Agency Information Collection Activities: Submission for OMB Review; Comment Request, 30106-30107 [E8-11397]

Download as PDF dwashington3 on PRODPC61 with NOTICES 30106 Federal Register / Vol. 73, No. 101 / Friday, May 23, 2008 / Notices notice must include a statement, in clear language, of the reasons for the denial and a description of the appeals process. Form Number: CMS 10146 (OMB# 0938–0976); Frequency: Daily; Affected Public: Business or other for-profits; Number of Respondents: 758; Total Annual Responses: 290,344; Total Annual Hours: 145,172. 4. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Minimum Data Set (MDS) for Swing Bed Hospitals and Supporting Regulations in 42 CFR 413.114(a)(2) and 413.343(a); Use: Exercising CMS’ authority under section 1888(e)(7) of the Social Security Act to determine the most appropriate manner in which to implement the Skilled Nursing Facility Prospective Payment System (SNF PPS) for swing bed hospitals, CMS designed a 2-page MDS instrument for use by swing bed hospitals that includes all resident assessment data needed to reimburse swing bed hospitals for SNF-level care furnished to Medicare beneficiaries and to provide CMS with the basic demographic and utilization data for future planning and analysis. Form Number: CMS–10064 (OMB# 0938– 0872); Frequency: Occasionally; Affected Public: Business or other forprofits, not-for-profit institutions and State, Local, or Tribal Governments; Number of Respondents: 481; Total Annual Responses: 50,505; Total Annual Hours: 328,283. 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 July 22, 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, VerDate Aug<31>2005 15:34 May 22, 2008 Jkt 214001 Division of Regulations Development, Attention: Document Identifier/OMB Control Number llll, Room C4–26– 05, 7500 Security Boulevard, Baltimore, Maryland 21244–1850. Dated: May 15, 2008. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E8–11386 Filed 5–22–08; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services [Document Identifier: CMS–R–211, CMS– 10258, CMS–209, CMS–10259, CMS–R–266, and CMS–R–306] 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: Extension of a currently approved collection; Title of Information Collection: Model Application Template for State Child Health Plan Under Title XXI of the Social Security Act, State Children’s Health Insurance Program, Instructions for Model Application Template; Use: States are required to submit Title XXI plans and amendments for approval by the Secretary pursuant to section 2102 of the Social Security Act in order to receive funds for initiating and expanding health insurance coverage for uninsured children. The model AGENCY: PO 00000 Frm 00067 Fmt 4703 Sfmt 4703 application template is used to assist States in submitting a State Child Health Plan and amendments to that plan. Form Number: CMS–R–211 (OMB# 0938–0707); Frequency: Yearly and occasionally; Affected Public: State, Local or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 40; Total Annual Hours: 3,200. 2. Type of Information Collection Request: New collection; Title of Information Collection: Survey of State Medicaid Agencies: Innovative Approaches to Collecting Citizenship Documentation; Use: The purpose of the survey is to collect information from State Medicaid agencies on innovative approaches used to collect citizenship documentation from Medicaid applicants and recipients. Prior to the Deficit Reduction Act of 2005 (DRA), Medicaid applicants could self-attest to citizenship. As of July 1, 2006, applicants and recipients are required to provide original documentation of citizenship. For some states, this new requirement is challenging because there has been a general movement towards virtual applications by phone, mail, or online submission. CMS is using this survey to identify innovative ways that states have taken advantage of existing information within the state system such as matching data, forming unique partnerships, or holding training sessions to facilitate effective and efficient collection of citizenship documentation. CMS will use the information collected with the survey to compile a snapshot of the innovative and unique approaches states are employing to meet the citizenship documentation requirements of the DRA. The results will be incorporated into a final comprehensive report that will be used as an outreach tool that will then be distributed to states. Form Number: CMS–10258 (OMB# 0938– NEW); Frequency: Once; Affected Public: State, Local or Tribal Governments; Number of Respondents: 100; Total Annual Responses: 100; Total Annual Hours: 25. 3. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Laboratory Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1—493.2001; Use: This form is used by the State agency to determine a laboratory’s compliance with personnel qualifications under CLIA. This information is needed for a laboratory’s CLIA certification and recertification. Form Number: CMS–209 (OMB# 0938– 0151); Frequency: Biennially; Affected Public: Private Sector: Business or other E:\FR\FM\23MYN1.SGM 23MYN1 dwashington3 on PRODPC61 with NOTICES Federal Register / Vol. 73, No. 101 / Friday, May 23, 2008 / Notices for-profits, not-for-profit institutions; State, Local or Tribal Governments; and Federal Government. Number of Respondents: 21,000; Total Annual Responses: 10,500; Total Annual Hours: 5,248. 