Agency Information Collection Activities: Proposed Collection; Comment Request, 62401-62403 [2010-25053]
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Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices
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Authority: Division F, Pub. L. 111–8; E.O.
13459, 73 FR 8003, February 12, 2008.
Dated: September 30, 2010.
Sherry Glied,
Assistant Secretary for Planning and
Evaluation.
[FR Doc. 2010–25342 Filed 10–7–10; 8:45 am]
BILLING CODE 4154–05–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–R–244 and
CMS–R–249]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
Centers for Medicare &
Medicaid Services.
In compliance with the requirement
of section 3506I(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;
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AGENCY:
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15:29 Oct 07, 2010
Jkt 223001
(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: Medicare and
Medicaid Programs: Programs of AllInclusive Care for the Elderly (PACE);
Use: PACE organizations must
demonstrate their ability to provide
quality community-based care for the
frail elderly who meet their State’s
nursing home eligibility standards using
capitated payments from Medicare and
the state. The model of care includes as
core services the provision of adult day
health care and multidisciplinary team
case management, through which access
to and allocation of all health services
is controlled. Physician, therapeutic,
ancillary, and social support services
are provided in the participant’s
residence or on-site at the adult day
health center. PACE programs must
provide all Medicare and Medicaid
covered services including hospital,
nursing home, home health, and other
specialized services. Financing of this
model is accomplished through
prospective capitation of both Medicare
and Medicaid payments. The
information collection requirements are
necessary to ensure that only
appropriate organizations are selected to
become PACE organizations and that
CMS has the information necessary to
monitor the care provided to the frail,
vulnerable population served. Form
Number: CMS–R–244 (OMB#: 0938–
0790); Frequency: Once and
Occasionally; Affected Public: State,
Local, or Tribal Governments and Notfor-profit institutions; Number of
Respondents: 99; Total Annual
Responses: 99; Total Annual Hours:
81,911.5. (For policy questions
regarding this collection contact
Daniella Stanley at 410–786–3723. For
all other issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Hospice Cost
and Data Report and supporting
regulations 42 CFR 413.20 and 42 CFR
413.24; Use: In accordance with sections
1815(a), 1833(e), and 1861(v)(A)(ii) of
the Social Security Act, providers of
service in the Medicare program are
required to submit annual information
to achieve reimbursement for health
care services rendered to Medicare
beneficiaries. In addition, 42 CFR
PO 00000
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62401
413.20(b) sets forth that cost reports will
be required from providers on an annual
basis. Such cost reports are required to
be filed with the provider’s fiscal
intermediary (FI) or Medicare
Administrative Contractor (MAC) no
later than the last day of the fifth month
following the close of the period
covered by the report. Form Number:
CMS–R–249 (OMB#: 0938–0758);
Frequency: Yearly; Affected Public:
Business or other for-profits and Notfor-profit institutions; Number of
Respondents: 2,303; Total Annual
Responses: 2,303; Total Annual Hours:
405,328. (For policy questions regarding
this collection contact Gail Duncan at
410–786–7278. 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 November 8, 2010.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov.
Dated: September 30, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–25052 Filed 10–7–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–18F5, CMS–R–
262, CMS–10142 and CMS–R–26]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
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
AGENCY:
E:\FR\FM\08OCN1.SGM
08OCN1
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62402
Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices
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: Application for
Hospital Insurance; Use: Individuals
who are not entitled to or eligible for
railroad retirement board (RRB) or
Social Security Administration benefits
must file an application for Part A. This
group includes individuals who defer
filing an application for monthly
benefits, individuals who are
transitionally insured, government
employees who pay only the Hospital
Insurance portion of the Federal
Insurance Contributions Act tax and
individuals eligible for Premium Part A
for the Working Disabled. The
Application for Hospital Insurance
CMS–18F5 was designed to capture all
the information needed to make a
determination of an individual’s
entitlement to Part A and
Supplementary Medical Insurance (Part
B). Form Number: CMS–18F5 (OMB#:
0938–0251); Frequency: Once; Affected
Public: Individuals or households;
Number of Respondents: 50,000; Total
Annual Responses: 50,000; Total
Annual Hours: 12,495. (For policy
questions regarding this collection
contact Naomi Rappaport at 410–786–
2175. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: CY 2012 Plan
Benefit Package (PBP) Software and
Formulary Submission; Use: Under the
Medicare Modernization Act (MMA),
Medicare Advantage (MA) and
Prescription Drug Plan (PDP)
organizations are required to submit
plan benefit packages for all Medicare
beneficiaries residing in their service
area. The plan benefit package
submission consists of the Plan Benefit
Package (PBP) software, formulary file,
and supporting documentation, as
necessary. MA and PDP organizations
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use the PBP software to describe their
organization’s plan benefit packages,
including information on premiums,
cost sharing, authorization rules, and
supplemental benefits. They also
generate a formulary to describe their
list of drugs, including information on
prior authorization, step therapy,
tiering, and quantity limits.
