Agency Information Collection Activities: Submission for OMB Review; Comment Request, 12220-12221 [05-4886]

Download as PDF 12220 Federal Register / Vol. 70, No. 47 / Friday, March 11, 2005 / Notices study other than their time. The estimated annualized burden is 5,922 hours. ANNUALIZED BURDEN TABLE Number of respondents Type of respondents Patients ........................................................... 4180 Physicians ....................................................... 140 Dated: March 7, 2005. Betsey Dunaway, Acting Reports Clearance Officer, Centers for Disease Control and Prevention. [FR Doc. 05–4803 Filed 3–10–05; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Disease, Disability, and Injury Prevention and Control; Special Emphasis Panel: Grants for Education Programs in Occupational Safety and Health, Request for Applications (RFA) OH–05–001 In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), the Centers for Disease Control and Prevention (CDC) announces the following meeting: Name: Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): Grants for Education Programs in Occupational Safety and Health, Request for Applications (RFA) OH–05–001. Times and Dates: 8 a.m.–6 p.m., March 28, 2005 (Closed). Place: Embassy Suites Hotels, 1900 Diagonal Road, Alexandria, VA 23114, telephone 703.684.5900. Status: The meeting will be closed to the public in accordance with provisions set forth in section 552b(c)(4) and (6), Title 5 U.S.C., and the Determination of the Director, Management Analysis and Services Office, CDC, pursuant to Public Law 92–463. Matters to be Discussed: The meeting will include the review, discussion, and evaluation of applications received in response to Request for Applications OH–05– 001. For Further Information Contact: S. Price Connor, Ph.D., Scientific Review Administrator, Office of Extramural Programs, National Institute for Occupational Safety and Health, CDC, 1600 Clifton Road, NE, MS–E74, Atlanta, GA 30333, Telephone 404–498–2530. The Director, Management Analysis and Services Office has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and VerDate jul<14>2003 16:40 Mar 10, 2005 Jkt 205001 Screening ....................................................... Questionnaire (pre-test and post-test) ........... Family HealthwareTM Tool ............................. Post Visit Assessment ................................... other committee management activities, for both CDC and the Agency for Toxic Substances and Disease Registry. Dated: March 4, 2005. Alvin Hall, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention (CDC). [FR Doc. 05–4808 Filed 3–10–05; 8:45 am] BILLING CODE 4163–19–P Centers for Disease Control and Prevention DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Environmental Health/Agency for Toxic Substances and Disease Registry The Program Peer Review Subcommittee of the Board of Scientific Counselors (BSC), National Center for Environmental Health (NCEH)/Agency for Toxic Substances and Disease Registry (ATSDR): Teleconference In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), NCEH/ATSDR announces the following subcommittee meeting: Name: Program Peer Review Subcommittee (PPRS). Time and Date: 12:30 p.m.–2 p.m., April 4, 2005. Place: The teleconference will originate at the National Center for Environmental Health/Agency for Toxic Substances and Disease Registry in Atlanta, Georgia. Please see Supplementary Information for details on accessing the teleconference. Status: Open to the public, teleconference access limited only by availability of telephone ports. Purpose: Under the charge of the Board of Scientific counselors (BSC), NCEH/ATSDR, the Program Peer Review Subcommittee establishes and monitors working groups of technical experts that perform program peer reviews of NCEH and ATSDR. The Subcommittee, working with the NCEH/ ATSDR, Office of Sciences (OS), will establish the schedule and process for program peer reviews, nominate working group members, review summary reports and PO 00000 Frm 00050 Frequency of response Type of response Fmt 4703 Sfmt 4703 Average time per response (in hrs) 1 2 1 30 2/60 30/60 20/60 3/60 recommendations, and report back to the Board. The OS will establish agency policy for program peer review and directly support each working group by collating program documents, and organizing the working groups review and site visit. Each NCEH/ ATSDR program eligible for review will be reviewed every 5 years according to CDC/ ATSDR policy. Matters To Be Discussed: The teleconference agenda will include a review of action items from the previous meeting, discussion and updates on the program peer review process, and the draft outline of a generic self-assessment process. Agenda items are tentative and subject to change as priorities changes. Supplementary Information: This conference call is scheduled to begin at 12:30 p.m. Eastern Standard Time. To participate in the teleconference, please dial (877) 315– 6535 and enter conference code 383520. For Further Information Contact: Drue Barrett, Ph.D., Executive Secretary, PRRS, NCEH/ATSDR, M/S E–28, 1600 Clifton Road, NE., Atlanta, Georgia 30333, telephone 404 498–0003. The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities for both CDC and ATSDR. Dated: March 4, 2005. Alvin Hall, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. 