Agency Information Collection Activities: Submission for OMB Review; Comment Request, 27725-27726 [E6-7304]
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Federal Register / Vol. 71, No. 92 / Friday, May 12, 2006 / Notices
Dated: May 8, 2006.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 06–4499 Filed 5–11–06; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Disease, Disability, and Injury
Prevention and Control Special
Emphasis Panel (SEP): The Sexual
Networks of African American Sexually
Transmitted Infection Repeaters: An
Elaboration of Risk, Potential
Extramural Project (PEP) 2006–R–04;
Internet and Sexually Transmitted
Disease Center of Excellence, PEP
2006–R–05
sroberts on PROD1PC70 with NOTICES
In accordance with section 10(a)(2) of
the Federal Advisory Committee Act
(Pub. L. 92–463), the Centers for Disease
Control and Prevention (CDC)
announces the following meeting:
Name: Disease, Disability, and Injury
Prevention and Control Special Emphasis
Panel (SEP): The Sexual Networks of African
American Sexually Transmitted Infection
Repeaters: An Elaboration of Risk, PEP 2006–
R–04; Internet and Sexually Transmitted
Disease Center of Excellence, PEP 2006–R–
05.
Time and Date: 12 a.m.–5 p.m., May 24,
2006 (Closed).
Place: Centers for Disease Control and
Prevention, Building 21, Conference Room
8116, 8th Floor, 1600 Clifton Road, Atlanta,
GA 30333, Telephone 404–639–4941.
Status: The meeting will be closed to the
public in accordance with provisions set
forth in section 552b(c)(4) and (6), Title 5
U.S.C., and the Determination of the Director,
Management Analysis and Services Office,
CDC, pursuant to Public Law 92–463.
Matters to be Discussed: The meeting will
include the review, discussion, and
evaluation of applications received in
response to ‘‘The Sexual Networks of African
American Sexually Transmitted Infection
Repeaters: An Elaboration of Risk,’’ PEP
2006–R–04; ‘‘Internet and Sexually
Transmitted Disease Center of Excellence,’’
PEP 2006–R–05.
Due to programmatic matters, this Federal
Register Notice is being published on less
than 15 calendar days notice to the public (41
CFR 102–3.150(b)).
For Further Information Contact: Jim
Newhall, Ph.D., Scientific Review
Administrator, Centers for Disease Control
and Prevention, 1600 Clifton Road NE., MS
D–72, Atlanta, GA 30333, Telephone 404–
639–4941.
The Director, Management Analysis and
Services Office, has been delegated the
authority to sign Federal Register notices
16:54 May 11, 2006
Jkt 208001
Dated: May 8, 2006.
Alvin Hall,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. 06–4500 Filed 5–11–06; 8:45 am]
BILLING CODE 4163–18–P
Centers for Disease Control and
Prevention
VerDate Aug<31>2005
pertaining to announcements of meetings and
other committee management activities, for
both CDC and the Agency for Toxic
Substances and Disease Registry.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1450 (UB–04),
CMS–10181]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services, HHS.
In compliance with the requirement
of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the
Centers for Medicare & Medicaid
Services (CMS), Department of Health
and Human Services, is publishing the
following summary of proposed
collections for public comment.
Interested persons are invited to send
comments regarding this burden
estimate or any other aspect of this
collection of information, including any
of the following subjects: (1) The
necessity and utility of the proposed
information collection for the proper
performance of the Agency’s function;
(2) the accuracy of the estimated
burden; (3) ways to enhance the quality,
utility, and clarity of the information to
be collected; and (4) the use of
automated collection techniques or
other forms of information technology to
minimize the information collection
burden.
1. Type of Information Collection
Request: New Collection; Title of
Information Collection: Medicare
Uniform Institutional Provider Bill and
Supporting Regulations in 42 CFR
424.5; Use: Section 42 CFR 424.5(a)(5)
requires providers of services to submit
a claim for payment prior to any
Medicare reimbursement. Charges billed
are coded by revenue codes. The bill
specifies diagnoses according to the
International Classification of Diseases,
Ninth Edition (ICD–9–CM) code.
Inpatient procedures are identified by
ICD–9-CM codes, and outpatient
procedures are described using the CMS
Common Procedure Coding System
(HCPCS). These are standard systems of
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27725
identification for all major health
insurance claims payers. Submission of
information on the CMS–1450 permits
Medicare intermediaries to receive
consistent data for proper payment. All
hardcopy claims processed by Medicare
fiscal intermediaries must be submitted
on the CMS–1450 (UB–04) after May 23,
2007. Data fields in the X12N 837 data
set are consistent with the CMS–1450
(UB–04) data set.; Form Numbers: CMS–
1450 (UB–04) (OMB#: 0938–NEW);
Frequency: Reporting—On occasion;
Affected Public: Not-for-profit
institutions, business or other for-profit;
Number of Respondents: 53,111; Total
Annual Responses: 179,489,721; Total
Annual Hours: 308,237.
