Agency Information Collection Activities: Submission for OMB Review; Comment Request, 8376 [05-3127]
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8376
Federal Register / Vol. 70, No. 33 / Friday, February 18, 2005 / Notices
Dated: February 8, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports
Clearance Officer, Office of Strategic
Operations and Regulatory Affairs,
Regulations Development Group.
[FR Doc. 05–3044 Filed 2–17–05; 8:45 am]
BILLING CODE 4320–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10115, CMS–
2552 and CMS–R–148]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare &
Medicaid Services.
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: Federal Funding
of Emergency Health Services (Section
1011): Enrollment Application; Use:
These information collections will allow
hospitals and other providers to enroll
to receive payment for Section 1011
claim submissions. Section 1011
provides $250 million per year for fiscal
years 2005–2008 for payments to
eligible providers for emergency health
services provided to undocumented
aliens and other specified aliens; Form
Number: CMS–10115 (OMB#: 0938–
0929); Frequency: Other: as needed;
Affected Public: Business or other forprofit, Not-for-profit institutions, and
State, local or tribal govt.; Number of
Respondents: 62,500; Total Annual
VerDate jul<14>2003
15:41 Feb 17, 2005
Jkt 205001
Responses: 62,500; Total Annual Hours:
31,250.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Hospital and
Health Care Complexes Cost Report and
Supporting Regulations in 42 CFR
413.20 and 413.24; Use: This form is
completed by Hospitals and Health Care
Complexes participating in the
Medicare program. Hospitals and Health
Care Complexes use this form to report
the health care costs for services they
provide. The information reported on
this form is used by CMS to determine
the amount of reimbursable costs for
services rendered to Medicare
beneficiaries. The revisions to this form
contain the provisions for implementing
section 422 of the MMA. Section 422
deals with the calculation of GME and
IME payments for redistribution of
unused resident slots; Form Number:
CMS–2552–96 (OMB# 0938–0050);
Frequency: Annually; Affected Public:
Business or other for-profit, Not-forprofit institutions, and State, local or
tribal government; Number of
Respondents: 6,111; Total Annual
Responses: 6,111; Total Annual Hours:
4,046,782.
3. Type of Information Collection
Request: Reinstatement, without change,
of a previously approved collection for
which approval has expired; Title of
Information Collection: Limitations on
Provider Related Donations and Health
Care Related Taxes; Limitation on
payments to Disproportionate Share
Hospitals; Medicaid and Supporting
Regulations in 42 CFR 433.68, 433.74,
and 447.272; Use: This information
collection is necessary to ensure
compliance with Sections 1903 and
1923 of the Social Security Act for the
purpose of preventing payment of
federal financial participation on
amounts prohibited by the statute. State
Medicaid agencies must report quarterly
on the source of provider related
donations received by the State or unit
of local government, and health care
related taxes collected. Failure to collect
the funding data on a quarterly basis
may result in Federal funds not being
returned promptly and properly to the
Federal Government; Form Number:
CMS–R–148 (OMB#: 0938–0618);
Frequency: Quarterly and as needed;
Affected Public: State, Local or Tribal
Government; Number of Respondents:
50; Total Annual Responses: 40; Total
Annual Hours: 3,200.
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/
PO 00000
Frm 00040
Fmt 4703
Sfmt 4703
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: February 11, 2005.
Michelle Shortt,
Acting Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 05–3127 Filed 2–17–05; 8:45 am]
BILLING CODE 4120–03–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Food and Drug Administration
Nonprescription Drugs Advisory
Committee; Notice of Meeting
AGENCY: Food and Drug Administration,
HHS.
ACTION: Notice.
This notice announces a forthcoming
meeting of a public advisory committee
of the Food and Drug Administration
(FDA). The meeting will be open to the
public.
Name of Committee: Nonprescription
Drugs Advisory Committee.
General Function of the Committee:
To provide advice and
recommendations to the agency on
FDA’s regulatory issues.
Date and Time: The meeting will be
held on March 23, 2005, from 8 a.m. to
5:30 p.m.
Location: Hilton Washington DC
North, The Ballrooms, 620 Perry Pkwy.,
Gaithersburg, MD.
Contact Person: Shalini Jain, Center
for Drug Evaluation and Research (HFD–
21), Food and Drug Administration,
5600 Fishers Lane (for express delivery:
5630 Fishers Lane, rm. 1093) Rockville,
MD 20857, 301–827–7001, FAX: 301–
827–6801, e-mail: jains@cder.fda.gov, or
FDA Advisory Committee Information
Line, 1–800–741–8138 (301–443–0572
in the Washington, DC area), code
3014512541. Please call the Information
Line for up-to-date information on this
meeting.
Agenda: On March 23, 2005, the
committee will discuss the
microbiologic surrogate endpoints used
E:\FR\FM\18FEN1.SGM
18FEN1
]]>Agencies
[Federal Register Volume 70, Number 33 (Friday, February 18, 2005)]
[Notices]
[Page 8376]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-3127]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10115, CMS-2552 and CMS-R-148]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
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: Federal Funding
of Emergency Health Services (Section 1011): Enrollment Application;
Use: These information collections will allow hospitals and other
providers to enroll to receive payment for Section 1011 claim
submissions. Section 1011 provides $250 million per year for fiscal
years 2005-2008 for payments to eligible providers for emergency health
services provided to undocumented aliens and other specified aliens;
Form Number: CMS-10115 (OMB: 0938-0929); Frequency: Other: as
needed; Affected Public: Business or other for-profit, Not-for-profit
institutions, and State, local or tribal govt.; Number of Respondents:
62,500; Total Annual Responses: 62,500; Total Annual Hours: 31,250.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Hospital and
Health Care Complexes Cost Report and Supporting Regulations in 42 CFR
413.20 and 413.24; Use: This form is completed by Hospitals and Health
Care Complexes participating in the Medicare program. Hospitals and
Health Care Complexes use this form to report the health care costs for
services they provide. The information reported on this form is used by
CMS to determine the amount of reimbursable costs for services rendered
to Medicare beneficiaries. The revisions to this form contain the
provisions for implementing section 422 of the MMA. Section 422 deals
with the calculation of GME and IME payments for redistribution of
unused resident slots; Form Number: CMS-2552-96 (OMB 0938-
0050); Frequency: Annually; Affected Public: Business or other for-
profit, Not-for-profit institutions, and State, local or tribal
government; Number of Respondents: 6,111; Total Annual Responses:
6,111; Total Annual Hours: 4,046,782.
3. Type of Information Collection Request: Reinstatement, without
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Limitations on Provider
Related Donations and Health Care Related Taxes; Limitation on payments
to Disproportionate Share Hospitals; Medicaid and Supporting
Regulations in 42 CFR 433.68, 433.74, and 447.272; Use: This
information collection is necessary to ensure compliance with Sections
1903 and 1923 of the Social Security Act for the purpose of preventing
payment of federal financial participation on amounts prohibited by the
statute. State Medicaid agencies must report quarterly on the source of
provider related donations received by the State or unit of local
government, and health care related taxes collected. Failure to collect
the funding data on a quarterly basis may result in Federal funds not
being returned promptly and properly to the Federal Government; Form
Number: CMS-R-148 (OMB: 0938-0618); Frequency: Quarterly and
as needed; Affected Public: State, Local or Tribal Government; Number
of Respondents: 50; Total Annual Responses: 40; Total Annual Hours:
3,200.
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: February 11, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 05-3127 Filed 2-17-05; 8:45 am]
BILLING CODE 4120-03-P
