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