Agency Information Collection Activities: Submission for OMB Review; Comment Request, 30576-30577 [E9-15189]
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Federal Register / Vol. 74, No. 122 / Friday, June 26, 2009 / Notices
LPN, etc.) who completes questions
pertaining to the beneficiary’s medical
condition and signs the CMN. The
physician or other clinician returns the
CMN to the supplier who has the option
to maintain a copy and then submits the
CMN (paper or electronic) to CMS,
along with a claim for reimbursement.
Due to a technical oversight on the
part of CMS, an important question on
CMN Form 10269 was omitted from the
last OMB submission that would allow
claims with an apnea-hypopnea index
(AHI) or respiratory disturbance index
(RDI) greater than or equal to 5 without
symptoms for Criterion 2 be paid for by
the Medicare program. The omission of
the following question ‘‘Does the patient
have documented evidence of at least
one of the following: Excessive daytime
sleepiness, impaired cognition, mood
disorders, insomnia, hypertension,
ischemic heart disease or history of
stroke’’ could cause improper payment
of claims without regards as to whether
the patient has signs or symptoms in
support of meeting the applicable
coverage criteria for PAP devices. We
are resubmitting this information
collection request to have the revised
CMN Form 10269 approved. None of the
other CMN forms have changed.
Form Number: CMS–846–849, 854,
10125, 10126, 10269 (OMB# 0938–
0679); Frequency: Occasionally;
Affected Public: Business or other forprofit and Not-for-profit institutions;
Number of Respondents: 59,200; Total
Annual Responses: 6,480,000; Total
Annual Hours: 1,296,000. (For policy
questions regarding this collection
contact Doris Jackson at (410) 786–4459.
For all other issues call (410) 786–1326.)
To obtain copies of the supporting
statement and any related forms for the
proposed paperwork collections
referenced above, access CMS’ Web site
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 August 25, 2009:
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.
VerDate Nov<24>2008
16:39 Jun 25, 2009
Jkt 217001
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, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: June 18, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–15193 Filed 6–25–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–R–205 and CMS–
R–206]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare &
Medicaid 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: Information
Collection Requirements Referenced in
HIPAA title I for the Individual Market,
Supporting Regulations at 45 CFR 148
(148.120, 148.122, 148.124, 148.126,
and 148.128), Forms and Instructions;
Use: The provisions of title I of the
Health Insurance Portability and
Accountability Act of 1996 (HIPAA)
amend the Public Health Service Act
PO 00000
Frm 00077
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(PHS Act) and are designed to make it
easier for people to get access to health
care coverage; to reduce the limitations
that can be put on the coverage; and to
make it more difficult for issuers to
terminate the coverage. The information
collection requirements will ensure that
issuers in the individual market comply
with HIPAA title I, provide individuals
with certificates of creditable coverage
necessary to demonstrate prior
creditable coverage and file
documentation with CMS for review in
a Federal direct enforcement state.
Requirements must also ensure states’
flexibility to implement state alternative
mechanisms. Form Number: CMS–R–
205 (OMB#: 0938–0703); Frequency:
Reporting—Yearly and Occasionally;
Affected Public: Business or other Forprofit and Not-for-profit institutions;
Number of Respondents: 2,042; Total
Annual Responses: 2,979,801; Total
Annual Hours: 856,384. (For policy
questions regarding this collection
contact Louis Blank at 410–786–5511.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Information
Collection Requirements in HIPAA title
I for the Group Market, Supporting
Regulations 45 CFR 146 (146.111,
146.115, 146.117, 146.150, 146.152,
146.160 and 146.180) Forms and
Instructions; Use: The provisions of title
I of the Health Insurance Portability and
Accountability Act of 1996 (HIPAA) are
designed to make it easier for people to
get access to health care coverage and to
reduce the limitations that can be put on
the coverage. This collection pertains to
notices issued by group health
insurance issuers and self-funded nonFederal governmental plans as required
by 45 CFR 146. These notices are
triggered by the issuance of certificates
of creditable coverage; notification of
preexisting condition exclusions;
notification of special enrollment rights;
and State review of issuers’ filings of
group market products or similar
Federal review in cases in which a State
is not enforcing a HIPAA group market
provision. Form Number: CMS–R–206
(OMB#: 0938–0702); Frequency:
Reporting—Yearly; Affected Public:
Private Sector; Business or other Forprofit and Not-for-profit institutions,
and State, Local, or Tribal Governments;
Number of Respondents: 8,050; Total
Annual Responses: 37,002,217; Total
Annual Hours: 2,920,012. (For policy
questions regarding this collection
contact Louis Blank at 410–786–5511.
