Agency Information Collection Activities: Proposed Collection; Comment Request, 25318-25319 [E7-8423]

Download as PDF 25318 Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices E05, Atlanta, GA 30333, telephone 404.639.6101. 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 CDC and the Agency for Toxic Substances and Disease Registry. Dated: April 27, 2007. Elaine L. Baker, Acting Director, Management Analysis and Services Office Centers for Disease Control and Prevention. [FR Doc. E7–8617 Filed 5–3–07; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Advisory Committee on Immunization Practices (ACIP): Meeting cprice-sewell on DSK89S0YB1PROD with NOTICES In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), the Centers for Disease Control and Prevention (CDC) announces the following meeting of the aforementioned Federal Advisory Committee: Times and Dates: 8 a.m.—6 p.m., June 27, 2007. 8 a.m.—4 p.m., June 28, 2007. Place: Centers for Disease Control and Prevention, 1600 Clifton Road, NE., Global Communications Center, Building 19, Room 232, Atlanta, Georgia 30333. Status: Open to the public, limited only by the space available. Meeting space accommodates approximately 330 people. Overflow space for real-time viewing will be available. Purpose: The Committee is charged with advising the Director, CDC, on the appropriate uses of immunizing agents. In addition, under 42 U.S.C. 1396s, the Committee is mandated to establish and periodically review and, as appropriate, revise the list of vaccines for administration to vaccine-eligible children through the Vaccines for Children (VFC) program, along with schedules regarding the appropriate periodicity, dosage, and contraindications applicable to the vaccines. Matters to be Discussed: The agenda will include discussions on vaccine financing; Hepatitis A post-exposure prophylaxis which will include a VFC vote; cold adapted influenza vaccine; immunization safety; TDap-IPV-Hib combination vaccine (Pentacel); MCV4 dose to 2 years; vaccine shortages; economic analyses of vaccines; evidence-based recommendations; Human Papillomavirus Vaccine; update on HIV vaccines; childhood immunization schedule; adult immunization schedule; update on pneumococcal vaccines working group; update on vaccines during pregnancy and breastfeeding working group; Hepatitis B update on adult recommendations; and agency updates. VFC votes will be taken to VerDate Nov<24>2008 14:51 Apr 20, 2010 Jkt 220001 add Pentacel to the Diphtheria, Tetanus, Pertussis resolution; to the Haemophilus influenzae type b resolution and to the Polio resolution pending Food and Drug Administration approval for licensure of Pentacel. Agenda items are subject to change as priorities dictate. Additional Information: In order to expedite the security clearance process at the CDC Roybal Campus located on Clifton Road, all ACIP attendees are required to register online at www.cdc.gov/nip/acip, which can be found at the ‘‘Upcoming Meetings’’ tab. Please complete all the required fields before submitting your registration and submit no later than May 31, 2007. Please Note: In addition to completing the registration form online, as described above, all non-U.S. citizens are required to complete the ‘‘Access Request Form.’’ The completed access request form should be sent by e-mail directly to Ms. Gardner at dgardner@cdc.gov. Contact Person For More Information: Demetria Gardner, Immunization Services Division, National Center for Immunization and Respiratory Diseases, CDC, 1600 Clifton Road, NE, (E–05), Atlanta, Georgia 30333, telephone 404/639–8836, fax 404/639–6258. 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: April 27, 2007. Elaine L. Baker, Acting Director, Management Analysis and Services Office Centers for Disease Control and Prevention. [FR Doc. E7–8590 Filed 5–3–07; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Environmental Health/Agency for Toxic Substances and Disease Registry The Health Department Subcommittee of the Board of Scientific Counselors (BSC), CDC, National Center for Environmental Health (NCEH)/Agency for Toxic Substances and Disease Registry (ATSDR): Teleconference Meeting. In accordance with section 10(a)(2) of the Federal Advisory Committee Act (Pub. L. 92–463), the Centers for Disease Control and Prevention, NCEH/ATSDR announces the following subcommittee teleconference meeting: Times and Dates: 12:30 p.m.–2 p.m., June 4, 2007. Place: Century Center, 1825 Century Boulevard, Atlanta, Georgia 30345. Status: Open to the public. Teleconference access limited only by availability of telephone ports. PO 00000 Frm 00077 Fmt 4703 Sfmt 4703 Purpose: Under the charge of the Board of Scientific Counselors, NCEH/ ATSDR, the HDS Subcommittee will provide the BSC, NCEH/ATSDR with advice and recommendations on local and state health department issues and concerns that pertain to the mandates and mission of NCEH/ATSDR. Matters To Be Discussed: The meeting will include a review of the agenda; approval of minutes from the last conference call; a discussion of recommendations, work plan and comments from the BSC; public comment and the next steps for the HDS. Items are subject to change as priorities dictate. SUPPLEMENTARY INFORMATION: This teleconference meeting is scheduled to begin at 12:30 p.m. Eastern Daylight Savings Time. To participate, please dial 877/315–6535 and enter conference code 383520. The public comment period is scheduled from 1:20–1:30 p.m. FOR FURTHER INFORMATION CONTACT: Shirley D. Little, Committee Management Specialist, NCEH/ATSDR, 1600 Clifton Road, Mail Stop E–28, Atlanta, GA 30303; telephone 404/498– 0615, fax 404/498–0059; E-mail: slittle@cdc.gov. 