Additionally, CMS uses the PBP and
formulary data to review and approve
the plan benefit packages proposed by
each MA and PDP organization.
CMS requires that MA and PDP
organizations submit a completed PBP
and formulary as part of the annual
bidding process. During this process,
organizations prepare their proposed
plan benefit packages for the upcoming
contract year and submit them to CMS
for review and approval. Refer to the
supporting document ‘‘Appendix B’’ for
a list of changes. Form Number: CMS–
R–262 (OMB#: 0938–0763); Frequency:
Yearly; Affected Public: Business or
other for-profits and not-for-profit
institutions; Number of Respondents:
655; Total Annual Responses: 6,878;
Total Annual Hours: 18,020. (For policy
questions regarding this collection
contact Kristy Holtje at 410–786–2209.
For all other issues call 410–786–1326.)
3. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: CY 2012 Bid
Pricing Tool (BPT) for Medicare
Advantage (MA) Plans and Prescription
Drug Plans (PDP); Use: Under the
Medicare Prescription Drug,
Improvement, and Modernization Act of
2003 (MMA), and implementing
regulations at 42 CFR, Medicare
Advantage organizations (MAO) and
Prescription Drug Plans are required to
submit an actuarial pricing ‘‘bid’’ for
each plan offered to Medicare
beneficiaries for approval by CMS.
MAOs and PDPs use the Bid Pricing
Tool (BPT) software to develop their
actuarial pricing bid. The information
provided in the BPT is the basis for the
plan’s enrollee premiums and CMS
payments for each contract year. The
tool collects data such as medical
expense development (from claims data
and/or manual rating), administrative
expenses, profit levels, and projected
plan enrollment information. By statute,
completed BPTs are due to CMS by the
first Monday of June each year. CMS
reviews and analyzes the information
provided on the Bid Pricing Tool.
Ultimately, CMS decides whether to
approve the plan pricing (i.e., payment
and premium) proposed by each
organization. Form Number: CMS–
10142 (OMB#: 0938–0944); Frequency:
Yearly; Affected Public: Business or
PO 00000
Frm 00040
Fmt 4703
Sfmt 4703
other for-profits and not-for-profit
institutions; Number of Respondents:
550; Total Annual Responses: 4,950;
Total Annual Hours: 34,650. (For policy
questions regarding this collection
contact Diane Spitalnic at 410–786–
5745. For all other issues call 410–786–
1326.)
4. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Clinical
Laboratory Improvement Amendment
(CLIA) of 1988 and Supporting
Regulations in 42 CFR 493.1–.2001; Use:
The information collection requirements
in 42 CFR 493 outline the requirements
necessary to determine an entity’s
compliance with CLIA. CLIA requires
laboratories that perform testing on
human beings to meet performance
requirements (quality standards) in
order to be certified by the Department
of Health and Human Services (DHHS).
DHHS conducts inspections to
determine a laboratory’s compliance
with CLIA requirements. CLIA
implements the certificate, laboratory
standards and inspection requirements.
Form Number: CMS–R–26 (OMB#:
0938–0612); Frequency: Occasionally;
Affected Public: Federal Government;
State, Local, or Tribal Governments;
Private Sector: Business or other forprofits and Not-for-profit institutions;
Number of Respondents: 168,688; Total
Annual Responses: 756,240; Total
Annual Hours: 11,363,280. (For policy
questions regarding this collection
contact Raelene Perfetto at 410–786–
6876. 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 December 7, 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.
E:\FR\FM\08OCN1.SGM
08OCN1
62403
Federal Register / Vol. 75, No. 195 / Friday, October 8, 2010 / Notices
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: September 30, 2010.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2010–25053 Filed 10–7–10; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Substance Abuse and Mental Health
Services Administration
Agency Information Collection
Activities: Proposed Collection;
Comment Request
In compliance with Section
3506(c)(2)(A) of the Paperwork
Reduction Act of 1995 concerning
opportunity for public comment on
proposed collections of information, the
Substance Abuse and Mental Health
Services Administration (SAMHSA)
will publish periodic summaries of
proposed projects. To request more
information on the proposed projects or
to obtain a copy of the information
collection plans, call the SAMHSA
Reports Clearance Officer on (240) 276–
1243.
