Agency Information Collection Activities: Proposed Collection; Comment Request, 21370-21371 [2011-9025]
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srobinson on DSKHWCL6B1PROD with NOTICES
21370
Federal Register / Vol. 76, No. 73 / Friday, April 15, 2011 / Notices
Medicare beneficiaries. The legislation
provides $500,000,000 for the program.
The goals of the CCTP are to improve
transitions of beneficiaries from the
inpatient hospital setting to other care
settings, to improve quality of care, to
reduce readmissions for high risk
beneficiaries, and to document
measureable savings to the Medicare
program. Form Number: CMS–10369
(OMB#: 0938–NEW); Frequency: Once;
Affected Public: State, Local, or Tribal
Governments; Private Sector—Business
or other for-profits and not-for-profit
institutions; Number of Respondents:
1,000; Total Annual Responses: 1,000;
Total Annual Hours: 80,000. (For policy
questions regarding this collection
contact Juliana Tiongson at 410–786–
0342. 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.gov/
PaperworkReductionActof1995/PRAL/
list.asp#TopOfPage 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 at 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 June 14, 2011:
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: April 6, 2011.
Martique Jones,
Director, Regulations Development Group—
Division B, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2011–9125 Filed 4–12–11; 11:15 am]
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DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–216–94 and
CMS–10112]
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
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 of a currently
approved collection; Title of
Information Collection: Organ
Procurement Organization/
Histocompatibility Laboratory
Statement of Reimbursable Costs,
manual instructions and supporting
regulations contained in 42 CFR 413.20
and 413.24; Use: This form is required
by statue and regulation for
participation in the Medicare program.
The information is used to determine
payment for Medicare. Organ
Procurement Organizations and
Histocompatibility Laboratories are the
users. Form Number: CMS–216–94
(OMB# 0938–0102); Frequency: Yearly;
Affected Public: Business or other forprofit, Not-for-profit institutions;
Number of Respondents: 115; Total
Annual Responses: 115; Total Annual
Hours: 5175. (For policy questions
regarding this collection contact Angela
Havrilla at 410–786–4516 or Amelia
Citerone at 410–786–3901. For all other
issues call 410–786–1326.)
2. Type of Information Collection
Request: Extension without change of a
currently approved collection; Title of
Information Collection: Phone Surveys
AGENCY:
PO 00000
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of Products and Services for Medicare
Payment Validation and Supporting
Regulations in 42 CFR 405.502. Use:
The phone surveys of products and
services for Medicare payment
validation and supporting regulations in
42 CFR 405.502 will be used to identify
specific products/services provided to
Medicare beneficiaries and the costs
associated with the provision of those
products/services. The information
collected will be used to validate the
Medicare payment amounts for those
products/services and institute revisions
of payment amounts where necessary.
The respondents will be the companies
that have provided the product/service
under review to Medicare beneficiaries.
Form Number: CMS–10112 (OMB#
0938–0939); Frequency: Occasionally;
Affected Public: Private sector—
Business or other for-profit; Number of
Respondents: 4,000; Total Annual
Responses: 4,000; Total Annual Hours:
16,000. (For policy questions regarding
this collection contact Michael Rich at
410–786–6856. For all other issues call
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 May 16, 2011.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395–6974, Email: OIRA_submission@omb.eop.gov.
Dated: April 8, 2011.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2011–9024 Filed 4–14–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–304 and CMS–
304a; and CMS–368 and CMS–R–144]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
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.
AGENCY:
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srobinson on DSKHWCL6B1PROD with NOTICES
Federal Register / Vol. 76, No. 73 / Friday, April 15, 2011 / Notices
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: Medicaid Drug
Rebate Program—Labelers
Reconciliation of State Invoice (CMS–
304) and Prior Quarter Adjustment
Statement (CMS–304a); Use: Section
1927(b)(2) of the Social Security Act
establishes manufacturer requirements
for paying quarterly rebates to States as
part of the Medicaid Drug Rebate
Program. Specifically, in order to
receive a rebate on drugs dispensed to
Medicaid recipients, States are required
to submit quarterly utilization data to
drug manufacturers that have national
rebate agreements with the Federal
Government. Form CMS–304 is used by
manufacturers for both unit adjustments
and disputes in response to the State’s
invoice for current quarter utilization.
The form CMS–304a is required only in
those instances where a manufacturer
discovers unit adjustments and/or
disputes from a previous quarter’s State
invoice. Both forms are used to
reconcile drug rebate payments made by
manufacturers with the State invoices of
rebates due; Form Numbers: CMS–304
and CMS–304a (OMB#: 0938–0676);
Frequency: Quarterly; Affected Public:
Private Sector: Business or other forprofits; Number of Respondents: 1,011;
Total Annual Responses: 4,044; Total
Annual Hours: 183,120. (For policy
questions regarding this collection
contact Andrea Wellington at 410–786–
3490. For all other issues call 410–786–
1326.)
2. Type of Information Collection
Request: Revision of a currently
approved collection; Title of
Information Collection: State Medicaid
Drug Rebate Forms: CMS–R–144
(Quarterly Report Data) and CMS–368
(Administrative Data); Use: Section
1927(b)(2) of the Social Security Act
establishes State requirements for
reporting drug utilization data to CMS
and to drug manufacturers participating
in the Medicaid Drug Rebate Program.
