Agency Information Collection Activities: Proposed Collection; Comment Request, 14898-14900 [06-2808]
Download as PDF
14898
Federal Register / Vol. 71, No. 57 / Friday, March 24, 2006 / Notices
Dated: March 17, 2006.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. E6–4266 Filed 3–23–06; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF LABOR
Mine Safety and Health Administration
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
Workshop on Mine Escape Planning
and Emergency Shelters
Mine Safety and Health
Administration and the National
Institute for Occupational Safety and
Health.
ACTION: Notice of workshop.
AGENCY:
SUMMARY: The Mine Safety and Health
Administration (MSHA) and the
National Institute for Occupational
Safety and Health (NIOSH) are hosting
a workshop to identify the major issues
and concerns related to mine escape
planning and emergency shelters in the
mining industry, and share information
with the mining community. The
workshop will provide for an exchange
of information among all segments of
the mining community involved with
mine emergency preparedness and will
generate an agenda for research to
improve technology for mine safety in
these areas.
DATES: The workshop will be held on
Tuesday, April 18, beginning at 8 a.m.
and conclude by 5:30 p.m.
ADDRESSES: The workshop will be held
at the National Academy of Sciences
Auditorium, 2101 Constitution Avenue,
NW., Washington, DC.
FOR FURTHER INFORMATION CONTACT: Dr.
Jeffery H. Kravitz, MSHA, at 412–386–
6923 or Dr. Gerald L. Finfinger, NIOSH,
at 412–386–6550.
SUPPLEMENTARY INFORMATION:
MSHA and NIOSH will moderate a
day-long workshop on mine escape
planning and emergency shelters.
wwhite on PROD1PC61 with NOTICES
Location and Transportation
Participants should plan to arrive by
Metro or taxi and enter the building at
2100 ‘‘C’’ Street, NW. A shuttle leaves
the Foggy Bottom Metro station at 7:15
a.m. and runs directly to the National
Academy building. The National
Academy has a cafeteria in the building.
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Attendance and Registration
The workshop is open to all interested
parties. In addition to state and federal
government representatives, we expect
that mine operators, labor
representatives, and manufacturers will
be interested in this workshop. We
encourage manufacturers and
distributors of emergency shelters, selfrescue devices, mine rescue apparatus,
and other equipment that can aid in
mine escape, evacuation, rescue, and
recovery operations to attend this
workshop.
You can register at the workshop or
you can pre-register by contacting one of
the following persons:
• Donna Opfer (NIOSH) at 412–386–
6564, Dopfer@cdc.com;
• John Sporrer (NIOSH) at 412–386–
6435, JSporrer@cdc.com; or
• Yvonne Quinn (MSHA) at 202–693–
9440, quinn.yvonne@dol.gov.
We will include all participants on the
registration list and make it available at
the workshop.
Scheduled Presentations
Representatives from MSHA and
NIOSH will be discussing issues
involving mine escape planning, with
an emphasis on evacuation as a first
priority, and emergency shelters. Invited
international speakers include
representatives from Canada, Germany,
South Africa, and Australia. MSHA and
NIOSH will provide participants an
opportunity to ask questions and submit
written comments and information.
Tentative Agenda
You can find workshop information,
including a tentative agenda, on the
NIOSH and MSHA Internet sites, https://
www.cdc.gov/niosh and https://
www.msha.gov. Topics addressing mine
escape planning will include the
philosophy of escape planning, a recent
history of mine escapes, warning
systems, and the use of self-rescue
devices and lifelines. Tentative topics
addressing emergency shelters include
the history of the use of emergency
shelters, how mine design has changed
since the 1980s, shelter placement in
the mine, configuration and
construction, life support and
instrumentation, communication issues,
equipment and supplies, and
psychological and training issues.
Workshop Proceedings
MSHA and NIOSH will compile the
workshop presentations, which are in
PowerPoint’’ format, audiotape the
workshop, and make a transcript of the
proceedings. The PowerPoint
presentations and workshop transcript
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will be made available on the NIOSH
and MSHA Internet sites, https://
www.cdc.gov/niosh and https://
www.msha.gov. At a later date, MSHA
and NIOSH will summarize the
information presented by participants
and prepare a joint report.
Dated: March 20, 2006.
David G. Dye,
Acting Assistant Secretary for Mine Safety
and Health.
Dated: March 21, 2006.
Dr. John Howard,
Director, National Institute for Occupational
Safety and Health.