Comments are invited on: (a) Whether
the proposed collections of information
are necessary for the proper
performance of the functions of the
agency, including whether the
information shall have practical utility;
(b) the accuracy of the agency’s estimate
of the burden of the proposed collection
of information; (c) ways to enhance the
quality, utility, and clarity of the
information to be collected; and
(d) ways to minimize the burden of the
collection of information on
respondents, including through the use
of automated collection techniques or
other forms of information technology.
Proposed Project: 2011–2014 National
Survey on Drug Use and Health:
Methodological Field Tests (OMB No.
0930–0290–Revision)
The National Survey on Drug Use and
Health (NSDUH) is a survey of the
civilian, non-institutionalized
population of the United States 12 years
old and older. The data are used to
determine the prevalence of use of
tobacco products, alcohol, illicit
substances, and illicit use of
prescription drugs. The results are used
by SAMHSA, ONDCP, Federal
government agencies, and other
organizations and researchers to
establish policy, direct program
activities, and better allocate resources.
In March 2008, SAMHSA received a
three-year renewal of its generic
clearance for methodological field tests.
This will be a request for another
renewal of the generic approval to
continue methodological tests over the
next three years, with conditions similar
to the previous clearance. These
methodological tests will continue to be
designed to examine the feasibility,
quality, and efficiency of new
procedures or revisions to existing
survey protocol. Specifically, the tests
will measure the reliability and validity
of certain questionnaire sections and
items through multiple measurements
on a set of respondents; assess new
methods for gaining cooperation and
participation of respondents with the
goal of increasing response and
decreasing potential bias in the survey
estimates; and assess the impact of new
sampling techniques and technologies
on respondent behavior and reporting.
Research will involve focus groups,
cognitive laboratory testing, field tests,
and customer surveys.
The next wave of methodological tests
will continue to examine ways to
increase data quality, lower operating
costs, and gain a better understanding of
sources and effects of nonsampling error
on the NSDUH estimates. Particular
attention will be given to minimizing
the impact of design changes so that
survey data continue to remain
comparable over time. If these tests
provide successful results, current
procedures or data collection
instruments may be revised.
The number of respondents to be
included in each field test will vary,
depending on the nature of the subject
being tested and the target population.
However, the total estimated response
burden is 8,251 hours. The exact
number of subjects and burden hours for
each test are unknown at this time, but
will be clearly outlined in each
individual submission. The table below,
however, describes the anticipated
burden for each of the major testing
activities for which generic approval is
being tested.
ESTIMATED BURDEN FOR NSDUH METHODOLOGICAL FIELD TESTS
Number of
respondents
Activity
Responses
per
respondent
Average
burden per
response
(hrs.)
Total number
of responses
Total burden
(hrs.)
270
200
6,600
300
8,910
445
990
1
1
1
1
1
1
1
270
200
6,600
300
8,910
445
990
2.0
1.0
1.0
0.25
0.083
0.067
0.067
540
200
6,600
75
740
30
66
Total ..........................................................................
17,715
........................
17,715
..........................
8,251
Annual Average (Total divided by 3 years) .......
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a. Focus Groups ..............................................................
b. Cognitive laboratory testing .........................................
c. Field Tests ...................................................................
d. Customer Satisfaction Surveys ...................................
Household screening for c ...............................................
Screening Verification for c ..............................................
Interview Verification for c ...............................................
5,905
........................
5,905
..........................
