Agency Information Collection Activities: Proposed Collection; Comment Request, 12222-12223 [05-4876]

Download as PDF 12222 Federal Register / Vol. 70, No. 47 / Friday, March 11, 2005 / Notices a monthly basis is necessary to implement those provisions, and to Support Part D subsidy determinations and auto-assignment of individuals to Part D plans. The PDSC is a partial recoupment from the States of ongoing Medicaid drug costs for dual eligibles assumed by Medicare under MMA, which absent the MMA would have been paid for by the States; Form Number: CMS–10143 (OMB#: 0938– NEW); Frequency: Recordkeeping and Monthly reporting; Affected Public: State, Local or Tribal Government; Number of Respondents: 51; Total Annual Responses: 612; Total Annual Hours: 10,710. 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare CAHPS Disenrollment Surveys and Supporting Regulations in 42 CFR 417.126, 417.470, 422.64, and 422.210; Use: This survey helps Medicare track a variety of consumer satisfaction measures relating to Medicare beneficiaries who leave their MA plans. The Centers for Medicare & Medicaid Services (CMS) has a responsibility to its Medicare beneficiaries to require that care provided by managed care organizations under contract to CMS is of high quality. One way of ensuring high quality care is through the development of performance measures and standardized satisfaction surveys that enable CMS to gather the data needed to evaluate the care provided to Medicare beneficiaries; Form Number: CMS–R–295 (OMB#: 0938–0779); Frequency: Quarterly; Affected Public: Individuals or Households; Number of Respondents: 44,200; Total Annual Responses: 41,697; Total Annual hours: 17,823. 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Payment Adjustment for Sole Community Hospitals and Supporting Regulations in 42 CFR 412.92; Form No.: CMS–R–79 (OMB# 0938–0477); Use: This collection provides that if a hospital that is classified as a sole community hospital (SCH) experiences, due to circumstances beyond its control, a decrease of more than 5 percent in its total number of discharges compared to the immediately preceding cost reporting period, the hospital may apply for a payment adjustment. To qualify for this adjustment to its payment rate an SCH must submit documentation, including cost information as requested by CMS, to the intermediary; Frequency: On occasion; Affected Public: Not-forprofit institutions, Business or other for- VerDate jul<14>2003 16:40 Mar 10, 2005 Jkt 205001 profit, and State, Local or Tribal Government; Number of Respondents: 40; Total Annual Responses: 40; Total Annual Hours: 160. 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Information Collection Requirements Contained in BPD–718: Advance Directives (Medicare and Medicaid) and Supporting Regulations in 42 CFR 417.436, 417.801, 422.128, 430.12, 431.20, 431.107, 438.6, 440.170, 483.10, 484.10, and 489.102; Form No.: CMS–R–10 (OMB# 0938– 0610); Use: Steps have been taken at both the Federal and State level, to afford greater opportunity for the individual to participate in decisions made concerning the medical treatment to be received by an adult patient in the event that the patient is unable to communicate to others, a preference about medical treatment. The individual may make his preference known through the use of an advance directive, which is a written instruction prepared in advance, such as a living will or durable power of attorney. This information is documented in a prominent part of the individual’s medical record. Advance directives as described in the Patient SelfDetermination Act (enacted in 1991) have increased the individual’s control over decisions concerning medical treatment. The advance directives requirement was enacted because Congress wanted individuals to know that they have a right to make health care decisions and to refuse treatment even when they are unable to communicate.; Frequency: On occasion; Affected Public: Business or other forprofit; Number of Respondents: 33,096; Total Annual Responses: 33,096; Total Annual Hours: 924,120. 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 addressbelow: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Melissa Musotto, Room C4–26–05, 7500 PO 00000 Frm 00052 Fmt 4703 Sfmt 4703 Security Boulevard, Baltimore, Maryland 21244–1850. Dated: March 4, 2005. John P. Burke, III, CMS Paperwork Reduction Act Reports Clearance Officer, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group. [FR Doc. 05–4887 Filed 3–10–05; 8:45 am] BILLING CODE 4120–03–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Resources and Services Administration Agency Information Collection Activities: Proposed Collection; Comment Request In compliance with the requirement for the opportunity for public comment on proposed data collection projects (section 3506(c)(2)(A) of Title 44, United States Code, as amended by the Paperwork Reduction Act of 1995, Pub. L. 104–13), the Health Resources and Services Administration (HRSA) publishes periodic summaries of proposed projects being developed for submission to OMB under the Paperwork Reduction Act of 1995. To request more information on the proposed project or to obtain a copy of the data collection plans and draft instruments, call the HRSA Reports Clearance Officer at (301) 443–1129. Comments are invited on: (a) Whether the proposed collection of information is necessary for the proper performance of the functions of the Agency, including whether the information shall have practical utility; (b) the accuracy of the Agency’s estimate of the burden of the proposed collection of information; (c) ways to enhance the quality, utility, and clarity of the information to be collected; and (d) ways to minimize the burden of the collection of information on respondents, including through the use of automated collection techniques or other forms of information technology. Proposed Project: Evaluation of Universal Newborn Hearing Screening and Intervention Program—(NEW) The purpose of the universal newborn hearing screening and