Agency Information Collection Activities: Submission for OMB Review; Comment Request, 63478-63479 [E8-25204]
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63478
Federal Register / Vol. 73, No. 207 / Friday, October 24, 2008 / Notices
health and nutrition status of the
general population. Through the use of
questionnaires, physical examinations,
and laboratory tests, NHANES studies
the relationship between diet, nutrition
and health in a representative sample of
the United States. NHANES monitors
the prevalence of chronic conditions
and risk factors related to health such as
arthritis, asthma, osteoporosis,
infectious diseases, diabetes, high blood
pressure, high cholesterol, obesity,
smoking, drug and alcohol use, physical
activity, environmental exposures, and
diet. NHANES data are used to produce
national reference data on height,
weight, and nutrient levels in the blood.
Results from more recent NHANES can
be compared to findings reported from
previous surveys to monitor changes in
the health of the U.S. population over
time. NHANES continues to collect
genetic material on a national
probability sample for future genetic
research aimed at understanding disease
susceptibility in the U.S. population.
NHANES data users include the U.S.
Congress; the World Health
Organization; numerous Federal
agencies such as the National Institutes
of Health, the Environmental Protection
Agency, and the United States
Department of Agriculture; private
groups such as the American Heart
Association; schools of public health;
private businesses; individual
practitioners; and administrators.
NHANES data are used to establish,
monitor, and/or evaluate recommended
dietary allowances, food fortification
policies, environmental exposures,
immunization guidelines and health
education and disease prevention
programs.
There is no cost to respondents other
than their time. The total estimated
annualized burden hours are 49,626.
ESTIMATED ANNUALIZED BURDEN HOURS
Number of
respondents
Type of respondent
NHANES Respondents ................................................................................................................
Special study/pretest participants ................................................................................................
Dated: October 17, 2008.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for
Disease Control and Prevention.
[FR Doc. E8–25423 Filed 10–23–08; 8:45 am]
BILLING CODE 4163–18–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–10, CMS–
4040 and 4040SP, CMS–10130A and
10130B, and CMS–R–257]
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
jlentini on PROD1PC65 with NOTICES
AGENCY:
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16:48 Oct 23, 2008
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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: BPD–718:
Advance Directives (Medicare and
Medicaid); Use: Steps have been taken,
at both the Federal and State level, to
afford greater opportunity for the
individual to participate in decisions
made concerning the medical treatment
to be received by an adult patient in the
event that the patient is unable to
communicate to others a preference
about medical treatment. The individual
may make his preference known
through the use of an advance directive,
which is a written instruction prepared
in advance, such as a living will or
durable power of attorney. This
information is documented in a
prominent part of the individual’s
medical record. Advance directives as
described in the Patient SelfDetermination Act have increased the
individual’s control over decisions
concerning medical treatment. The
advance directives requirement was
enacted because Congress wanted
individuals to know that they have a
right to make health care decisions and
to refuse treatment even when they are
unable to communicate. Sections 4206
of OBRA ’90 defined an advance
directive as a written instruction
recognized under State law relating to
the provision of health care when an
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
18,813
4,000
Number of
responses per
respondent
1
1
Average
burden per
response
(in hours)
2
3
individual is incapacitated (those
persons unable to communicate their
wishes regarding medical treatment).
All States have enacted legislation
defining a patient’s right to make
decisions regarding medical care,
including the right to accept or refuse
medical or surgical treatment and the
right to formulate advance directives.
Participating hospitals, skilled nursing
facilities/nursing facilities, home health
agencies, providers of home health care,
hospices, religious nonmedical health
care institutions, and prepaid or eligible
organizations (including Health Care
Prepayment Plans (HCPPs) and
Medicare Advantage Organizations
(MAOs) such as Coordinated Care Plans,
Demonstration Projects, Chronic Care
Demonstration Projects, Program of All
Inclusive Care for the Elderly, Private
Fee for Service, and Medical Savings
Accounts) must provide written
information, at explicit time frames, to
all adult individuals about: (a) The right
to accept or refuse medical or surgical
treatments; (b) the right to formulate an
advance directive; (c) a description of
applicable State law (provided by the
State); and (d) the provider’s or
organization’s policies and procedures
for implementing an advance directive.
