Agency Information Collection Activities: Proposed Collection; Comment Request, 2547-2548 [2010-743]
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Federal Register / Vol. 75, No. 10 / Friday, January 15, 2010 / Notices
3rd and 4th lines in the ADDRESSES and
3rd line in the FOR FURTHER INFORMATION
CONTACT captions to read:
ADDRESSES: Proposals for cosponsorship should be sent to Jane
Wargo, Program Analyst, Office of the
President’s Council on Physical Fitness
and Sports, 1101 Wootton Parkway,
Suite 560, Rockville, MD 20852; Ph:
(240) 276–9847, Fax: (240) 276–9860.
Proposals may also be submitted by
electronic mail to jane.wargo@hhs.gov.
FOR FURTHER INFORMATION CONTACT: Jane
Wargo, Program Analyst, Office of the
President’s Council on Physical Fitness
and Sports, Ph: (240) 276–9847, e-mail:
jane.wargo@hhs.gov.
Dated: January 12, 2010.
Jane Wargo,
Program Analyst, President’s Council on
Physical Fitness and Sports, U.S. Department
of Health and Human Services.
[FR Doc. 2010–760 Filed 1–14–10; 8:45 am]
BILLING CODE 4150–35–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–718–721, CMS–
10303 and CMS–685]
jlentini on DSKJ8SOYB1PROD with NOTICES
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: Reinstatement with change of a
previously approved collection; Title of
Information Collection: Business
Proposal Forms for Quality
VerDate Nov<24>2008
17:34 Jan 14, 2010
Jkt 220001
Improvement Organizations (QIOs); Use:
The submission of proposal information
by current quality improvement
associations (QIOs) and other bidders,
on the appropriate forms, will satisfy
CMS’s need for meaningful, consistent,
and verifiable data with which to
evaluate contract proposals. The data
collected on the forms associated with
this information collection request is
used by CMS to negotiate QIO contracts.
The revised business proposal forms
will be useful in a number of important
ways. The Government will be able to
compare the costs reported by the QIOs
on the cost reports to the proposed costs
noted on the business proposal forms.
Subsequent contract and modification
negotiations will be based on historic
cost data. The business proposal forms
will be one element of the historical cost
data from which we can analyze future
proposed costs. In addition, the
business proposal format will
standardize the cost proposing and
pricing process among all QIOs. With
well-defined cost centers and line items,
proposals can be compared among QIOs
for reasonableness and appropriateness.
Form Number: CMS–718–721 (OMB#:
0938–0579); Frequency: Reporting—
Triennially; Affected Public: Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
21; Total Annual Responses: 21; Total
Annual Hours: 1,785. (For policy
questions regarding this collection
contact Clarissa Whatley at 410–786–
7154. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: New collection; Title of
Information Collection: Medicare
Gainsharing Demonstration Evaluation:
Physician Focus Groups; Use: The
proposed physician focus groups are
part of an overall evaluation of the
Centers for Medicare & Medicaid
Services CMS’ congressionally
mandated Medicare Gainsharing
Demonstration Evaluation. The
Congress, under Section 5007 of the
Deficit Reduction Act (DRA) of 2005,
requires CMS to conduct a qualified
gainsharing program to test alternative
ways that hospitals and physicians can
share in efficiency gains. The primary
goal of the demonstration is to evaluate
gainsharing as a means to align
physician and hospital incentives to
improve quality and efficiency. The
demonstration has two mandated
Reports to Congress. Results from
physician focus groups will be included
in both Reports to Congress. Form
Number: CMS–10303 (OMB#: 0938–
New); Frequency: Once; Affected Public:
Private Sector, Business or other for
PO 00000
Frm 00073
Fmt 4703
Sfmt 4703
2547
profits; Number of Respondents: 192;
Total Annual Responses: 96; Total
Annual Hours: 96. (For policy questions
regarding this collection contact
William Buczko at 410–786–6593. For
all other issues call 410–786–1326.)
3. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual
Cost Report Forms and Supporting
Regulations in 42 CFR section 405.2110
and 42 CFR 405.2112; Use: Section
1881(c) of the Social Security Act
establishes End Stage Renal Disease
(ESRD) Network contracts. The
regulations found at 42 CFR 405.2110
and 405.2112 designated 18 ESRD
Networks which are funded by
renewable contracts. These contracts are
on 3-year cycles. To better administer
the program, CMS is requiring
contractors to submit semi-annual cost
reports. The purpose of the cost reports
is to enable the ESRD Networks to
report costs in a standardized manner.
