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. VerDate Aug<31>2005 18:26 Mar 23, 2006 Jkt 208001 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 PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 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, PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 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. E:\FR\FM\24MRN1.SGM 24MRN1 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 PO 00000 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 24MRN1

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
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