4. Type of Information Collection Request: New collection; Title of Information Collection: State Plan Amendment template for 1915(i) State Plan Home and Community-Based Services (HCBS) Benefit; Use: Section 6086 of the Deficit Reduction Act (DRA), expanded access to HCBS for the elderly and disabled and added a new section 1915(i) to the Social Security Act. Under 1915(i), States can amend their State plans to add these services. The template includes the information needed by CMS to determine whether the State’s services will meet the requirements under 1915(i). Form Number: CMS–10259 (OMB# 0938– NEW); Frequency: Once; Affected Public: State, Local or Tribal Governments; Number of Respondents: 56; Total Annual Responses: 3; Total Annual Hours: 240. 5. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Medicaid Disproportionate Share Hospital Annual Reporting; Use: Section 1923(j)(i) of the Social Security Act requires States to submit an annual report that identifies each disproportionate share hospital (DSH) that received a DSH payment under the State’s Medicaid program in the preceding fiscal year and the amount of DSH payments paid to that hospital in the same year and such other information as the Secretary determines necessary to ensure the appropriateness of DSH payments. The information supplied will satisfy the requirements under section 1923(a)(2)(D) of the Act as well. Form Number: CMS–R–266 (OMB# 0938–0746); Frequency: Yearly; Affected Public: State, Local or Tribal Governments; Number of Respondents: 52; Total Annual Responses: 52; Total Annual Hours: 1976. 6. Type of Information Collection Request: Extension of a currently approved collection; Title of Information Collection: Use of Restraint and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) for Individuals Under Age 21; Use: PRTFs are required to report deaths, serious injuries and attempted suicides to the State Medicaid Agency and the Protection and Advocacy Organization. They are also required to provide residents the restraint and seclusion policy in writing, and to document in the residents’ records all activities involving the use of restraint and VerDate Aug<31>2005 15:34 May 22, 2008 Jkt 214001 seclusion. Form Number: CMS–R–306 (OMB# 0938–0833); Frequency: Annually; Affected Public: Private Sector: Business or other for-profits; Number of Respondents: 500; Total Annual Responses: 329,500; Total Annual Hours: 501,750. 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 June 23, 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: May 14, 2008. Michelle Shortt, Director, Regulations Development Group, Office of Strategic Operations and Regulatory Affairs. [FR Doc. E8–11397 Filed 5–22–08; 8:45 am] BILLING CODE 4120–01–P DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare and Medicaid Services [CMS–2896–PN] Medicare and Medicaid Programs; The Joint Commission for Continued Deeming Authority for Critical Access Hospitals Centers for Medicare and Medicaid Services, HHS. ACTION: Proposed notice. AGENCY: SUMMARY: This proposed notice with comment period acknowledges the receipt of a deeming application from the Joint Commission for continued recognition as a national accrediting organization for critical access hospitals (CAHs) that wish to participate in the Medicare or Medicaid programs. Section 1865(b)(3)(A) of the Social Security Act requires that within 60 days of receipt of an organization’s complete application, we publish a notice that identifies the national accrediting body making the request, describes the nature PO 00000 Frm 00068 Fmt 4703 Sfmt 4703 30107 of the request, and provides at least a 30-day public comment period. DATES: To be assured consideration, comments must be received at one of the addresses provided below, no later than 5 p.m. on June 23, 2008. ADDRESSES: In commenting, please refer to file code CMS–2896–PN. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. You may submit comments in one of four ways (no duplicates, please): 1. Electronically. You may submit electronic comments on specific issues in this regulation to https:// www.regulations.gov. Follow the instructions for ‘‘Comment of Submission’’ and enter the filecode to find the document accepting comments. 2. By regular mail. You may mail written comments (one original and two copies) to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–2896– PN, P.O. Box , Baltimore, MD 21244– 8010. Please allow sufficient time for mailed comments to be received before the close of the comment period. 3. By express or overnight mail. You may send written comments (one original and two copies) to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS–2896–PN, Mail Stop C4–26–05, 7500 Security Boulevard, Baltimore, MD 21244–1850. 4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) before the close of the comment period to one of the following addresses: a. Room 445–G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201. (Because access to the interior of the HHH Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.) If you intend to deliver your comments to the Baltimore address, please call (410) 786–7195 in advance to schedule your arrival with one of our staff members. b. 7500 Security Boulevard, Baltimore, MD 21244–1850. Comments mailed to the addresses indicated as appropriate for hand or E:\FR\FM\23MYN1.SGM 23MYN1

