Agency Information Collection Activities: Submission for OMB Review; Comment Request, 41141-41142 [E9-19537]
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41141
Federal Register / Vol. 74, No. 156 / Friday, August 14, 2009 / Notices
ESTIMATED ANNUALIZED BURDEN HOURS—Continued
Type of respondent
Comparison
Organization
(Telephone Interviews).
Staff
Number of
responses per
respondent
Number of
respondents
Form name
Consumer Focus Group Discussion
Guide.
10 .....................................................
Avg. burden
per response
(in hours)
Total burden
(in hours)
1
1
10
Advance
Letter for
Comparison
Organizations
........................
........................
........................
335
Comparison Organization Interview
Protocol.
Total ...........................................
...........................................................
Seleda Perryman,
Office of the Secretary, Paperwork Reduction
Act Reports Clearance Officer.
[FR Doc. E9–19515 Filed 8–13–09; 8:45 am]
BILLING CODE 4150–33–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10050, CMS–
1450(UB–04), CMS–276 and CMS–R–254]
mstockstill on DSKH9S0YB1PROD with NOTICES
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: Revision of the currently
approved collection; Title of
Information Collection: New Enrollee
Survey; Use: The New Enrollee survey
was developed to gather information
from newly enrolled Medicare
VerDate Nov<24>2008
16:27 Aug 13, 2009
Jkt 217001
beneficiaries about their Medicare
knowledge and needs. CMS is seeking
understanding about what types of
information new enrollees need and
what they know about Medicare.
Included in the survey are questions
regarding how well informed new
enrollees are about Medicare and what
information they have received about
the Medicare program. Information
gathered in this survey will be used
only for purposes of targeting and
improving communications with newly
eligible Medicare beneficiaries. Form
Number: CMS–10050 (OMB#: 0938–
0869); Frequency: Reporting—Quarterly;
Affected Public: Individuals or
Households; Number of Respondents:
1200; Total Annual Responses: 1200;
Total Annual Hours: 300. (For policy
questions regarding this collection
contact Renee Clarke at 410–786–0006.
For all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Uniform Institutional Provider Bill and
Supporting Regulations in 42 CFR
424.5; Use: Section 42 CFR 424.5(a)(5)
requires providers of services to submit
a claim for payment prior to any
Medicare reimbursement. Charges billed
are coded by revenue codes. The bill
specifies diagnoses according to the
International Classification of Diseases,
Ninth Edition (ICD–9–CM) code.
Inpatient procedures are identified by
ICD–9–CM codes, and outpatient
procedures are described using the CMS
Common Procedure Coding System
(HCPCS). These are standard systems of
identification for all major health
insurance claims payers. Submission of
information on the CMS–1450 permits
Medicare intermediaries to receive
consistent data for proper payment.
Form Numbers: CMS–1450 (UB–
04)(OMB#: 0938–0997); Frequency:
Reporting—On occasion; Affected
Public: Not-for-profit institutions,
Business or other for-profit; Number of
PO 00000
Frm 00034
Fmt 4703
Sfmt 4703
Respondents: 53,111; Total Annual
Responses: 181,909,654; Total Annual
Hours: 1,567,455. (For policy questions
regarding this collection contact Matt
Klischer at 410–786–7488. For all other
issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Prepaid Health
Plan Cost Report; Use: Health
Maintenance Organizations and
Competitive Medical Plans (HMO/
CMPs) contracting with the Secretary
under Section 1876 of the Social
Security Act are required to submit a
budget and enrollment forecast, four
quarterly reports and a final certified
cost report. Health Care Prepayment
Plans (HCPPs) contracting with the
Secretary under Section 1833 of the
Social Security Act are required to
submit a budget and enrollment
forecast, mid-year report, and final cost
report. An HMO/CMP is a health care
delivery system that furnishes directly
or arranges for the delivery of the full
spectrum of health services to an
enrolled population. A HCPP is a health
care delivery system that furnishes
directly or arranges for the delivery of
certain physician and diagnostics
services up to the full spectrum of nonprovider Part B health services to an
enrolled population. These reports will
be used to establish the reasonable cost
of delivering covered services furnished
to Medicare enrollees by an HMO/CMP
or HCPP.; Form Numbers: CMS–276
(OMB#: 0938–0165); Frequency:
Recordkeeping, Reporting—Quarterly
and Annually; Affected Public: Business
or other for-profit; Number of
Respondents: 35; Total Annual
Responses: 128; Total Annual Hours:
5,285. (For policy questions regarding
this collection contact Temeshia
Johnson at 410–786–8692. For all other
issues call 410–786–1326.)
