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