Agency Information Collection Activities: Submission for OMB Review; Comment Request, 53665-53666 [05-17735]
Download as PDF
Federal Register / Vol. 70, No. 174 / Friday, September 9, 2005 / Notices
Dated: August 31, 2005.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. 05–17892 Filed 9–8–05; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–416 and CMS–
10156]
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: Extension of a currently
approved collection; Title of
Information Collection: Annual Early
and Periodic Screening, Diagnostic and
Treatment Services (EPSDT)
Participation Report; Form No.: CMS–
416 (OMB #0938–0354); Use: States are
required to submit an annual report on
the provision of EPSDT services to CMS
pursuant to section 1902(1)(43)(D) of the
Social Security Act. These reports
provide CMS with data necessary to
assess the effectiveness of State EPSDT
programs, to determine a state’s results
in achieving its participation goal, and
to respond to inquiries; Frequency:
Annually; Affected Public: State, local
or tribal Government; Number of
Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
1,568.
2. Type of Information Collection
Request: Extension of a currently
AGENCY:
VerDate Aug<18>2005
15:19 Sep 08, 2005
Jkt 205001
approved collection; Title of
Information Collection: Retiree Drug
Subsidy (RDS) Application and
Instructions; Use: Under the Medicare
Prescription Drug, Improvement, and
Modernization Act (MMA) of 2003 and
implementing regulations at 42 CFR
subpart R plan sponsors (employers,
unions) who offer prescription drug
coverage to their qualified covered
retirees are eligible to receive a 28% taxfree subsidy for allowable drug costs. In
order to qualify, plan sponsors must
submit a complete application to CMS
with a list of retirees for whom it
intends to collect the subsidy; Form
Number: CMS–10156 (OMB#: 0938–
0957); Frequency: Quarterly, Monthly,
Annually; Affected Public: Business or
other for-profit, Not-for-profit
institutions, Federal, State, local and/or
tribal Government; Number of
Respondents: 50,000; Total Annual
Responses: 50,000; Total Annual Hours:
2,025,000.
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, Room C4–
26–05, 7500 Security Boulevard,
Baltimore, Maryland 21244–1850.
Dated: August 25, 2005.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 05–17734 Filed 9–8–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–262]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
AGENCY:
PO 00000
Frm 00049
Fmt 4703
Sfmt 4703
53665
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: Plan Benefit
Package (PBP) and Formulary
Submission for Medicare Advantage
(MA) Plans and Prescription Drug Plans
(PDPs); Form No.: CMS–R–262 (OMB #
0938–0763); Use: Under the Medicare
Modernization Act (MMA), Medicare
Advantage (MA) and Prescription Drug
Plan (PDP) organizations are required to
submit plan benefit package information
to CMS for approval. Organizations will
provide this information through the
submission of the formulary and the
PBP software; Frequency: On occasion,
annually and other (as required by new
legislation); Affected Public: Business or
other for-profit and Not-for-profit
institutions; Number of Respondents:
470; Total Annual Responses: 2,092;
Total Annual Hours: 5,546.
To obtain copies of the supporting
statement and any related forms for
these 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 these information
collections will be considered if they are
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.
E:\FR\FM\09SEN1.SGM
09SEN1
53666
Federal Register / Vol. 70, No. 174 / Friday, September 9, 2005 / Notices
Dated: August 25, 2005.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 05–17735 Filed 9–8–05; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Description of the Matching Program
A. General
[HHS Computer Match No. 0508; CMS
Computer Match No. 2005–05]
Privacy Act of 1974
Department of Health and
Human Services (HHS), Centers for
Medicare & Medicaid Services (CMS).
ACTION: Notice of Computer Matching
Program (CMP).
AGENCY:
SUMMARY: In accordance with the
requirements of the Privacy Act of 1974,
as amended, this notice establishes a
CMP that CMS plans to conduct with
the Florida Agency for Health Care
Administration (AHCA). We have
provided background information about
the proposed matching program in the
SUPPLEMENTARY INFORMATION section
below. The Privacy Act requires that
CMS provide an opportunity for
interested persons to comment on the
proposed matching program. We may
defer implementation of this matching
program if we receive comments that
persuade us to defer implementation.
See EFFECTIVE DATES section below for
comment period.
EFFECTIVE DATES: CMS filed a report of
the CMP with the Chair of the House
Committee on Government Reform and
Oversight, the Chair of the Senate
Committee on Governmental Affairs,
and the Administrator, Office of
Information and Regulatory Affairs,
Office of Management and Budget
(OMB) on 09/01/2005. We will not
disclose any information under a
matching agreement until 40 days after
filing a report to OMB and Congress or
30 days after publication.
ADDRESSES: The public should address
comments to: CMS Privacy Officer,
Division of Privacy Compliance Data
Development, Enterprise Databases
Group, Office of Information Services,
CMS, Mail-stop N2–04–27, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850. Comments
received will be available for review at
this location, by appointment, during
regular business hours, Monday through
Friday from 9 a.m.–3 p.m., eastern
daylight time.
15:19 Sep 08, 2005
Jkt 205001
Lourdes Grindal Miller, Health
Insurance Specialist, Program Integrity
Group, Office of Financial Management,
CMS, Mail-stop C3–02–16, 7500
Security Boulevard, Baltimore Maryland
21244–1850. The telephone number is
410–786–1022 and e-mail is
Lourdes.grindalmiller@cms.hhs.gov.
