Agency Information Collection Activities: Proposed Collection; Comment Request, 4826 [2010-1916]
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4826
Federal Register / Vol. 75, No. 19 / Friday, January 29, 2010 / Notices
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: Eligibility Error
Rate Measurement in Medicaid and the
Children’s Health Insurance Program;
Use: The collection of information is
necessary for CMS to produce national
error rates for Medicaid and CHIP as
required by Public Law 107–300, the
IPIA of 2002. The collection of
information is also necessary to
implement provisions from the
Children’s Health Insurance Program
Reauthorization Act of 2009 (CHIPRA)
(Pub. L. 111–3) with regard to the
Medicaid Eligibility Quality Control
(MEQC) and Payment Error Rate
Measurement (PERM) programs. The
information collected from the States
selected for review will be used by CMS
to ensure States use a statistically sound
sampling methodology, to ensure the
States complete reviews on all cases
sampled, and will be used by the
Federal contractor to calculate State and
national Medicaid and CHIP eligibility
error rates. Form Number: CMS–10184
(OMB#: 0938–1012); Frequency:
Reporting—Occasionally; Affected
Public: State, Local, Tribal
Governments; Number of Respondents:
34; Total Annual Responses: 53; Total
Annual Hours: 942,764. (For policy
questions regarding this collection
contact Jessica Woodard at 410–786–
9249. 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 March 1, 2010. 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
16:49 Jan 28, 2010
Jkt 220001
Dated: January 22, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–1918 Filed 1–28–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–2746]
Agency Information Collection
Activities: Proposed Collection;
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) 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 of a currently
approved collection; Title of
Information Collection: End Stage Renal
Disease Death Notification Public Law
95–292; 42 CFR 405.2133, 45 CFR 5–5b;
20 CFR Parts 401 and 422E Use: The
ESRD Death Notification (CMS–2746) is
completed by all Medicare-approved
ESRD facilities upon the death of an
ESRD patient. Its primary purpose is to
collect fact of death and cause of death
of ESRD patients. Certain other
identifying information (e.g., name,
Medicare claim number, and date of
birth) is required for matching purposes.
Federal regulations require that the
ESRD Networks examine the mortality
rates of every Medicare-approved
facility within its area of responsibility.
The Death Form provides the necessary
data to assist the ESRD Networks in
making decisions that result in
improved patient care and in cost-
PO 00000
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Sfmt 9990
effective distribution of ESRD resources.
The data is used by the ESRD Networks
to verify facility deaths and to monitor
facility performance. Form Number:
CMS–2746 (OMB#: 0938–0448);
Frequency: On occasion; Affected
Public: Business or other for-profit, Notfor-profit institutions; Number of
Respondents: 5,173; Total Annual
Responses: 82,768; Total Annual Hours:
41,384. (For policy questions regarding
this collection contact Connie Cole at
410–786–0257. 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 30, 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
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 22, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–1916 Filed 1–28–10; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\29JAN1.SGM
29JAN1
]]>Agencies
[Federal Register Volume 75, Number 19 (Friday, January 29, 2010)]
[Notices]
[Page 4826]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-1916]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-2746]
Agency Information Collection Activities: Proposed Collection;
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) 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 of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Death Notification Public Law 95-292; 42 CFR 405.2133, 45 CFR
5-5b; 20 CFR Parts 401 and 422E Use: The ESRD Death Notification (CMS-
2746) is completed by all Medicare-approved ESRD facilities upon the
death of an ESRD patient. Its primary purpose is to collect fact of
death and cause of death of ESRD patients. Certain other identifying
information (e.g., name, Medicare claim number, and date of birth) is
required for matching purposes. Federal regulations require that the
ESRD Networks examine the mortality rates of every Medicare-approved
facility within its area of responsibility. The Death Form provides the
necessary data to assist the ESRD Networks in making decisions that
result in improved patient care and in cost-effective distribution of
ESRD resources. The data is used by the ESRD Networks to verify
facility deaths and to monitor facility performance. Form Number: CMS-
2746 (OMB: 0938-0448); Frequency: On occasion; Affected
Public: Business or other for-profit, Not-for-profit institutions;
Number of Respondents: 5,173; Total Annual Responses: 82,768; Total
Annual Hours: 41,384. (For policy questions regarding this collection
contact Connie Cole at 410-786-0257. 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 30, 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 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 22, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-1916 Filed 1-28-10; 8:45 am]
BILLING CODE 4120-01-P