intervention evaluation project is to describe the efficacy, or lack thereof, of a national program to assure that all newborn infants are screened for hearing loss before discharge from the newborn nursery, and that those infants who do not pass the initial screening procedures have timely and appropriate follow-up, E:\FR\FM\11MRN1.SGM 11MRN1 12223 Federal Register / Vol. 70, No. 47 / Friday, March 11, 2005 / Notices defined as audiologic diagnosis by three months of age and enrollment in a program of early intervention before 6 months of age. Program goals of linking every child with a known or suspected hearing loss with a medical home, that is a provider of continuous and comprehensive primary pediatric care, and linkage of families of infants with a hearing loss to a source of family to family support will also be assessed. In addition to a survey tool to be administered in all States, additional data will be collected during site visits Form Number of respondents Responses per respondent Telephone interviews ............ Site Visits ............................... 57 States and Jurisdictions .. 12 States/Jurisdictions .......... to 10–12 selected States. Results of the evaluation will include recommendations to the program office for further assisting the States in fully accomplishing program goals. Total responses 1 ............................................ Up to 6 .................................. Send comments to Susan G. Queen, Ph.D., HRSA Reports Clearance Officer, Room 14–45, Parklawn Building, 5600 Fishers Lane, Rockville, MD 20857. Written comments should be received within 60 day of this notice. Minutes per response 57 72 Total burden hours 30 60 28.5 72.0 DEPARTMENT OF HEALTH AND HUMAN SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Institutes of Health National Human Genome Research Institute; Notice of Closed Meeting National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. Appendix 2), notice is hereby given of the following meeting. The meetings will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), title 5 U.S.C., as amended. The grant applications and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the grant applications, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. Appendix 2), notice is hereby given of the following meeting. The meeting will be closed to the public in accordance with the provisions set forth in sections 552b(c)(4) and 552b(c)(6), Title 5 U.S.C., as amended. The contract proposals and the discussions could disclose confidential trade secrets or commercial property such as patentable material, and personal information concerning individuals associated with the contract proposals, the disclosure of which would constitute a clearly unwarranted invasion of personal privacy. Name of Committee: NIH Advisory Board for Clinical Research. Date: March 28, 2005. Time: 10 a.m. to 2 p.m. Agenda: To review proposed 2006 Clinical Center budget. Place: National Institutes of Health, Building 10, 10 Center Drive, CRC Medical Board, 4–2551, Bethesda, MD 20892. Contact Person: Maureen E. Gormley, Executive Secretary, Warren Grant Magnuson Clinical Center, National Institutes of Health, Building 10, Room 6–1610, Bethesda, MD 20892. 301/496–2897. Name of Committee: National Human Genome Research Institute Special Emphasis Panel, Genomic Database. Date: March 21, 2005. Time: 1 p.m. to 5 p.m. Agenda: To review and evaluate grant applications. Place: National Institutes of Health, 5635 Fishers Lane, Bethesda, MD 20892. (Telephone conference call.) Contact Person: Ken D. Nakamura, PhD, Scientific Review Administrator, Office of Scientific Review, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD 20892. (301) 402–0838. This notice is being published less than 15 days prior to the meeting due to the timing limitations imposed by the review and funding cycle. (Catalogue of Federal Domestic Assistance Program Nos. 93.172, Human Genome Research, National Institutes of Health, HHS) Name of Committee: National Institute of Child Health and Human Development Special Emphasis Panel, National Children’s Center—Coordinating Center. Date: April 4, 2005. Time: 8:30 a.m. to 5 p.m. Agenda: To review and evaluate contract proposals. Place: Ramada Inn Rockville, 1775 Rockville Pike, Rockville, MD 20852. Contact Person: Hameed Khan, PhD, Scientific Review Administrator, Division of Scientific Review, National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892. (301) 435–6902. khanh@mail.nih.gov. (Catalogue of Federal Domestic Assistance Program Nos. 93.864, Population Research; 93.865, Research for Mothers and Children; 93.929, Center for Medical Rehabilitation Research; 93.209, Contraception and Infertility Loan Repayment Program, National Institutes of Health, HHS) Dated: March 4, 2005. LaVerne Y. Stringfield, Director, Office of Federal Advisory Committee Policy. [FR Doc. 05–4867 Filed 3–10–05; 8:45 am] Dated: March 4, 2005. LaVerne Y. Stringfield, Director, Office of Federal Advisory Committee Policy. [FR Doc. 05–4862 Filed 3–10–05; 8:45 am] Dated: March 4, 2005. LaVerne Y. Stringfield, Director, Office of Federal Advisory Committee Policy. [FR Doc. 05–4852 Filed 3–10–05; 8:45 am] BILLING CODE 4140–01–M BILLING CODE 4140–01–M BILLING CODE 4140–01–M Dated: March 3, 2005. Tina M. Cheatham, Director, Division of Policy Review and Coordination. [FR Doc. 05–4876 Filed 3–10–05; 8:45 am] BILLING CODE 4165–15–P DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Clinical Center; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act, as amended (5 U.S.C. Appendix 2), notice is hereby given of a meeting of the NIH Advisory Board for Clinical Research. The meeting will be open to the public, with attendance limited to space available. Individuals who plan to attend and need special assistance, such as sign language interpretation or other reasonable accommodations, should notify the Contact Person listed below in advance of the meeting. VerDate jul<14>2003 16:40 Mar 10, 2005 Jkt 205001 PO 00000 Frm 00053 Fmt 4703 Sfmt 4703 E:\FR\FM\11MRN1.SGM 11MRN1