[FR Doc. 06–2905 Filed 3–23–06; 8:45 am]
BILLING CODE 4510–43–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10137, CMS–
10080, CMS–R–296, CMS–1763, and CMS–
10116]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
Agency: Centers for Medicare &
Medicaid Services.
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: Application for
Prescription Drug Plans (PDP);
Application for Medicare Advantage
Prescription Drug (MA–PD) Plans;
Application for Cost Plans to Offer
Qualified Prescription Drug Coverage;
Application for PACE Organization to
Offer Qualified Prescription Drug
E:\FR\FM\24MRN1.SGM
24MRN1
wwhite on PROD1PC61 with NOTICES
Federal Register / Vol. 71, No. 57 / Friday, March 24, 2006 / Notices
Coverage; Application for Employer
Group Waiver Plans to Offer
Prescription Drug Coverage; Service
Area Expansion Application to Offer
Prescription Drug Coverage in a New
Region; Use: Coverage for the
prescription drug benefit will be
provided through contracted
prescription drug plans (PDPs) or
through Medicare Advantage (MA)
plans that offer integrated prescription
drug and health care coverage (MA–PD
plans). Cost Plans that are regulated
under Section 1876 of the Social
Security Act, Employer Group Waiver
Plans (EGWP) and PACE plans may also
provide a Part D benefit. Organizations
wishing to provide services under the
Prescription Drug Benefit Program must
complete an application, negotiate rates,
and receive final approval from CMS.
Existing Part D Sponsors may also
expand their contracted service area by
completing the Service Area Expansion
(SAE) application; Form Number: CMS–
10137 (OMB#: 0938–0936); Frequency:
Reporting—Other—depending on
program areas and data requirements;
Affected Public: Business or other forprofit, Not-for-profit institutions,
Federal government; Number of
Respondents: 101; Total Annual
Responses: 101; Total Annual Hours:
3,828.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Publications
Use Study; Use: The Balanced Budget
Act (BBA) of 1997 increased the number
and type of health insurance options
available to Medicare beneficiaries and
implemented new preventative health
care benefits. The BBA also gave CMS
a greater responsibility to help Medicare
beneficiaries better understand these
increased health care options and
benefits. This research is designed to
strengthen the information
dissemination efforts by CMS to meet
beneficiaries’ needs. The current study
expands on previous methodology to
include surveys of not only print-based
publications but of Web-based
publications as well. CMS is mandated
to provide a range of information about
Medicare health care options, benefits,
rights and regulations. This research
will evaluate how well CMS is currently
meeting this mandate; Form Number:
CMS–10080 (OMB#: 0938–0892);
Frequency: Recordkeeping and
Reporting: Quarterly; Affected Public:
Individuals or households; Number of
Respondents: 3880; Total Annual
Responses: 3880; Total Annual Hours:
1,356.
3. Type of Information Collection
Request: Extension of a currently
VerDate Aug<31>2005
18:26 Mar 23, 2006
Jkt 208001
approved collection; Title of
Information Collection: Home Health
Advance Beneficiary Notice (HHABN)
and Supporting Regulations in 42 CFR
411.404 and 484.10(a) and (e); Use:
Home Health Agencies (HHAs) are
required to provide written notice to
Medicare beneficiaries in advance of
initiating, terminating or reducing
beneficiary service. The notice is
designed to ensure that beneficiaries
receive complete and useful information
to enable them to make informed
consumer decisions. HHAs must now
issue HHABNs in a broader set of
circumstances in conjunction with their
responsibilities under the home health
Conditions of Participation (COPs)
consistent with U.S. Court of Appeals
(2nd Circuit) in the Lutwin v. Thompson
court decision. The notice must be
issued timely and provide clear and
accurate information about the specified
services which may no longer be
covered by Medicare, including the
reason(s) that Medicare denied payment
for those services. Form Number: CMS–
R_296 (OMB#: 0938–0781); Frequency:
Recordkeeping, Third party disclosure
and Reporting: On occasion, Other: As
needed; Affected Public: Individuals or
households, Business or other for-profit
and Not-for-profit institutions; Number
of Respondents: 6928; Total Annual
Responses: 216,000; Total Annual
Hours: 21,600.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Request for
Termination of Premium Hospital and/
or Supplementary Medical Insurance
and Supporting Regulations in 42 CFR
406.28 & 407.27; Use: Under 42 CFR
sections 406.28(a) and 407.27(c) a
Medicare beneficiary, wishing to
voluntarily terminate enrollment in
Medicare Supplementary Medical
Insurance and/or Premium-Hospital
Insurance can file a written request with
CMS or the Social Security
Administration. The form, Request for
Termination of Premium Hospital and/
or Supplementary Medical Insurance,
was developed to comply with these
requirements. Form Number: CMS–1763
(OMB#: 0938–0025); Frequency:
Reporting: Other: One Time Only;
Affected Public: Individuals or
households, Federal, State, Local or
Tribal Government; Number of
Respondents: 14,000; Total Annual
Responses: 14,000; Total Annual Hours:
5,833.
