Agency Information Collection Activities: Submission for OMB Review; Comment Request, 46774-46775 [E9-21954]
Download as PDF
<![CDATA[
46774
Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices
cprice-sewell on DSKGBLS3C1PROD with NOTICES
health information technology vision
and road to get to the ultimate goal of
meaningful use of certified electronic
health records technology. We will be
sending State Medicaid Directors letters
and templates for the State Medicaid Hit
Plan (SMHP), the Planning Advance
Planning Document (PAPD) and the
Implementation Advance Planning
Document (IAPD) to States in an effort
to request these changes if they so
choose to make the process as simple as
possible. Frequency: Yearly, once and/
or occasionally; Affected Public: State,
Tribal and Local governments; Number
of Respondents: 56; Total Annual
Responses: 56; Total Annual Hours:
280. (For policy questions regarding this
collection contact Donna Schmidt at
410–786–5532. 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 November 10, 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 C4–26–0,5, 7500
Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: September 4, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21956 Filed 9–10–09; 8:45 am]
BILLING CODE 4120–01–P
VerDate Nov<24>2008
15:23 Sep 10, 2009
Jkt 217001
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10078, CMS–
10288, CMS–10289 and CMS–10097]
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 without change of a
currently approved collection; Title of
Information Collection: Matching Grants
to States for the Operation of High Risk
Pools; Use: CMS is requiring this
information as a condition of eligibility
for grants that were authorized in the
Trade Act of 2002, the Deficit Reduction
Act of 2005 and the State High Risk Pool
Funding Extension Act of 2006. The
information is necessary to determine if
a State applicant meets the necessary
eligibility criteria for a grant as required
by law. The respondents will be States
that have a high risk pool as defined in
sections 2741, 2744, or 2745 of the
Public Health Service Act. The grants
will provide funds to States that incur
losses in the operation of high risk
pools. High risk pools are set up by
States to provide health insurance to
individuals that cannot obtain health
insurance in the private market because
of a history of illness; Form Numbers:
CMS–10078 (OMB#: 0938–0887);
Frequency: Recordkeeping, Reporting—
Occasionally; Affected Public: State,
Local and Tribal Governments; Number
of Respondents: 31; Total Annual
Responses: 31; Total Annual Hours:
PO 00000
Frm 00042
Fmt 4703
Sfmt 4703
1,240. (For policy questions regarding
this collection contact Paul Scholz at
410–786–6178. For all other issues call
410–786–1326.)
2. Type of Information Collection
Request: New Collection; Title of
Information Collection: State Plan PrePrint to Implement Required Dental
Benefits Pursuant of Children’s Health
Insurance Program Reauthorizing Act
(CHIPRA) 2009; Use: Section 501 of
CHIPRA 2009 amends XXI and requires
that ‘‘child health assistance provide to
a targeted low-income child shall
include coverage of dental services
necessary to prevent disease and
promote oral health, restore oral
structures to health and function, and
treat emergency conditions.’’ States that
provide coverage in a separate
Children’s Health Insurance Program
may choose between two methods of
providing the dental services required
in Section 501. The State may define the
services in the dental benefit package
and demonstrate that it includes all the
required services. Alternatively, the
State may provide a dental benefit
package that is equivalent to one of the
three benchmark packages described in
the statute. In order to implement one
of these options and comply with the
statute, States must amend their State
Plan using the State Plan pre-print.
Form Number: CMS–10288 (OMB#:
0938–NEW); Frequency: Reporting Onetime; Affected Public: State, Local, or
Tribal Governments; Number of
Respondents: 51; Total Annual
Responses: 51; Total Annual Hours:
1530. (For policy questions regarding
this collection contact Nancy
Goetschius at 410–786–0707. For all
other issues call 410–786–1326.)