2,750
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15:29 Oct 07, 2010
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]]>Agencies
[Federal Register Volume 75, Number 195 (Friday, October 8, 2010)]
[Notices]
[Pages 62401-62403]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2010-25053]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-18F5, CMS-R-262, CMS-10142 and CMS-R-26]
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
[[Page 62402]]
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: Application for
Hospital Insurance; Use: Individuals who are not entitled to or
eligible for railroad retirement board (RRB) or Social Security
Administration benefits must file an application for Part A. This group
includes individuals who defer filing an application for monthly
benefits, individuals who are transitionally insured, government
employees who pay only the Hospital Insurance portion of the Federal
Insurance Contributions Act tax and individuals eligible for Premium
Part A for the Working Disabled. The Application for Hospital Insurance
CMS-18F5 was designed to capture all the information needed to make a
determination of an individual's entitlement to Part A and
Supplementary Medical Insurance (Part B). Form Number: CMS-18F5
(OMB: 0938-0251); Frequency: Once; Affected Public:
Individuals or households; Number of Respondents: 50,000; Total Annual
Responses: 50,000; Total Annual Hours: 12,495. (For policy questions
regarding this collection contact Naomi Rappaport at 410-786-2175. For
all other issues call 410-786-1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CY 2012 Plan
Benefit Package (PBP) Software and Formulary Submission; Use: Under the
Medicare Modernization Act (MMA), Medicare Advantage (MA) and
Prescription Drug Plan (PDP) organizations are required to submit plan
benefit packages for all Medicare beneficiaries residing in their
service area. The plan benefit package submission consists of the Plan
Benefit Package (PBP) software, formulary file, and supporting
documentation, as necessary. MA and PDP organizations use the PBP
software to describe their organization's plan benefit packages,
including information on premiums, cost sharing, authorization rules,
and supplemental benefits. They also generate a formulary to describe
their list of drugs, including information on prior authorization, step
therapy, tiering, and quantity limits. Additionally, CMS uses the PBP
and formulary data to review and approve the plan benefit packages
proposed by each MA and PDP organization.
CMS requires that MA and PDP organizations submit a completed PBP
and formulary as part of the annual bidding process. During this
process, organizations prepare their proposed plan benefit packages for
the upcoming contract year and submit them to CMS for review and
approval. Refer to the supporting document ``Appendix B'' for a list of
changes. Form Number: CMS-R-262 (OMB: 0938-0763); Frequency:
Yearly; Affected Public: Business or other for-profits and not-for-
profit institutions; Number of Respondents: 655; Total Annual
Responses: 6,878; Total Annual Hours: 18,020. (For policy questions
regarding this collection contact Kristy Holtje at 410-786-2209. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: CY 2012 Bid
Pricing Tool (BPT) for Medicare Advantage (MA) Plans and Prescription
Drug Plans (PDP); Use: Under the Medicare Prescription Drug,
Improvement, and Modernization Act of 2003 (MMA), and implementing
regulations at 42 CFR, Medicare Advantage organizations (MAO) and
Prescription Drug Plans are required to submit an actuarial pricing
``bid'' for each plan offered to Medicare beneficiaries for approval by
CMS.
MAOs and PDPs use the Bid Pricing Tool (BPT) software to develop
their actuarial pricing bid. The information provided in the BPT is the
basis for the plan's enrollee premiums and CMS payments for each
contract year. The tool collects data such as medical expense
development (from claims data and/or manual rating), administrative
expenses, profit levels, and projected plan enrollment information. By
statute, completed BPTs are due to CMS by the first Monday of June each
year. CMS reviews and analyzes the information provided on the Bid
Pricing Tool. Ultimately, CMS decides whether to approve the plan
pricing (i.e., payment and premium) proposed by each organization. Form
Number: CMS-10142 (OMB: 0938-0944); Frequency: Yearly;
Affected Public: Business or other for-profits and not-for-profit
institutions; Number of Respondents: 550; Total Annual Responses:
4,950; Total Annual Hours: 34,650. (For policy questions regarding this
collection contact Diane Spitalnic at 410-786-5745. For all other
issues call 410-786-1326.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Clinical
Laboratory Improvement Amendment (CLIA) of 1988 and Supporting
Regulations in 42 CFR 493.1-.2001; Use: The information collection
requirements in 42 CFR 493 outline the requirements necessary to
determine an entity's compliance with CLIA. CLIA requires laboratories
that perform testing on human beings to meet performance requirements
(quality standards) in order to be certified by the Department of
Health and Human Services (DHHS). DHHS conducts inspections to
determine a laboratory's compliance with CLIA requirements. CLIA
implements the certificate, laboratory standards and inspection
requirements. Form Number: CMS-R-26 (OMB: 0938-0612);
Frequency: Occasionally; Affected Public: Federal Government; State,
Local, or Tribal Governments; Private Sector: Business or other for-
profits and Not-for-profit institutions; Number of Respondents:
168,688; Total Annual Responses: 756,240; Total Annual Hours:
11,363,280. (For policy questions regarding this collection contact
Raelene Perfetto at 410-786-6876. 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 December 7, 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.
[[Page 62403]]
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: September 30, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-25053 Filed 10-7-10; 8:45 am]
BILLING CODE 4120-01-P