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Conditions of
Payment of Power Mobility Devices,
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Frm 00068
Fmt 4703
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14899
including Power Wheelchairs and
Power-Operated Vehicles (CMS–3017–
IFC); Use: CMS–3017–IFC (Conditions
for Payment of Power Mobility Devices,
including Power Wheelchairs and
Power-Operated Vehicles) provides
further guidance with respect to the
prescribing of, and payment for, Power
Mobility Devices (PMDs). This rule
defines the term ‘‘power mobility
devices (PMDs)’’ as power wheelchairs
and power operated vehicles (POVs or
scooters). This rule conforms our
regulations to section 302(a)(2)(E)(iv) of
the Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA). The MMA mandated: (1)
A face-to-face examination of the
individual be conducted by a physician
(as defined in section 1861(r)(1) of the
Social Security Act (the Act)), a
physician assistant, a nurse practitioner
or a clinical nurse specialist (as those
terms are defined in section 1861(aa)(5)
of the Act; and (2) that payment may not
be made for a power wheelchair unless
the physician or treating practitioner
has written a prescription for the item.
With this information collection
request, CMS is seeking approval for the
collection requirements associated with
CMS–3017–IFC (70 FR 50940); Form
Number: CMS–10116 (OMB#: 0938–
0971); Frequency: Recordkeeping and
Reporting—On occasion; Affected
Public: Business or other for-profit, Notfor-profit institutions, Federal
government, State, Local, or Tribal
governments; Number of Respondents:
17,000; Total Annual Responses:
37,400; Total Annual Hours: 37,400.
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/
PaperworkReductionActof1995, or Email 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.
To be assured consideration,
comments and recommendations for the
proposed information collections must
be received at the address below, no
later than 5 p.m. on May 23, 2006.
CMS, Office of Strategic Operations
and Regulatory Affairs, Division of
Regulations Development—B, Attention:
William N. Parham, III, Room C4–26–
05, 7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
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14900
Federal Register / Vol. 71, No. 57 / Friday, March 24, 2006 / Notices
Dated: March 17, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 06–2808 Filed 3–23–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–250]
wwhite on PROD1PC61 with NOTICES
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Agency: Centers for Medicare &
Medicaid Services.
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: Skilled Nursing
Facility Resident Assessment MDS Data
and Supporting Regulations in 42 CFR
413.337, 413.343, 424.32, and 483.20;
Form Number: CMS–R–250 (OMB#:
0938–0739); Use: Skilled Nursing
Facilities (SNFs) are required to submit
the resident assessment data as
described at 42 CFR 483.20 in the
manner necessary to administer the
payment rate methodology described in
42 CFR 413.337. Pursuant to sections
4204(b) and 4214(d) of Omnibus Budget
Reconciliation Act (OBRA) 1987, the
current requirements related to the
submission and retention of resident
assessment data for the 5th, 30th, 60th
and 90th days following admission,
necessary to administer the payment
rate methodology described in 42 CFR
VerDate Aug<31>2005
18:26 Mar 23, 2006
Jkt 208001
413.337, are subject to the Paperwork
Reduction Act. The burden associated
with information collection is the sum
of the SNF staff time required to
complete the Minimum Data Set (MDS),
SNF staff time to encode the data, and
SNF staff time spent in transmitting the
data.; Frequency: Reporting—Other, 5th,
14th, 30th, 60th, and 90th days of stay;
Affected Public: Business or other forprofit, Not-for-profit institutions;
Number of Respondents: 15,352; Total
Annual Responses: 4,719,118; Total
Annual Hours: 3,284,247.
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/
PaperworkReductionActof1995, or Email 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
or faxed within 30 days of this notice
directly to the OMB desk officer: OMB
Human Resources and Housing Branch,
Attention: Carolyn Lovett, New
Executive Office Building, Room 10235,
Washington, DC 20503. Fax Number:
(202) 395–6974.
Dated: March 16, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 06–2809 Filed 3–23–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[CMS–1269–N7]
Medicare Program; Emergency Medical
Treatment and Labor Act (EMTALA)
Technical Advisory Group (TAG):
Announcement of a New Member
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Notice.