3. Type of Information Collection
Request: New Collection; Title of
Information Collection: Optional Dentalonly Supplemental Coverage State Plan
Amendment Template; Use: CHIPRA
2009 provides States with an option to
provide supplemental dental-only
coverage to children who would be
eligible to enroll in the State’s
Children’s Health Insurance Program
(CHIP), except that they already have
health insurance coverage, either
through a group health plan or employer
sponsored insurance. If the health
insurance plan the child is enrolled in
does not provide dental benefits, the
State may provide the child with the
same State-defined dental package or
benchmark benefit plan provided to
children who are eligible for the entire
CHIP benefit package. The child will
only be entitled to the dental services
provided to other CHIP children.
In order to choose this option, States
must comply with all other
E:\FR\FM\11SEN1.SGM
11SEN1
cprice-sewell on DSKGBLS3C1PROD with NOTICES
Federal Register / Vol. 74, No. 175 / Friday, September 11, 2009 / Notices
requirements of the statute regarding
cost sharing, income eligibility level,
absence of a waiting list for their entire
CHIP program (not just for dental
coverage), and not providing more
favorable treatment to children eligible
for the supplemental dental benefit
under this option. In order to implement
this option States must amend their
State Plan using the Supplemental
Dental Benefits State Plan Amendment
Template. Form Number: CMS–10289
(OMB#: 0938–NEW); Frequency:
Reporting One-time; Affected Public:
State, Local, or Tribal Governments;
Number of Respondents: 51; Total
Annual Responses: 51; Total Annual
Hours: 1020. (For policy questions
regarding this collection contact Nancy
Goetschius at 410–786–0707. For all
other issues call 410–786–1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: The Medicare
Contractor Provider Satisfaction Survey
(MCPSS); Use: Section 911 of the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA) mandated that CMS
develop contract performance
requirements and standards for
measuring provider satisfaction. CMS
developed the MCPSS to meet this
requirement. Each year CMS obtains
information from Medicare providers
and suppliers via a survey about
satisfaction, attitudes, and perceptions
regarding the services provided by
Medicare fee-for-service (FFS)
contractors, i.e., carriers, fiscal
intermediaries (FIs), regional home
health intermediaries (RHHIs), durable
medical equipment Medicare
administrative contractors (DME MACs)
and Part A/Part B MACs. The survey
focuses on basic business functions
provided by the Medicare contractors,
such as provider inquiries, provider
outreach and education, claims
processing, appeals, provider
enrollment, medical review, and
provider audit and reimbursement. CMS
uses the survey to monitor its
contractors and to provide incentives for
improved performance.
CMS seeks to minimally revise the
survey instrument for the 2010
administration. CMS would like to
obtain more focused feedback on the
providers’ perception of their
interactions with their contractor. By
narrowing the focus of the questions,
CMS can provide more specific
feedback to the contractors in targeted
areas of performance. Form Number:
CMS–10097 (OMB#: 0938–0915);
Frequency: Reporting—Yearly; Affected
Public: Business or other for-profits and
VerDate Nov<24>2008
15:23 Sep 10, 2009
Jkt 217001
Not-for-profit institutions; Number of
Respondents: 25,000; Total Annual
Responses: 25,000; Total Annual Hours:
9,349. (For policy questions regarding
this collection contact Teresa Mundell
at 410–786–9176. 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 October 13, 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: September 4, 2009.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. E9–21954 Filed 9–10–09; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Agency for Toxic Substances and
Disease Registry
[30Day-09–0039]
Agency Forms Undergoing Paperwork
Reduction Act Review
The Agency for Toxic Substances and
Disease Registry (ATSDR) publishes a
list of information collection requests
under review by the Office of
Management and Budget (OMB) in
compliance with the Paperwork
Reduction Act (44 U.S.C. Chapter 35).
To request a copy of these requests, call
the CDC/ATSDR Reports Clearance
Officer at (404) 639–5960 or send an email to omb@cdc.gov. Send written
comments to the CDC Desk Officer,
Office of Management and Budget,
Washington, DC or by fax to (202)395–
5806. Written comments should be
received within 30 days of this notice.
