Agency Information Collection Activities: Submission for OMB Review; Comment Request, 44368-44369 [E9-20839]
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44368
Federal Register / Vol. 74, No. 166 / Friday, August 28, 2009 / Notices
hsrobinson on DSK69SOYB1PROD with NOTICES
The results of this voluntary testing
process will enable CMS to assess the
feasibility of collecting data elements
via electronic health records as a future
alternative to submission of manually
abstracted chart data elements by
hospitals, thereby potentially reducing
the administrative burden associated
with submission of quality measures for
the RHQDAPU program. Form Number:
CMS–10296 (OMB#: 0938–New);
Frequency: Reporting—Once; Affected
Public: Private Sector—Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
55; Total Annual Responses: 55; Total
Annual Hours: 28,655. (For policy
questions regarding this collection
contact Shaheen Halim at 410–786–
0641. 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 October 27, 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.
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: August 21, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–20845 Filed 8–27–09; 8:45 am]
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Jkt 217001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10080, CMS–R–
70, CMS–R–38 and CMS–846–849, 854,
10125, 10126, 10269]
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: Revision of a currently
approved collection; Title of
Information Collection: Publication
Usage Survey; Use: The Publication
Usage survey was developed to gather
information from people who request or
access Medicare publications, to ensure
comprehension, usability, and use of the
publications. CMS is seeking
understanding about whether
publications have been effective in
informing members of the Medicare
audience regarding policy and benefits.
Included in the survey are questions
regarding the satisfaction of publication
users with specific publications and
whether the information they received
informed them about the Medicare
program. Information gathered in this
survey will be used only for purposes of
targeting and improving
communications with Medicare
beneficiaries, caregivers, partners, and
community organizations. Form
Number: CMS–10080 (OMB#: 0938–
0892); Frequency: Reporting—On
occasion; Affected Public: Individuals or
Households; Number of Respondents:
3,800; Total Annual Responses: 3,800;
PO 00000
Frm 00024
Fmt 4703
Sfmt 4703
Total Annual Hours: 950. (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: Information
Collection Requirements in HSQ–110,
Acquisition, Protection and Disclosure
of Peer review Organization Information
and Supporting Regulations in 42 CFR,
Sections 480.104, 480.105, 480.116, and
480.134; Use: The Peer Review
Improvement Act of 1982 authorizes
quality improvement organizations
(QIOs), formally known as peer review
organizations (PROs), to acquire
information necessary to fulfill their
duties and functions and places limits
on disclosure of the information. The
QIOs are required to provide notices to
the affected parties when disclosing
information about them. These
requirements serve to protect the rights
of the affected parties. The information
provided in these notices is used by the
patients, practitioners and providers to:
obtain access to the data maintained and
collected on them by the QIOs; add
additional data or make changes to
existing QIO data; and reflect in the
QIO’s record the reasons for the QIO’s
disagreeing with an individual’s or
provider’s request for amendment.:
Form Number: CMS–R–70 (OMB#:
0938–0426); Frequency: Reporting—On
occasion; Affected Public: Business or
other for-profits; Number of
Respondents: 362; Total Annual
Responses: 3729; Total Annual Hours:
60,919. (For policy questions regarding
this collection contact Tom Kessler at
410–786–1991. For all other issues call
410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Conditions of
Certification for Rural Health Clinics
and Supporting Regulations in 42 CFR
491.9, 491.10, 491.11; Use: The Rural
Health Clinic (RHC) conditions of
certification are based on criteria
prescribed in law and are designed to
ensure that each facility has a properly
trained staff to provide appropriate care
and to assure a safe physical
environment for patients. The Centers
for Medicare and Medicaid Services
(CMS) uses these conditions of
participation to certify RHCs wishing to
participate in the Medicare program.
These requirements are similar in intent
to standards developed by industry
organizations such as the Joint
Commission on Accreditation of
Hospitals, and the National League of
Nursing/American Public Association
E:\FR\FM\28AUN1.SGM
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hsrobinson on DSK69SOYB1PROD with NOTICES
Federal Register / Vol. 74, No. 166 / Friday, August 28, 2009 / Notices
and merely reflect accepted standards of
management and care to which rural
health clinics must adhere. Form
Number: CMS–R–38 (OMB#: 0938–
0334); Frequency: Recordkeeping and
Reporting—Annually and upon initial
application for Medicare approval;
Affected Public: Business or other forprofits; Number of Respondents: 3,937;
Total Annual Responses: 3,937; Total
Annual Hours: 18,932. (For policy
questions regarding this collection
contact Mary Collins at 410–786–3189.
