Agency Information Collection Activities: Proposed Collection; Comment Request, 27787-27788 [2010-11774]
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27787
Federal Register / Vol. 75, No. 95 / Tuesday, May 18, 2010 / Notices
E-mail comments to
paperwork@hrsa.gov or mail the HRSA
Reports Clearance Officer, Room 10–33,
Parklawn Building, 5600 Fishers Lane,
Rockville, MD 20857. Written comments
should be received within 60 days of
this notice.
Dated: May 12, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information
Coordination.
Paperwork Reduction Act of 1995 (44
U.S.C. Chapter 35). To request a copy of
the clearance requests submitted to
OMB for review, e-mail
paperwork@hrsa.gov or call the HRSA
Reports Clearance Office on (301) 443–
1129.
The following request has been
submitted to the Office of Management
and Budget for review under the
Paperwork Reduction Act of 1995:
Proposed Project: Data Collection Tool
for State Offices of Rural Health Grant
Program
[FR Doc. 2010–11840 Filed 5–17–10; 8:45 am]
BILLING CODE 4165–15–P
(OMB No. 0915–0322)—Extension
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Health Resources and Services
Administration
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Periodically, the Health Resources
and Services Administration (HRSA)
publishes abstracts of information
collection requests under review by the
Office of Management and Budget
(OMB), in compliance with the
The mission of the Office of Rural
Health Policy (ORHP) is to sustain and
improve access to quality care services
for rural communities. In its authorizing
language (Sec. 711 of the Social Security
Act [42 U.S.C. 912]), Congress charged
ORHP with administering grants,
cooperative agreements, and contracts to
provide technical assistance and other
activities as necessary to support
activities related to improving health
care in rural areas.
In accordance with the Public Health
Service Act, Section 338J; 42 U.S.C.
Number of
respondents
Form
254r, the Health Resources and Services
Administration proposes to revise the
State Offices of Rural Health Grant
Program—Guidance and Forms for the
Application. The guidance is used
annually by 50 States in writing
applications for grants under the State
Offices of Rural Health (SORH) Grant
Program of the Public Health Service
Act, and in preparing the required
report.
ORHP seeks to expand the
information gathered from grantees on
their efforts to provide technical
assistance to clients within their State.
SORH grantees would be required to
submit a Technical Assistance Report
that includes: (1) The total number of
technical assistance encounters
provided directly by the Grantee; and,
(2) the total number of unduplicated
clients that received direct technical
assistance from the grantee. Submission
of the Technical Assistance Report
would be done via e-mail to ORHP no
later than 30 days after the end of each
twelve month budget period.
The estimated average annual burden
is as follows:
Responses
per
respondent
Burden hours
per response
Total burden
hours
Technical Assistance Report ...........................................................................
50
1
12.5
625
Total ..........................................................................................................
50
........................
........................
625
Written comments and
recommendations concerning the
proposed information collection should
be sent within 30 days of this notice to
the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov
or by fax to 202–395–6974. Please direct
all correspondence to the ‘‘attention of
the desk officer for HRSA.’’
Dated: May 11, 2010.
Sahira Rafiullah,
Director, Division of Policy and Information
Coordination.
[FR Doc. 2010–11835 Filed 5–17–10; 8:45 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10171, CMS–460
and CMS–10318]
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;
PO 00000
Frm 00087
Fmt 4703
Sfmt 4703
(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: Coordination of
Benefits between Part D Plans and Other
Prescription Coverage Providers; Use:
Section 1860D–23 and 1860D–24 of the
Social Security Act requires the
Secretary to establish requirements for
prescription drug plans to ensure the
effective coordination between Part D
plans, State pharmaceutical Assistance
programs and other payers. The
requirements must relate to the
following elements: (1) Enrollment file
sharing; (2) claims processing and
payment; (3) claims reconciliation
reports; (4) application of the
protections against high out-of-pocket
expenditures by tracking True out-of-
E:\FR\FM\18MYN1.SGM
18MYN1
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27788
Federal Register / Vol. 75, No. 95 / Tuesday, May 18, 2010 / Notices
pocket (TrOOP) expenditures; and (5)
other processes that the Secretary
determines. CMS, via the TrOOP
facilitation contractor, automated the
transfer of beneficiary coverage
information when a beneficiary changes
Part D plans. This information is
necessary to assist with coordination of
prescription drug benefits provided to
the Medicare beneficiary. Refer to the
crosswalk document for a list of the
current changes. Form Number: CMS–
10171 (OMB#: 0938–0978); Frequency:
Yearly; Affected Public: Business or
other for-profits; Number of
Respondents: 57,227; Total Annual
Responses: 248,018; Total Annual
Hours: 754,788 (For policy questions
regarding this collection contact
Christine Hinds at 410–786–4578. 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
Participating Physician or Supplier
Agreement; Form No.: CMS–460 (OMB#
0938–0373); Use: The CMS–460 is the
agreement a physician, supplier or their
authorized official signs to participate in
Medicare Part B. By signing the
agreement to participate in Medicare,
the physician, supplier or their
authorized official agrees to accept the
Medicare-determined payment for
Medicare covered services as payment
in full and to charge the Medicare Part
B beneficiary no more than the
applicable deductible or coinsurance for
the covered services. For purposes of
this explanation, the term a supplier
means any person or entity that may bill
Medicare for Part B services (e.g. DME
supplier, nurse practitioner, supplier of
diagnostic tests) except a Medicare
provider of services (e.g. hospital),
which must participate to be paid by
Medicare for covered care.