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Enrolling LowIncome Beneficiaries into the Medicare
Prescription Drug Program—Survey of
State Agency Experiences; Use: The
Centers for Medicare and Medicaid
Services (CMS) will conduct a survey of
state Medicaid agencies, state health
insurance plans (SHIPs), and state
pharmaceutical assistance programs
(SPAPs) to identify best practices for the
successful enrollment of all types of
low-income Medicare beneficiaries into
a low-income subsidy and the Medicare
Part D Prescription Drug Benefit
Program. The evaluation will assist in
identifying the best practices, the factors
that make them effective, and how the
information can be disseminated in an
effective manor. The information will be
used to help CMS as it designs its
outreach and communication campaigns
in subsequent open enrollment periods.;
Form Number: CMS–10181 (OMB#:
0938–NEW); Frequency: Reporting—
Other, one-time; Affected Public: State,
Local or Tribal governments, Federal
government; Number of Respondents:
126; Total Annual Responses: 126; Total
Annual Hours: 63.
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,
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Federal Register / Vol. 71, No. 92 / Friday, May 12, 2006 / Notices
Washington, DC 20503, Fax Number:
(202) 395–6974.
Dated: May 5, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–7304 Filed 5–11–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10182, CMS–R–
199, CMS–10180, CMS–317, CMS–319]
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: Model
Creditable Coverage Disclosure Notices;
Use: Section 1860D–1 of the MMA
requires entities that offer prescription
drug benefits under any of the types of
coverage described in 42 CFR 423.56(b)
to provide a disclosure of creditable
coverage status to all Medicare Part D
eligible individuals covered under the
entity’s plan. These disclosure notices
must be provided to Part D eligible
individuals, at a minimum, at the
following times: (1) Prior to an
individual’s initial enrollment period
for Part D, (2) prior to the effective date
of enrollment in the entity’s coverage,
and upon any change in creditable
status; (3) prior to the commencement of
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16:54 May 11, 2006
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the Part D Annual Coordinated Election
Period (ACEP) which begins on
November 15 of each year, and (4) upon
request by the individual. Disclosure of
whether prescription drug coverage is
creditable provides Medicare eligible
individuals with important information
relating to their Medicare Part D
enrollment. Form Number: CMS–10182
(OMB#: 0938–0990); Frequency:
Recordkeeping, Third party disclosure
and Reporting: On occasion, Annually,
and Other-As requested; Affected
Public: Individuals or households,
business or other for-profit, not-forprofit institutions and Federal, State,
local or tribal government; Number of
Respondents: 450,160; Total Annual
Responses: 1,225,173; Total Annual
Hours: 522,204.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicaid Report
on Payables and Receivables; Use: The
Chief Financial Officers (CFO) Act of
1990, as amended by the Government
Management Reform Act (GMRA) of
1994, requires government agencies to
produce auditable financial statements.
Because the Centers for Medicare &
Medicaid Services (CMS) fulfills its
mission through its contractors and the
States, these entities are the primary
source of information for the financial
statements. There are three basic
categories of data: expenses, payables,
and receivables. The CMS–64 is used to
collect data on Medicaid expenses. The
CMS–R–199 collects Medicaid payable
and receivable accounting data from the
States.; Form Number: CMS–R–199
(OMB#: 0938–0697); Frequency:
Reporting—Annually; Affected Public:
State, local or tribal governments;
Number of Respondents: 57; Total
Annual Responses: 57; Total Annual
Hours: 342.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Children’s
Health Insurance Program (SCHIP)
Report on Payables and Receivables;
Use: Collection of SCHIP data and the
calculation of the SCHIP Incurred But
Not Reported (IBNR) estimate are
pertinent to CMS’ financial audit. The
CFO auditors have reported the lack of
an estimate for SCHIP IBNR payables
and receivables as a reportable
condition in the FY 2005 audit of CMS’s
financial statements. It is essential that
CMS collect the necessary data from
State agencies in FY 2006, so that CMS
continues to receive an unqualified
audit opinion on its financial
statements. Program expenditures for
the SCHIP have increased since its
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inception; as such, SCHIP receivables
and payables may materially impact the
financial statements. The SCHIP Report
on Payables and Receivables will
provide the information needed to
calculate the SCHIP IBNR.; Form
Number: CMS–10180 (OMB#: 0938–
0988); Frequency: Reporting—Annually;
Affected Public: State, Local or Tribal
governments; Number of Respondents:
56; Total Annual Responses: 56; Total
Annual Hours: 336.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Medicaid
Eligibility Quality Control Sampling
Plan and Supporting Regulations in 42
CFR 431.800–431.865; Use: State
Medicaid Eligibility Quality Control
(MEQC) is operated by the State Title
XIX agency to monitor and improve the
administration of its Medicaid system.
