Agency Information Collection Activities: Proposed Collection; Comment Request, 29313-29314 [05-9642]
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Federal Register / Vol. 70, No. 97 / Friday, May 20, 2005 / Notices
Dated: May 2, 2005.
William J. McCabe,
Acting Director, Emergency and Remedial
Response Division, Region 2.
[FR Doc. 05–10147 Filed 5–19–05; 8:45 am]
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
BILLING CODE 6560–50–P
[Document Identifier: CMS–10151, CMS–
10152, and CMS–R–220]
Centers for Medicare & Medicaid
Services
Agency Information Collection
Activities: Proposed Collection;
Comment Request
FEDERAL COMMUNICATIONS
COMMISSION
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: Data Collection
for Medicare Beneficiaries Receiving
Implantable Cardioverter-defibrillators
for Primary Prevention of Sudden
Cardiac Death; Form Nos.: CMS–10151
(OMB # 0938–NEW); Use: CMS provides
coverage for implantable cardioverterdefibrillators (ICDs) for secondary
prevention of sudden cardiac death
based on extensive evidence showing
that use of ICDs among patients with a
certain set of physiologic conditions are
effective. Accordingly, CMS considers
coverage for ICDs reasonable and
necessary under Section 1862(a)(1)(A) of
the Social Security Act. However,
evidence for use of ICDs for primary
prevention of sudden cardiac death is
less compelling for certain patients. To
encourage responsible and appropriate
use of ICDs, CMS issued a Decision
Memo for Implantable Defibrillators on
January 27, 2005, indicating that ICDs
will be covered for primary prevention
of sudden cardiac death if the
beneficiary is enrolled in either an FDAapproved category B Investigational
Device Exemption (IDE) clinical trial
(see 42 CFR § 405.201), a trial under the
CMS Clinical Trial Policy (see NCD
AGENCY:
[Report No. 2703]
Petitions for Reconsideration and
Clarification of Action in Rulemaking
Proceedings
April 25, 2005.
Petitions for Reconsideration and
Clarification have been filed in the
Commission’s Rulemaking proceedings
listed in this Public Notice and
published pursuant to 47 CFR 1.429(e).
The full text of this document is
available for viewing and copying in
Room CY–B402, 445 12th Street, SW.,
Washington, DC or may be purchased
from the Commission’s copy contractor,
Best Copy and Printing, Inc. (BCPI) (1–
800–378–3160). Oppositions to these
petitions must be filed by June 6, 2005.
See section 1.4(b)(1) of the
Commission’s rules (47 CFR 1.4(b)(1)).
Replies to an opposition must be filed
within 10 days after the time for filing
oppositions have expired.
Subject: Federal-State Joint Board on
Universal Service (CC Docket No. 96–
45).
Number of Petitions Filed: 1.
Subject: In the Matter of
Presubscribed Interexchange Carrier
Charges (CC Docket No. 02–53).
In the Matter of Unbundled Access to
Network Elements (WC Docket No. 04–
313).
Number of Petitions Filed: 3.
Subject: Review of the Section 251
Unbundling Obligations of Incumbent
Local Exchange Carriers (CC Docket No.
01–338).
Number of Petitions Filed: 7.
Marlene H. Dortch,
Secretary.
[FR Doc. 05–9108 Filed 5–19–05; 8:45 am]
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29313
Manual § 310.1) or a qualifying
prospective data collection system
(either a practical clinical trial or
prospective systematic data collection,
which is sometimes referred to as a
registry); Frequency: Other—as needed;
Affected Public: Business or other forprofit, Individuals or Households, and
Not-for-profit institutions; Number of
Respondents: 1217; Total Annual
Responses: 50,000; Total Annual Hours:
4167.
