Agency Information Collection Activities: Submission for OMB Review; Comment Request, 22315-22316 [05-8712]

Download as PDF Federal Register / Vol. 70, No. 82 / Friday, April 29, 2005 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Agency for Healthcare Research and Quality Meeting of the Citizens’ Health Care Working Group Agency for Healthcare Research and Quality (AHRQ). ACTION: Notice of public meeting. AGENCY: SUMMARY: In accordance with section 10(a) of the Federal Advisory Committee Act, this notice announces the first meeting of the Citizens’ Health Care Working Group mandated by section 1014 of the Medicare Modernization Act. DATES: The meeting will be held on Wednesday, May 11 and Thursday, May 12, 2005 from 8:30 a.m. to 5 p.m. and Friday, May 13, 2005 from 8:30 a.m. to 3:30 p.m. ADDRESSES: The meeting will be held at the Hampton Inn & Suites Reagan National Airport, 2000 Jefferson Davis Highway, Arlington, Virginia. The meeting is open to the public. FOR FURTHER INFORMATION CONTACT: Ken Cohen, Citizens’ Health Care Working Group, at (301) 443–1489 or citizenshealth@ahrq.gov. If sign language interpretation or other reasonable accommodation for a disability is needed, please contact Mr. Donald L. Inniss, Director, Office of Equal Employment Opportunity Program, Program Support Center, on (301) 443–1144 no later than May 2, 2005. The agenda and roster will be available on the Citizens’ Health Care Working Group Web site, www.citizenshealth.ahrq.gov, which will be operational in early May. When a transcription of the Working Group’s April 11 and 12 meeting is completed, it will be made available on the website. SUPPLEMENTARY INFORMATION: Section 1014 of Public Law 108–173, the Medicare Modernization Act (42 U.S.C. 299 note) directs the Secretary of the Department of Health and Human Services (DHHS), acting through the Agency for Healthcare Research and Quality, to establish a Citizens’ Health Care Working Group (Working Group). The statute charges the Working Group to: (1) Identify options for changing our health care system so that every American has the ability to obtain quality, affordable health care coverage; (2) provide for a nationwide public debate about improving the health care system; and (3) submit their recommendations to the President and the Congress. VerDate jul<14>2003 16:04 Apr 28, 2005 Jkt 205001 The Citizens’ Health Care Working Group is composed of 15 members: the Secretary of DHHS is designated as a member by the statute and the Comptroller General of the U.S. Government Accountability Office (GAO) is directed to appoint the remaining 14 members. The Comptroller General announced the 14 appointments on February 28, 2005. A list of the Working Group members is available on the GAO Web site (https://www.gao.gov.). Agenda This meeting will include three components: (1) Briefings for the Working Group on aspects of the health care system that the statute requires then to address; (2) hearings on two broad topics, the uninsured and drivers of health care costs; and (3) a portion of each day will be devoted to ongoing Working Group business. The briefings will address the following topics: overview of the health care system, public insurance programs (Medicare, Medicaid, and State Childrens’ Health Insurance Program), the private health insurance market, the uninsured, and drivers of health care costs. The hearings portion of the meeting is expected to address the following issues: public and private sector initiatives to expand health insurance coverage and public or private sector initiatives to control costs. The business portions of the meeting on each day will include discussions of future field hearings, the required Report of the American People, and begin the discussion of approaches for conducting the community meetings required by the statute. The official agenda will be available on the Working Group’s website. Submission of Written Information Individuals or organizations wishing to provide written information for consideration by the Working Group should submit information electronically to citizenshealth@ahrq.gov. Targeted but separate submissions that address the following topics are encouraged: (1) The issues that will be addressed to the May meeting; (2) the issues that the statute requires the Report to the American People to address; (3) examples of innovative public or private sector initiatives to address the issues that the statute requires the hearings or Report to address; or (4) approaches that the Working Group should consider in developing the strategies and framework for the community meetings envisioned in the statute. If an individual or organization wishes to address more PO 00000 Frm 00023 Fmt 4703 Sfmt 4703 22315 than one of these topics, separate submissions are requested. Because all electronic submissions will be posted on the Working Group web site, separate submissions will facilitate review of ideas submitted on each topic by the Working Group and the public. Dated: April 25, 2005. Carolyn M. Clancy, Director. [FR Doc. 05–8533 Filed 4–28–05; 8:45 am] BILLING CODE 4160–90–M DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10123 & 10124, CMS–21/21B, CMS–64, CMS–R–43, CMS–R– 209, and CMS–R–245] 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. 