4. Type of Information Collection
Request: Reinstatement of a currently
approved collection; Title of
E:\FR\FM\14AUN1.SGM
14AUN1
mstockstill on DSKH9S0YB1PROD with NOTICES
41142
Federal Register / Vol. 74, No. 156 / Friday, August 14, 2009 / Notices
Information Collection: National
Medicare & You Education Program
(NMEP) Survey of Medicare
Beneficiaries Use: The Centers for
Medicare and Medicaid Services is
requesting a reinstatement of this
information collection request to
continue to collect information from
Medicare beneficiaries, caregivers,
health care providers, and health
information providers. The collection of
information was inadvertently
discontinued in December 2008;
however, as stated earlier, we are
currently seeking a reinstatement with
change as we have revised the collection
instrument. It is critical for this agency
to obtain feedback from the
aforementioned groups so that the
agency can accurately assess the needs
of the Medicare audience. Using random
digit dial and/or an administrative
sample, members of the Medicare
audience will be called and asked to
complete the survey via telephone. The
results of this survey will be compiled
and studied so that communication may
be amended to benefit Medicare’s
audience. The survey has the following
objectives: to assess satisfaction with
and knowledge of the Medicare
program; to gather information on
health behaviors and quality of health
care; to determine the most used source
for Medicare information; and to gather
information from health care provider
and health information providers. Form
Number: CMS–R–254 (OMB# 0938–
0738); Frequency: Once; Affected
Public: Individuals and Households,
Private Sector—Business or other forprofits; Number of Respondents: 7,000;
Total Annual Responses: 7,000; Total
Annual Hours: 1,750.
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 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 September 14, 2009: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
OIRA_submission@omb.eop.gov.
VerDate Nov<24>2008
16:27 Aug 13, 2009
Jkt 217001
Dated: August 7, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–19537 Filed 8–13–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–284 and
CMS–10190]
Agency Information Collection
Activities: Proposed Collection;
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) 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 without change of a
currently approved collection; Title of
Information Collection: Medicaid
Statistical Information System; Use:
State data are reported by the Federally
mandated electronic process, known as
(MSIS) Medical Statistical Information
System. These data are the basis of
actuarial forecasts for Medicaid service
utilization and costs; of analysis and
cost savings estimates required for
legislative initiatives relating to
Medicaid and for responding to requests
for information from CMS components,
the Department, Congress and other
customers.
Form Number: CMS–R–284 (OMB#:
0938–0345); Frequency: Reporting—
Quarterly; Affected Public: State, Local,
or Tribal Governments; Number of
Respondents: 51; Total Annual
Responses: 204; Total Annual Hours:
PO 00000
Frm 00035
Fmt 4703
Sfmt 4703
2,040. (For policy questions regarding
this collection contact Denise Franz
410–786–6117. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Section 1901 of
the Act (42 U.S.C. 1396) requires that
States must establish a State plan for
medical assistance that are approved by
the Secretary to carry out the purposes
of title XIX. The DRA provides States
with numerous flexibilities in operating
their State Medicaid programs. The
intent of these flexibilities is to provide
States with program alternatives that
allow them to provide the most
appropriate health care coverage that
meets beneficiary needs, while at the
same time curtailing State and Federal
spending. Except for the documentation
of citizenship requirements, States can
submit SPAs to CMS to effectuate these
changes to their Medicaid programs.
CMS provided State Medicaid Directors
letters providing guidance on these
provisions and the implementation of
the DRA and associated SPA templates
for use by States to modify their
Medicaid State plans if they choose to
implement these flexibilities. Under this
process, the end result is the State
burden will be reduced significantly. To
implement these flexibilities, a
collection of information to effectuate
these changes is required. Therefore,
State Medicaid agencies will complete
the templates to effectuate the changes.
