Agency Information Collection Activities: Submission for OMB Review; Comment Request, 4127-4128 [05-1481]
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4127
Federal Register / Vol. 70, No. 18 / Friday, January 28, 2005 / Notices
on respondents, including through the
use of automated collection techniques
or other forms of information
technology. Written comments should
be received within 60 days of this
notice.
Proposed Project
Requirement for a Special Permit to
Import Cynomolgus, African Green, or
Rhesus Monkeys into the United States
(0920–0263)—Revision—National
Center for Infectious Diseases (NCID),
Centers for Disease Control and
Prevention (CDC).
A registered importer must request a
special permit to import Cynomolgus,
African Green, or Rhesus Monkeys. To
receive a special permit to import
nonhuman primates the importer must
submit to the Director of CDC, a written
plan which specifies the steps that will
be taken to prevent exposure of persons
and animals during the entire
importation and quarantine process for
the arriving nonhuman primates.
Under the special permit
arrangement, registered importers must
submit a plan to CDC for the
importation and quarantine if they wish
to import the specific monkeys covered.
The plan must address disease
prevention procedures to be carried out
in every step of the chain of custody of
such monkeys, from embarkation in the
country of origin to release from
quarantine. Information such as species,
origin and intended use for monkeys,
transit information, isolation and
quarantine procedures, and procedures
for testing of quarantined animals is
necessary for CDC to make public health
decisions. This information enables
CDC to evaluate compliance with the
standards and to determine whether the
measures being taken to prevent
exposure of persons and animals during
importation are adequate. Once CDC is
assured, through the monitoring of
Number of
responses
per
respondent
Number of
respondents
Respondents
shipments (normally no more than 2),
that the provisions of a special permit
plan are being followed by a new permit
holder and that the use of adequate
disease control practices is being
demonstrated, the special permit is
extended to cover the receipt of
additional shipments under the same
plan for a period of 180 days, and may
be renewed upon request. This
eliminates the burden on importers to
repeatedly report identical information,
requiring only that specific shipment
itineraries and information on changes
to the plan which require approval be
submitted.
Respondents are commercial or notfor-profit importers of nonhuman
primates. The burden represents full
submission of information and
itinerary/change information
respectively. There are no costs to
respondents except for their time to
complete the requisition process.
Average
burden per
response
(in hours)
Total burden
hours
Business (limited permit) ...............................................................................
Businesses (extended permit) .......................................................................
Organizations (limited permit) ........................................................................
Organizations (extended permit) ...................................................................
5
1
3
12
2
3
2
2
30/60
10/60
30/60
10/60
5
.5
3
4
Total ........................................................................................................
........................
........................
........................
12.5
Dated: January 21, 2005.
Betsey Dunaway,
Acting Reports Clearance Officer, Office of
the Chief Science Officer, Centers for Disease
Control and Prevention.
[FR Doc. 05–1589 Filed 1–27–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–50 and CMS–
10054]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
AGENCY:
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15:43 Jan 27, 2005
Jkt 205001
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s function;
(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.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medical Records
Review under Inpatient PPS and
Supporting Regulations in 42 CFR,
Sections 412.40–412.52; Form No:
CMS–R–50 (OMB# 0938–0359); Use:
The Quality Improvement Organizations
(QIOs) are authorized to conduct
medical review activities under the
Prospective Payment System (PPS). In
order to conduct these review activities,
CMS depends upon hospitals to make
available specific records regarding care
PO 00000
Frm 00044
Fmt 4703
Sfmt 4703
provided to Medicare beneficiaries. The
Clinical Data Abstraction Centers
(CDACs) obtain copies of medical
records from which they abstract data to
analyze patterns of care and outcomes
for heart failure/myocardial infarction,
pneumonia, diabetes and surgical
infection; Frequency: When records are
reviewed; Affected Public: Business or
other for-profit, Not-for-profit
institutions, Federal Government, and
State, Local or Tribal Government;
Number of Respondents: 6,100; Total
Annual Responses: 397,500; Total
Annual Hours: 11,925.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Recognition of
Payment for New Technology Services
for Ambulatory Payment Classifications
(APCs) Under the Outpatient
Prospective Payment System and
Supporting Regulations in 42 CFR,
Sections 413.65 and 419.42; Form
Number: CMS–10054 (OMB# 0938–
0860); Use: Information is necessary to
determine eligibility of medical devices
for establishment of additional device
categories for payment under
transitional pass-through payment
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28JAN1
4128
Federal Register / Vol. 70, No. 18 / Friday, January 28, 2005 / Notices
provisions as required by section
1833(t)(6) of the Social Security Act.