Agencies

[Federal Register Volume 73, Number 101 (Friday, May 23, 2008)]
[Notices]
[Pages 30106-30107]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-11397]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-211, CMS-10258, CMS-209, CMS-10259, CMS-R-
266, and CMS-R-306]


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: Model Application 
Template for State Child Health Plan Under Title XXI of the Social 
Security Act, State Children's Health Insurance Program, Instructions 
for Model Application Template; Use: States are required to submit 
Title XXI plans and amendments for approval by the Secretary pursuant 
to section 2102 of the Social Security Act in order to receive funds 
for initiating and expanding health insurance coverage for uninsured 
children. The model application template is used to assist States in 
submitting a State Child Health Plan and amendments to that plan. Form 
Number: CMS-R-211 (OMB 0938-0707); Frequency: Yearly and 
occasionally; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 56; Total Annual Responses: 40; Total Annual 
Hours: 3,200.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Survey of State Medicaid Agencies: Innovative 
Approaches to Collecting Citizenship Documentation; Use: The purpose of 
the survey is to collect information from State Medicaid agencies on 
innovative approaches used to collect citizenship documentation from 
Medicaid applicants and recipients. Prior to the Deficit Reduction Act 
of 2005 (DRA), Medicaid applicants could self-attest to citizenship. As 
of July 1, 2006, applicants and recipients are required to provide 
original documentation of citizenship. For some states, this new 
requirement is challenging because there has been a general movement 
towards virtual applications by phone, mail, or online submission. CMS 
is using this survey to identify innovative ways that states have taken 
advantage of existing information within the state system such as 
matching data, forming unique partnerships, or holding training 
sessions to facilitate effective and efficient collection of 
citizenship documentation. CMS will use the information collected with 
the survey to compile a snapshot of the innovative and unique 
approaches states are employing to meet the citizenship documentation 
requirements of the DRA. The results will be incorporated into a final 
comprehensive report that will be used as an outreach tool that will 
then be distributed to states. Form Number: CMS-10258 (OMB 
0938-NEW); Frequency: Once; Affected Public: State, Local or Tribal 
Governments; Number of Respondents: 100; Total Annual Responses: 100; 
Total Annual Hours: 25.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Laboratory 
Personnel Report (CLIA) and Supporting Regulations in 42 CFR 493.1--
493.2001; Use: This form is used by the State agency to determine a 
laboratory's compliance with personnel qualifications under CLIA. This 
information is needed for a laboratory's CLIA certification and 
recertification. Form Number: CMS-209 (OMB 0938-0151); 
Frequency: Biennially; Affected Public: Private Sector: Business or 
other

[[Page 30107]]

for-profits, not-for-profit institutions; State, Local or Tribal 
Governments; and Federal Government. Number of Respondents: 21,000; 
Total Annual Responses: 10,500; Total Annual Hours: 5,248.
    4. Type of Information Collection Request: New collection; Title of 
Information Collection: State Plan Amendment template for 1915(i) State 
Plan Home and Community-Based Services (HCBS) Benefit; Use: Section 
6086 of the Deficit Reduction Act (DRA), expanded access to HCBS for 
the elderly and disabled and added a new section 1915(i) to the Social 
Security Act. Under 1915(i), States can amend their State plans to add 
these services. The template includes the information needed by CMS to 
determine whether the State's services will meet the requirements under 
1915(i). Form Number: CMS-10259 (OMB 0938-NEW); Frequency: 
Once; Affected Public: State, Local or Tribal Governments; Number of 
Respondents: 56; Total Annual Responses: 3; Total Annual Hours: 240.
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Disproportionate Share Hospital Annual Reporting; Use: Section 
1923(j)(i) of the Social Security Act requires States to submit an 
annual report that identifies each disproportionate share hospital 
(DSH) that received a DSH payment under the State's Medicaid program in 
the preceding fiscal year and the amount of DSH payments paid to that 
hospital in the same year and such other information as the Secretary 
determines necessary to ensure the appropriateness of DSH payments. The 
information supplied will satisfy the requirements under section 
1923(a)(2)(D) of the Act as well. Form Number: CMS-R-266 (OMB 
0938-0746); Frequency: Yearly; Affected Public: State, Local or Tribal 
Governments; Number of Respondents: 52; Total Annual Responses: 52; 
Total Annual Hours: 1976.
    6. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Use of Restraint 
and Seclusion in Psychiatric Residential Treatment Facilities (PRTFs) 
for Individuals Under Age 21; Use: PRTFs are required to report deaths, 
serious injuries and attempted suicides to the State Medicaid Agency 
and the Protection and Advocacy Organization. They are also required to 
provide residents the restraint and seclusion policy in writing, and to 
document in the residents' records all activities involving the use of 
restraint and seclusion. Form Number: CMS-R-306 (OMB 0938-
0833); Frequency: Annually; Affected Public: Private Sector: Business 
or other for-profits; Number of Respondents: 500; Total Annual 
Responses: 329,500; Total Annual Hours: 501,750.
    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 June 23, 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: May 14, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-11397 Filed 5-22-08; 8:45 am]
BILLING CODE 4120-01-P
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