There are additional benefits
associated with payment for services
paid under the Medicare fee schedule.
Payments made under the Medicare fee
schedule for physician services to
participating physicians and suppliers
are based on 100 percent of the
Medicare fee schedule amount, while
the Medicare fee schedule payment for
physician services by nonparticipating
physicians and suppliers is based on 95
percent of the fee schedule amount.
Physicians and suppliers who do not
participate in Medicare are subject to
limits on their actual charges for
unassigned claims for physician
services. These limits, known as
limiting charges, cannot exceed 115
percent of the non-participant fee
schedule, which is set at 95 percent of
the full fee schedule amount. In
VerDate Mar<15>2010
17:22 May 17, 2010
Jkt 220001
addition, if a physician or supplier does
not accept assignment on a claim for
Medicare payment, the physician or
supplier must collect payment from the
beneficiary. If the physician or supplier
accepts assignment on the claim,
Medicare pays its share of the payment
directly to the physician or supplier,
resulting in faster and more certain
payment. Frequency: Reporting, Other—
when starting a new business; Affected
Public: Business or other for-profit;
Number of Respondents: 8,000; Total
Annual Responses: 8,000; Total Annual
Hours: 2,000. (For policy questions
regarding this collection contact April
Billingsley at 410–786–0410. For all
other issues call 410–786–1326.)
3. Type of Information Collection
Request: New collection; Title of
Information Collection: Survey to
Inform the Children’s Health Insurance
Program (CHIP) National Outreach &
Education Campaign; Form No.: CMS–
10318 (OMB# 0938–New); Use: The
Children’s Health Insurance Program
Reauthorization Act of 2009 (CHIPRA or
Pub. L. 111–3) reauthorized the
Children’s Health Insurance Program
(CHIP) through FY 2013. It will preserve
coverage for the millions of children
who rely on CHIP today and provide the
resources for States to reach millions of
additional uninsured children. This
legislation will help ensure the health
and well-being of our nation’s children.
To support this legislation and to help
people who would benefit from CHIP
make more informed decisions, CMS
will be conducting outreach. The
outreach will employ numerous
communications channels to educate
people who would benefit from CHIP
concerning the program benefits,
eligibility and enrollment requirements,
utilization, and retention. As part of the
outreach, CMS will seek to increase
awareness, enrollment and retention in
CHIP for the eligible audiences. The
primary target audience for the outreach
includes parents and guardians of
potentially eligible children as well as
pregnant women. Secondary audiences
are information intermediaries
including State, local, and tribal
governments, educators (including nonparental caregivers), health care
providers/social workers, national and
local partners. The challenge is reaching
the population segments that have
access barriers to information including
language, literacy, location, and culture
to understand health insurance. To
support the outreach and education,
CMS needs to conduct survey research
to be able to effectively reach the target
audiences. Frequency: Reporting—Once;
Affected Public: Individuals or
PO 00000
Frm 00088
Fmt 4703
Sfmt 4703
Households; Number of Respondents:
1,850; Total Annual Responses: 1,850;
Total Annual Hours: 2,000. (For policy
questions regarding this collection
contact Barbara Allen at 410–786–6716.
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/Paperwork
ReductionActof1995, 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 July 19, 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.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–11774 Filed 5–17–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Form CB–496. Title IV–E
Programs Quarterly Financial Report.
OMB No.: 0970–0205.
Description: Through FY 2008, only
State agencies were responsible for
administering the Foster Care and
Adoption Assistance Programs under
title IV–E of the Social Security Act.