Form Number: CMS–R–10 (OMB#
0938–0610); Frequency: Yearly; Affected
Public: Business or other for-profits;
Number of Respondents: 35,484; Total
Annual Responses: 19,870,000; Total
Annual Hours: 927,550.
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
E:\FR\FM\24OCN1.SGM
24OCN1
jlentini on PROD1PC65 with NOTICES
Federal Register / Vol. 73, No. 207 / Friday, October 24, 2008 / Notices
Information Collection: Request for
Enrollment in Supplementary Medical
Insurance; Use: Section 1836 of the
Social Security Act and 42 CFR 407.10
provide the eligibility requirements for
enrollment in Supplementary Medical
Insurance (Part B) for individuals age 65
and older who are not entitled to
premium-free Hospital Insurance (Part
A). The form CMS–4040 is used to
establish entitlement to Part B by
individuals ineligible for Part A under
Title XVIII of the Social Security Act.
Form Number: CMS–4040 and 4040SP
(OMB# 0938–0245); Frequency: Once;
Affected Public: Individuals and
households; Number of Respondents:
10,000; Total Annual Responses:
10,000; Total Annual Hours: 2,500.
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Federal
Reimbursement of Emergency Health
Services Furnished to Undocumented
Aliens, section 1011 of the Medicare
Prescription Drug, Improvement, and
Modernization Act of 2003 (MMA):
‘‘Section 1011 Provider Payment
Determination’’ and ‘‘Request for
section 1011 Hospital On-Call Payments
to Physicians’’ Forms; Use: Section 1011
of the MMA requires that the Secretary
establish a process under which eligible
providers (certain hospitals, physicians
and ambulance providers) may request
payment for (claim) their otherwise unreimbursed costs of providing eligible
services. The Secretary must make
quarterly payments directly to such
providers. The Secretary must also
implement measures to ensure that
inappropriate, excessive, or fraudulent
payments are not made under section
1011, including certification by
providers of the accuracy of their
requests for payment. The Section 1011
Provider Payment Determination and
the Request for section 1011 Hospital
On-Call Payments to Physicians forms
have been established to address the
statutory requirements. Form Number:
CMS–10130A and 10130B (OMB# 0938–
0952); Frequency: Daily, Weekly,
Monthly, Quarterly and Yearly; Affected
Public: Business or Other For-Profits
and Not-for-Profit Institutions; Number
of Respondents: 12,037; Total Annual
Responses: 300,148; Total Annual
Hours: 75,007.
4. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Medicare
Advantage & Part D Disenrollment
Requests Collected Through 1–800MEDICARE; Use: Section 4001 of the
Balanced Budget Act of 1997 amended
the Social Security Act to add section
VerDate Aug<31>2005
16:48 Oct 23, 2008
Jkt 217001
1851(c)(1), through which Medicare
Advantage elections are made and
changed. Section 101 of the Medicare
Prescription Drug, Improvement, and
Modernization Act amended the Social
Security Act to include section 1860D–
1(b)(1), through which Medicare
Prescription Drug Plan enrollments are
made and changed. The disenrollment
process offered at 1–800–MEDICARE
provides beneficiaries with the option of
submitting a disenrollment request to a
neutral third party, who then processes
the disenrollment action as a change of
enrollment.
The collection updates: 1. Continue to
allow Medicare beneficiaries to
disenroll from Medicare Advantage
plans by calling CMS’ toll-free call
center; 2. Continue to allow Medicare
beneficiaries enrolled in Medicare
Prescription Drug (Part D) Plans to
request disenrollment from Medicare
Prescription Drug Plans, and 3. Retire
the CMS–R–257 Medicare Advantage
Disenrollment Form given limited (zero)
requests for the paper form since 2005.
