Agency Information Collection Activities: Proposed Collection; Comment Request, 15016 [2013-05389]
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15016
Federal Register / Vol. 78, No. 46 / Friday, March 8, 2013 / Notices
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 previously approved collection; Title:
Durable Medical Equipment Medicare
Administrative Contractor Certificate of
Medical Necessity and Supporting
Documentation Requirements; Use: The
certificates of medical necessity (CMNs)
collect information required to help
determine the medical necessity of
certain items. The CMS requires CMNs
where there may be a vulnerability to
the Medicare program. Each initial
claim for these items must have an
associated CMN for the beneficiary.
Suppliers (those who bill for the items)
complete the administrative information
(e.g., patient’s name and address, items
ordered, etc.) on each CMN. The 1994
Amendments to the Social Security Act
require that the supplier also provide a
narrative description of the items
ordered and all related accessories, their
charge for each of these items, and the
Medicare fee schedule allowance (where
applicable). The supplier then sends the
CMN to the treating physician or other
clinicians (e.g., physician assistant,
LPN, etc.) who completes questions
pertaining to the beneficiary’s medical
condition and signs the CMN. The
physician or other clinician returns the
CMN to the supplier who has the option
to maintain a copy and then submits the
CMN (paper or electronic) to CMS,
along with a claim for reimbursement.
Form Numbers: CMS–846, 847, 848,
849, 10125, 10126 (OCN: 0938–0679);
Frequency: Occasionally; Affected
Public: Individuals or Households;
Number of Respondents: 462,000; Total
Annual Responses: 462,000; Total
Annual Hours: 92,400. (For policy
questions regarding this collection
contact Amanda Burd at 410–786–2074.
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
VerDate Mar<15>2010
18:44 Mar 07, 2013
Jkt 229001
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 April 8, 2013.
OMB, Office of Information and
Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395–
6974, Email:
OIRA_submission@omb.eop.gov.
Dated: February 26, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–05388 Filed 3–7–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–10053]
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: Extension of a currently
approved collection; Title of
Information Collection: Paid Feeding
AGENCY:
PO 00000
Frm 00058
Fmt 4703
Sfmt 9990
Assistants in Long-Term Care Facilities
and Supporting Regulations at 42 CFR
483.160; Use: Pursuant to 42 CFR part
483, long-term care facilities are
permitted to use paid feeding assistants
to supplement the services of certified
nurse aides. If facilities choose this
option, feeding assistants must complete
a training program. Nursing home
providers are expected to maintain a
record of all individuals used by the
facility as paid feeding assistants. Form
Number: CMS–10053 (OCN: 0938–
0916); Frequency: Occasionally;
Affected Public: Private Sector: Business
or other for-profit and not-for-profit
institutions; Number of Respondents:
4,250; Total Annual Responses: 4,250;
Total Annual Hours: 25,500. (For policy
questions regarding this collection
contact Shelly Ray at 410–786–7884.
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.
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 May 7, 2013:
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 lll, Room C4–26–05,
7500 Security Boulevard, Baltimore,
Maryland 21244–1850.
Dated: March 4, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–05389 Filed 3–7–13; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\08MRN1.SGM
08MRN1
]]>Agencies
[Federal Register Volume 78, Number 46 (Friday, March 8, 2013)]
[Notices]
[Page 15016]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-05389]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10053]
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: Extension of a currently
approved collection; Title of Information Collection: Paid Feeding
Assistants in Long-Term Care Facilities and Supporting Regulations at
42 CFR 483.160; Use: Pursuant to 42 CFR part 483, long-term care
facilities are permitted to use paid feeding assistants to supplement
the services of certified nurse aides. If facilities choose this
option, feeding assistants must complete a training program. Nursing
home providers are expected to maintain a record of all individuals
used by the facility as paid feeding assistants. Form Number: CMS-10053
(OCN: 0938-0916); Frequency: Occasionally; Affected Public: Private
Sector: Business or other for-profit and not-for-profit institutions;
Number of Respondents: 4,250; Total Annual Responses: 4,250; Total
Annual Hours: 25,500. (For policy questions regarding this collection
contact Shelly Ray at 410-786-7884. 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.
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 May 7, 2013:
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: March 4, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-05389 Filed 3-7-13; 8:45 am]
BILLING CODE 4120-01-P