For all other issues call 410–786–1326.)
4. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Durable Medical
Equipment Medicare Administrative
Contractors (MAC), Certificates of
Medical Necessity; Use: The certificate
of medical necessity (CMN) collects
information required to help determine
the medical necessity of certain items.
CMS requires CMNs where there may be
a vulnerability to the Medicare program.
Each initial claim for these items must
have an associated CMN for the
beneficiary. Suppliers (those who bill
for the items) complete the
administrative information (e.g.,
patient’s name and address, items
ordered, etc.) on each CMN. The 1994
Amendments to the Social Security Act
require that the supplier also provide a
narrative description of the items
ordered and all related accessories, their
charge for each of these items, and the
Medicare fee schedule allowance (where
applicable). The supplier then sends the
CMN to the treating physician or other
clinicians (e.g., physician assistant,
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
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21:38 Aug 27, 2009
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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 for-profit 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
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 28, 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 21, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–20839 Filed 8–27–09; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Notice of Availability of Draft Policy
Document for Comment
AGENCY: Health Resources and Services
Administration (HRSA), HHS.
ACTION: This Policy Information Notice
(PIN) describes the documentation that
will be considered by the Health
Resources and Services Administration
(HRSA) to establish whether an
organization can qualify as a ‘‘public
agency’’ (also referred to in previous
PINs as ‘‘public entities’’ or ‘‘public
applicants’’) for the purpose of
determining eligibility for a Health
PO 00000
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44369
Center Program grant under Section 330
of the Public Health Service (PHS) Act
(‘‘Section 330’’) and/or Federally
Qualified Health Center (FQHC) LookAlike designation. This draft PIN is
available on the Internet at https://
bphc.hrsa.gov/draftsforcomment/
publiccenter.
DATES: Comments must be received by
October 13, 2009.
ADDRESSES: Comments should be
submitted to OPPDGeneral@hrsa.gov by
close of business October 13, 2009.
SUMMARY: HRSA believes that
community input is valuable to the
development of policies and policy
documents related to the
implementation of HRSA programs,
including the Health Center Program.
Therefore, we are requesting comments
on the PIN referenced above. Comments
will be reviewed and analyzed, and a
summary and general response will be
published as soon as possible after the
deadline for receipt of comments.
Background: HRSA administers the
Health Center Program, which supports
more than 1,100 organizations operating
more than 7,500 health care delivery
sites, including community health
centers, migrant health centers, health
care for the homeless centers, and
public housing primary care centers.
Health centers serve medically
underserved communities delivering
preventive and primary care services to
patients regardless of their ability to
pay. The Health Center Program’s
authorizing statute and implementing
regulations (Section 330 of the PHS Act
and 42 CFR Part 51c) state that any
public or non-profit private entity is
eligible to apply for a grant under the
Health Center Program. The term
‘‘public agency’’ is not explicitly
defined in Section 330 or in the Health
Center Program’s regulations; however,
reference is made in Section 330 to
these types of organizations within the
definition of a public center as ‘‘a health
center funded (or to be funded) through
a grant under this section to a public
agency’’ (Section 330(k)(3)(M) of the
PHS Act). HRSA is issuing this PIN to
describe the documentation that will be
considered to establish whether an
organization can qualify as a ‘‘public
agency’’ (also referred to in previous
PINs as ‘‘public entities’’ or ‘‘public
applicants’’) for purposes of
determining eligibility for a Health
Center Program grant under Section 330
of the PHS Act and/or FQHC Look-Alike
designation.