The information collected in the
disenrollment process will be used to
update the Medicare beneficiary’s
Health Insurance Master Record System
in order to disenroll the beneficiary
from a Medicare Advantage managed
care plan or a Medicare prescription
drug plan on a timely basis. Form
Number: CMS–R–257 (OMB# 0938–
0741); Frequency: Occasionally;
Affected Public: Individuals or
households; Number of Respondents:
117,000; Total Annual Responses:
117,000; Total Annual Hours: 19,539.
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access the 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 November 24, 2008:
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, New Executive Office Building,
Room 10235, Washington, DC 20503,
Fax Number: (202) 395–6974.
PO 00000
Frm 00055
Fmt 4703
Sfmt 4703
63479
Dated: October 16, 2008.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E8–25204 Filed 10–23–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10036, CMS–
10161 and CMS–1880/1882]
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
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: Inpatient
Rehabilitation Facility Patient
Assessment Instrument (IRF–PAI) data
and Supporting Regulations in 42 CFR
412 Subpart P; Use: This instrument
with its supporting manual is needed to
permit the Secretary of Health and
Human Services, and CMS, to
implement section 1886(j) of the Social
Security Act. The statute requires the
Secretary to develop a prospective
payment system for inpatient
rehabilitation facility services for the
Medicare program. This payment
system is to cover both operating and
capital costs for inpatient rehabilitation
facility services. It applies to inpatient
rehabilitation hospitals as well as
rehabilitation units of acute care
hospitals. CMS implemented the
AGENCY:
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]]>Agencies
[Federal Register Volume 73, Number 207 (Friday, October 24, 2008)]
[Notices]
[Pages 63478-63479]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-25204]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-10, CMS-4040 and 4040SP, CMS-10130A and
10130B, and CMS-R-257]
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: BPD-718: Advance
Directives (Medicare and Medicaid); Use: Steps have been taken, at both
the Federal and State level, to afford greater opportunity for the
individual to participate in decisions made concerning the medical
treatment to be received by an adult patient in the event that the
patient is unable to communicate to others a preference about medical
treatment. The individual may make his preference known through the use
of an advance directive, which is a written instruction prepared in
advance, such as a living will or durable power of attorney. This
information is documented in a prominent part of the individual's
medical record. Advance directives as described in the Patient Self-
Determination Act have increased the individual's control over
decisions concerning medical treatment. The advance directives
requirement was enacted because Congress wanted individuals to know
that they have a right to make health care decisions and to refuse
treatment even when they are unable to communicate. Sections 4206 of
OBRA '90 defined an advance directive as a written instruction
recognized under State law relating to the provision of health care
when an individual is incapacitated (those persons unable to
communicate their wishes regarding medical treatment).
All States have enacted legislation defining a patient's right to
make decisions regarding medical care, including the right to accept or
refuse medical or surgical treatment and the right to formulate advance
directives. Participating hospitals, skilled nursing facilities/nursing
facilities, home health agencies, providers of home health care,
hospices, religious nonmedical health care institutions, and prepaid or
eligible organizations (including Health Care Prepayment Plans (HCPPs)
and Medicare Advantage Organizations (MAOs) such as Coordinated Care
Plans, Demonstration Projects, Chronic Care Demonstration Projects,
Program of All Inclusive Care for the Elderly, Private Fee for Service,
and Medical Savings Accounts) must provide written information, at
explicit time frames, to all adult individuals about: (a) The right to
accept or refuse medical or surgical treatments; (b) the right to
formulate an advance directive; (c) a description of applicable State
law (provided by the State); and (d) the provider's or organization's
policies and procedures for implementing an advance directive. Form
Number: CMS-R-10 (OMB 0938-0610); Frequency: Yearly; Affected
Public: Business or other for-profits; Number of Respondents: 35,484;
Total Annual Responses: 19,870,000; Total Annual Hours: 927,550.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of
[[Page 63479]]
Information Collection: Request for Enrollment in Supplementary Medical
Insurance; Use: Section 1836 of the Social Security Act and 42 CFR
407.10 provide the eligibility requirements for enrollment in
Supplementary Medical Insurance (Part B) for individuals age 65 and
older who are not entitled to premium-free Hospital Insurance (Part A).