AGENCY:
SUMMARY: This notice announces the
selection of a new member of the
Emergency Medical Treatment and
Labor Act (EMTALA) Technical
Advisory Group (TAG). The purpose of
the EMTALA TAG is to review
regulations affecting hospital and
physician responsibilities under
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Frm 00069
Fmt 4703
Sfmt 4703
EMTALA to individuals who come to a
hospital seeking examination or
treatment for medical conditions.
FOR FURTHER INFORMATION CONTACT: Eric
Ruiz, (410) 786–0247. George Morey,
(410) 786–4653. Press inquiries are
handled through the CMS Press Office
at (202) 690–6145.
SUPPLEMENTARY INFORMATION:
I. Background
Sections 1866(a)(1)(I), 1866(a)(1)(N),
and 1867 of the Social Security Act (the
Act) impose specific obligations on
Medicare-participating hospitals that
offer emergency services. These
obligations concern individuals who
come to a hospital emergency
department and request or have a
request made on their behalf for
examination or treatment for a medical
condition. EMTALA applies to all these
individuals, regardless of whether or not
they are beneficiaries of any program
under the Act. Section 1867 of the Act
sets forth requirements for medical
screening examinations for emergency
medical conditions, as well as necessary
stabilizing treatment or appropriate
transfer.
Regulations implementing the
EMTALA legislation are set forth at 42
CFR 489.20(l), (m), (q) and (r)(1), (r)(2),
(r)(3), and 489.24. Section 945 of the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA) (Pub. L. 108–173), requires
that the Secretary establish a Technical
Advisory Group (TAG) for advice
concerning issues related to EMTALA
regulations and implementation.
Section 945 of the MMA specifies that
the EMTALA TAG—
• Shall review the EMTALA
regulations;
• May provide advice and
recommendations to the Secretary
concerning these regulations and their
application to hospitals and physicians;
• Shall solicit comments and
recommendations from hospitals,
physicians, and the public regarding
implementation of such regulations; and
• May disseminate information
concerning the application of these
regulations to hospitals, physicians, and
the public.
The EMTALA TAG, as chartered
under the legal authority of section 945
of the MMA, is also governed by the
provisions of the Federal Advisory
Committee Act (FACA) (5 U.S.C.
Appendix 2) for the selection of
members and the conduct of all
meetings.
In the May 28, 2004 Federal Register
(69 FR 30654), we specified the
statutory requirements regarding the
E:\FR\FM\24MRN1.SGM
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Agencies
[Federal Register Volume 71, Number 57 (Friday, March 24, 2006)]
[Notices]
[Pages 14898-14900]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 06-2808]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10137, CMS-10080, CMS-R-296, CMS-1763, and
CMS-10116]
Agency Information Collection Activities: Proposed Collection;
Comment Request
Agency: Centers for Medicare & Medicaid Services.
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: Application for
Prescription Drug Plans (PDP); Application for Medicare Advantage
Prescription Drug (MA-PD) Plans; Application for Cost Plans to Offer
Qualified Prescription Drug Coverage; Application for PACE Organization
to Offer Qualified Prescription Drug
[[Page 14899]]
Coverage; Application for Employer Group Waiver Plans to Offer
Prescription Drug Coverage; Service Area Expansion Application to Offer
Prescription Drug Coverage in a New Region; Use: Coverage for the
prescription drug benefit will be provided through contracted
prescription drug plans (PDPs) or through Medicare Advantage (MA) plans
that offer integrated prescription drug and health care coverage (MA-PD
plans). Cost Plans that are regulated under Section 1876 of the Social
Security Act, Employer Group Waiver Plans (EGWP) and PACE plans may
also provide a Part D benefit. Organizations wishing to provide
services under the Prescription Drug Benefit Program must complete an
application, negotiate rates, and receive final approval from CMS.
Existing Part D Sponsors may also expand their contracted service area
by completing the Service Area Expansion (SAE) application; Form
Number: CMS-10137 (OMB: 0938-0936); Frequency: Reporting--
Other--depending on program areas and data requirements; Affected
Public: Business or other for-profit, Not-for-profit institutions,
Federal government; Number of Respondents: 101; Total Annual Responses:
101; Total Annual Hours: 3,828.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Publications Use
Study; Use: The Balanced Budget Act (BBA) of 1997 increased the number
and type of health insurance options available to Medicare
beneficiaries and implemented new preventative health care benefits.
