Agency Information Collection Activities: Submission for OMB Review; Comment Request, 33457-33458 [E6-8748]

Download as PDF Federal Register / Vol. 71, No. 111 / Friday, June 9, 2006 / Notices The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities for both the CDC and ATSDR. Dated: June 2, 2006. Alvin Hall, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. E6–8994 Filed 6–8–06; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare and Medicaid Services [Document Identifier: CMS–10195] Emergency Clearance: Public Information Collection Requirements Submitted to the Office of Management and Budget (OMB) Center for Medicare and Medicaid Services. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, the Centers for Medicare and 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 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. We are, however, requesting an emergency review of the information collection referenced below. In compliance with the requirement of section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995, we have submitted to the Office of Management and Budget (OMB) the following requirements for emergency review. We are requesting an emergency review because the collection of this information is needed before the expiration of the normal time limits under OMB’s regulations at 5 CFR part 1320. This is necessary to ensure compliance with an initiative of the jlentini on PROD1PC65 with NOTICES AGENCY: VerDate Aug<31>2005 16:01 Jun 08, 2006 Jkt 208001 Administration. We cannot reasonably comply with the normal clearance procedures because of an unanticipated event. The purpose of the Medicare Recovery Audit Contractor (RAC) Demonstration Project is to evaluate the cost and savings to the Medicare program and to make appropriate recommendations to Congress on the cost-effectiveness of extending or expanding the project. Because RACs have been used successfully in nonMedicare markets, The Centers for Medicare and Medicaid Services (CMS) is conducting this demonstration project to test new techniques for identifying and collecting overpayments. This is a request for OMB approval of a Provider Satisfaction Survey to assess the impact of Medicare Recovery Audit Contractors (RACs) on the provider community. The Centers for Medicare and Medicaid Services (CMS) has contracted with Econometrica, Inc. to conduct an independent evaluation of the Medicare RAC demonstration. The results, which will be summarized in a report to Congress, will be used to assess the financial impact of the demonstration on the Medicare program and to make recommendations for the demonstration’s extension or expansion. Previous research by the U.S. Government Accountability Office found that RACs have the potential to burden private providers. The purpose of this study is to determine whether RACs can perform effectively with a low risk of burden and friction with healthcare providers. 1. Type of Information Collection Request: New collection; Title of Information Collection: Evaluation of Medicare Recovery Audit Contractor (RAC) Demonstration Provider Satisfaction Survey; Use: The purpose of the RAC Provider Satisfaction Survey is to gauge provider communications and satisfaction with the RACs. Measuring providers’ reactions to and experiences with RACs will enable CMS better understand the potential impact of the RACs on providers nationwide and to improve and refine the process, both in the context of the current demonstration as well as in future reform initiatives. The survey will cover all aspects of provider transactions with RACs. Form Number: CMS–10195 (OMB#: 0938– NEW); Frequency: Reporting—One-time; Affected Public: Business or other forprofit; Number of Respondents: 1,200; Total Annual Responses: 1,200; Total Annual Hours: 276. CMS is requesting OMB review and approval of this collection by July 7, 2006, with a 180-day approval period. Written comments and recommendation PO 00000 Frm 00024 Fmt 4703 Sfmt 4703 33457 will be considered from the public if received by the individuals designated below by July 3, 2006. 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. Interested persons are invited to send comments regarding the burden or any other aspect of these collections of information requirements. However, as noted above, comments on these information collection and recordkeeping requirements must be mailed and/or faxed to the designees referenced below by July 3, 2006: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development—B, Attn: William N. Parham, III, Room C4–26– 05, 7500 Security Boulevard, Baltimore, MD 21244–1850, and OMB Human Resources and Housing Branch, Attention: Carolyn Lovett, New Executive Office Building, Room 10235, Washington, DC 20503. Fax Number: (202) 395–6974. Dated: May 26, 2006. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. 06–5134 Filed 6–1–06; 2:37 pm] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10069, CMS– 10137, CMS–1763 and CMS–10080] 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 AGENCY: E:\FR\FM\09JNN1.SGM 09JNN1 jlentini on PROD1PC65 with NOTICES 33458 Federal Register / Vol. 71, No. 111 / Friday, June 9, 2006 / Notices 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: Medicare Waiver Demonstration Application; Use: The Medicare Waiver Demonstration Application will be used to collect standard information needed to implement congressionally mandated and administration priority demonstrations. The application will be used to gather information about the characteristics of the applicant’s organization, benefits, and services they propose to offer, success in operating the model, and evidence that the model is likely to be successful in the Medicare program. The standard application will be used for all waiver demonstrations and will reduce the burden on applicants, provide for consistent and timely information collections across demonstrations, and provide a userfriendly format for respondents; Form Number: CMS–10069 (OMB#: 0938– 0880); Frequency: Reporting—On Occasion; Affected Public: Business or other for-profit, not-for-profit institutions; Number of Respondents: 75; Total Annual Responses: 75; Total Annual Hours: 6000. 2. 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 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 VerDate Aug<31>2005 16:01 Jun 08, 2006 Jkt 208001 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 programs area 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. 3. 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 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. 4. 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, PO 00000 Frm 00025 Fmt 4703 Sfmt 4703 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. 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: May 25, 2006. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E6–8748 Filed 6–8–06; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–10109] Agency Information Collection Activities: Proposed Collection; Comment Request 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; AGENCY: E:\FR\FM\09JNN1.SGM 09JNN1

Agencies

[Federal Register Volume 71, Number 111 (Friday, June 9, 2006)]
[Notices]
[Pages 33457-33458]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-8748]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10069, CMS-10137, CMS-1763 and CMS-10080]


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

[[Page 33458]]

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: Medicare Waiver 
Demonstration Application; Use: The Medicare Waiver Demonstration 
Application will be used to collect standard information needed to 
implement congressionally mandated and administration priority 
demonstrations. The application will be used to gather information 
about the characteristics of the applicant's organization, benefits, 
and services they propose to offer, success in operating the model, and 
evidence that the model is likely to be successful in the Medicare 
program. The standard application will be used for all waiver 
demonstrations and will reduce the burden on applicants, provide for 
consistent and timely information collections across demonstrations, 
and provide a user-friendly format for respondents; Form Number: CMS-
10069 (OMB: 0938-0880); Frequency: Reporting--On Occasion; 
Affected Public: Business or other for-profit, not-for-profit 
institutions; Number of Respondents: 75; Total Annual Responses: 75; 
Total Annual Hours: 6000.
    2. 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 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 programs area 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.
    3. 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 
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.
    4. 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.
    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, Washington, DC 20503, Fax 
Number: (202) 395-6974.

    Dated: May 25, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-8748 Filed 6-8-06; 8:45 am]
BILLING CODE 4120-01-P
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