Agency Information Collection Activities: Submission for OMB Review; Comment Request, 33459-33460 [E6-8932]
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jlentini on PROD1PC65 with NOTICES
Federal Register / Vol. 71, No. 111 / Friday, June 9, 2006 / Notices
(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: Revision of a currently
approved collection; Title of
Information Collection: Hospital
Reporting Initiative—Hospital Quality
Measures; Use: The recently enacted
section 5001(a) of the Deficit Reduction
Act (DRA) sets out new requirements for
the Reporting Hospital Quality Data for
Annual Payment Update (RHQDAPU)
program. The RHQDAPU program was
established to implement section 501(b)
of the Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA). The DRA builds on our
ongoing voluntary Hospital Quality
Initiative, which is intended to
empower consumers with quality of
care information to make more informed
decisions about their health care, while
also encouraging hospitals and
clinicians to improve the quality of care
provided to Medicare beneficiaries. The
DRA revises the current hospital
reporting initiative by stipulating new
data collection requirements. The law
provides a 2.0 percent reduction in
points to the update percentage increase
for any hospital that does not submit the
quality data in the form, and manner,
and at a time, specified by the Secretary.
The Act also requires that we expand
the ‘‘starter set’’ of 10 quality measures
that we have used since 2003. To
comply with these new requirements we
must make changes to the Hospital
Reporting Initiative. Form Number:
CMS–10109 (OMB#: 0938–0918);
Frequency: Recordkeeping, third party
disclosure, and reporting—quarterly;
Affected Public: State, Local or Tribal
Government; Number of Respondents:
3,700; Total Annual Responses: 14,800;
Total Annual Hours: 484,560.
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 August 8, 2006.
VerDate Aug<31>2005
16:01 Jun 08, 2006
Jkt 208001
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.
Dated: May 25, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–8749 Filed 6–5–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–30, CMS–
10117, 10118, 10119, 10135, 10136 and
CMS–R–206]
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: Extension of a currently
approved collection; Title of
Information Collection: Information
Collection Requirements in the Hospice
Conditions for Coverage and Supporting
Regulations at 42 CFR 418.22, 418.24,
418.28, 418.56, 418.58, 418.70, 418.83,
418.96, and 418.100; Use: The
information collection requirements
contained in the Hospice Conditions for
Coverage information collection request
(ICR) serve to ensure compliance with
the hospice conditions of participation.
The State survey agencies utilize the
AGENCY:
PO 00000
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33459
furnished information during the
certification and re-certification periods
to assist in determining compliance
with the statute and regulations. In
addition, data collected will be used to
produce statistical reports to the
Congress, to establish reimbursement
rates, and to provide increased
information on the hospice industry.;
Form Number: CMS–R–30 (OMB#:
0938–0302); Frequency: Reporting—
Other—depending on program areas and
data requirements; Affected Public:
Business or other for-profit, not-forprofit institutions, Federal government;
Number of Respondents: 2,874; Total
Annual Responses: 2,874; Total Annual
Hours: 9,930,912.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Qualification—
Medicare Advantage (MA) Application
For Coordinated Care, Private Fee-ForService, Regional Preferred Provider
Organization, Service Area Expansion
For Coordinated Care and Private FeeFor-Service Plans, Medical Savings
Account Plans ; Use: An entity seeking
a contract as an MA organization must
be able to provide Medicare’s basic
benefits plus meet the organizational
requirements set out under 42 CFR Part
422. An applicant must demonstrate
that it can meet the benefit and other
requirements within the specific
geographic area it is requesting. The
application forms are designed to
provide the information needed to
determine the health plan’s compliance.
The regulatory requirements are
incorporated into the MA applications.
