Agency Information Collection Activities: Submission for OMB Review; Comment Request, 36098-36099 [E6-9841]
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36098
Federal Register / Vol. 71, No. 121 / Friday, June 23, 2006 / Notices
applicable, the cost of potentially noncovered services when Medicare denial
of payment is expected by the HHA.
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-forprofit institutions; Number of
Respondents: 7,612; Total Annual
Responses: 10,351,703; Total Annual
Hours: 780,918.
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 20, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 06–5621 Filed 6–20–06; 1:10 pm]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1957, CMS–R–
72, CMS–10175 and CMS–R–05]
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
jlentini on PROD1PC65 with NOTICES
AGENCY:
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17:22 Jun 22, 2006
Jkt 208001
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: SSO Report of
State Buy-in Problem and Supporting
Regulations in 42 CFR 407.40; Use:
Under the State Buy-In program, States
enroll certain groups of needy people
under the Part B Supplementary
Medical Insurance (SMI) Program and
pay their premiums. The purpose of the
‘‘buy-in’’ is to allow the States to
provide SMI protection to certain
groups of needy individuals as part of
its total assistance plan. Generally,
States ‘‘buy-in’’ for individuals who are
categorically needy under Medicaid and
meet the eligibility requirements for
Medicare Part B. States can also include
in their buy-in agreement those eligible
for medical assistance only. The CMS–
1957 is used in the resolution of
beneficiary complaints regarding State
buy-in. This form facilitates the
coordination of efforts between the SSO,
State Medicaid Agencies, and CMS in
the resolution of a beneficiary’s State
buy-in problem; Form Number: CMS–
1957 (OMB#: 0938–0035); Frequency:
Reporting—On occasion; Affected
Public: Federal government, Individuals
or Households, and State, Local, and
Tribal governments; Number of
Respondents: 6,600; Total Annual
Responses: 6,600; Total Annual Hours:
2,366.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Information
Collection Requirements in 42 CFR
478.18, 478.34, 478.36, 478.42, QIO
Reconsiderations and Appeals; Use: In
the event that a beneficiary, provider,
physician, or other practitioner does not
agree with the initial determination of a
Quality Improvement Organization
(QIO) or a QIO subcontractor, it is
within that party’s rights to request
reconsideration. The information
collection requirements 42 CFR 478.18,
478.34, 478.36, and 478.42, contain
procedures for QIOs to use in
reconsideration of initial
determinations. The information
requirements contained in these
PO 00000
Frm 00046
Fmt 4703
Sfmt 4703
regulations are on QIOs to provide
information to parties requesting the
reconsideration. These parties will use
the information as guidelines for appeal
rights in instances where issues are
actively being disputed; Form Number:
CMS–R–72 (OMB#: 0938–0443);
Frequency: Reporting—On occasion;
Affected Public: Individuals or
Households and Business or other forprofit institutions; Number of
Respondents: 2,590; Total Annual
Responses: 5,228; Total Annual Hours:
2,822.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Certification
Statement for Electronic File
Interchange Organizations (EFIOS) that
Submit National Provider Identifier
(NPI) Data to the National Plan and
Enumeration System; Use: The EFI
process is designed to allow
organizations to submit NPI application
information for large numbers of
providers in a single file. Once it has
obtained and formatted the necessary
provider data, the EFIO will
electronically submit the file to NPPES
for processing. As each file can contain
up to approximately 100,000 records, or
provider applications, the EFI process
greatly reduces the paperwork and
overall administrative burden associated
with enumerating providers; Form
Number: CMS–10175 (OMB#: 0938–
0984); Frequency: Other—One-time;
Affected Public: Business or other forprofit, and Not-for-profit institutions;
Number of Respondents: 1000; Total
Annual Responses: 1000; Total Annual
Hours: 3000.
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Physician
Certifications/Recertifications in Skilled
Nursing Facilities (SNFs) Manual
Instructions and Supporting Regulations
in 42 CFR 424.20; Use: Regulations at 42
CFR 424.20 require SNFs to keep record
of physician certifications and
recertifications of information such as
the need for care and services, estimated
duration of the SNF stay, and plan for
home care. As a condition for Medicare
Part A payment for post-hospital skilled
nursing facility (SNF) services, the
Medicare program requires that a
physician certify and periodically
recertify that a beneficiary requires an
SNF level of care. The physician
certification and recertification is
intended to ensure that the beneficiary’s
need for services has been established
and then reviewed and updated at
appropriate intervals; Form Number:
CMS–R–05 (OMB#: 0938–0454);
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Federal Register / Vol. 71, No. 121 / Friday, June 23, 2006 / Notices
Frequency: Recordkeeping and
Reporting—On occasion; Affected
Public: State, Local or Tribal
governments, Individuals or
Households, Business or other for-profit
and Not-for-profit institutions; Number
of Respondents: 2,458,549; Total
Annual Responses: 981,642; Total
Annual Hours: 547,578.