Proposed Project
Tremolite Asbestos Registry (TAR)—
Extension—Agency for Toxic
PO 00000
Frm 00043
Fmt 4703
Sfmt 4703
46775
Substances and Disease Registry
(ATSDR).
Background and Brief Description
The Agency for Toxic Substances and
Disease Registry (ATSDR) requests an
extension of data collection and
procedures for the previously approved
Tremolite Asbestos Registry (TAR)
project for an additional three years.
ATSDR is mandated pursuant to the
1980 Comprehensive Environmental
Response Compensation and Liability
Act (CERCLA) and its 1986
Amendments, the Superfund
Amendments and Re-authorization Act
(SARA), to establish and maintain
national registries of persons who have
been exposed to hazardous substances
in the environment and national
registries of persons with illnesses or
health problems resulting from such
exposure. In 2003, ATSDR created the
Tremolite Asbestos Registry (TAR) as a
result of this legislation in an effort to
provide scientific information about
potential adverse health effects people
develop as a result of exposure to the
amphibole fibers that are found in
vermiculite mined from Libby,
Montana. The purpose of the TAR is to
improve communication with people at
risk for developing asbestos-related
diseases subsequent to exposure to
Libby amphibole and to support
research activities related to TAR
registrants. The TAR is currently
composed of information about former
vermiculite workers, the people that
lived with them during their tenure as
vermiculite workers (i.e., the workers’
household contacts), and people who
participated in screening programs
funded by ATSDR conducted in Libby
and other sites that received Libby
vermiculite. TAR participants are
interviewed to collect information on
exposure pathways, tobacco use, and
health outcomes. The standardized TAR
survey is administered using a
computer-assisted personal interview
instrument.
The number of annual respondents
will vary little from year to year. We
anticipate that 500 persons per year
could be added during each of the next
3 years in addition to the 4,500
registrants already enrolled. These
newly enrolled respondents will be
interviewed using the Baseline
interview instrument. Optimally, one
third of the follow-up interviews will be
conducted each year for the next three
years using the Follow-up interview
instrument. The maximum burden for
the baseline survey is 30 minutes and 20
minutes for the follow-up survey.
E:\FR\FM\11SEN1.SGM
11SEN1
]]>Agencies
[Federal Register Volume 74, Number 175 (Friday, September 11, 2009)]
[Notices]
[Pages 46774-46775]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E9-21954]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10078, CMS-10288, CMS-10289 and CMS-10097]
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 without change
of a currently approved collection; Title of Information Collection:
Matching Grants to States for the Operation of High Risk Pools; Use:
CMS is requiring this information as a condition of eligibility for
grants that were authorized in the Trade Act of 2002, the Deficit
Reduction Act of 2005 and the State High Risk Pool Funding Extension
Act of 2006. The information is necessary to determine if a State
applicant meets the necessary eligibility criteria for a grant as
required by law. The respondents will be States that have a high risk
pool as defined in sections 2741, 2744, or 2745 of the Public Health
Service Act. The grants will provide funds to States that incur losses
in the operation of high risk pools. High risk pools are set up by
States to provide health insurance to individuals that cannot obtain
health insurance in the private market because of a history of illness;
Form Numbers: CMS-10078 (OMB: 0938-0887); Frequency:
Recordkeeping, Reporting--Occasionally; Affected Public: State, Local
and Tribal Governments; Number of Respondents: 31; Total Annual
Responses: 31; Total Annual Hours: 1,240. (For policy questions
regarding this collection contact Paul Scholz at 410-786-6178. For all
other issues call 410-786-1326.)