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: New Collection; Title of Information Collection: Expedited Review notices and Supporting Regulations contained in 42 CFR 405.1200 and 405.1202; Use: These notices are used to inform beneficiaries that their provider services will end, and to provide beneficiaries who request an expedited determination with detailed information of why the services should end. This application requests approval of an information collection associated with CMS–4004– FC, [Medicare Program: Expedited Determination Procedures for Provider AGENCY: E:\FR\FM\29APN1.SGM 29APN1 22316 Federal Register / Vol. 70, No. 82 / Friday, April 29, 2005 / Notices Service Terminations.] The rule provides for an expedited appeal when a Medicare beneficiary receives notice from a provider of services that his or her Medicare covered services will be terminated. The rule allows beneficiaries to request an expedited determination by a Quality Improvement Organization on whether such services should continue. Providers affected by the rule include home health agencies, comprehensive outpatient rehabilitation facilities, and hospices; Form Numbers: CMS–10123 & 10124 (OMB# 0938-NEW); Frequency: On occasion; Affected Public: Individuals or Households, Business or other for-profit, and Not-for-profit institutions; Number of Respondents: 4,200,000; Total Annual Responses: 4,200,000; Total Annual Hours: 379,400. 2. Type of Information Request: Extension of a currently approved collection; Title of Information Collection: Quarterly Children’s Health Insurance Program (CHIP) Statement of Expenditures for Title XXI; Use: States use forms CMS–21 and CMS–21B to report budget, expenditure, and related statistical information required for implementation of the Children’s Health Insurance Program. The information provided by these forms is used by CMS to prepare the grant awards to States for the Medicaid and CHIP programs, to ensure that the appropriate level of Federal payments for State expenditures under the Medicaid program and CHIP are made in accordance with the CHIP related Balanced Budget Act legislation provisions, and to track, monitor, and evaluate the numbers of related children being served by the Medicaid and CHIP programs; Form Number: CMS–21 and CMS–21B (OMB# 0938–0731); Frequency: Quarterly; Affected Public: State, local or tribal government; Number of Respondents: 56; Total Annual Responses: 448; Total Annual Hours: 7,840. 3. Type of Information Request: Extension of a currently approved collection; Title of Information Collection: Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program; Use: The State Medicaid agencies use the form CMS–64 for the Medical Assistance Program to report their actual program benefit costs and administrative expenses to CMS. CMS uses this information to compute the Federal financial participation for the State’s Medicaid Program costs; Form Number: CMS–64 (OMB# 0938–0067); Frequency: Quarterly; Affected Public: State, Local or Tribal Government; Number of Respondents: 56; Total Annual VerDate jul<14>2003 16:04 Apr 28, 2005 Jkt 205001 Responses: 224; Total Annual Hours: 18,144. 4. Type of Information Request: Extension of a currently approved collection; Title of Information Collection: Conditions of Participation for X-ray Suppliers and Supporting Regulations in 42 CFR 486.104, 486.106, and 486.110; Use: The information is required to certify portable X-ray suppliers wishing to participate in the Medicare program. The information collection is needed to determine if portable X-ray suppliers are in compliance with published health and safety requirements. This is standard medical practice and is necessary in order to ensure the well-being and safety of patients and professional treatment accountability; Form Number: CMS-R–43 (OMB# 0938–0338); Frequency: Recordkeeping; Affected Public: Business or other for-profit, Notfor-profit institutions; Number of Respondents: 602; Total Annual Responses: 602; Total Annual Hours: 1,505. 5. