-07401 Filed 4-15-26; 8:45 am] BILLING CODE 4120-01-P

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