Agency Information Collection Activities: Submission for OMB Review; Comment Request, 17347 [E8-6507]
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Federal Register / Vol. 73, No. 63 / Tuesday, April 1, 2008 / Notices
Dated: March 21, 2008.
Elaine L. Baker,
Director, Management Analysis and Services
Office, Centers for Disease Control and
Prevention.
[FR Doc. E8–6596 Filed 3–31–08; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10115]
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: Revision of currently approved
collection; Title of Information
Collection: Federal Reimbursement of
Emergency Health Services Furnished to
Undocumented Aliens (Sections 1011)
Provider Enrollment Application; Use:
Section 1011 of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003, provides
that the Secretary will establish a
process (i.e., enrollment and claims
payment) for eligible providers to
request payment. The Secretary must
directly pay hospitals, physicians and
ambulance providers (including Indian
Health Service, Indian tribe and tribal
organizations) for their otherwise unreimbursed costs of providing services
required by the Emergency Medical
Treatment and Active Labor Act
(EMTALA), which is found under
section 1867 of the Social Security Act,
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AGENCY:
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16:40 Mar 31, 2008
Jkt 214001
and related hospital inpatient,
outpatient and ambulance services.
CMS will use the application
information to administer this health
services program and establish an audit
process. The Federal Reimbursement of
Emergency Health Services Furnished to
Undocumented Aliens (Sections 1011)
Provider Enrollment Application has
been revised. For a list of these
revisions, refer to the summary of
changes document. Form Number:
CMS–10115 (OMB# 0938–0929);
Frequency: On occasion; Affected
Public: Private sector—Business or other
for-profit and Not-for-profit institutions;
Number of Respondents: 10,000; Total
Annual Responses: 10,000; Total
Annual Hours: 4,998.
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 by the OMB desk officer at
the address below, no later than 5 p.m.
on May 1, 2008:
OMB Human Resources and Housing
Branch, Attention: Carolyn Raffaelli,
New Executive Office Building, Room
10235, Washington, DC 20503, Fax
Number: (202) 395–6974.
Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E8–6507 Filed 3–31–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–1696, CMS–
10167, CMS–R–306, CMS–10262 and CMS–
10143]
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
AGENCY:
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
17347
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: Revision of a currently
approved collection; Title of
Information Collection: Appointment of
Representative; Use: This form will be
completed by beneficiaries, providers
and suppliers who wish to appoint
representatives to assist them with
obtaining initial determinations and
filing appeals. The appointment of
representative form must be signed by
the party making the appointment and
the individual agreeing to accept the
appointment. Form Number: CMS–1696
(OMB# 0938–0950); Frequency:
Occasionally; Affected Public:
Individuals or households and
businesses or other for-profits; Number
of Respondents: 268,268; Total Annual
Responses: 268,268; Total Annual
Hours: 67,067.
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Competitive
Acquisition Program for Medicare Part B
Drugs: CAP Physician Election
Agreement; Use: The Competitive
Acquisition Program (CAP) is required
by Section 303(d) of the Medicare
Modernization Act (MMA) which
amended Title XVIII of the Social
Security Act (the Act) by adding a new
section 1847(B), which establishes a
competitive acquisition program for the
payment for Part B covered drugs and
biologicals furnished on or after January
1, 2006. Physicians are given a choice
between buying and billing these drugs
under the average sales price (ASP)
system, or obtaining these drugs from
vendors selected in a competitive
bidding process. Section 108 of the
Medicare Improvements and Extension
Act under Division B, Title I of the Tax
Relief Health Care Act of 2006 amended
Section 1847(b)(a)(3) of the Act and
requires that CAP implement a post
payment review process.
E:\FR\FM\01APN1.SGM
01APN1
]]>Agencies
[Federal Register Volume 73, Number 63 (Tuesday, April 1, 2008)]
[Notices]
[Page 17347]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-6507]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10115]
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 currently
approved collection; Title of Information Collection: Federal
Reimbursement of Emergency Health Services Furnished to Undocumented
Aliens (Sections 1011) Provider Enrollment Application; Use: Section
1011 of the Medicare Prescription Drug, Improvement, and Modernization
Act of 2003, provides that the Secretary will establish a process
(i.e., enrollment and claims payment) for eligible providers to request
payment. The Secretary must directly pay hospitals, physicians and
ambulance providers (including Indian Health Service, Indian tribe and
tribal organizations) for their otherwise un-reimbursed costs of
providing services required by the Emergency Medical Treatment and
Active Labor Act (EMTALA), which is found under section 1867 of the
Social Security Act, and related hospital inpatient, outpatient and
ambulance services. CMS will use the application information to
administer this health services program and establish an audit process.
The Federal Reimbursement of Emergency Health Services Furnished to
Undocumented Aliens (Sections 1011) Provider Enrollment Application has
been revised. For a list of these revisions, refer to the summary of
changes document. Form Number: CMS-10115 (OMB 0938-0929);
Frequency: On occasion; Affected Public: Private sector--Business or
other for-profit and Not-for-profit institutions; Number of
Respondents: 10,000; Total Annual Responses: 10,000; Total Annual
Hours: 4,998.
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 by the OMB desk
officer at the address below, no later than 5 p.m. on May 1, 2008:
OMB Human Resources and Housing Branch, Attention: Carolyn
Raffaelli, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-6507 Filed 3-31-08; 8:45 am]
BILLING CODE 4120-01-P