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare and Medicaid: Use and Reporting OASIS Data as Part of the Conditions of Participation (CoPs) for Home Health Agencies (HHAs) and Supporting Regulations in 42 CFR 484.11 and 484.20; Use: HHAs are required to report data from the OASIS as a condition of participation. Specifically, the above named regulation sections provide guidelines for HHAs for the electronic transmission of the OASIS data as well as responsibilities of the State agency or OASIS contractor in collecting and transmitting this information to CMS. These requirements are necessary to achieve broad-based, measurable improvement, in the quality of care furnished through Federal programs, and to establish a prospective payment system for HHAs; Form Numbers: CMS–R–209 (OMB# 0938–0761); Frequency: Monthly; Affected Public: Business or other forprofit, Not-for-profit institutions, Federal Government, and State, Local or Tribal Government; Number of Respondents: 7,582; Total Annual Responses: 93,621; Total Annual Hours: 921,271. 6. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare and Medicaid Programs OASIS Collection Requirements as Part of the Conditions of Participation for Home Health Agencies (HHAs) and Supporting Regulations in 42 CFR 484.55, 484.205, PO 00000 Frm 00024 Fmt 4703 Sfmt 4703 484.245, 484.250; Use: Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicare and Medicaid Programs OASIS Collection Requirements as Part of the Conditions of Participation for Home Health Agencies (HHAs) and Supporting Regulations in 42 CFR 484.55, 484.205, 484.245, 484.250; Use: This collection requires HHAs to use a standard core assessment data set, the OASIS, to collect information and to evaluate adult non-maternity patients. In addition, data from the OASIS will be used for purposes of case-mix adjusting patients under home health PPS, and will facilitate the production of necessary case-mix information at relevant time intervals in the patient’s home health stay. Modifications were previously made to the OASIS forms to allow for the preservation of masking of personally identifiable information for the non-Medicare/non-Medicaid individuals.; Form Numbers: CMS-R– 245 (OMB# 0938–0760); Frequency: Other ‘‘Upon patient assessment; Affected Public: Business or other forprofit, Not-for-profit institutions, Federal Government, and State, Local or Tribal Government; Number of Respondents: 7,582; Total Annual Responses: 10,156,569; Total Annual Hours: 8,556,995. 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: April 22, 2005. Michelle Shortt, Acting Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 05–8712 Filed 4–28–05; 8:45 am] BILLING CODE 4120–01–P E:\FR\FM\29APN1.SGM 29APN1

Agencies

[Federal Register Volume 70, Number 82 (Friday, April 29, 2005)]
[Notices]
[Pages 22315-22316]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-8712]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10123 & 10124, CMS-21/21B, CMS-64, CMS-R-43, 
CMS-R-209, and CMS-R-245]


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: New Collection; Title of 
Information Collection: Expedited Review notices and Supporting 
Regulations contained in 42 CFR 405.1200 and 405.1202; Use: These 
notices are used to inform beneficiaries that their provider services 
will end, and to provide beneficiaries who request an expedited 
determination with detailed information of why the services should end. 
This application requests approval of an information collection 
associated with CMS-4004-FC, [Medicare Program: Expedited Determination 
Procedures for Provider

[[Page 22316]]

Service Terminations.] The rule provides for an expedited appeal when a 
Medicare beneficiary receives notice from a provider of services that 
his or her Medicare covered services will be terminated. The rule 
allows beneficiaries to request an expedited determination by a Quality 
Improvement Organization on whether such services should continue. 
Providers affected by the rule include home health agencies, 
comprehensive outpatient rehabilitation facilities, and hospices; Form 
Numbers: CMS-10123 & 10124 (OMB 0938-NEW); Frequency: On 
occasion; Affected Public: Individuals or Households, Business or other 
for-profit, and Not-for-profit institutions; Number of Respondents: 
4,200,000; Total Annual Responses: 4,200,000; Total Annual Hours: 
379,400.
    2. Type of Information Request: Extension of a currently approved 
collection; Title of Information Collection: Quarterly Children's 
Health Insurance Program (CHIP) Statement of Expenditures for Title 
XXI; Use: States use forms CMS-21 and CMS-21B to report budget, 
expenditure, and related statistical information required for 
implementation of the Children's Health Insurance Program. The 
information provided by these forms is used by CMS to prepare the grant 
awards to States for the Medicaid and CHIP programs, to ensure that the 
appropriate level of Federal payments for State expenditures under the 
Medicaid program and CHIP are made in accordance with the CHIP related 
Balanced Budget Act legislation provisions, and to track, monitor, and 
evaluate the numbers of related children being served by the Medicaid 
and CHIP programs; Form Number: CMS-21 and CMS-21B (OMB 0938-
0731); Frequency: Quarterly; Affected Public: State, local or tribal 
government; Number of Respondents: 56; Total Annual Responses: 448; 
Total Annual Hours: 7,840.