The BBA also gave CMS a greater responsibility to help Medicare
beneficiaries better understand these increased health care options and
benefits. This research is designed to strengthen the information
dissemination efforts by CMS to meet beneficiaries' needs. The current
study expands on previous methodology to include surveys of not only
print-based publications but of Web-based publications as well. CMS is
mandated to provide a range of information about Medicare health care
options, benefits, rights and regulations. This research will evaluate
how well CMS is currently meeting this mandate; Form Number: CMS-10080
(OMB: 0938-0892); Frequency: Recordkeeping and Reporting:
Quarterly; Affected Public: Individuals or households; Number of
Respondents: 3880; Total Annual Responses: 3880; Total Annual Hours:
1,356.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Home Health
Advance Beneficiary Notice (HHABN) and Supporting Regulations in 42 CFR
411.404 and 484.10(a) and (e); Use: Home Health Agencies (HHAs) are
required to provide written notice to Medicare beneficiaries in advance
of initiating, terminating or reducing beneficiary service. The notice
is designed to ensure that beneficiaries receive complete and useful
information to enable them to make informed consumer decisions. HHAs
must now issue HHABNs in a broader set of circumstances in conjunction
with their responsibilities under the home health Conditions of
Participation (COPs) consistent with U.S. Court of Appeals (2nd
Circuit) in the Lutwin v. Thompson court decision. The notice must be
issued timely and provide clear and accurate information about the
specified services which may no longer be covered by Medicare,
including the reason(s) that Medicare denied payment for those
services. Form Number: CMS-R--296 (OMB: 0938-0781); Frequency:
Recordkeeping, Third party disclosure and Reporting: On occasion,
Other: As needed; Affected Public: Individuals or households, Business
or other for-profit and Not-for-profit institutions; Number of
Respondents: 6928; Total Annual Responses: 216,000; Total Annual Hours:
21,600.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Request for
Termination of Premium Hospital and/or Supplementary Medical Insurance
and Supporting Regulations in 42 CFR 406.28 & 407.27; Use: Under 42 CFR
sections 406.28(a) and 407.27(c) a Medicare beneficiary, wishing to
voluntarily terminate enrollment in Medicare Supplementary Medical
Insurance and/or Premium-Hospital Insurance can file a written request
with CMS or the Social Security Administration. The form, Request for
Termination of Premium Hospital and/or Supplementary Medical Insurance,
was developed to comply with these requirements. Form Number: CMS-1763
(OMB: 0938-0025); Frequency: Reporting: Other: One Time Only;
Affected Public: Individuals or households, Federal, State, Local or
Tribal Government; Number of Respondents: 14,000; Total Annual
Responses: 14,000; Total Annual Hours: 5,833.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Conditions of
Payment of Power Mobility Devices, including Power Wheelchairs and
Power-Operated Vehicles (CMS-3017-IFC); Use: CMS-3017-IFC (Conditions
for Payment of Power Mobility Devices, including Power Wheelchairs and
Power-Operated Vehicles) provides further guidance with respect to the
prescribing of, and payment for, Power Mobility Devices (PMDs). This
rule defines the term ``power mobility devices (PMDs)'' as power
wheelchairs and power operated vehicles (POVs or scooters). This rule
conforms our regulations to section 302(a)(2)(E)(iv) of the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 (MMA).
The MMA mandated: (1) A face-to-face examination of the individual be
conducted by a physician (as defined in section 1861(r)(1) of the
Social Security Act (the Act)), a physician assistant, a nurse
practitioner or a clinical nurse specialist (as those terms are defined
in section 1861(aa)(5) of the Act; and (2) that payment may not be made
for a power wheelchair unless the physician or treating practitioner
has written a prescription for the item. With this information
collection request, CMS is seeking approval for the collection
requirements associated with CMS-3017-IFC (70 FR 50940); Form Number:
CMS-10116 (OMB: 0938-0971); Frequency: Recordkeeping and
Reporting--On occasion; Affected Public: Business or other for-profit,
Not-for-profit institutions, Federal government, State, Local, or
Tribal governments; Number of Respondents: 17,000; Total Annual
Responses: 37,400; Total Annual Hours: 37,400.
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/PaperworkReductionActof1995,
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.
To be assured consideration, comments and recommendations for the
proposed information collections must be received at the address below,
no later than 5 p.m. on May 23, 2006.
CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development--B, Attention: William N. Parham,
III, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.
[[Page 14900]]
Dated: March 17, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 06-2808 Filed 3-23-06; 8:45 am]
BILLING CODE 4120-01-P