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 CDC and the Agency for Toxic Substances and Disease Registry. Dated: April 27, 2007. Elaine L. Baker, Acting Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. E7–8561 Filed 5–3–07; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–R–244, CMS– 18F5, CMS–417, and CMS–724] Agency Information Collection Activities: Proposed Collection; 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) is publishing the E:\FR\FM\04MYN1.SGM 04MYN1 cprice-sewell on DSK89S0YB1PROD with NOTICES Federal Register / Vol. 72, No. 86 / Friday, May 4, 2007 / Notices 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: The Medicare and Medicaid Programs: Programs of All-inclusive Care for the Elderly (PACE); Form Number: CMS–R–244 (OMB#: 0938–0790); Use: PACE organizations must demonstrate their ability to provide quality communitybased care for the frail elderly who meet their State’s nursing home eligibility standards using capitated payments from Medicare and the State. PACE programs must provide all Medicare and Medicaid covered services including hospital, nursing home, home health, and other specialized services. This collection is necessary to ensure that only appropriate organizations are selected to become PACE organizations and that CMS has the information necessary to monitor the care they provide; Frequency: Reporting—Once and On occasion; Affected Public: Notfor-profit institutions and State, Local, or Tribal Governments; Number of Respondents: 54; Total Annual Responses: 108; Total Annual Hours: 44131.50. 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Application for Hospital Insurance Benefits; Form Number: CMS–18F5 (OMB#: 0938– 0251); Use: The CMS–18F5 form is used to establish entitlement to and enrollment in Part A of Medicare for beneficiaries who are not automatically entitled to Medicare Part A under Title XVIII of the Social Security Act and must file an application. Sections 226(a), 227 and 1818A of the Social Security Act and sections 42 CFR 406.10, 406.11 and 406.20 outline the requirements for entitlement to Medicare hospital insurance (Part A). Section 42 CFR 406.6 provides information about who needs to file an application for Part A and who does not. VerDate Nov<24>2008 14:51 Apr 20, 2010 Jkt 220001 Section 42 CFR 406.7 lists the CMS– 18F5 form as the application to be used by individuals applying for Part A of Medicare. The CMS–18F5 form was designed to capture all the information needed to make a determination of an individual’s entitlement to hospital insurance (Part A); Frequency: Reporting—Once; Affected Public: Individuals or households; Number of Respondents: 50,000; Total Annual Responses: 50,000; Total Annual Hours: 12,495. 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Hospice Request for Certification in the Medicare Program; Form Number: CMS–417 (OMB#: 0938–0313); Use: The Hospice Request for Certification Form is the identification and screening form used to initiate the certification process and to determine if the provider has sufficient personnel to participate in the Medicare program; Frequency: Reporting—Yearly; Affected Public: Private Sector: Business or other forprofits; Number of Respondents: 2,286; Total Annual Responses: 2,286; Total Annual Hours: 572. 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Psychiatric Hospital Survey Data and Supporting Regulations at 42 CFR 482.60, 482.61, and 482.62; Form Number: CMS–724 (OMB#: 0938–0378); Use: The Medicare/Medicaid Psychiatric Hospital Survey is used to collect data that is not collected elsewhere and assists CMS in program planning and evaluation of survey needs. In addition, the survey assists CMS in maintaining an accurate data base on providers participating in the Medicare psychiatric hospital program; Frequency: Reporting—Yearly; Affected Public: Private Sector: Business or other for-profits; Number of Respondents: 420; Total Annual Responses: 200; Total Annual Hours: 100. 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 PO 00000 Frm 00078 Fmt 4703 Sfmt 4703 25319 be received at the address below, no later than 5 p.m. on July 3, 2007. CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development—C, Attention: Bonnie L Harkless, Room C4–26–05, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. Dated: April 27, 2007. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E7–8423 Filed 5–3–07; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS-R–245] 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: Revision of the currently approved collection; Title of Information Collection: Medicare and Medicaid Programs OASIS Collection Requirements as Part of the Conditions of Participation for Home Health Agencies and Supporting Regulations in 42 CFR 484.55, 484.205, 484.245, 484.250; Form No.: CMS–R–245 (OMB# 0938–0760) Use: The Outcome and Assessment Information Set (OASIS) is a requirement for one of the Conditions of Participation (CoPs) that Home Health Agencies (HHAs) must meet in E:\FR\FM\04MYN1.SGM 04MYN1