The MA application forms will be used
to determine if an entity is eligible to
enter into a contract to provide services
to Medicare beneficiaries; Form
Number: CMS–10117, 10118, 10119,
10135, 10136 (OMB#: 0938–0935);
Frequency: Reporting: One time
submission; Affected Public: Business or
other for-profit, not-for-profit
institutions and State, Local or Tribal
Government; Number of Respondents:
80; Total Annual Responses: 110; Total
Annual Hours: 3,400.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Information
Collection Requirements Referenced in
HIPAA, Title 1, for the Group Market,
Supporting Regulations at 45 CFR
146.111, 146.115, 146.117, 146.150,
146.152, 146.160, and 146.180, and
forms/instructions; Use: The
requirements of this information
collection will ensure that group health
plans and issuers in the group market
comply with Health Insurance
E:\FR\FM\09JNN1.SGM
09JNN1
33460
Federal Register / Vol. 71, No. 111 / Friday, June 9, 2006 / Notices
Portability and Accountability Act of
1996 (HIPAA). These requirements
include providing individuals with
certificates of creditable coverage,
notifying individuals about their status
with respect to preexisting condition
exclusions, and giving individuals the
special enrollment rights to which they
are entitled. In addition, this collection
gives states and the Federal government
the flexibility necessary to enforce these
HIPAA requirements.; Form Number:
CMS–R–206 (OMB#: 0938–0702);
Frequency: Recordkeeping, third party
disclosure and reporting: On occasion;
Affected Public: Individuals or
Households, Business or other for-profit,
not-for-profit institutions and Federal,
State, Local or Tribal Government;
Number of Respondents: 2,800; Total
Annual Responses: 37,002,217; Total
Annual Hours: 446,679.
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: June 1, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–8932 Filed 6–8–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
jlentini on PROD1PC65 with NOTICES
[Document Identifier: CMS–R–96, CMS–
10168, CMS–R–143]
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
AGENCY:
VerDate Aug<31>2005
16:01 Jun 08, 2006
Jkt 208001
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: Emergency and
Foreign Hospital Services—Beneficiary
Statement of Canadian/Mexican Travel
Claims and Supporting Regulations in
42 CFR 424.123; Use: The emergency
services furnished to a beneficiary
outside the U.S. are covered under
Medicare if the foreign hospital meets
the conditions for a domestic
nonparticipating hospital in addition to
one of the following: (1) If the
emergency is considered to have
occurred within the U.S. and the reason
for departure for the U.S. was to obtain
treatment; (2) if the emergency occurred
in Canada while the beneficiary was
traveling between Alaska and another
State; (3) if the Canadian or Mexican
hospital is closer, more accessible or
adequately equipped to handle the
illness or injury; or (4) services were
rendered aboard a ship in an American
port or on the same day the ship arrived
or departed from that port. Form
Number: CMS–R–96 (OMB#: 0938–
0484); Frequency: Reporting—On
occasion; Affected Public: Individuals or
households, business or other for-profit,
not-for-profit institutions; Number of
Respondents: 1,100; Total Annual
Responses: 1,100; Total Annual Hours:
275.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Program: Complex Medical Review;
Use: Complex medical review involves
the application of clinical judgment by
a licensed medical professional in order
to evaluate medical records to
determine whether an item or service is
covered, and is reasonable and
necessary. The information required
under this collection is requested by
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Fmt 4703
Sfmt 4703
Medicare contractors, and is requested
of providers or suppliers submitting
claims for payment from the Medicare
program when data analysis indicates
aberrant billing patterns which may
present a vulnerability to the Medicare
program. Form Number: CMS–10168
(OMB#: 0938–0969); Frequency:
Recordkeeping and Reporting—As
requested; Affected Public: Business or
other for-profit and not-for-profit
institutions; Number of Respondents:
1,169,683; Total Annual Responses:
2,900,000; Total Annual Hours: 966,666.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Physician Fee Schedule Geographic
Practice Expense Index (GPCI); Use:
This information collection is a survey
of State insurance commissioners and
malpractice insurers to acquire
premium data for use in computing the
malpractice component of the
geographic practice cost index, a
component of the geographic cost index
as set forth in the Omnibus
Reconciliation Act of 1989. The data
collected in this information collection
request will be used by CMS staff and
outside contractors to update the
Medicare physician fee schedule
geographic practice expense index
(MGPCI), the malpractice relative value
units (MRVUs), and to supplement the
updating of the malpractice component
of the Medicare Economic Index (MEI).
The MGPCI is one of the components of
the GPCI, the others being physician
work (net income), employee wages,
office rents, medical equipment and
supplies, and miscellaneous expenses.
