Agency Information Collection Activities: Submission for OMB Review; Comment Request, 38648-38649 [E6-10586]
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38648
Federal Register / Vol. 71, No. 130 / Friday, July 7, 2006 / Notices
Dated: June 30, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E6–10620 Filed 7–6–06; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Disease Control and
Prevention
[30 Day–06–05AA]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Centers for Disease Control and
Prevention (CDC) publishes a list of
information collection requests under
review by the Office of Management and
Budget (OMB) in compliance with the
Paperwork Reduction Act (44 U.S.C.
chapter 35). To request a copy of these
requests, call the CDC Reports Clearance
Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written
comments to CDC Desk Officer, Office of
Management and Budget, Washington,
DC or by fax to (202) 395–6974. Written
comments should be received within 30
days of this notice.
Proposed Project
Early Hearing Detection and
Intervention Hearing Screening and
Follow-up Survey -New- National
Center on Birth Defects and
Developmental Disabilities (NCBDDD),
Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The National Center on Birth Defects
and Developmental Disabilities
(NCBDDD) of the Centers for Disease
Control and Prevention promotes the
health of babies, children, and adults
with disabilities. Activities related to
addressing hearing loss (HL) among
newborns and infants are part of
NCBDDD’s mission. HL is a common
birth defect that affects approximately
12,000 infants across the United States
each year, and can result in
developmental delays when left
undetected. As awareness about infant
HL increases, so does the demand for
accurate information about incidence,
rate of screening, referral to care, and
loss to follow-up.
Given the lack of a standardized and
readily accessible source of data, CDC’s
Early Hearing Detection and
Intervention (EHDI) program has
developed a survey to be used annually
for State and Territory EHDI Program
Coordinators that utilizes uniform
definitions to collect aggregate,
standardized EHDI data from states and
territories. This information is
important for helping to ensure infants
and children are receiving
recommended screening and follow-up
services, documenting the occurrence
and etiology of differing degrees of HL
among infants, and determining the
overall impact of infant HL on future
outcomes, such as cognitive
development and family dynamics.
These data will also assist state EHDI
programs with quality improvement
activities and provide information that
will be helpful in assessing the impact
of Federal initiatives. The public will be
able to access this information via CDC’s
EHDI Web site (https://www.cdc.gov/
ncbddd/ehdi/). There are no costs to
respondents other than their time. The
total estimated annualized burden is
209 hours.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Respondents
States Contacted .........................................................................................................................
States Completed ........................................................................................................................
Dated: June 30, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E6–10621 Filed 7–6–06; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–216 and CMS
10191]
cprice-sewell on PROD1PC66 with NOTICES
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
AGENCY:
VerDate Aug<31>2005
15:46 Jul 06, 2006
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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: Organ
Procurement Organization/
Histocompatibility Laboratory
Statement of Reimbursable Cost, Manual
Instructions and Supporting Regulations
Contained in 42 CFR 413.20 and 413.24.
PO 00000
Frm 00051
Fmt 4703
Sfmt 4703
55
50
Number of
responses per
respondent
1
1
Average
burden per
response
(in hrs.)
10/60
4
Use: CMS is requesting reapproval of
Form CMS–216–94 (OMB No.0938–
0102). The current form implements
various provisions of the Social Security
Act, including Section 1881(a) which
provides Medicare coverage for endstage renal disease patients who meet
certain entitlement requirements and
kidney donors. It also implements
Sections 1881(b)(2)(B) and 1861(v)(1)(A)
of the Act to determine the reasonable
costs incurred to furnish treatment for
renal patients and transplant patients.
The reasonable costs of securing and
transporting organs cannot be
determined for the fiscal year until the
Organ Procurement Organization/
Histocompatibility Laboratory files its
cost report (Form CMS–216) at year-end
and costs are verified by the Medicare
fiscal intermediary.
Form Number: CMS–216 (OMB#:
0938–0102).
Frequency: Recordkeeping—Daily,
Reporting—Annually.
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Federal Register / Vol. 71, No. 130 / Friday, July 7, 2006 / Notices
cprice-sewell on PROD1PC66 with NOTICES
Affected Public: Business or other forprofit, Not-for-profit institutions, and
the Federal Government.
Number of Respondents: 108.
Total Annual Responses: 108.
Total Annual Hours: 4860.
2. Type of Information Collection
Request: New Collection.
Title of Information Collection:
Medicare Part D Audit Guide, Version
1.0 and Supporting Regulation
contained in 42 CFR Section 423.505.
Use: 42 CFR 423.505 provides CMS
the regulatory authority to audit,
evaluate, or inspect any Part D sponsors’
performance related to the law in the
areas of medication therapy
management, drug utilization
management, formulary, and grievances
and appeals. The information collected
will be an integral resource for
oversight, monitoring, compliance, and
auditing activities necessary to ensure
quality provision of the Medicare
Prescription Drug Benefit to
beneficiaries.
Form Number: CMS–10191 (OMB#:
0938–New).
Frequency: Recordkeeping and
Reporting—Annually.
Affected Public: Business or other forprofit.