2. Type of Information Collection Request: New Collection; Title of
Information Collection: State Plan Pre-Print to Implement Required
Dental Benefits Pursuant of Children's Health Insurance Program
Reauthorizing Act (CHIPRA) 2009; Use: Section 501 of CHIPRA 2009 amends
XXI and requires that ``child health assistance provide to a targeted
low-income child shall include coverage of dental services necessary to
prevent disease and promote oral health, restore oral structures to
health and function, and treat emergency conditions.'' States that
provide coverage in a separate Children's Health Insurance Program may
choose between two methods of providing the dental services required in
Section 501. The State may define the services in the dental benefit
package and demonstrate that it includes all the required services.
Alternatively, the State may provide a dental benefit package that is
equivalent to one of the three benchmark packages described in the
statute. In order to implement one of these options and comply with the
statute, States must amend their State Plan using the State Plan pre-
print. Form Number: CMS-10288 (OMB: 0938-NEW); Frequency:
Reporting One-time; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 51; Total Annual Responses: 51;
Total Annual Hours: 1530. (For policy questions regarding this
collection contact Nancy Goetschius at 410-786-0707. For all other
issues call 410-786-1326.)
3. Type of Information Collection Request: New Collection; Title of
Information Collection: Optional Dental-only Supplemental Coverage
State Plan Amendment Template; Use: CHIPRA 2009 provides States with an
option to provide supplemental dental-only coverage to children who
would be eligible to enroll in the State's Children's Health Insurance
Program (CHIP), except that they already have health insurance
coverage, either through a group health plan or employer sponsored
insurance. If the health insurance plan the child is enrolled in does
not provide dental benefits, the State may provide the child with the
same State-defined dental package or benchmark benefit plan provided to
children who are eligible for the entire CHIP benefit package. The
child will only be entitled to the dental services provided to other
CHIP children.
In order to choose this option, States must comply with all other
[[Page 46775]]
requirements of the statute regarding cost sharing, income eligibility
level, absence of a waiting list for their entire CHIP program (not
just for dental coverage), and not providing more favorable treatment
to children eligible for the supplemental dental benefit under this
option. In order to implement this option States must amend their State
Plan using the Supplemental Dental Benefits State Plan Amendment
Template. Form Number: CMS-10289 (OMB: 0938-NEW); Frequency:
Reporting One-time; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 51; Total Annual Responses: 51;
Total Annual Hours: 1020. (For policy questions regarding this
collection contact Nancy Goetschius at 410-786-0707. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: The Medicare
Contractor Provider Satisfaction Survey (MCPSS); Use: Section 911 of
the Medicare Prescription Drug, Improvement, and Modernization Act of
2003 (MMA) mandated that CMS develop contract performance requirements
and standards for measuring provider satisfaction. CMS developed the
MCPSS to meet this requirement. Each year CMS obtains information from
Medicare providers and suppliers via a survey about satisfaction,
attitudes, and perceptions regarding the services provided by Medicare
fee-for-service (FFS) contractors, i.e., carriers, fiscal
intermediaries (FIs), regional home health intermediaries (RHHIs),
durable medical equipment Medicare administrative contractors (DME
MACs) and Part A/Part B MACs. The survey focuses on basic business
functions provided by the Medicare contractors, such as provider
inquiries, provider outreach and education, claims processing, appeals,
provider enrollment, medical review, and provider audit and
reimbursement. CMS uses the survey to monitor its contractors and to
provide incentives for improved performance.
CMS seeks to minimally revise the survey instrument for the 2010
administration. CMS would like to obtain more focused feedback on the
providers' perception of their interactions with their contractor. By
narrowing the focus of the questions, CMS can provide more specific
feedback to the contractors in targeted areas of performance. Form
Number: CMS-10097 (OMB: 0938-0915); Frequency: Reporting--
Yearly; Affected Public: Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 25,000; Total Annual
Responses: 25,000; Total Annual Hours: 9,349. (For policy questions
regarding this collection contact Teresa Mundell at 410-786-9176. 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 October 13, 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: September 4, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-21954 Filed 9-10-09; 8:45 am]
BILLING CODE 4120-01-P
