Agency Information Collection Activities: Submission for OMB Review; Comment Request, 37545 [2013-14870]
Download as PDF
Federal Register / Vol. 78, No. 120 / Friday, June 21, 2013 / Notices
regarding this collection contact Terry
Lied at 410–786–8973.)
9. Type of Information Collection
Request: Reinstatement without change
of a previously approved collection;
Title of Information Collection: Request
for Retirement Benefit Information; Use:
Section 1818(d)(5) of the Social Security
Act provides that former state and local
government employees (who are age 65
or older, have been entitled to Premium
Part A for at least 7 years, and did not
have the premium paid for by a state, a
political subdivision of a state, or an
agency or instrumentality of one or
more states or political subdivisions)
may have the Part A premium reduced
to zero. These individuals must also
have 10 years of employment with the
state or local government employer or a
combination of 10 years of employment
with a state or local government
employer and a non-government
employer. Form CMS–R–285 is an
essential part of the process of
determining whether an individual
qualifies for the premium reduction.
The Social Security Administration will
use this information to help determine
whether a beneficiary meets the
requirements for reduction of the Part A
premium. Form Number: CMS–R–285
(OCN: 0938–0769). Frequency: Once.
Affected Public: State, Local, or Tribal
Governments; Number of Respondents:
500; Total Annual Responses: 500; Total
Annual Hours: 125. (For policy
questions regarding this collection
contact Lindsay Smith at 410–786–
6843.)
Dated: June 18, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–14878 Filed 6–20–13; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Centers for Medicare & Medicaid
Services
[Document Identifier: CMS–460]
TKELLEY on DSK3SPTVN1PROD with NOTICES
Agency Information Collection
Activities: Submission for OMB
Review; Comment Request
ACTION:
Notice.
The Centers for Medicare &
Medicaid Services (CMS) is announcing
an opportunity for the public to
comment on CMS’ intention to collect
information from the public. Under the
Paperwork Reduction Act of 1995
(PRA), federal agencies are required to
SUMMARY:
VerDate Mar<15>2010
18:32 Jun 20, 2013
Jkt 229001
publish notice in the Federal Register
concerning each proposed collection of
information, including each proposed
extension or reinstatement of an existing
collection of information, and to allow
a second opportunity for public
comment on the notice. Interested
persons are invited to send comments
regarding the 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.
DATES: Comments on the collection(s) of
information must be received by the
OMB desk officer by July 22, 2013.
ADDRESSES: When commenting on the
proposed information collections,
please reference the document identifier
or OMB control number. To be assured
consideration, comments and
recommendations must be received by
the OMB desk officer via one of the
following transmissions: OMB, Office of
Information and Regulatory Affairs,
Attention: CMS Desk Officer, Fax
Number: (202) 395–6974 or Email:
OIRA_submission@omb.eop.gov.
To obtain copies of a supporting
statement and any related forms for the
proposed collection(s) summarized in
this notice, you may make your request
using one of following:
1. Access CMS’ Web site address at
https://www.cms.hhs.gov/
PaperworkReductionActof1995.
2. Email your request, including your
address, phone number, OMB number,
and CMS document identifier, to
Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at
(410) 786–1326.
FOR FURTHER INFORMATION CONTACT:
Reports Clearance Office at (410) 786–
1326.
SUPPLEMENTARY INFORMATION: Under the
Paperwork Reduction Act of 1995 (PRA)
(44 U.S.C. 3501–3520), federal Agencies
must obtain approval from the Office of
Management and Budget (OMB) for each
collection of information they conduct
or sponsor. The term ‘‘collection of
information’’ is defined in 44 U.S.C.
3502(3) and 5 CFR 1320.3(c) and
includes agency requests or
requirements that members of the public
submit reports, keep records, or provide
information to a third party. Section
3506(c)(2)(A) of the PRA (44 U.S.C.