Number of Respondents: 564.
Total Annual Responses: 564.
Total Annual Hours: 54,144.
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 28, 2006.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E6–10586 Filed 7–6–06; 8:45 am]
BILLING CODE 4120–01–P
VerDate Aug<31>2005
15:46 Jul 06, 2006
Jkt 208001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–136 and
CMS–10198]
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: Proper
Claim Not Filed and Supporting
Regulation in 42 CFR 411.32(c).
Use: Section 411.32(c) requires
physicians, providers, other suppliers,
and beneficiaries, in case where they
failed to submit a proper claim with a
third party payer to report these
situations on the current Medicare
forms. The primary payer will notify the
physician, provider, other supplier, or
beneficiary of the amount normally
payable, the amount of the reduction
payable because the claim was not filed
properly, and the amount the physician,
provider, other supplier, or beneficiary
is being paid under the ‘‘primary plan’’
due to the reduction. The information is
transmitted on an explanation of
benefits or remittance advice
determination that third party payers
provide to all covered individuals and
physicians, providers and other
suppliers as part of an industry practice.
The information contained in this
explanation, whether or not it concerns
improperly filed claims, is submitted to
Medicare as part of the claims process.
AGENCY:
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38649
Form Number: CMS–R–136 (OMB#:
0938–0564).
Frequency: Reporting—On occasion.
Affected Public: Business or other forprofit Not-for-profit institutions, and
Individuals or Households.
Number of Respondents: 1,129,000.
Total Annual Responses: 1,129,000.
Total Annual Hours: 1.
2. Type of Information Collection
Request: New Collection.
Title of Information Collection:
Creditable Coverage Disclosure to CMS
Instructions contained in 42 CFR
423.56.
Use: Section 1860D–13 of the
Medicare Modernization Act requires
certain entities that provide prescription
drug coverage to Medicare Part D
eligible individuals to disclose to CMS
whether such coverage meets the
actuarial requirements specified in the
guidelines provided by CMS. The
actuarial determination measures
whether the expected amount of paid
claims under the entity’s prescription
drug coverage is at least as much as the
expected amount of paid claims under
the standard Medicare prescription drug
benefit. This information will be used
for research, program evaluation and to
verify whether or not beneficiaries are
subject to a late enrollment penalty.
Form Number: CMS–10198 (OMB#:
0938–New).
Frequency: Recordkeeping, Third
party disclosure and Reporting—On
occasion and Annually.
Affected Public: Business or other forprofit, Not-for-profit institutions and
Federal, State, local or tribal
government.
Number of Respondents: 446,160.
Total Annual Responses: 466,373.
Total Annual Hours: 37,555.
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 September 5, 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.
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]]>Agencies
[Federal Register Volume 71, Number 130 (Friday, July 7, 2006)]
[Notices]
[Pages 38648-38649]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E6-10586]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-216 and CMS 10191]
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: Organ Procurement Organization/
Histocompatibility Laboratory Statement of Reimbursable Cost, Manual
Instructions and Supporting Regulations Contained in 42 CFR 413.20 and
413.24.
Use: CMS is requesting reapproval of Form CMS-216-94 (OMB No.0938-
0102). The current form implements various provisions of the Social
Security Act, including Section 1881(a) which provides Medicare
coverage for end-stage renal disease patients who meet certain
entitlement requirements and kidney donors. It also implements Sections
1881(b)(2)(B) and 1861(v)(1)(A) of the Act to determine the reasonable
costs incurred to furnish treatment for renal patients and transplant
patients. The reasonable costs of securing and transporting organs
cannot be determined for the fiscal year until the Organ Procurement
Organization/Histocompatibility Laboratory files its cost report (Form
CMS-216) at year-end and costs are verified by the Medicare fiscal
intermediary.
Form Number: CMS-216 (OMB: 0938-0102).
Frequency: Recordkeeping--Daily, Reporting--Annually.
[[Page 38649]]
Affected Public: Business or other for-profit, Not-for-profit
institutions, and the Federal Government.
Number of Respondents: 108.
Total Annual Responses: 108.
Total Annual Hours: 4860.
2. Type of Information Collection Request: New Collection.
Title of Information Collection: Medicare Part D Audit Guide,
Version 1.0 and Supporting Regulation contained in 42 CFR Section
423.505.
Use: 42 CFR 423.505 provides CMS the regulatory authority to audit,
evaluate, or inspect any Part D sponsors' performance related to the
law in the areas of medication therapy management, drug utilization
management, formulary, and grievances and appeals. The information
collected will be an integral resource for oversight, monitoring,
compliance, and auditing activities necessary to ensure quality
provision of the Medicare Prescription Drug Benefit to beneficiaries.
Form Number: CMS-10191 (OMB: 0938-New).
Frequency: Recordkeeping and Reporting--Annually.
Affected Public: Business or other for-profit.
Number of Respondents: 564.
Total Annual Responses: 564.
Total Annual Hours: 54,144.
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 28, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-10586 Filed 7-6-06; 8:45 am]
BILLING CODE 4120-01-P
