Agency Information Collection Activities: Submission for OMB Review; Comment Request, 22418-22419 [E8-9067]

Download as PDF 22418 Federal Register / Vol. 73, No. 81 / Friday, April 25, 2008 / Notices DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Disease, Disability, and Injury Prevention and Control Special Emphasis Panel (SEP): School-Based Adolescent Vaccination, Funding Opportunity Announcement (FOA) IP08–006 and School-Based Influenza Vaccine, FOA IP08–007 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 aforementioned meeting: Time and Date: 12 p.m.–5 p.m., May 22, 2008 (Closed). Place: Teleconference. Status: The meeting will be closed to the public in accordance with provisions set forth in Section 552b(c)(4) and (6), Title 5 U.S.C., and the Determination of the Director, Management Analysis and Services Office, CDC, pursuant to Public Law 92–463. Matters to be Discussed: The meeting will include the review, discussion, and evaluation of ‘‘School-Based Adolescent Vaccination, FOA IP08–006 and SchoolBased Influenza Vaccine, FOA IP08–007.’’ Contact Person for More Information: Maurine Goodman, M.A., M.P.H., Scientific Review Administrator, Office of the Director, Office of the Chief Science Officer, CDC, 1600 Clifton Road, NE., Mailstop D72, Atlanta, GA 30333, Telephone: (404) 639– 4737. 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 21, 2008. Elaine L. Baker, Director, Management Analysis and Services Office, Centers for Disease Control and Prevention. [FR Doc. E8–9054 Filed 4–24–08; 8:45 am] BILLING CODE 4163–18–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services sroberts on PROD1PC70 with NOTICES [Document Identifier: CMS–1771, CMS– 10145, CMS–10204 and CMS–10255] Agency Information Collection Activities: Submission for OMB Review; Comment Request Centers for Medicare & Medicaid Services, Department of Health and Human Services. AGENCY: VerDate Aug<31>2005 20:20 Apr 24, 2008 Jkt 214001 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: Attending Physicians Statement and Documentation of Medicare Emergency and Supporting Regulations in 42 CFR 424.103; Use: 42 CFR 424.103(b) requires that before a nonparticipating hospital may be paid for emergency services rendered to a Medicare beneficiary, a statement must be submitted that is sufficiently comprehensive to support that an emergency existed. Form CMS–1771 contains a series of questions relating to the medical necessity of the emergency. The attending physician must attest that the hospitalization was required under the regulatory emergency definition (42 CFR 424.101) and give clinical documentation to support the claim. Form Number: CMS–1771 (OMB# 0938– 0023); Frequency: Yearly; Affected Public: Private sector—business or other for-profit and not-for-profit institutions; Number of Respondents: 100; Total Annual Responses: 200; Total Annual Hours: 50. 2. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Medicare Part B Drug and Biological Competitive Acquisition Program and Supporting Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 414.916, and 414.917; Use: Section 303(d) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) provides an alternative payment methodology for Part B covered drugs that are not paid on a cost or prospective payment basis. In particular, Section 303(d) of the MMA PO 00000 Frm 00098 Fmt 4703 Sfmt 4703 amends Title XVIII of the Social Security Act by adding a new section 1847(B), which establishes a competitive acquisition program for the acquisition of and payment for Part B covered drugs and biologicals furnished on or after January 1, 2006. Since its inception, additional legislation has augmented the CAP. Section 108 of the Medicare Improvements and Extension Act under Division B, Title I of the Tax Relief Health Care Act of 2006 (MIEA– TRHCA) amended Section 1847b(a)(3) of the Social Security Act and requires that CAP implement a post payment review process. This procedure is done to assure that payment is made for a drug or biological under this section only if the drug or biological has been administered to a beneficiary. Form Number: CMS–10145 (OMB# 0938– 0945); Frequency: Weekly; Affected Public: Private sector—business or other for-profit and not-for-profit institutions; Number of Respondents: 3000; Total Annual Responses: 156,000; Total Annual Hours: 31,188. 3. Type of Information Collection Request: Revision of a currently approved collection; Title of Information Collection: Evaluation of the Medical Adult Day Care Services Demonstration; Use: Section 703 of the Medicare Prescription Drug, Improvement and Modernization Act of 2003 (Pub. L. 108–173) authorizes a three-year demonstration to conduct an evaluation of the clinical and costeffectiveness of providing medical adult day-care services as a substitute for a portion of home health services that would otherwise be provided in the beneficiary’s home. Delivering home health services in the adult day-care setting represents an expansion of coverage under the home health benefit under Medicare. The Demonstration aims to evaluate both the costs and the benefits of delivering home health services in the adult day-care setting. The evaluation will examine the achievements as well as the difficulties inherent in demonstration implementation. Telephone survey data from Medicare beneficiary’s interviews are to be completed during Phase II of the Evaluation of the Medical Adult DayCare Services Demonstration. The survey was developed based on collection of data from