Agency Information Collection Activities: Submission for OMB Review; Comment Request, 15139 [E7-5754]

Agencies

• Centers for Medicare & Medicaid Services
• DEPARTMENT OF HEALTH AND HUMAN SERVICES

[Federal Register Volume 72, Number 61 (Friday, March 30, 2007)]
[Notices]
[Page 15139]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-5754]



[[Page 15139]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10091, CMS-1728, CMS-10028 A, B and C, and 
CMS-10099]


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: Accepting New 
Patients Indicator UPIN (Unique Physician Identification Number) 
Participating Physicians Directory; Use: CMS is expanding the 
Participating Physician Directory to provide additional information 
about physicians who participate in Medicare. The new data element 
``accepting new Medicare patients'' will provide beneficiaries and 
other users with much needed information about the physicians who 
participate in the Medicare program. It will also provide a service to 
physicians who are either seeking new Medicare patients or who wish to 
reduce the burden of responding to callers when they are no longer 
accepting new Medicare patients. Form Number: CMS-10091 (OMB: 
0938-0905); Frequency: Reporting: Daily, Weekly and Yearly; Affected 
Public: Business or other for-profit and Not-for-profit institutions; 
Number of Respondents: 109.800; Total Annual Responses: 10,980; Total 
Annual Hours: 915.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Home Health 
Agency Cost Report; Use: Providers of services participating in the 
Medicare program are required under sections 1815(a) and 1861(v)(1)(A) 
of the Social Security Act, to submit annual information to achieve 
settlement of costs for health care services rendered to Medicare 
beneficiaries. The CMS-1728-94 cost report is needed to determine the 
amount of reimbursable cost, based upon the cost limits, that is due 
these providers furnishing medical services to Medicare beneficiaries. 
Form Number: CMS-1728-94 (OMB: 0938-0022); Frequency: 
Reporting: Yearly; Affected Public: Business or other for-profit and 
Not-for-profit institutions; Number of Respondents: 5069; Total Annual 
Responses: 5069; Total Annual Hours: 892,144.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Health 
Insurance Assistance Program (SHIP) Client Contact Form, Pubic and 
Media Activity Form, and Resource Report Form; Use: The information 
collected is used to fulfill the reporting requirements described in 
Section 4360(f) of OBRA 1990. Also, the data will be accumulated and 
analyzed to measure State Health Insurance Assistance Program (SHIP) 
performance in order to determine whether and to what extent the SHIPs 
have met the goals of improved CMS customer service to beneficiaries 
and better understanding by beneficiaries of their health insurance 
options. Further, the information will be used in the administration of 
the grants, to measure performance and appropriate use of the funds by 
the State grantees, to identify gaps in services and technical support 
needed by SHIPs, and to identify and share best practices. Form Number: 
CMS-10028-A, B and C (OMB: 0938-0850); Frequency: Reporting: 
Quarterly and Semi-annually; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 12,000; Total Annual Responses: 
1,056,000; Total Annual Hours: 87,965.
    4. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
Review of National Coverage Determinations and Local Coverage 
Determinations and Supporting Regulations in 42 CFR 426.400 and 42 CFR 
426.500; Use: Section 522 of the Benefits Improvement and Protection 
Act (BIPA) of 2000 requires the implementation of a process for the 
appeal of National Coverage Determinations (NCDs) and Local Coverage 
Determinations (LCDs). Sections 426.400 and 426.500, state that an 
aggrieved party may initiate a review of an LCD or NCD, respectively, 
by filing a written complaint. These sections also identify the 
information required in the complaint to qualify as an aggrieved party 
as defined in Sec.  426.110, as well as the process and information 
needed for an aggrieved party to withdraw a complaint. The required 
documentation includes a copy of the written authorization to represent 
the beneficiary, if the beneficiary has a representative, and a copy of 
a written statement from the treating physician that the beneficiary 
needs a service that is the subject of the LCD. Form Number: CMS-10099 
(OMB: 0938-0911); Frequency: Reporting--On occasion; Affected 
Public: Individuals or Households; Number of Respondents: 1,040; Total 
Annual Responses: 1,040; Total Annual Hours: 4,160.
    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: March 22, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E7-5754 Filed 3-29-07; 8:45 am]
BILLING CODE 4120-01-P