The MRVUs are one of the three
components of the fee schedule, the
others being physician work RVUs and
practice expense RVUs. The GPCIs and
fee schedule RVUs also used by other
Federal agencies such as the Veteran’s
Administration and the Department of
Labor. Form Number: CMS–R–143
(OMB#: 0938–0575); Frequency:
Reporting—Every three years; Affected
Public: State, Local or Tribal
governments, Business or other forprofit and not-for-profit institutions;
Number of Respondents: 150; Total
Annual Responses: 50; Total Annual
Hours: 150.
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
E:\FR\FM\09JNN1.SGM
09JNN1
]]>Agencies
[Federal Register Volume 71, Number 111 (Friday, June 9, 2006)]
[Notices]
[Pages 33459-33460]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-8932]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-30, CMS-10117, 10118, 10119, 10135, 10136
and CMS-R-206]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, HHS.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare & Medicaid
Services (CMS), Department of Health and Human Services, is publishing
the following summary of proposed collections for public comment.
Interested persons are invited to send comments regarding this burden
estimate or any other aspect of this collection of information,
including any of the following subjects: (1) The necessity and utility
of the proposed information collection for the proper performance of
the Agency's function; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
be collected; and (4) the use of automated collection techniques or
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements in the Hospice Conditions for Coverage and
Supporting Regulations at 42 CFR 418.22, 418.24, 418.28, 418.56,
418.58, 418.70, 418.83, 418.96, and 418.100; Use: The information
collection requirements contained in the Hospice Conditions for
Coverage information collection request (ICR) serve to ensure
compliance with the hospice conditions of participation. The State
survey agencies utilize the furnished information during the
certification and re-certification periods to assist in determining
compliance with the statute and regulations. In addition, data
collected will be used to produce statistical reports to the Congress,
to establish reimbursement rates, and to provide increased information
on the hospice industry.; Form Number: CMS-R-30 (OMB: 0938-
0302); 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: 2,874;
Total Annual Responses: 2,874; Total Annual Hours: 9,930,912.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Qualification--
Medicare Advantage (MA) Application For Coordinated Care, Private Fee-
For-Service, Regional Preferred Provider Organization, Service Area
Expansion For Coordinated Care and Private Fee-For-Service Plans,
Medical Savings Account Plans ; Use: An entity seeking a contract as an
MA organization must be able to provide Medicare's basic benefits plus
meet the organizational requirements set out under 42 CFR Part 422. An
applicant must demonstrate that it can meet the benefit and other
requirements within the specific geographic area it is requesting. The
application forms are designed to provide the information needed to
determine the health plan's compliance. The regulatory requirements are
incorporated into the MA applications. The MA application forms will be
used to determine if an entity is eligible to enter into a contract to
provide services to Medicare beneficiaries; Form Number: CMS-10117,
10118, 10119, 10135, 10136 (OMB: 0938-0935); Frequency:
Reporting: One time submission; Affected Public: Business or other for-
profit, not-for-profit institutions and State, Local or Tribal
Government; Number of Respondents: 80; Total Annual Responses: 110;
Total Annual Hours: 3,400.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements Referenced in HIPAA, Title 1, for the Group
Market, Supporting Regulations at 45 CFR 146.111, 146.115, 146.117,
146.150, 146.152, 146.160, and 146.180, and forms/instructions; Use:
The requirements of this information collection will ensure that group
health plans and issuers in the group market comply with Health
Insurance
[[Page 33460]]
Portability and Accountability Act of 1996 (HIPAA). These requirements
include providing individuals with certificates of creditable coverage,
notifying individuals about their status with respect to preexisting
condition exclusions, and giving individuals the special enrollment
rights to which they are entitled. In addition, this collection gives
states and the Federal government the flexibility necessary to enforce
these HIPAA requirements.; Form Number: CMS-R-206 (OMB: 0938-
0702); Frequency: Recordkeeping, third party disclosure and reporting:
On occasion; Affected Public: Individuals or Households, Business or
other for-profit, not-for-profit institutions and Federal, State, Local
or Tribal Government; Number of Respondents: 2,800; Total Annual
Responses: 37,002,217; Total Annual Hours: 446,679.
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: June 1, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-8932 Filed 6-8-06; 8:45 am]
BILLING CODE 4120-01-P