face-to-face interviews with beneficiaries from Phase I of the Demonstration evaluation. Form Number: CMS–10204 (OMB# 0938–1017); Frequency: Once; Affected Public: Individuals or households; Number of Respondents: 900; Total Annual Responses: 900; Total Annual Hours: 150. E:\FR\FM\25APN1.SGM 25APN1 Federal Register / Vol. 73, No. 81 / Friday, April 25, 2008 / Notices sroberts on PROD1PC70 with NOTICES 4. Type of Information Collection Request: New collection; Title of Information Collection: Evaluation of Care and Disease Management Under Medicare Advantage. Use: CMS is conducting an evaluation of care and disease management programs under Medicare Advantage (MA), which includes a survey of all MA plans. The survey will help describe the structure and operation of these programs. The survey will gather information about MA health plans’ care and disease management programs that is not available from other sources, such as relations with health providers, the use of electronic data systems, characteristics of care and disease management programs, population served, physician intervention, differences with regular MA plans and special needs plans, and evidence of effectiveness and assessment of costs. Information is collected through a onetime, self-administered mail questionnaire. [Refer to the crosswalk and track changes document for a list of changes to this information collection request since the last Federal Register publication.] Form Number: CMS– 10255 (OMB# 0938–New); Frequency: Once; Affected Public: Private sector— business or other for-profit and not-forprofit institutions; Number of Respondents: 475; Total Annual Responses: 475; Total Annual Hours: 435. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS Web site address at http://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 at (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 27, 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: April 17, 2008. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E8–9067 Filed 4–24–08; 8:45 am] BILLING CODE 4120–01–P VerDate Aug<31>2005 20:20 Apr 24, 2008 Jkt 214001 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–R–43 and CMS– R–71] Agency Information Collection Activities: Proposed Collection; Comment Request Centers for Medicare & Medicaid Services, Department of Health and Human Services. 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: Conditions of Participation for Portable X-ray Suppliers and Supporting Regulations in 42 CFR 486.104, 486.106, 486.110; Use: These requirements contained in this information collection request are classified as conditions of participation or conditions for coverage. These conditions are based on a provision specified in law relating to diagnostic Xray tests ‘‘furnished in a place of residence used as the patient’s home,’’ and are designed to ensure that each supplier has a properly trained staff to provide the appropriate type and level of care, as well as, a safe physical environment for patients. CMS uses these conditions to certify suppliers of portable X-ray services wishing to participate in the Medicare program. This is standard medical practice and is necessary in order to help to ensure the well-being, safety and quality professional medial treatment accountability for each patient. Form Number: CMS–R–43 (OMB# 0938– 0338); Frequency: Yearly; Affected Public: Business or other for-profit and AGENCY: PO 00000 Frm 00099 Fmt 4703 Sfmt 4703 22419 not-for-profit institutions; Number of Respondents: 726; Total Annual Responses: 726; Total Annual Hours: 1,815. 2. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Quality Improvement Organization (QIO) Assumption of Responsibilities and Supporting Regulations in 42 CFR 412.44, 412.46, 431.630,476.71, 476.73, 476.74, and 476.78; Use: The Peer Review Improvement Act of 1982 amended Title XI of the Social Security Act to create the Utilization and Quality Control Peer Review Organization (PRO) program which replaces the Professional Standards Review Organization (PSRO) program and streamlines peer review activities. The term PRO has been renamed Quality Improvement Organization (QIO). This collection describes the review functions to be performed by the QIO. It outlines relationships among QIOs, providers, practitioners, beneficiaries, intermediaries, and carriers. Form Number: CMS–R–71 (OMB# 0938– 0445); Frequency: Yearly; Affected Public: Business or other for-profit and not-for-profit institutions; Number of Respondents: 6,036; Total Annual Responses: 6,036; Total Annual Hours: 156,846. To obtain copies of the supporting statement and any related forms for the proposed paperwork collections referenced above, access CMS’ Web Site address at http://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. In commenting on the proposed information collections please reference the document identifier or OMB control number. To be assured consideration, comments and recommendations must be submitted in one of the following ways by June 24, 2008: 1. Electronically. You may submit your comments electronically to http:// www.regulations.gov. Follow the instructions for ‘‘Comment or Submission’’ or ‘‘More Search Options’’ to find the information collection document(s) accepting comments. 2. By regular mail. You may mail written comments to the following address: CMS, Office of Strategic Operations and Regulatory Affairs, Division of Regulations Development, Attention: Document Identifier/OMB Control Number ____ , Room C4–26–05, E:\FR\FM\25APN1.SGM 25APN1