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 by July 24, 2006 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 14, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–9841 Filed 6–22–06; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10199, CMS–R–
247, and CMS–R–38]
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;
jlentini on PROD1PC65 with NOTICES
AGENCY:
VerDate Aug<31>2005
17:22 Jun 22, 2006
Jkt 208001
(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: Data Collection
for Medicare Facilities Performing
Carotid Artery Stenting with Embolic
Protection in Patients at High Risk for
Carotid Endarterectomy; Use: CMS
provides coverage for carotid artery
stenting (CAS) with embolic protection
for patients at high risk for carotid
endarterectomy and who also have
symptomatic carotid artery stenosis
between 50% and 70% or have
asymptomatic carotid artery stenosis
≥ 80% in accordance with the Category
B IDE clinical trials regulation (42 CFR
405.201), a trial under the CMS Clinical
Trial Policy (NCD Manual § 310.1, or in
accordance with the National Coverage
Determination on CAS post approval
studies (Medicare NCD Manual 20.7).
Accordingly, CMS considers coverage
for CAS reasonable and necessary
{section 1862 (A)(1)(a) of the Social
Security Act}. However, evidence for
use of CAS with embolic protection for
patients at high risk for carotid
endarterectomy and who also have
symptomatic carotid artery stenosis
≥ 70% who are not enrolled in a study
or trial is less compelling. To encourage
responsible and appropriate use of CAS
with embolic protection, CMS issued a
Decision Memo for Carotid Artery
Stenting on March 17, 2005, indicating
that CAS with embolic protection for
patients at high risk for carotid
endarterectomy and who also have
symptomatic carotid artery stenosis
≥ 70% will be covered only if performed
in facilities that have been determined
to be competent. In accordance with this
criteria CMS considers coverage for CAS
reasonable and necessary {section
1862(A)(1)(a) of the Social Security
Act}. Form Number: CMS–10199
(OMB#: 0938–NEW); Frequency:
Reporting—On occasion; Affected
Public: Business or other for-profit, Notfor-profit institutions; Number of
Respondents: 1,000; Total Annual
Responses: 1,000; Total Annual Hours:
500.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Expanded
Coverage for Diabetes Outpatient SelfManagement Training Services and
Supporting Regulations Contained in 42
CFR 410.141, 410.142, 410.143, 410.144,
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Frm 00047
Fmt 4703
Sfmt 4703
36099
410.145, 410.146, 414.63; Use:
According to the National Health and
Nutrition Examination Survey
(NHANES), as many as 18.7 percent of
Americans over age 65 are at risk for
developing diabetes. The goals in the
management of diabetes are to achieve
normal metabolic control and reduce
the risk of micro- and macro-vascular
complications. Numerous epidemiologic
and interventional studies point to the
necessity of maintaining good glycemic
control to reduce the risk of the
complications of diabetes. In expanding
the Medicare program to include
diabetes outpatient self-management
training services, the Congress intended
to empower Medicare beneficiaries with
diabetes to better manage and control
their conditions. The Conference Report
indicates that the conferees believed
that ‘‘this provision will provide
significant Medicare savings over time
due to reduced hospitalizations and
complications arising from diabetes.’’
(H.R. Conf. Rep. No. 105–217, at 701
(1997)). Form Number: CMS–R–247
(OMB#: 0938–0818); Frequency:
Recordkeeping and Reporting—On
occasion; Affected Public: Business or
other for-profit institutions; Number of
Respondents: 2,008; Total Annual
Responses: 8,032; Total Annual Hours:
88,519.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Conditions of
Certification for Rural Health Clinics
and Supporting Regulations in 42 CFR
491.9, 491.10, 491.11; Use: The Rural
Health Clinic (RHC) conditions of
participation are based on criteria
prescribed in law and are designed to
ensure that each facility has a properly
trained staff to provide appropriate care
and to assure a safe physical
environment for patients. The Centers
for Medicare and Medicaid Services
(CMS) uses these conditions of
participation to certify RHCs wishing to
participate in the Medicare program.