The MEQC system is based on monthly
State reviews of Medicaid cases by
States performing the traditional
sampling process identified through
statistically reliable statewide samples
of cases selected from the eligibility
files. These reviews are conducted to
determine whether or not the sampled
cases meet applicable State Title XIX
eligibility requirements. The reviews are
also used to assess beneficiary liability,
if any, and to determine the amounts
paid to provide Medicaid services for
these cases.; Form Number: CMS–317
(OMB#: 0938–0146); Frequency:
Recordkeeping and Reporting—Semiannually; Affected Public: State, Local
or Tribal governments; Number of
Respondents: 10; Total Annual
Responses: 20; Total Annual Hours:
480.
5. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: State Medicaid
Eligibility Quality Control (MEQC)
Sample Selection Lists and Supporting
Regulations in 42 CFR 431.800–431.865;
Use: State Medicaid Eligibility Quality
Control (MEQC) is operated by the State
Title XIX agency to monitor and
improve the administration of its
Medicaid system. The MEQC system is
based on State reviews of Medicaid
beneficiaries identified through
statistically reliable statewide samples
of cases selected from the eligibility
files. These reviews are conducted to
determine whether or not the sampled
cases meet applicable State Title XIX
eligibility requirements by States
performing the traditional sample
process. The reviews are also used to
assess beneficiary liability, if any, and to
determine the amounts paid to provide
Medicaid services for these cases. At the
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]]>Agencies
[Federal Register Volume 71, Number 92 (Friday, May 12, 2006)]
[Notices]
[Pages 27725-27726]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-7304]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1450 (UB-04), CMS-10181]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: New Collection; Title of
Information Collection: Medicare Uniform Institutional Provider Bill
and Supporting Regulations in 42 CFR 424.5; Use: Section 42 CFR
424.5(a)(5) requires providers of services to submit a claim for
payment prior to any Medicare reimbursement. Charges billed are coded
by revenue codes. The bill specifies diagnoses according to the
International Classification of Diseases, Ninth Edition (ICD-9-CM)
code. Inpatient procedures are identified by ICD-9-CM codes, and
outpatient procedures are described using the CMS Common Procedure
Coding System (HCPCS). These are standard systems of identification for
all major health insurance claims payers. Submission of information on
the CMS-1450 permits Medicare intermediaries to receive consistent data
for proper payment. All hardcopy claims processed by Medicare fiscal
intermediaries must be submitted on the CMS-1450 (UB-04) after May 23,
2007. Data fields in the X12N 837 data set are consistent with the CMS-
1450 (UB-04) data set.; Form Numbers: CMS-1450 (UB-04) (OMB:
0938-NEW); Frequency: Reporting--On occasion; Affected Public: Not-for-
profit institutions, business or other for-profit; Number of
Respondents: 53,111; Total Annual Responses: 179,489,721; Total Annual
Hours: 308,237.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Enrolling Low-Income Beneficiaries into the
Medicare Prescription Drug Program--Survey of State Agency Experiences;
Use: The Centers for Medicare and Medicaid Services (CMS) will conduct
a survey of state Medicaid agencies, state health insurance plans
(SHIPs), and state pharmaceutical assistance programs (SPAPs) to
identify best practices for the successful enrollment of all types of
low-income Medicare beneficiaries into a low-income subsidy and the
Medicare Part D Prescription Drug Benefit Program. The evaluation will
assist in identifying the best practices, the factors that make them
effective, and how the information can be disseminated in an effective
manor. The information will be used to help CMS as it designs its
outreach and communication campaigns in subsequent open enrollment
periods.; Form Number: CMS-10181 (OMB: 0938-NEW); Frequency:
Reporting--Other, one-time; Affected Public: State, Local or Tribal
governments, Federal government; Number of Respondents: 126; Total
Annual Responses: 126; Total Annual Hours: 63.
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.
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,
[[Page 27726]]
Washington, DC 20503, Fax Number: (202) 395-6974.
Dated: May 5, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-7304 Filed 5-11-06; 8:45 am]
BILLING CODE 4120-01-P