    3. Type of Information Request: Extension of a currently approved 
collection; Title of Information Collection: Quarterly Medicaid 
Statement of Expenditures for the Medical Assistance Program; Use: The 
State Medicaid agencies use the form CMS-64 for the Medical Assistance 
Program to report their actual program benefit costs and administrative 
expenses to CMS. CMS uses this information to compute the Federal 
financial participation for the State's Medicaid Program costs; Form 
Number: CMS-64 (OMB 0938-0067); Frequency: Quarterly; Affected 
Public: State, Local or Tribal Government; Number of Respondents: 56; 
Total Annual Responses: 224; Total Annual Hours: 18,144.
    4. Type of Information Request: Extension of a currently approved 
collection; Title of Information Collection: Conditions of 
Participation for X-ray Suppliers and Supporting Regulations in 42 CFR 
486.104, 486.106, and 486.110; Use: The information is required to 
certify portable X-ray suppliers wishing to participate in the Medicare 
program. The information collection is needed to determine if portable 
X-ray suppliers are in compliance with published health and safety 
requirements. This is standard medical practice and is necessary in 
order to ensure the well-being and safety of patients and professional 
treatment accountability; Form Number: CMS-R-43 (OMB 0938-
0338); Frequency: Recordkeeping; Affected Public: Business or other 
for-profit, Not-for-profit institutions; Number of Respondents: 602; 
Total Annual Responses: 602; Total Annual Hours: 1,505.
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid: Use and Reporting OASIS Data as Part of the Conditions of 
Participation (CoPs) for Home Health Agencies (HHAs) and Supporting 
Regulations in 42 CFR 484.11 and 484.20; Use: HHAs are required to 
report data from the OASIS as a condition of participation. 
Specifically, the above named regulation sections provide guidelines 
for HHAs for the electronic transmission of the OASIS data as well as 
responsibilities of the State agency or OASIS contractor in collecting 
and transmitting this information to CMS. These requirements are 
necessary to achieve broad-based, measurable improvement, in the 
quality of care furnished through Federal programs, and to establish a 
prospective payment system for HHAs; Form Numbers: CMS-R-209 
(OMB 0938-0761); Frequency: Monthly; Affected Public: Business 
or other for-profit, Not-for-profit institutions, Federal Government, 
and State, Local or Tribal Government; Number of Respondents: 7,582; 
Total Annual Responses: 93,621; Total Annual Hours: 921,271.
    6. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid Programs OASIS Collection Requirements as Part of the 
Conditions of Participation for Home Health Agencies (HHAs) and 
Supporting Regulations in 42 CFR 484.55, 484.205, 484.245, 484.250; 
Use: Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare and 
Medicaid Programs OASIS Collection Requirements as Part of the 
Conditions of Participation for Home Health Agencies (HHAs) and 
Supporting Regulations in 42 CFR 484.55, 484.205, 484.245, 484.250; 
Use: This collection requires HHAs to use a standard core assessment 
data set, the OASIS, to collect information and to evaluate adult non-
maternity patients. In addition, data from the OASIS will be used for 
purposes of case-mix adjusting patients under home health PPS, and will 
facilitate the production of necessary case-mix information at relevant 
time intervals in the patient's home health stay. Modifications were 
previously made to the OASIS forms to allow for the preservation of 
masking of personally identifiable information for the non-Medicare/
non-Medicaid individuals.; Form Numbers: CMS-R-245 (OMB 0938-
0760); Frequency: Other `` Upon patient assessment; Affected Public: 
Business or other for-profit, Not-for-profit institutions, Federal 
Government, and State, Local or Tribal Government; Number of 
Respondents: 7,582; Total Annual Responses: 10,156,569; Total Annual 
Hours: 8,556,995.
    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: April 22, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 05-8712 Filed 4-28-05; 8:45 am]
BILLING CODE 4120-01-P
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