Transitional pass-through payments
have been made to hospitals for certain
drugs, biologicals, and medical devices;
Frequency: On occasion; Affected
Public: Business or other for-profit;
Number of Respondents: 15; Total
Annual Responses: 15; Total Annual
Hours: 180.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS Web site
address at https://www.cms.hhs.gov/
regulations/pra/, or E-mail your request,
including your address, phone number,
OMB number, and CMS document
identifier, to Paperwork@cms.hhs.gov,
or call the Reports Clearance Office on
(410) 786–1326.
Written comments and
recommendations for the proposed
information collections must be mailed
within 30 days of this notice directly to
the OMB desk officer: OMB Human
Resources and Housing Branch,
Attention: Christopher Martin, New
Executive Office Building, Room 10235,
Washington, DC 20503.
Dated: January 19, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports
Clearance Officer, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development Group.
[FR Doc. 05–1481 Filed 1–27–05; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1771, CMS–R–
71 and CMS–222]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS) is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the agency’s functions;
AGENCY:
VerDate jul<14>2003
15:43 Jan 27, 2005
Jkt 205001
(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.
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Attending
Physicians Statement and
Documentation of Medicare Emergency
and Supporting Regulations in 42 CFR,
Section 424.103; Use: Payment may be
made for certain part A inpatient
hospital services and part B outpatient
provided in a nonparticipating U.S. or
foreign hospital when services are
necessary to prevent the death or
serious impairment of the health of the
individual. This collection is used to
document the attending physician’s
statement that the hospitalization was
required due to an emergency and give
clinical support for the claim.; Form
Number: CMS–1771 (OMB#: 0938–
0023); Frequency: On Occasion;
Affected Public: Business or other forprofit; Number of Respondents: 200;
Total Annual Responses: 200; Total
Annual Hours: 50.
2. Type of Information Collection
Request: Extension of a Currently
Approved Collection; Title of
Information Collection: Quality
Improvement Organization (QIO)
Assumption of Responsibilities and
Supporting Regulations in 42 CFR
Sections 412.44, 412.46, 431.630,
476.71, 476.73, 476.74, 476.78; Form
No.: CMS–R–71 (OMB# 0938–0445);
Use: This collection describes the
review functions to be performed by the
QIO. It outlines relationships among
QIOs, providers, practitioners,
beneficiaries, intermediaries, and
carriers. QIOs assure that covered care
provided to Medicare patients is
reasonable, medically necessary,
appropriate, and of a quality that meets
professionally recognized standards of
care, and that inpatient services could
not be more appropriately provided on
an outpatient basis or in a different type
of facility.; Frequency: As Needed;
Affected Public: Business or other forprofit; Number of Respondents: 6,036;
Total Annual Responses: 6,036; Total
Annual Hours: 81,818.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Independent
Rural Health Center/Freestanding
Federally Qualified Health Center Cost
Report and Supporting Regulations in
42 CFR, Section 413.20 and 413.24;
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Fmt 4703
Sfmt 4703
Form No.: CMS–222 (OMB#0938–0107);
Use: The independent rural health
clinic/freestanding federally qualified
health center cost report is the cost
report to be used by the mentioned
clinics/centers to submit annual
information. This information is used to
achieve a settlement of costs for health
care services rendered to Medicare
beneficiaries. Frequency: Annually;
Affected Public: Not-for-Profit
institutions, Business or other for-profit,
and State, local or tribal government;
Number of Respondents: 3,000; Total
Annual Responses: 3,000; Total Annual
Hours Requested: 150,000.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’’ Web site
address at https://www.cms.hhs.gov/
regulations/pra/, or E-mail your request,
including your address, phone number,
OMB number, and CMS document
identifier, to Paperwork@cms.hhs.gov,
or call the Reports Clearance Office on
(410) 786–1326.