With the enactment of Public Law 110–
351, the ‘‘Fostering Connections to
Success and Increasing Adoptions Act
E:\FR\FM\18MYN1.SGM
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Agencies
[Federal Register Volume 75, Number 95 (Tuesday, May 18, 2010)]
[Notices]
[Pages 27787-27788]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-11774]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10171, CMS-460 and CMS-10318]
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: Revision of a currently
approved collection; Title of Information Collection: Coordination of
Benefits between Part D Plans and Other Prescription Coverage
Providers; Use: Section 1860D-23 and 1860D-24 of the Social Security
Act requires the Secretary to establish requirements for prescription
drug plans to ensure the effective coordination between Part D plans,
State pharmaceutical Assistance programs and other payers. The
requirements must relate to the following elements: (1) Enrollment file
sharing; (2) claims processing and payment; (3) claims reconciliation
reports; (4) application of the protections against high out-of-pocket
expenditures by tracking True out-of-
[[Page 27788]]
pocket (TrOOP) expenditures; and (5) other processes that the Secretary
determines. CMS, via the TrOOP facilitation contractor, automated the
transfer of beneficiary coverage information when a beneficiary changes
Part D plans. This information is necessary to assist with coordination
of prescription drug benefits provided to the Medicare beneficiary.
Refer to the crosswalk document for a list of the current changes. Form
Number: CMS-10171 (OMB: 0938-0978); Frequency: Yearly;
Affected Public: Business or other for-profits; Number of Respondents:
57,227; Total Annual Responses: 248,018; Total Annual Hours: 754,788
(For policy questions regarding this collection contact Christine Hinds
at 410-786-4578. 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
Participating Physician or Supplier Agreement; Form No.: CMS-460
(OMB 0938-0373); Use: The CMS-460 is the agreement a
physician, supplier or their authorized official signs to participate
in Medicare Part B. By signing the agreement to participate in
Medicare, the physician, supplier or their authorized official agrees
to accept the Medicare-determined payment for Medicare covered services
as payment in full and to charge the Medicare Part B beneficiary no
more than the applicable deductible or coinsurance for the covered
services. For purposes of this explanation, the term a supplier means
any person or entity that may bill Medicare for Part B services (e.g.
DME supplier, nurse practitioner, supplier of diagnostic tests) except
a Medicare provider of services (e.g. hospital), which must participate
to be paid by Medicare for covered care.
There are additional benefits associated with payment for services
paid under the Medicare fee schedule. Payments made under the Medicare
fee schedule for physician services to participating physicians and
suppliers are based on 100 percent of the Medicare fee schedule amount,
while the Medicare fee schedule payment for physician services by
nonparticipating physicians and suppliers is based on 95 percent of the
fee schedule amount. Physicians and suppliers who do not participate in
Medicare are subject to limits on their actual charges for unassigned
claims for physician services. These limits, known as limiting charges,
cannot exceed 115 percent of the non-participant fee schedule, which is
set at 95 percent of the full fee schedule amount. In addition, if a
physician or supplier does not accept assignment on a claim for
Medicare payment, the physician or supplier must collect payment from
the beneficiary. If the physician or supplier accepts assignment on the
claim, Medicare pays its share of the payment directly to the physician
or supplier, resulting in faster and more certain payment. Frequency:
Reporting, Other--when starting a new business; Affected Public:
Business or other for-profit; Number of Respondents: 8,000; Total
Annual Responses: 8,000; Total Annual Hours: 2,000. (For policy
questions regarding this collection contact April Billingsley at 410-
786-0410. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: New collection; Title of
Information Collection: Survey to Inform the Children's Health
Insurance Program (CHIP) National Outreach & Education Campaign; Form
No.: CMS-10318 (OMB 0938-New); Use: The Children's Health
Insurance Program Reauthorization Act of 2009 (CHIPRA or Pub. L. 111-3)
reauthorized the Children's Health Insurance Program (CHIP) through FY
2013. It will preserve coverage for the millions of children who rely
on CHIP today and provide the resources for States to reach millions of
additional uninsured children. This legislation will help ensure the
health and well-being of our nation's children. To support this
legislation and to help people who would benefit from CHIP make more
informed decisions, CMS will be conducting outreach. The outreach will
employ numerous communications channels to educate people who would
benefit from CHIP concerning the program benefits, eligibility and
enrollment requirements, utilization, and retention. As part of the
outreach, CMS will seek to increase awareness, enrollment and retention
in CHIP for the eligible audiences. The primary target audience for the
outreach includes parents and guardians of potentially eligible
children as well as pregnant women. Secondary audiences are information
intermediaries including State, local, and tribal governments,
educators (including non-parental caregivers), health care providers/
social workers, national and local partners. The challenge is reaching
the population segments that have access barriers to information
including language, literacy, location, and culture to understand
health insurance. To support the outreach and education, CMS needs to
conduct survey research to be able to effectively reach the target
audiences. Frequency: Reporting--Once; Affected Public: Individuals or
Households; Number of Respondents: 1,850; Total Annual Responses:
1,850; Total Annual Hours: 2,000. (For policy questions regarding this
collection contact Barbara Allen at 410-786-6716. 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 July 19, 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.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-11774 Filed 5-17-10; 8:45 am]
BILLING CODE 4120-01-P