For all other issues call 410–786–1326.)
To be assured consideration,
comments and recommendations for the
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30577
Federal Register / Vol. 74, No. 122 / Friday, June 26, 2009 / Notices
proposed information collections must
be received by the OMB desk officer at
the address below, no later than 5 p.m.
on July 27, 2009.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov.
Dated: June 18, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–15189 Filed 6–25–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
National Institutes of Health
Proposed Collection; Comment
Request; NCCAM Customer Service
Data Collection
Summary: In compliance with the
requirement of Section 3506(c)(2)(A) of
the Paperwork Reduction Act of 1995,
for opportunity for public comment on
proposed data collection projects, the
National Center for Complementary and
Alternative Medicine (NCCAM), at the
National Institutes of Health (NIH), will
publish periodic summaries of proposed
projects to be submitted to the Office of
Management and Budget (OMB) for
review and approval.
Proposed Collection: Title: NCCAM
Customer Service Data Collection. Type
of Information Collection Request:
Revision. Need and Use of Information
Collection: NCCAM provides the public,
patients, families, health care providers,
complementary and alternative
medicine (CAM) practitioners, and
others with the latest scientifically
based information on CAM and
information about NCCAM’s programs
through a variety of channels, including
its toll-free telephone information
service and its quarterly newsletter. To
ensure that NCCAM is effectively
serving all audiences, NCCAM needs to
continue to measure customer
Estimated number of respondents
Type of respondents
Telephone survey:
Individuals or households .................................................................
The annualized cost to respondents is
estimated at $1,770 for the telephone
survey. There are no Capital Costs to
report. There are no Operating or
Maintenance Costs to report.
Request for Comments: Written
comments and/or suggestions from the
public and affected agencies are invited
on the following points: (1) Whether the
proposed collection of information is
necessary for the proper performance of
the function of the agency, including
whether the information will have
practical utility; (2) The accuracy of the
agency’s estimate of the burden of the
proposed collection of information,
including the validity of the
methodology and assumptions; (3) Ways
to enhance the quality, utility, and
clarity of the information to be
collected; and (4) Ways to minimize the
burden of the collection of information
on those who are to respond, including
the use of appropriate automated,
electronic, mechanical, or other
technological collection techniques or
other forms of information technology.
For Further Information Contact: To
request more information on the
proposed project or to obtain a copy of
the data collection plans and
instruments, contact Christy Thomsen,
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16:39 Jun 25, 2009
Jkt 217001
satisfaction with NCCAM telephone
interactions. This effort involves a
telephone survey consisting of 10
questions, which are asked of 25 percent
of all callers, for an annual total of
approximately 1,210 respondents.
NCCAM uses the data collected from the
surveys to characterize NCCAM users
and help program staff measure user
satisfaction, assess impact of their
communication efforts, tailor services to
the public and health care providers,
measure service use among special
populations, and assess the most
effective media and messages to reach
these audiences. Frequency of Response:
Once. Affected Public: Individuals and
households. Type of Respondents:
Patients, spouses/family/friends of
patients, health care providers,
physicians, CAM practitioners, or other
individuals contacting the NCCAM
Clearinghouse.
The annual reporting burden is as
follows.
Estimated number of responses per respondent
1,210
Average burden
hours per
response
1
Estimated total
annual burden
hours requested
0.075
Director, Office of Communications and
Public Liaison, NCCAM, 31 Center
Drive, Room 2B11, Bethesda, MD
20892–2182; or fax your request to 301–
402–4741; or e-mail
thomsenc@mail.nih.gov. Ms. Thomsen
can be contacted by telephone at 301–
451–8876.
Comments Due Date: Comments
regarding this information collection are
best assured of having their full effect if
received within 60 days of the date of
this publication.