These requirements are similar in intent
to standards developed by industry
organizations such as the Joint
Commission on Accreditation of
Hospitals, and the National League of
Nursing/American Public Association
and merely reflect accepted standards of
management and care to which rural
health clinics must adhere. Form
Number: CMS–R–38 (OMB#: 0938–
0334); Frequency: Recordkeeping and
Reporting—Annually and upon initial
application for Medicare approval;
Affected Public: Business or other forprofit and Not-for-profit institutions;
Number of Respondents: 3,674; Total
E:\FR\FM\23JNN1.SGM
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]]>Agencies
[Federal Register Volume 71, Number 121 (Friday, June 23, 2006)]
[Notices]
[Pages 36098-36099]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-9841]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1957, CMS-R-72, CMS-10175 and CMS-R-05]
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: SSO Report of
State Buy-in Problem and Supporting Regulations in 42 CFR 407.40; Use:
Under the State Buy-In program, States enroll certain groups of needy
people under the Part B Supplementary Medical Insurance (SMI) Program
and pay their premiums. The purpose of the ``buy-in'' is to allow the
States to provide SMI protection to certain groups of needy individuals
as part of its total assistance plan. Generally, States ``buy-in'' for
individuals who are categorically needy under Medicaid and meet the
eligibility requirements for Medicare Part B. States can also include
in their buy-in agreement those eligible for medical assistance only.
The CMS-1957 is used in the resolution of beneficiary complaints
regarding State buy-in. This form facilitates the coordination of
efforts between the SSO, State Medicaid Agencies, and CMS in the
resolution of a beneficiary's State buy-in problem; Form Number: CMS-
1957 (OMB: 0938-0035); Frequency: Reporting--On occasion;
Affected Public: Federal government, Individuals or Households, and
State, Local, and Tribal governments; Number of Respondents: 6,600;
Total Annual Responses: 6,600; Total Annual Hours: 2,366.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements in 42 CFR 478.18, 478.34, 478.36, 478.42, QIO
Reconsiderations and Appeals; Use: In the event that a beneficiary,
provider, physician, or other practitioner does not agree with the
initial determination of a Quality Improvement Organization (QIO) or a
QIO subcontractor, it is within that party's rights to request
reconsideration. The information collection requirements 42 CFR 478.18,
478.34, 478.36, and 478.42, contain procedures for QIOs to use in
reconsideration of initial determinations. The information requirements
contained in these regulations are on QIOs to provide information to
parties requesting the reconsideration. These parties will use the
information as guidelines for appeal rights in instances where issues
are actively being disputed; Form Number: CMS-R-72 (OMB: 0938-
0443); Frequency: Reporting--On occasion; Affected Public: Individuals
or Households and Business or other for-profit institutions; Number of
Respondents: 2,590; Total Annual Responses: 5,228; Total Annual Hours:
2,822.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Certification
Statement for Electronic File Interchange Organizations (EFIOS) that
Submit National Provider Identifier (NPI) Data to the National Plan and
Enumeration System; Use: The EFI process is designed to allow
organizations to submit NPI application information for large numbers
of providers in a single file. Once it has obtained and formatted the
necessary provider data, the EFIO will electronically submit the file
to NPPES for processing. As each file can contain up to approximately
100,000 records, or provider applications, the EFI process greatly
reduces the paperwork and overall administrative burden associated with
enumerating providers; Form Number: CMS-10175 (OMB: 0938-
0984); Frequency: Other--One-time; Affected Public: Business or other
for-profit, and Not-for-profit institutions; Number of Respondents:
1000; Total Annual Responses: 1000; Total Annual Hours: 3000.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Physician
Certifications/Recertifications in Skilled Nursing Facilities (SNFs)
Manual Instructions and Supporting Regulations in 42 CFR 424.20; Use:
Regulations at 42 CFR 424.20 require SNFs to keep record of physician
certifications and recertifications of information such as the need for
care and services, estimated duration of the SNF stay, and plan for
home care. As a condition for Medicare Part A payment for post-hospital
skilled nursing facility (SNF) services, the Medicare program requires
that a physician certify and periodically recertify that a beneficiary
requires an SNF level of care. The physician certification and
recertification is intended to ensure that the beneficiary's need for
services has been established and then reviewed and updated at
appropriate intervals; Form Number: CMS-R-05 (OMB: 0938-0454);
[[Page 36099]]
Frequency: Recordkeeping and Reporting--On occasion; Affected Public:
State, Local or Tribal governments, Individuals or Households, Business
or other for-profit and Not-for-profit institutions; Number of
Respondents: 2,458,549; Total Annual Responses: 981,642; Total Annual
Hours: 547,578.
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 by July 24, 2006 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 14, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-9841 Filed 6-22-06; 8:45 am]
BILLING CODE 4120-01-P