FOR FURTHER INFORMATION CONTACT: For
questions regarding this notice, please
contact the Office of Policy and Program
E:\FR\FM\28AUN1.SGM
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Agencies
[Federal Register Volume 74, Number 166 (Friday, August 28, 2009)]
[Notices]
[Pages 44368-44369]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-20839]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10080, CMS-R-70, CMS-R-38 and CMS-846-849,
854, 10125, 10126, 10269]
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: Revision of a currently
approved collection; Title of Information Collection: Publication Usage
Survey; Use: The Publication Usage survey was developed to gather
information from people who request or access Medicare publications, to
ensure comprehension, usability, and use of the publications. CMS is
seeking understanding about whether publications have been effective in
informing members of the Medicare audience regarding policy and
benefits. Included in the survey are questions regarding the
satisfaction of publication users with specific publications and
whether the information they received informed them about the Medicare
program. Information gathered in this survey will be used only for
purposes of targeting and improving communications with Medicare
beneficiaries, caregivers, partners, and community organizations. Form
Number: CMS-10080 (OMB: 0938-0892); Frequency: Reporting--On
occasion; Affected Public: Individuals or Households; Number of
Respondents: 3,800; Total Annual Responses: 3,800; Total Annual Hours:
950. (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: Information
Collection Requirements in HSQ-110, Acquisition, Protection and
Disclosure of Peer review Organization Information and Supporting
Regulations in 42 CFR, Sections 480.104, 480.105, 480.116, and 480.134;
Use: The Peer Review Improvement Act of 1982 authorizes quality
improvement organizations (QIOs), formally known as peer review
organizations (PROs), to acquire information necessary to fulfill their
duties and functions and places limits on disclosure of the
information. The QIOs are required to provide notices to the affected
parties when disclosing information about them. These requirements
serve to protect the rights of the affected parties. The information
provided in these notices is used by the patients, practitioners and
providers to: obtain access to the data maintained and collected on
them by the QIOs; add additional data or make changes to existing QIO
data; and reflect in the QIO's record the reasons for the QIO's
disagreeing with an individual's or provider's request for amendment.:
Form Number: CMS-R-70 (OMB: 0938-0426); Frequency: Reporting--
On occasion; Affected Public: Business or other for-profits; Number of
Respondents: 362; Total Annual Responses: 3729; Total Annual Hours:
60,919. (For policy questions regarding this collection contact Tom
Kessler at 410-786-1991. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Conditions of
Certification for Rural Health Clinics and Supporting Regulations in 42
CFR 491.9, 491.10, 491.11; Use: The Rural Health Clinic (RHC)
conditions of certification are based on criteria prescribed in law and
are designed to ensure that each facility has a properly trained staff
to provide appropriate care and to assure a safe physical environment
for patients. The Centers for Medicare and Medicaid Services (CMS) uses
these conditions of participation to certify RHCs wishing to
participate in the Medicare program. These requirements are similar in
intent to standards developed by industry organizations such as the
Joint Commission on Accreditation of Hospitals, and the National League
of Nursing/American Public Association
[[Page 44369]]
and merely reflect accepted standards of management and care to which
rural health clinics must adhere. Form Number: CMS-R-38 (OMB:
0938-0334); Frequency: Recordkeeping and Reporting--Annually and upon
initial application for Medicare approval; Affected Public: Business or
other for-profits; Number of Respondents: 3,937; Total Annual
Responses: 3,937; Total Annual Hours: 18,932. (For policy questions
regarding this collection contact Mary Collins at 410-786-3189. For all
other issues call 410-786-1326.)
4. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Durable Medical
Equipment Medicare Administrative Contractors (MAC), Certificates of
Medical Necessity; Use: The certificate of medical necessity (CMN)
collects information required to help determine the medical necessity
of certain items. CMS requires CMNs where there may be a vulnerability
to the Medicare program. Each initial claim for these items must have
an associated CMN for the beneficiary. Suppliers (those who bill for
the items) complete the administrative information (e.g., patient's
name and address, items ordered, etc.) on each CMN. The 1994 Amendments
to the Social Security Act require that the supplier also provide a
narrative description of the items ordered and all related accessories,
their charge for each of these items, and the Medicare fee schedule
allowance (where applicable). The supplier then sends the CMN to the
treating physician or other clinicians (e.g., physician assistant, 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 for-profit 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 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 28,
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 21, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-20839 Filed 8-27-09; 8:45 am]
BILLING CODE 4120-01-P