05–4806 Filed 3–10–05; 8:45 am] BILLING CODE 4163–70–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–R–211, CMS–R– 306, CMS–R–185, and CMS–R–238] 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 AGENCY: E:\FR\FM\11MRN1.SGM 11MRN1 Federal Register / Vol. 70, No. 47 / Friday, March 11, 2005 / Notices 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: Model Application Template for State Child Health Plan Under Title XXI of the Social Security Act, State Children’s Health Insurance Program, and Model Application Template and Instructions; Use: States are required to submit Title XXI plans and amendments for approval by the Secretary pursuant to Section 2102 of the Social Security Act in order to receive funds for initiating and expanding health insurance coverage for uninsured children. The model application template is used to assist States in submitting a State Child Health Plan and amendments to that plan; Form Number: CMS–R–211 (OMB#: 0938–0707); Frequency: Quarterly and annually; Affected Public: State, local or tribal government; Number of Respondents: 40; Total Annual Responses: 40; Total Annual Hours: 3,200. 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities; Use: Psychiatric residential treatment facilities are required to report deaths, serious injuries and attempted suicides to State Medicaid Agency and Protection and Advocacy Organization. They are also required to provide residents restraint and seclusion policy in writing, and to document resident record of all activities involving use of restraint and seclusion. Form Number: CMS–R–306 (OMB#: 0938–0833); Frequency: On occasion; Affected Public: Business or other for-profit and not-for-profit institutions; Number of Respondents: 500; Total Annual VerDate jul<14>2003 16:40 Mar 10, 2005 Jkt 205001 Responses: 1,199,000; Total Annual Hours: 713,250. 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Granting and Withdrawal of Deeming Authority to Private Nonprofit Accreditation Organizations and of State Exemption Under State Laboratory Program and Supporting Regulations in 42 CFR 493.551–493.557; Use: The information required is necessary to determine whether a private accreditation organization’s or State licensure program’s standards and accreditation/ licensure process is equal to or more stringent than those of CLIA; Form Number: CMS–R–185 (OMB#: 0938– 0686); Frequency: As needed; Affected Public: Not-for-profit institutions, business or other for-profit, and State, local or tribal government; Number of Respondents: 8; Total Annual Responses: 76; Total Annual Hours: 768. 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Inpatient Psychiatric Services for Individuals Under Age 21 and Supporting Regulations in 42 CFR 441.151 and 441.152; Use: Certification requirements in Section 441.152 require that the certification of need for inpatient psychiatric services include documented clinical evidence that serves as the basis for the certification of need for inpatient psychiatric care. Section 1905(h)(1)(B) requires physicians and other personnel qualified to make determinations, with respect to mental health conditions and the treatment thereof, certify the need for care which they have determined to be necessary on an inpatient basis; Form Number: CMS–R–238 (OMB#: 0938– 0754); Frequency: Recordkeeping; Affected Public: State, local or tribal government, not-for-profit institutions and business or other for-profit; Number of Respondents: 80,000; Total Annual Responses: 80,000; Total Annual Hours: 1. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS Web site address at http://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 PO 00000 Frm 00051 Fmt 4703 Sfmt 4703 12221 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: 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. 05–4886 Filed 3–10–05; 8:45 am] BILLING CODE 4120–03–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10143, CMS–R– 295, CMS–R–79, and CMS–R–10] 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; (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: New collection; Title of Information Collection: Monthly State File of Medicaid/Medicare Dual Eligible Enrollees and Supporting Regulations in 42 CFR 423.900 through 423.910; Use: The monthly file of dual eligible enrollees will be used to determine those duals with drug benefits for the phased-down State contribution process required by the Medicare Modernization Act of 2003 (MMA). Section 103(a)(2) of the MMA addresses the phased-down State contribution (PDSC) process for the Medicare program. The reporting of the Medicare/Medicaid dual eligibles on AGENCY: E:\FR\FM\11MRN1.SGM 11MRN1