Written comments and
recommendations for the proposed
information collections must be mailed
within 60 days of this notice directly to
the CMS Paperwork Reduction Act
Reports Clearance Officer designated at
the address below: CMS, Office of
Strategic Operations and Regulatory
Affairs, Division of Regulations
Development, Attention: Melissa
Musotto, Room C5–14–03, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: January 19, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports
Clearance Officer, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development Group.
[FR Doc. 05–1482 Filed 1–27–05; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare and Medicaid
Services
[Document Identifier: CMS–10132]
Emergency Clearance: Public
Information Collection Requirements
Submitted to the Office of Management
and Budget (OMB)
Agency: Center for Medicare and
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare and Medicaid
services (CMS), Department of Health
E:\FR\FM\28JAN1.SGM
28JAN1
]]>Agencies
[Federal Register Volume 70, Number 18 (Friday, January 28, 2005)]
[Notices]
[Pages 4127-4128]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-1481]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-50 and CMS-10054]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the agency's function; (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.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medical Records
Review under Inpatient PPS and Supporting Regulations in 42 CFR,
Sections 412.40-412.52; Form No: CMS-R-50 (OMB 0938-0359);
Use: The Quality Improvement Organizations (QIOs) are authorized to
conduct medical review activities under the Prospective Payment System
(PPS). In order to conduct these review activities, CMS depends upon
hospitals to make available specific records regarding care provided to
Medicare beneficiaries. The Clinical Data Abstraction Centers (CDACs)
obtain copies of medical records from which they abstract data to
analyze patterns of care and outcomes for heart failure/myocardial
infarction, pneumonia, diabetes and surgical infection; Frequency: When
records are reviewed; Affected Public: Business or other for-profit,
Not-for-profit institutions, Federal Government, and State, Local or
Tribal Government; Number of Respondents: 6,100; Total Annual
Responses: 397,500; Total Annual Hours: 11,925.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Recognition of
Payment for New Technology Services for Ambulatory Payment
Classifications (APCs) Under the Outpatient Prospective Payment System
and Supporting Regulations in 42 CFR, Sections 413.65 and 419.42; Form
Number: CMS-10054 (OMB 0938-0860); Use: Information is
necessary to determine eligibility of medical devices for establishment
of additional device categories for payment under transitional pass-
through payment
[[Page 4128]]
provisions as required by section 1833(t)(6) of the Social Security
Act. Transitional pass-through payments have been made to hospitals for
certain drugs, biologicals, and medical devices; Frequency: On
occasion; Affected Public: Business or other for-profit; Number of
Respondents: 15; Total Annual Responses: 15; Total Annual Hours: 180.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
site address at https://www.cms.hhs.gov/regulations/pra/, or E-mail your
request, including your address, phone number, OMB number, and CMS
document identifier, to Paperwork@cms.hhs.gov, or call the Reports
Clearance Office on (410) 786-1326.
Written comments and recommendations for the proposed information
collections must be mailed within 30 days of this notice directly to
the OMB desk officer: OMB Human Resources and Housing Branch,
Attention: Christopher Martin, New Executive Office Building, Room
10235, Washington, DC 20503.
Dated: January 19, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports Clearance Officer, Office of
Strategic Operations and Regulatory Affairs, Regulations Development
Group.
[FR Doc. 05-1481 Filed 1-27-05; 8:45 am]
BILLING CODE 4120-03-P