CMS will review the information to
determine if the State has met all of the
requirements of the DRA provisions the
States choose to implement. If the
requirements are met, CMS will approve
the amendments to the State’s Title XIX
plan giving the State the authority to
implement the flexibilities. For a State
to receive Medicaid Title XIX funding,
there must be an approved Title XIX
State plan. Five templates were created
to assist States in effectuating these
flexibilities through modifications to the
State plan. The Children’s Health
Insurance Program Reauthorization Act
(CHIPRA) of 2009, enacted on February
4, 2009, corrected language in section
6044 (Alternative Benefit Packages) of
the DRA as if these amendments were
included in the DRA, and subsequently
amended section 1937 ‘‘State Flexibility
for Medicaid Benefit Packages.’’ We
have modified the preprints to reflect
these statutory changes. Form Number:
CMS–10190 (OMB#: 0938–0993);
Frequency: Reporting—Yearly; Affected
Public: State, Local, or Tribal
Governments; Number of Respondents:
56; Total Annual Responses: 16; Total
E:\FR\FM\14AUN1.SGM
14AUN1
]]>Agencies
[Federal Register Volume 74, Number 156 (Friday, August 14, 2009)]
[Notices]
[Pages 41141-41142]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-19537]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10050, CMS-1450(UB-04), CMS-276 and CMS-R-
254]
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: Revision of the
currently approved collection; Title of Information Collection: New
Enrollee Survey; Use: The New Enrollee survey was developed to gather
information from newly enrolled Medicare beneficiaries about their
Medicare knowledge and needs. CMS is seeking understanding about what
types of information new enrollees need and what they know about
Medicare. Included in the survey are questions regarding how well
informed new enrollees are about Medicare and what information they
have received about the Medicare program. Information gathered in this
survey will be used only for purposes of targeting and improving
communications with newly eligible Medicare beneficiaries. Form Number:
CMS-10050 (OMB: 0938-0869); Frequency: Reporting--Quarterly;
Affected Public: Individuals or Households; Number of Respondents:
1200; Total Annual Responses: 1200; Total Annual Hours: 300. (For
policy questions regarding this collection contact Renee Clarke at 410-
786-0006. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Uniform
Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5;
Use: Section 42 CFR 424.5(a)(5) requires providers of services to
submit a claim for payment prior to any Medicare reimbursement. Charges
billed are coded by revenue codes. The bill specifies diagnoses
according to the International Classification of Diseases, Ninth
Edition (ICD-9-CM) code. Inpatient procedures are identified by ICD-9-
CM codes, and outpatient procedures are described using the CMS Common
Procedure Coding System (HCPCS). These are standard systems of
identification for all major health insurance claims payers. Submission
of information on the CMS-1450 permits Medicare intermediaries to
receive consistent data for proper payment. Form Numbers: CMS-1450 (UB-
04)(OMB: 0938-0997); Frequency: Reporting--On occasion;
Affected Public: Not-for-profit institutions, Business or other for-
profit; Number of Respondents: 53,111; Total Annual Responses:
181,909,654; Total Annual Hours: 1,567,455. (For policy questions
regarding this collection contact Matt Klischer at 410-786-7488. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Prepaid Health
Plan Cost Report; Use: Health Maintenance Organizations and Competitive
Medical Plans (HMO/CMPs) contracting with the Secretary under Section
1876 of the Social Security Act are required to submit a budget and
enrollment forecast, four quarterly reports and a final certified cost
report. Health Care Prepayment Plans (HCPPs) contracting with the
Secretary under Section 1833 of the Social Security Act are required to
submit a budget and enrollment forecast, mid-year report, and final
cost report. An HMO/CMP is a health care delivery system that furnishes
directly or arranges for the delivery of the full spectrum of health
services to an enrolled population. A HCPP is a health care delivery
system that furnishes directly or arranges for the delivery of certain
physician and diagnostics services up to the full spectrum of non-
provider Part B health services to an enrolled population. These
reports will be used to establish the reasonable cost of delivering
covered services furnished to Medicare enrollees by an HMO/CMP or
HCPP.; Form Numbers: CMS-276 (OMB: 0938-0165); Frequency:
Recordkeeping, Reporting--Quarterly and Annually; Affected Public:
Business or other for-profit; Number of Respondents: 35; Total Annual
Responses: 128; Total Annual Hours: 5,285. (For policy questions
regarding this collection contact Temeshia Johnson at 410-786-8692. For
all other issues call 410-786-1326.)
4. Type of Information Collection Request: Reinstatement of a
currently approved collection; Title of
[[Page 41142]]
Information Collection: National Medicare & You Education Program
(NMEP) Survey of Medicare Beneficiaries Use: The Centers for Medicare
and Medicaid Services is requesting a reinstatement of this information
collection request to continue to collect information from Medicare
beneficiaries, caregivers, health care providers, and health
information providers. The collection of information was inadvertently
discontinued in December 2008; however, as stated earlier, we are
currently seeking a reinstatement with change as we have revised the
collection instrument. It is critical for this agency to obtain
feedback from the aforementioned groups so that the agency can
accurately assess the needs of the Medicare audience. Using random
digit dial and/or an administrative sample, members of the Medicare
audience will be called and asked to complete the survey via telephone.
The results of this survey will be compiled and studied so that
communication may be amended to benefit Medicare's audience. The survey
has the following objectives: to assess satisfaction with and knowledge
of the Medicare program; to gather information on health behaviors and
quality of health care; to determine the most used source for Medicare
information; and to gather information from health care provider and
health information providers. Form Number: CMS-R-254 (OMB
0938-0738); Frequency: Once; Affected Public: Individuals and
Households, Private Sector--Business or other for-profits; Number of
Respondents: 7,000; Total Annual Responses: 7,000; Total Annual Hours:
1,750.
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 September 14,
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: August 7, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-19537 Filed 8-13-09; 8:45 am]
BILLING CODE 4120-01-P