Agencies

[Federal Register Volume 70, Number 47 (Friday, March 11, 2005)]
[Notices]
[Pages 12220-12221]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-4886]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-211, CMS-R-306, CMS-R-185, and CMS-R-238]


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

[[Page 12221]]

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: Model Application 
Template for State Child Health Plan Under Title XXI of the Social 
Security Act, State Children's Health Insurance Program, and Model 
Application Template and Instructions; Use: States are required to 
submit Title XXI plans and amendments for approval by the Secretary 
pursuant to Section 2102 of the Social Security Act in order to receive 
funds for initiating and expanding health insurance coverage for 
uninsured children. The model application template is used to assist 
States in submitting a State Child Health Plan and amendments to that 
plan; Form Number: CMS-R-211 (OMB: 0938-0707); Frequency: 
Quarterly and annually; Affected Public: State, local or tribal 
government; Number of Respondents: 40; Total Annual Responses: 40; 
Total Annual Hours: 3,200.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Restraint and 
Seclusion Standards for Psychiatric Residential Treatment Facilities; 
Use: Psychiatric residential treatment facilities are required to 
report deaths, serious injuries and attempted suicides to State 
Medicaid Agency and Protection and Advocacy Organization. They are also 
required to provide residents restraint and seclusion policy in 
writing, and to document resident record of all activities involving 
use of restraint and seclusion. Form Number: CMS-R-306 (OMB: 
0938-0833); Frequency: On occasion; Affected Public: Business or other 
for-profit and not-for-profit institutions; Number of Respondents: 500; 
Total Annual Responses: 1,199,000; Total Annual Hours: 713,250.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Granting and 
Withdrawal of Deeming Authority to Private Nonprofit Accreditation 
Organizations and of State Exemption Under State Laboratory Program and 
Supporting Regulations in 42 CFR 493.551-493.557; Use: The information 
required is necessary to determine whether a private accreditation 
organization's or State licensure program's standards and 
accreditation/licensure process is equal to or more stringent than 
those of CLIA; Form Number: CMS-R-185 (OMB: 0938-0686); 
Frequency: As needed; Affected Public: Not-for-profit institutions, 
business or other for-profit, and State, local or tribal government; 
Number of Respondents: 8; Total Annual Responses: 76; Total Annual 
Hours: 768.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Inpatient 
Psychiatric Services for Individuals Under Age 21 and Supporting 
Regulations in 42 CFR 441.151 and 441.152; Use: Certification 
requirements in Section 441.152 require that the certification of need 
for inpatient psychiatric services include documented clinical evidence 
that serves as the basis for the certification of need for inpatient 
psychiatric care. Section 1905(h)(1)(B) requires physicians and other 
personnel qualified to make determinations, with respect to mental 
health conditions and the treatment thereof, certify the need for care 
which they have determined to be necessary on an inpatient basis; Form 
Number: CMS-R-238 (OMB: 0938-0754); Frequency: Recordkeeping; 
Affected Public: State, local or tribal government, not-for-profit 
institutions and business or other for-profit; Number of Respondents: 
80,000; Total Annual Responses: 80,000; Total Annual Hours: 1.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
site address at http://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: 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. 05-4886 Filed 3-10-05; 8:45 am]
BILLING CODE 4120-03-P