This will allow CMS to review, compare
and project ESRD Network costs during
the life of the contract. Form Number:
CMS–685 (OMB#: 0938–0657);
Frequency: Reporting—Semi-annually;
Affected Public: Not-for-profit
institutions; Number of Respondents:
18; Total Annual Responses: 36; Total
Annual Hours: 108. (For policy
questions regarding this collection
contact Victoria Morgan at 410–786–
7232. 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 March 16, 2010:
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
E:\FR\FM\15JAN1.SGM
15JAN1
2548
Federal Register / Vol. 75, No. 10 / Friday, January 15, 2010 / Notices
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: January 8, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–743 Filed 1–14–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–588, CMS–10079
and CMS–10311]
jlentini on DSKJ8SOYB1PROD 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: Reinstatement without change
of a previously approved collection;
Title of Information Collection:
Electronic Funds Transfer Authorization
Agreement; Use: Section 1815(a) of the
Social Security Act provides the
authority for the Secretary of Health and
Human Services to pay providers/
suppliers of Medicare services at such
time or times as the Secretary
determines appropriate (but no less
frequently than monthly). Under
Medicare, CMS, acting for the Secretary,
contracts with Fiscal Intermediaries and
VerDate Nov<24>2008
17:34 Jan 14, 2010
Jkt 220001
Carriers to pay claims submitted by
providers/suppliers who furnish
services to Medicare beneficiaries.
Under CMS’ payment policy, Medicare
providers/suppliers have the option of
receiving payments electronically. Form
number CMS–588 authorizes the use of
electronic fund transfers (EFTs). Form
Number: CMS–588 (OMB#: 0938–0626);
Frequency: Reporting—On occasion;
Affected Public: Business or other forprofit and Not-for-profit institutions;
Number of Respondents: 100,000; Total
Annual Responses: 100,000; Total
Annual Hours: 100,000. (For policy
questions regarding this collection
contact Kim McPhillips at 410–786–
5374. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: Hospital Wage
Index Occupational Mix Survey and
Supporting Regulations in 42 CFR,
Section 412.64; Use: Section 304(c) of
Public Law 106–554 amended section
1886(d) (3) (E) of the Social Security Act
to require CMS to collect data every 3
years on the occupational mix of
employees for each short-term, acute
care hospital participating in the
Medicare program, in order to construct
an occupational mix adjustment to the
wage index, for application beginning
October 1, 2004 (the FY 2005 wage
index). The purpose of the occupational
mix adjustment is to control for the
effect of hospitals’ employment choices
on the wage index. Refer to the
summary of changes document for a list
of current changes. Form Number:
CMS–10079 (OMB#: 0938–0907);
Frequency: Reporting—Yearly,
Biennially and Occasionally ; Affected
Public: Private Sector—Business or
other for-profits and Not-for-profit
institutions; Number of Respondents:
3,522; Total Annual Responses: 3,522;
Total Annual Hours: 1,690,560. (For
policy questions regarding this
collection contact Taimyra Jones at 410–
786–1562. For all other issues call 410–
786–1326.)
3. Type of Information Collection
Request: New collection; Title of
Information Collection: Medicare
Program/Home Health Prospective
Payment System Rate Update for
Calendar Year 2010: Physician Narrative
Requirement and Supporting Regulation
in 42 CFR 424.22; Use: The Centers for
Medicare and Medicaid Services (CMS)
require that a physician sign every
patient’s individual plan of care
certifying or recertifying that the patient
is homebound and the planned services
are medically necessary in order for the
home health agency to be reimbursed
PO 00000
Frm 00074
Fmt 4703
Sfmt 9990
for Medicare covered services as
stipulated in 42 CFR 424.22. CMS is
relying on physicians to fulfill a role
that is sometimes thought of as a
‘‘gatekeeper’’ by requiring the physician
to provide a narrative located within the
home health certification or
recertification when skilled nursing
management & evaluation of the plan of
care, (PoC) is ordered. The physician’s
narrative is required when a patient’s
underlying condition or complication
requires a registered nurse to ensure that
essential non-skilled care is achieving
its purpose, The narrative must be
located immediately prior to the
physician’s signature. If the narrative
exists as an addendum to the
certification or recertification form, in
addition to the physician’s signature on
the certification or recertification form,
the physician must sign immediately
following the narrative in the
addendum. This change supports
Medicare’s home health coverage
criteria for skilled services as stipulated
in the CFR, (see 42 CFR 409.42). Form
Number: CMS–10311 (OMB#: 0938–
New); Frequency: Annually; Affected
Public: Business or other for-profit and
Not-for-profit institutions; Number of
Respondents: 345,600; Total Annual
Responses: 345,600; Total Annual
Hours: 28,800. (For policy questions
regarding this collection contact Randy
Throndset at 410–786–0131. 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 February 16, 2010. OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974, E-mail:
OIRA_submission@omb.eop.gov.