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Dated: June 18, 2009.
Christy Thomsen,
Director, Office of Communications and
Public Liaison, National Center for
Complementary and Alternative Medicine,
National Institutes of Health.
[FR Doc. E9–15058 Filed 6–25–09; 8:45 am]
91
HHS.
BILLING CODE 4140–01–P
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Food and Drug Administration
[Docket No. FDA–2009–N–0264]
Amended Authorization of Emergency
Use of Doxycycline Hyclate Tablet
Emergency Kits for Eligible United
States Postal Service Participants in
the Cities Readiness Initiative and
Their Household Members; Availability
AGENCY:
ACTION:
Food and Drug Administration,
Notice.
SUMMARY: The Food and Drug
Administration (FDA) is announcing an
amendment to the Emergency Use
Authorization (EUA) (the Authorization)
for doxycycline hyclate tablet
emergency kits for eligible U.S. Postal
Service (USPS) participants in the Cities
Readiness Initiative (CRI) and their
household members issued on October
3, 2008, under the Federal Food, Drug,
and Cosmetic Act (the act), as requested
by the Biomedical Advanced Research
and Development Authority (BARDA),
Office of the Assistant Secretary for
Preparedness and Response (ASPR),
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]]>Agencies
[Federal Register Volume 74, Number 122 (Friday, June 26, 2009)]
[Notices]
[Pages 30576-30577]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-15189]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-R-205 and CMS-R-206]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid 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: Information
Collection Requirements Referenced in HIPAA title I for the Individual
Market, Supporting Regulations at 45 CFR 148 (148.120, 148.122,
148.124, 148.126, and 148.128), Forms and Instructions; Use: The
provisions of title I of the Health Insurance Portability and
Accountability Act of 1996 (HIPAA) amend the Public Health Service Act
(PHS Act) and are designed to make it easier for people to get access
to health care coverage; to reduce the limitations that can be put on
the coverage; and to make it more difficult for issuers to terminate
the coverage. The information collection requirements will ensure that
issuers in the individual market comply with HIPAA title I, provide
individuals with certificates of creditable coverage necessary to
demonstrate prior creditable coverage and file documentation with CMS
for review in a Federal direct enforcement state. Requirements must
also ensure states' flexibility to implement state alternative
mechanisms. Form Number: CMS-R-205 (OMB: 0938-0703);
Frequency: Reporting--Yearly and Occasionally; Affected Public:
Business or other For-profit and Not-for-profit institutions; Number of
Respondents: 2,042; Total Annual Responses: 2,979,801; Total Annual
Hours: 856,384. (For policy questions regarding this collection contact
Louis Blank at 410-786-5511. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements in HIPAA title I for the Group Market,
Supporting Regulations 45 CFR 146 (146.111, 146.115, 146.117, 146.150,
146.152, 146.160 and 146.180) Forms and Instructions; Use: The
provisions of title I of the Health Insurance Portability and
Accountability Act of 1996 (HIPAA) are designed to make it easier for
people to get access to health care coverage and to reduce the
limitations that can be put on the coverage. This collection pertains
to notices issued by group health insurance issuers and self-funded
non-Federal governmental plans as required by 45 CFR 146. These notices
are triggered by the issuance of certificates of creditable coverage;
notification of preexisting condition exclusions; notification of
special enrollment rights; and State review of issuers' filings of
group market products or similar Federal review in cases in which a
State is not enforcing a HIPAA group market provision. Form Number:
CMS-R-206 (OMB: 0938-0702); Frequency: Reporting--Yearly;
Affected Public: Private Sector; Business or other For-profit and Not-
for-profit institutions, and State, Local, or Tribal Governments;
Number of Respondents: 8,050; Total Annual Responses: 37,002,217; Total
Annual Hours: 2,920,012. (For policy questions regarding this
collection contact Louis Blank at 410-786-5511. For all other issues
call 410-786-1326.)
To be assured consideration, comments and recommendations for the
[[Page 30577]]
proposed information collections must be received by the OMB desk
officer at the address below, no later than 5 p.m. on July 27, 2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.
Dated: June 18, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-15189 Filed 6-25-09; 8:45 am]
BILLING CODE 4120-01-P