Agencies

[Federal Register Volume 72, Number 86 (Friday, May 4, 2007)]
[Notices]
[Pages 25318-25319]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E7-8423]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-244, CMS-18F5, CMS-417, and CMS-724]


Agency Information Collection Activities: Proposed Collection; 
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) is publishing the

[[Page 25319]]

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: The Medicare and 
Medicaid Programs: Programs of All-inclusive Care for the Elderly 
(PACE); Form Number: CMS-R-244 (OMB: 0938-0790); Use: PACE 
organizations must demonstrate their ability to provide quality 
community-based care for the frail elderly who meet their State's 
nursing home eligibility standards using capitated payments from 
Medicare and the State. PACE programs must provide all Medicare and 
Medicaid covered services including hospital, nursing home, home 
health, and other specialized services. This collection is necessary to 
ensure that only appropriate organizations are selected to become PACE 
organizations and that CMS has the information necessary to monitor the 
care they provide; Frequency: Reporting--Once and On occasion; Affected 
Public: Not-for-profit institutions and State, Local, or Tribal 
Governments; Number of Respondents: 54; Total Annual Responses: 108; 
Total Annual Hours: 44131.50.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Application for 
Hospital Insurance Benefits; Form Number: CMS-18F5 (OMB: 0938-
0251); Use: The CMS-18F5 form is used to establish entitlement to and 
enrollment in Part A of Medicare for beneficiaries who are not 
automatically entitled to Medicare Part A under Title XVIII of the 
Social Security Act and must file an application. Sections 226(a), 227 
and 1818A of the Social Security Act and sections 42 CFR 406.10, 406.11 
and 406.20 outline the requirements for entitlement to Medicare 
hospital insurance (Part A). Section 42 CFR 406.6 provides information 
about who needs to file an application for Part A and who does not. 
Section 42 CFR 406.7 lists the CMS-18F5 form as the application to be 
used by individuals applying for Part A of Medicare. The CMS-18F5 form 
was designed to capture all the information needed to make a 
determination of an individual's entitlement to hospital insurance 
(Part A); Frequency: Reporting--Once; Affected Public: Individuals or 
households; Number of Respondents: 50,000; Total Annual Responses: 
50,000; Total Annual Hours: 12,495.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospice Request 
for Certification in the Medicare Program; Form Number: CMS-417 
(OMB: 0938-0313); Use: The Hospice Request for Certification 
Form is the identification and screening form used to initiate the 
certification process and to determine if the provider has sufficient 
personnel to participate in the Medicare program; Frequency: 
Reporting--Yearly; Affected Public: Private Sector: Business or other 
for-profits; Number of Respondents: 2,286; Total Annual Responses: 
2,286; Total Annual Hours: 572.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Psychiatric 
Hospital Survey Data and Supporting Regulations at 42 CFR 482.60, 
482.61, and 482.62; Form Number: CMS-724 (OMB: 0938-0378); 
Use: The Medicare/Medicaid Psychiatric Hospital Survey is used to 
collect data that is not collected elsewhere and assists CMS in program 
planning and evaluation of survey needs. In addition, the survey 
assists CMS in maintaining an accurate data base on providers 
participating in the Medicare psychiatric hospital program; Frequency: 
Reporting--Yearly; Affected Public: Private Sector: Business or other 
for-profits; Number of Respondents: 420; Total Annual Responses: 200; 
Total Annual Hours: 100.
    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.
    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 July 3, 2007.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--C, Attention: Bonnie L Harkless, 
Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: April 27, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E7-8423 Filed 5-3-07; 8:45 am]
BILLING CODE 4120-01-P
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