Specifically, in order to receive a rebate
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16:58 Apr 14, 2011
Jkt 223001
on drugs dispensed to Medicaid
recipients, States are required to submit
quarterly utilization data reports to drug
manufacturers that have national rebate
agreements with the Federal
Government. In addition, a copy of
these reports must also be submitted to
CMS. Form CMS–R–144 is used by the
States to submit this utilization
information to both manufacturers and
CMS. Form CMS–368 is a report of
contact for the State to name the
individuals involved in the drug rebate
program and is required only in those
instances where a change to the original
data submittal is necessary. The ability
to require the reporting of any changes
to these data is necessary to the efficient
operation of the rebate program; Form
Numbers: CMS–R–144 and CMS–368
(OMB#: 0938–0852); Frequency:
Quarterly; Affected Public: State, Local
or Tribal Governments; Number of
Respondents: 56; Total Annual
Responses: 224; Total Annual Hours:
12,101. (For policy questions regarding
this collection contact Andrea
Wellington at 410–786–3490. 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.gov/
PaperworkReductionActof1995/PRAL/
list.asp#TopOfPage 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 at 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 June 14, 2011:
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.
PO 00000
Frm 00054
Fmt 4703
Sfmt 4703
21371
Dated: April 8, 2011.
Michelle Shortt,
Director, Regulations Development Group,
Office of Strategic Operations and Regulatory
Affairs.
[FR Doc. 2011–9025 Filed 4–14–11; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier CMS–10337]
Agency Information Collection
Activities: Proposed Collection;
Comment Request
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: Revision of a currently
approved collection; Title of
Information Collection: Limited
Competition for State Planning and
Establishment Grants for the Affordable
Care Act’s Exchanges; Use: On March
23, 2010, the President signed into law
the Patient Protection and Affordable
Care Act. On March 30, 2010, the Health
Care and Education Reconciliation Act
of 2010 was signed into law. The two
laws are collectively referred to as the
Affordable Care Act. The Affordable
Care Act includes a wide variety of
provisions designed to expand coverage,
provide more health care choices,
enhance the quality of health care for all
Americans, hold insurance companies
more accountable, and lower health care
costs.
The Affordable Care Act provides
each State with the option to set up a
State-operated Health Benefits
AGENCY:
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]]>Agencies
[Federal Register Volume 76, Number 73 (Friday, April 15, 2011)]
[Notices]
[Pages 21370-21371]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-9025]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-304 and CMS-304a; and CMS-368 and CMS-R-144]
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.
[[Page 21371]]
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: Medicaid Drug
Rebate Program--Labelers Reconciliation of State Invoice (CMS-304) and
Prior Quarter Adjustment Statement (CMS-304a); Use: Section 1927(b)(2)
of the Social Security Act establishes manufacturer requirements for
paying quarterly rebates to States as part of the Medicaid Drug Rebate
Program. Specifically, in order to receive a rebate on drugs dispensed
to Medicaid recipients, States are required to submit quarterly
utilization data to drug manufacturers that have national rebate
agreements with the Federal Government. Form CMS-304 is used by
manufacturers for both unit adjustments and disputes in response to the
State's invoice for current quarter utilization. The form CMS-304a is
required only in those instances where a manufacturer discovers unit
adjustments and/or disputes from a previous quarter's State invoice.
Both forms are used to reconcile drug rebate payments made by
manufacturers with the State invoices of rebates due; Form Numbers:
CMS-304 and CMS-304a (OMB: 0938-0676); Frequency: Quarterly;
Affected Public: Private Sector: Business or other for-profits; Number
of Respondents: 1,011; Total Annual Responses: 4,044; Total Annual
Hours: 183,120. (For policy questions regarding this collection contact
Andrea Wellington at 410-786-3490. For all other issues call 410-786-
1326.)
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: State Medicaid
Drug Rebate Forms: CMS-R-144 (Quarterly Report Data) and CMS-368
(Administrative Data); Use: Section 1927(b)(2) of the Social Security
Act establishes State requirements for reporting drug utilization data
to CMS and to drug manufacturers participating in the Medicaid Drug
Rebate Program. Specifically, in order to receive a rebate on drugs
dispensed to Medicaid recipients, States are required to submit
quarterly utilization data reports to drug manufacturers that have
national rebate agreements with the Federal Government. In addition, a
copy of these reports must also be submitted to CMS. Form CMS-R-144 is
used by the States to submit this utilization information to both
manufacturers and CMS. Form CMS-368 is a report of contact for the
State to name the individuals involved in the drug rebate program and
is required only in those instances where a change to the original data
submittal is necessary. The ability to require the reporting of any
changes to these data is necessary to the efficient operation of the
rebate program; Form Numbers: CMS-R-144 and CMS-368 (OMB:
0938-0852); Frequency: Quarterly; Affected Public: State, Local or
Tribal Governments; Number of Respondents: 56; Total Annual Responses:
224; Total Annual Hours: 12,101. (For policy questions regarding this
collection contact Andrea Wellington at 410-786-3490. 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.gov/PaperworkReductionActof1995/PRAL/list.asp#TopOfPage 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 at 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 June 14, 2011:
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: April 8, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2011-9025 Filed 4-14-11; 8:45 am]
BILLING CODE 4120-01-P