The form CMS-4040 is used to establish entitlement to Part B by
individuals ineligible for Part A under Title XVIII of the Social
Security Act. Form Number: CMS-4040 and 4040SP (OMB 0938-
0245); Frequency: Once; Affected Public: Individuals and households;
Number of Respondents: 10,000; Total Annual Responses: 10,000; Total
Annual Hours: 2,500.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Federal
Reimbursement of Emergency Health Services Furnished to Undocumented
Aliens, section 1011 of the Medicare Prescription Drug, Improvement,
and Modernization Act of 2003 (MMA): ``Section 1011 Provider Payment
Determination'' and ``Request for section 1011 Hospital On-Call
Payments to Physicians'' Forms; Use: Section 1011 of the MMA requires
that the Secretary establish a process under which eligible providers
(certain hospitals, physicians and ambulance providers) may request
payment for (claim) their otherwise un-reimbursed costs of providing
eligible services. The Secretary must make quarterly payments directly
to such providers. The Secretary must also implement measures to ensure
that inappropriate, excessive, or fraudulent payments are not made
under section 1011, including certification by providers of the
accuracy of their requests for payment. The Section 1011 Provider
Payment Determination and the Request for section 1011 Hospital On-Call
Payments to Physicians forms have been established to address the
statutory requirements. Form Number: CMS-10130A and 10130B
(OMB 0938-0952); Frequency: Daily, Weekly, Monthly, Quarterly
and Yearly; Affected Public: Business or Other For-Profits and Not-for-
Profit Institutions; Number of Respondents: 12,037; Total Annual
Responses: 300,148; Total Annual Hours: 75,007.
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare
Advantage & Part D Disenrollment Requests Collected Through 1-800-
MEDICARE; Use: Section 4001 of the Balanced Budget Act of 1997 amended
the Social Security Act to add section 1851(c)(1), through which
Medicare Advantage elections are made and changed. Section 101 of the
Medicare Prescription Drug, Improvement, and Modernization Act amended
the Social Security Act to include section 1860D-1(b)(1), through which
Medicare Prescription Drug Plan enrollments are made and changed. The
disenrollment process offered at 1-800-MEDICARE provides beneficiaries
with the option of submitting a disenrollment request to a neutral
third party, who then processes the disenrollment action as a change of
enrollment.
The collection updates: 1. Continue to allow Medicare beneficiaries
to disenroll from Medicare Advantage plans by calling CMS' toll-free
call center; 2. Continue to allow Medicare beneficiaries enrolled in
Medicare Prescription Drug (Part D) Plans to request disenrollment from
Medicare Prescription Drug Plans, and 3. Retire the CMS-R-257 Medicare
Advantage Disenrollment Form given limited (zero) requests for the
paper form since 2005. The information collected in the disenrollment
process will be used to update the Medicare beneficiary's Health
Insurance Master Record System in order to disenroll the beneficiary
from a Medicare Advantage managed care plan or a Medicare prescription
drug plan on a timely basis. Form Number: CMS-R-257 (OMB 0938-
0741); Frequency: Occasionally; Affected Public: Individuals or
households; Number of Respondents: 117,000; Total Annual Responses:
117,000; Total Annual Hours: 19,539.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access the 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 November 24, 2008:
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: October 16, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-25204 Filed 10-23-08; 8:45 am]
BILLING CODE 4120-01-P