Agencies

[Federal Register Volume 73, Number 81 (Friday, April 25, 2008)]
[Notices]
[Pages 22418-22419]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-9067]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1771, CMS-10145, CMS-10204 and CMS-10255]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & Medicaid Services, Department of Health 
and Human Services.
    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: Attending 
Physicians Statement and Documentation of Medicare Emergency and 
Supporting Regulations in 42 CFR 424.103; Use: 42 CFR 424.103(b) 
requires that before a nonparticipating hospital may be paid for 
emergency services rendered to a Medicare beneficiary, a statement must 
be submitted that is sufficiently comprehensive to support that an 
emergency existed. Form CMS-1771 contains a series of questions 
relating to the medical necessity of the emergency. The attending 
physician must attest that the hospitalization was required under the 
regulatory emergency definition (42 CFR 424.101) and give clinical 
documentation to support the claim. Form Number: CMS-1771 (OMB 
0938-0023); Frequency: Yearly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of 
Respondents: 100; Total Annual Responses: 200; Total Annual Hours: 50.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare Part B 
Drug and Biological Competitive Acquisition Program and Supporting 
Regulations in 42 CFR Sections 414.906, 414.908, 414.910, 414.914, 
414.916, and 414.917; Use: Section 303(d) of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (MMA) provides an 
alternative payment methodology for Part B covered drugs that are not 
paid on a cost or prospective payment basis. In particular, Section 
303(d) of the MMA amends Title XVIII of the Social Security Act by 
adding a new section 1847(B), which establishes a competitive 
acquisition program for the acquisition of and payment for Part B 
covered drugs and biologicals furnished on or after January 1, 2006. 
Since its inception, additional legislation has augmented the CAP. 
Section 108 of the Medicare Improvements and Extension Act under 
Division B, Title I of the Tax Relief Health Care Act of 2006 (MIEA-
TRHCA) amended Section 1847b(a)(3) of the Social Security Act and 
requires that CAP implement a post payment review process. This 
procedure is done to assure that payment is made for a drug or 
biological under this section only if the drug or biological has been 
administered to a beneficiary. Form Number: CMS-10145 (OMB 
0938-0945); Frequency: Weekly; Affected Public: Private sector--
business or other for-profit and not-for-profit institutions; Number of 
Respondents: 3000; Total Annual Responses: 156,000; Total Annual Hours: 
31,188.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Evaluation of the 
Medical Adult Day Care Services Demonstration; Use: Section 703 of the 
Medicare Prescription Drug, Improvement and Modernization Act of 2003 
(Pub. L. 108-173) authorizes a three-year demonstration to conduct an 
evaluation of the clinical and cost-effectiveness of providing medical 
adult day-care services as a substitute for a portion of home health 
services that would otherwise be provided in the beneficiary's home. 
Delivering home health services in the adult day-care setting 
represents an expansion of coverage under the home health benefit under 
Medicare. The Demonstration aims to evaluate both the costs and the 
benefits of delivering home health services in the adult day-care 
setting. The evaluation will examine the achievements as well as the 
difficulties inherent in demonstration implementation.
    Telephone survey data from Medicare beneficiary's interviews are to 
be completed during Phase II of the Evaluation of the Medical Adult 
Day-Care Services Demonstration. The survey was developed based on 
collection of data from face-to-face interviews with beneficiaries from 
Phase I of the Demonstration evaluation. Form Number: CMS-10204 
(OMB 0938-1017); Frequency: Once; Affected Public: Individuals 
or households; Number of Respondents: 900; Total Annual Responses: 900; 
Total Annual Hours: 150.

[[Page 22419]]

    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Evaluation of Care and Disease Management Under 
Medicare Advantage. Use: CMS is conducting an evaluation of care and 
disease management programs under Medicare Advantage (MA), which 
includes a survey of all MA plans. The survey will help describe the 
structure and operation of these programs. The survey will gather 
information about MA health plans' care and disease management programs 
that is not available from other sources, such as relations with health 
providers, the use of electronic data systems, characteristics of care 
and disease management programs, population served, physician 
intervention, differences with regular MA plans and special needs 
plans, and evidence of effectiveness and assessment of costs. 
Information is collected through a one-time, self-administered mail 
questionnaire. [Refer to the crosswalk and track changes document for a 
list of changes to this information collection request since the last 
Federal Register publication.] Form Number: CMS-10255 (OMB 
0938-New); Frequency: Once; Affected Public: Private sector--business 
or other for-profit and not-for-profit institutions; Number of 
Respondents: 475; Total Annual Responses: 475; Total Annual Hours: 435.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS Web 
site address at http://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 at (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 27, 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: April 17, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-9067 Filed 4-24-08; 8:45 am]
BILLING CODE 4120-01-P