Agencies

[Federal Register Volume 70, Number 47 (Friday, March 11, 2005)]
[Notices]
[Pages 12222-12223]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-4876]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration


Agency Information Collection Activities: Proposed Collection; 
Comment Request

    In compliance with the requirement for the opportunity for public 
comment on proposed data collection projects (section 3506(c)(2)(A) of 
Title 44, United States Code, as amended by the Paperwork Reduction Act 
of 1995, Pub. L. 104-13), the Health Resources and Services 
Administration (HRSA) publishes periodic summaries of proposed projects 
being developed for submission to OMB under the Paperwork Reduction Act 
of 1995. To request more information on the proposed project or to 
obtain a copy of the data collection plans and draft instruments, call 
the HRSA Reports Clearance Officer at (301) 443-1129.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the Agency, including whether the information shall have practical 
utility; (b) the accuracy of the Agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology.

Proposed Project: Evaluation of Universal Newborn Hearing Screening and 
Intervention Program--(NEW)

    The purpose of the universal newborn hearing screening and 
intervention evaluation project is to describe the efficacy, or lack 
thereof, of a national program to assure that all newborn infants are 
screened for hearing loss before discharge from the newborn nursery, 
and that those infants who do not pass the initial screening procedures 
have timely and appropriate follow-up,

[[Page 12223]]

defined as audiologic diagnosis by three months of age and enrollment 
in a program of early intervention before 6 months of age. Program 
goals of linking every child with a known or suspected hearing loss 
with a medical home, that is a provider of continuous and comprehensive 
primary pediatric care, and linkage of families of infants with a 
hearing loss to a source of family to family support will also be 
assessed. In addition to a survey tool to be administered in all 
States, additional data will be collected during site visits to 10-12 
selected States. Results of the evaluation will include recommendations 
to the program office for further assisting the States in fully 
accomplishing program goals.

----------------------------------------------------------------------------------------------------------------
                                   Number of      Responses per        Total        Minutes per    Total burden
             Form                 respondents       respondent       responses       response          hours
----------------------------------------------------------------------------------------------------------------
Telephone interviews.........  57 States and     1..............              57              30            28.5
                                Jurisdictions.
Site Visits..................  12 States/        Up to 6........              72              60            72.0
                                Jurisdictions.
----------------------------------------------------------------------------------------------------------------

    Send comments to Susan G. Queen, Ph.D., HRSA Reports Clearance 
Officer, Room 14-45, Parklawn Building, 5600 Fishers Lane, Rockville, 
MD 20857. Written comments should be received within 60 day of this 
notice.

    Dated: March 3, 2005.
Tina M. Cheatham,
Director, Division of Policy Review and Coordination.
[FR Doc. 05-4876 Filed 3-10-05; 8:45 am]
BILLING CODE 4165-15-P
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