SUPPLEMENTARY INFORMATION:
Centers for Medicare & Medicaid
Services
VerDate Aug<18>2005
FOR FURTHER INFORMATION CONTACT:
The Computer Matching and Privacy
Protection Act of 1988 (Public Law
(Pub. L.) 100–503), amended the Privacy
Act (5 U.S.C. 552a) by describing the
manner in which computer matching
involving Federal agencies could be
performed and adding certain
protections for individuals applying for
and receiving Federal benefits.
Section 7201 of the Omnibus Budget
Reconciliation Act of 1990 (Pub. L. 101–
508) further amended the Privacy Act
regarding protections for such
individuals. The Privacy Act, as
amended, regulates the use of computer
matching by Federal agencies when
records in a system of records are
matched with other Federal, state, or
local government records. It requires
Federal agencies involved in computer
matching programs to:
1. Negotiate written agreements with
the other agencies participating in the
matching programs;
2. Obtain the Data Integrity Board
approval of the match agreements;
3. Furnish detailed reports about
matching programs to Congress and
OMB;
4. Notify applicants and beneficiaries
that the records are subject to matching;
and,
5. Verify match findings before
reducing, suspending, terminating, or
denying an individual’s benefits or
payments.
B. CMS Computer Matches Subject to
the Privacy Act
CMS has taken action to ensure that
all CMPs that this Agency participates
in comply with the requirements of the
Privacy Act of 1974, as amended.
Dated: August 30, 2005.
John R. Dyer,
Chief Operating Officer, Centers for Medicare
& Medicaid Services.
CMS COMPUTER MATCH No. 2005–05
NAME:
‘‘Computer Matching Agreement
(CMA) Between the Centers for
Medicare & Medicaid Services (CMS)
and the State of Florida Agency for
PO 00000
Frm 00050
Fmt 4703
Sfmt 4703
Health Care Administration (AHCA)
titled ‘‘Disclosure of Medicare and
Medicaid Information.’’
SECURITY CLASSIFICATION:
Level Three Privacy Act Sensitive.
PARTICIPATING AGENCIES:
The Centers for Medicare & Medicaid
Services, and State of Florida Agency
for Health Care Administration.
AUTHORITY FOR CONDUCTING MATCHING
PROGRAM:
This CMA is executed to comply with
the Privacy Act of 1974 (Title 5 United
States Code (U.S.C.) § 552a), as
amended, (as amended by Public Law
(Pub. L.) 100–503), the Computer
Matching and Privacy Protection Act
(CMPPA) of 1988), the Office of
Management and Budget (OMB)
Circular A–130, titled ‘‘Management of
Federal Information Resources’’ at 65
Federal Register (FR) 77677 (December
12, 2000), 61 FR 6435 (February 20,
1996), and OMB guidelines pertaining
to computer matching at 54 FR 25818
(June 19, 1989).
This Agreement provides for
information matching fully consistent
with the authority of the Secretary of the
Department of Health and Human
Services (Secretary). Section 1816 of the
Social Security Act (the Act) permits the
Secretary to contract with Fiscal
Intermediaries (FI) to ‘‘make such audits
of the records of providers as may be
necessary to insure that proper
payments are made under this part,’’
and to ‘‘perform such other functions as
are necessary to carry out this
subsection’’ (42 U.S.C. 1395h(a)).
Section 1842 of the Act provides that
the Secretary may contract with entities
known as carriers to ‘‘make such audits
of the records of providers of services as
may be necessary to assure that proper
payments are made’’ (42 U.S.C.
1395u(a)(1)(C)); ‘‘assist in the
application of safeguards against
unnecessary utilization of services
furnished by providers of services and
other persons to individuals entitled to
benefits’’ (42 U.S.C. 1395u(a)(2)(B)); and
‘‘to otherwise assist * * * in
discharging administrative duties
necessary to carry out the purposes of
this part’’ (42 U.S.C. 1395u(a)(4)).
Furthermore, § 1874(b) of the Act
authorizes the Secretary to contract with
any person, agency, or institution to
secure on a reimbursable basis such
special data, actuarial information, and
other information as may be necessary
in the carrying out of his functions
under this title (42 U.S.C. 1395kk(b)).
Section 1893 of the Act establishes
the Medicare Integrity Program, under
E:\FR\FM\09SEN1.SGM
09SEN1
Agencies
[Federal Register Volume 70, Number 174 (Friday, September 9, 2005)]
[Notices]
[Pages 53665-53666]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 05-17735]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-262]
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: Extension of a currently
approved collection; Title of Information Collection: Plan Benefit
Package (PBP) and Formulary Submission for Medicare Advantage (MA)
Plans and Prescription Drug Plans (PDPs); Form No.: CMS-R-262 (OMB
0938-0763); Use: Under the Medicare Modernization Act (MMA),
Medicare Advantage (MA) and Prescription Drug Plan (PDP) organizations
are required to submit plan benefit package information to CMS for
approval. Organizations will provide this information through the
submission of the formulary and the PBP software; Frequency: On
occasion, annually and other (as required by new legislation); Affected
Public: Business or other for-profit and Not-for-profit institutions;
Number of Respondents: 470; Total Annual Responses: 2,092; Total Annual
Hours: 5,546.
To obtain copies of the supporting statement and any related forms
for these 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 these information
collections will be considered if they are 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.
[[Page 53666]]
Dated: August 25, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-17735 Filed 9-8-05; 8:45 am]
BILLING CODE 4120-01-P