Dated: January 8, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–712 Filed 1–14–10; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\15JAN1.SGM
15JAN1
Agencies
[Federal Register Volume 75, Number 10 (Friday, January 15, 2010)]
[Notices]
[Pages 2547-2548]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-743]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-718-721, CMS-10303 and CMS-685]
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: Reinstatement with
change of a previously approved collection; Title of Information
Collection: Business Proposal Forms for Quality Improvement
Organizations (QIOs); Use: The submission of proposal information by
current quality improvement associations (QIOs) and other bidders, on
the appropriate forms, will satisfy CMS's need for meaningful,
consistent, and verifiable data with which to evaluate contract
proposals. The data collected on the forms associated with this
information collection request is used by CMS to negotiate QIO
contracts. The revised business proposal forms will be useful in a
number of important ways. The Government will be able to compare the
costs reported by the QIOs on the cost reports to the proposed costs
noted on the business proposal forms. Subsequent contract and
modification negotiations will be based on historic cost data. The
business proposal forms will be one element of the historical cost data
from which we can analyze future proposed costs. In addition, the
business proposal format will standardize the cost proposing and
pricing process among all QIOs. With well-defined cost centers and line
items, proposals can be compared among QIOs for reasonableness and
appropriateness. Form Number: CMS-718-721 (OMB: 0938-0579);
Frequency: Reporting--Triennially; Affected Public: Business or other
for-profits and Not-for-profit institutions; Number of Respondents: 21;
Total Annual Responses: 21; Total Annual Hours: 1,785. (For policy
questions regarding this collection contact Clarissa Whatley at 410-
786-7154. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Gainsharing Demonstration Evaluation:
Physician Focus Groups; Use: The proposed physician focus groups are
part of an overall evaluation of the Centers for Medicare & Medicaid
Services CMS' congressionally mandated Medicare Gainsharing
Demonstration Evaluation. The Congress, under Section 5007 of the
Deficit Reduction Act (DRA) of 2005, requires CMS to conduct a
qualified gainsharing program to test alternative ways that hospitals
and physicians can share in efficiency gains. The primary goal of the
demonstration is to evaluate gainsharing as a means to align physician
and hospital incentives to improve quality and efficiency. The
demonstration has two mandated Reports to Congress. Results from
physician focus groups will be included in both Reports to Congress.
Form Number: CMS-10303 (OMB: 0938-New); Frequency: Once;
Affected Public: Private Sector, Business or other for profits; Number
of Respondents: 192; Total Annual Responses: 96; Total Annual Hours:
96. (For policy questions regarding this collection contact William
Buczko at 410-786-6593. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting
Regulations in 42 CFR section 405.2110 and 42 CFR 405.2112; Use:
Section 1881(c) of the Social Security Act establishes End Stage Renal
Disease (ESRD) Network contracts. The regulations found at 42 CFR
405.2110 and 405.2112 designated 18 ESRD Networks which are funded by
renewable contracts. These contracts are on 3-year cycles. To better
administer the program, CMS is requiring contractors to submit semi-
annual cost reports. The purpose of the cost reports is to enable the
ESRD Networks to report costs in a standardized manner. This will allow
CMS to review, compare and project ESRD Network costs during the life
of the contract. Form Number: CMS-685 (OMB: 0938-0657);
Frequency: Reporting--Semi-annually; Affected Public: Not-for-profit
institutions; Number of Respondents: 18; Total Annual Responses: 36;
Total Annual Hours: 108. (For policy questions regarding this
collection contact Victoria Morgan at 410-786-7232. 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 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.
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 March 16, 2010:
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
[[Page 2548]]
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: January 8, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-743 Filed 1-14-10; 8:45 am]
BILLING CODE 4120-01-P