2. Type of Information Collection
Request: New Collection; Title of
Information Collection: Data Collection
for Medicare Beneficiaries Receiving
FDG Positron Emissions Tomography
(PET) for Brain, Cervical, Ovarian,
Pancreatic, Small Cell Lung and
Testicular Cancers; Form Nos.: CMS–
10152 (OMB # 0938–NEW); Use: In the
Decision Memo #CAG–00181N issued
on January 27, 2005, CMS determined
that the evidence is sufficient to
conclude that for Medicare beneficiaries
receiving FDG positron emission
tomography (PET) for brain, cervical,
ovarian, pancreatic, small cell lung, and
testicular cancers is reasonable and
necessary only when the provider is
participating in and patients are
enrolled in a systematic data collection
project. CMS will consider prospective
data collection systems to be qualified if
they provide assurance that specific
hypotheses are addressed and they
collect appropriate data elements. The
data collection should include baseline
patient characteristics; indications for
the PET scan; PET scan type and
characteristics; FDG PET results; results
of all other imaging studies; facility and
provider characteristics; cancer type,
grade, and stage; long-term patient
outcomes; disease management changes;
and anti-cancer treatment received;
Frequency: Other—as needed; Affected
Public: Business or other for-profit,
Individuals or Households, and Not-forprofit institutions; Number of
Respondents: 2,000; Total Annual
Responses: 50,000; Total Annual Hours:
4167.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: HIPAA
Standard Unique Employer Identifier
and Supporting Regulations in 45 CFR
Parts 160 and 162; Form Nos.: CMS–R–
220 (OMB # 0938–0874); Use: Section
1173b of Subtitle F of Title II of the
Health Insurance Portability and
Accountability Act of 1996 (P.L. 104–
191) requires the Secretary of the
Department of Health and Human
Services to adopt standards for unique
health identifiers for individuals,
employers, health plans, and health care
E:\FR\FM\20MYN1.SGM
20MYN1
29314
Federal Register / Vol. 70, No. 97 / Friday, May 20, 2005 / Notices
providers. The use of this standard
improves the Medicare and Medicaid
programs, other Federal health programs
and private health programs, by
simplifying the administration of the
system and enabling the efficient
electronic transmission of certain health
information; Frequency: Other—onetime; Affected Public: Business or other
for-profit, Not-for-profit institutions,
Federal Government, and State, Local or
Tribal Government; Number of
Respondents: 2,550,000; Total Annual
Responses: 2,550,000; 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 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 to the
address below: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: William N. Parham, III, PRA
Analyst, Room C5–13–27, 7500 Security
Boulevard, Baltimore, Maryland 21244–
1850.
Dated: May 2, 2005.
Michelle Shortt,
Acting Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 05–9642 Filed 5–19–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–37]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Centers for Medicare &
Medicaid Services.
AGENCY:
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: Revision of a currently
approved collection; Title of
Information Collection: Medicaid
Program Budget Report; Form Nos.:
CMS–37 (OMB # 0938–0101); Use: The
Medicaid Program Budget Report is
prepared by the State Medicaid
Agencies and is used by the Centers for
Medicare & Medicaid Services (CMS) for
(1) developing National Medicaid
Budget estimates, (2) qualification of
Budget Estimate Changes, and (3) the
issuance of quarterly Medicaid Grant
Awards. The structure of the currently
approved CMS–37 was revised based on
CMS experience with budget
information provided by the States.
(Note: Details are outlined in the
Addendum which can be found on the
CMS Web site address below.)
Frequency: Quarterly; Affected Public:
State, Local or Tribal Government;
Number of Respondents: 56; Total
Annual Responses: 224; Total Annual
Hours: 7,616.
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 to the
address below: CMS, Office of Strategic
Operations and Regulatory Affairs,
Division of Regulations Development,
Attention: Melissa Musotto, PRA
Analyst, Room C4–26–05, 7500 Security
Boulevard, Baltimore, Maryland 21244–
1850.
Dated: May 12, 2005.
Michelle Shortt,
Acting Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 05–10054 Filed 5–19–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: LIHEAP Quarterly Allocation
Estimates Form ACF–535.
OMB No.: 0970–0037
Description: The Low Income Home
Energy Assistance Program (LIHEAP)
Quarterly Allocation Estimates Form–
535 is a one-page form that is sent to 50
State grantees and to the District of
Columbia. It is also sent to Tribal
Government grantees that receive over
$1 million annually for LIHEAP.
Grantees are asked to complete and
submit the form in the 4th quarter of
each fiscal year. The data collected on
the form are grantees’ estimates of
obligations they expect to make each
quarter of the upcoming fiscal year for
the LIHEAP program. This is the only
method used to request anticipated
distributions of the grantee’s LIHEAP
funds. The information is used to
develop apportionment requests to OMB
and to make grant awards based on
grantee anticipated needs. Information
collected on this form is not available
through any other Federal source.
Submission of the form is voluntary.
Respondents: 50 States, the District of
Columbia and those Tribal governments
that receive over $1 million annually.
ANNUAL BURDEN ESTIMATES
Instrument
Number of
respondents
Number of
responses per
respondent
Average burden hours per
response
Total burden
hours
ACF–535 ..........................................................................................................
55
1
.25
13.75
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]]>Agencies
[Federal Register Volume 70, Number 97 (Friday, May 20, 2005)]
[Notices]
[Pages 29313-29314]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-9642]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10151, CMS-10152, and CMS-R-220]
Agency Information Collection Activities: Proposed Collection;
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) 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: Data Collection for Medicare Beneficiaries
Receiving Implantable Cardioverter-defibrillators for Primary
Prevention of Sudden Cardiac Death; Form Nos.: CMS-10151 (OMB
0938-NEW); Use: CMS provides coverage for implantable cardioverter-
defibrillators (ICDs) for secondary prevention of sudden cardiac death
based on extensive evidence showing that use of ICDs among patients
with a certain set of physiologic conditions are effective.
Accordingly, CMS considers coverage for ICDs reasonable and necessary
under Section 1862(a)(1)(A) of the Social Security Act. However,
evidence for use of ICDs for primary prevention of sudden cardiac death
is less compelling for certain patients. To encourage responsible and
appropriate use of ICDs, CMS issued a Decision Memo for Implantable
Defibrillators on January 27, 2005, indicating that ICDs will be
covered for primary prevention of sudden cardiac death if the
beneficiary is enrolled in either an FDA-approved category B
Investigational Device Exemption (IDE) clinical trial (see 42 CFR Sec.
405.201), a trial under the CMS Clinical Trial Policy (see NCD Manual
Sec. 310.1) or a qualifying prospective data collection system (either
a practical clinical trial or prospective systematic data collection,
which is sometimes referred to as a registry); Frequency: Other--as
needed; Affected Public: Business or other for-profit, Individuals or
Households, and Not-for-profit institutions; Number of Respondents:
1217; Total Annual Responses: 50,000; Total Annual Hours: 4167.
2. Type of Information Collection Request: New Collection; Title of
Information Collection: Data Collection for Medicare Beneficiaries
Receiving FDG Positron Emissions Tomography (PET) for Brain, Cervical,
Ovarian, Pancreatic, Small Cell Lung and Testicular Cancers; Form Nos.:
CMS-10152 (OMB 0938-NEW); Use: In the Decision Memo
CAG-00181N issued on January 27, 2005, CMS determined that the
evidence is sufficient to conclude that for Medicare beneficiaries
receiving FDG positron emission tomography (PET) for brain, cervical,
ovarian, pancreatic, small cell lung, and testicular cancers is
reasonable and necessary only when the provider is participating in and
patients are enrolled in a systematic data collection project. CMS will
consider prospective data collection systems to be qualified if they
provide assurance that specific hypotheses are addressed and they
collect appropriate data elements. The data collection should include
baseline patient characteristics; indications for the PET scan; PET
scan type and characteristics; FDG PET results; results of all other
imaging studies; facility and provider characteristics; cancer type,
grade, and stage; long-term patient outcomes; disease management
changes; and anti-cancer treatment received; Frequency: Other--as
needed; Affected Public: Business or other for-profit, Individuals or
Households, and Not-for-profit institutions; Number of Respondents:
2,000; Total Annual Responses: 50,000; Total Annual Hours: 4167.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: HIPAA Standard
Unique Employer Identifier and Supporting Regulations in 45 CFR Parts
160 and 162; Form Nos.: CMS-R-220 (OMB 0938-0874); Use:
Section 1173b of Subtitle F of Title II of the Health Insurance
Portability and Accountability Act of 1996 (P.L. 104-191) requires the
Secretary of the Department of Health and Human Services to adopt
standards for unique health identifiers for individuals, employers,
health plans, and health care
[[Page 29314]]
providers. The use of this standard improves the Medicare and Medicaid
programs, other Federal health programs and private health programs, by
simplifying the administration of the system and enabling the efficient
electronic transmission of certain health information; Frequency:
Other--one-time; Affected Public: Business or other for-profit, Not-
for-profit institutions, Federal Government, and State, Local or Tribal
Government; Number of Respondents: 2,550,000; Total Annual Responses:
2,550,000; 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 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 to the address
below: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: William N. Parham, III,
PRA Analyst, Room C5-13-27, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: May 2, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 05-9642 Filed 5-19-05; 8:45 am]
BILLING CODE 4120-01-P