PO 00000
Frm 00042
Fmt 4703
Sfmt 9990
37545
3506(c)(2)(A)) requires federal agencies
to publish a 30-day notice in the
Federal Register concerning each
proposed collection of information,
including each proposed extension or
reinstatement of an existing collection
of information, before submitting the
collection to OMB for approval. To
comply with this requirement, CMS is
publishing this notice that summarizes
the following proposed collection(s) of
information for public comment:
1. Type of Information Collection
Request: Extension of a currently
approved collection; Title of
Information Collection: Medicare
Participating Physician or Supplier
Agreement; Use: Section 1842(h) of the
Social Security Act permits physicians
and suppliers to voluntarily participate
in Medicare Part B by agreeing to take
assignment on all claims for services to
Medicare beneficiaries. The law also
requires that the Secretary provide
specific benefits to the physicians,
suppliers and other persons who choose
to participate. Form CMS–460 is the
agreement by which the physician or
supplier elects to participate in
Medicare. The collected information is
used by Medicare contractors to provide
the benefits the law provides for
participating entities and to enable
contractors to enforce the Medicare
limiting charge for physicians, suppliers
and other persons who do not
participate. It is also used by Medicare
beneficiaries to assist them in locating
physicians who will accept Medicare
assignment on claims for services and
therefore save them money. In addition,
we use the form to gauge the
effectiveness of efforts to increase
participation in Medicare. Form
Number: CMS–460 (OCN: 0938–0373);
Frequency: Yearly; Affected Public:
Private sector (business or other forprofits); Number of Respondents:
120,000; Total Annual Responses:
120,000; Total Annual Hours: 30,000.
(For policy questions regarding this
collection contact April Billingsley at
410–786–0140.)
Dated: June 18, 2013.
Martique Jones,
Deputy Director, Regulations Development
Group, Office of Strategic Operations and
Regulatory Affairs.
[FR Doc. 2013–14870 Filed 6–20–13; 8:45 am]
BILLING CODE 4120–01–P
E:\FR\FM\21JNN1.SGM
21JNN1
Agencies
[Federal Register Volume 78, Number 120 (Friday, June 21, 2013)]
[Notices]
[Page 37545]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-14870]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-460]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: The Centers for Medicare & Medicaid Services (CMS) is
announcing an opportunity for the public to comment on CMS' intention
to collect information from the public. Under the Paperwork Reduction
Act of 1995 (PRA), federal agencies are required to publish notice in
the Federal Register concerning each proposed collection of
information, including each proposed extension or reinstatement of an
existing collection of information, and to allow a second opportunity
for public comment on the notice. Interested persons are invited to
send comments regarding the 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.
DATES: Comments on the collection(s) of information must be received by
the OMB desk officer by July 22, 2013.
ADDRESSES: When commenting on the proposed information collections,
please reference the document identifier or OMB control number. To be
assured consideration, comments and recommendations must be received by
the OMB desk officer via one of the following transmissions: OMB,
Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974 or Email: OIRA_
submission@omb.eop.gov.
To obtain copies of a supporting statement and any related forms
for the proposed collection(s) summarized in this notice, you may make
your request using one of following:
1. Access CMS' Web site address at https://www.cms.hhs.gov/PaperworkReductionActof1995.
2. Email your request, including your address, phone number, OMB
number, and CMS document identifier, to Paperwork@cms.hhs.gov.
3. Call the Reports Clearance Office at (410) 786-1326.
FOR FURTHER INFORMATION CONTACT: Reports Clearance Office at (410) 786-
1326.
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), federal Agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. The term ``collection of
information'' is defined in 44 U.S.C. 3502(3) and 5 CFR 1320.3(c) and
includes agency requests or requirements that members of the public
submit reports, keep records, or provide information to a third party.
Section 3506(c)(2)(A) of the PRA (44 U.S.C. 3506(c)(2)(A)) requires
federal agencies to publish a 30-day notice in the Federal Register
concerning each proposed collection of information, including each
proposed extension or reinstatement of an existing collection of
information, before submitting the collection to OMB for approval. To
comply with this requirement, CMS is publishing this notice that
summarizes the following proposed collection(s) of information for
public comment:
1. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare
Participating Physician or Supplier Agreement; Use: Section 1842(h) of
the Social Security Act permits physicians and suppliers to voluntarily
participate in Medicare Part B by agreeing to take assignment on all
claims for services to Medicare beneficiaries. The law also requires
that the Secretary provide specific benefits to the physicians,
suppliers and other persons who choose to participate. Form CMS-460 is
the agreement by which the physician or supplier elects to participate
in Medicare. The collected information is used by Medicare contractors
to provide the benefits the law provides for participating entities and
to enable contractors to enforce the Medicare limiting charge for
physicians, suppliers and other persons who do not participate. It is
also used by Medicare beneficiaries to assist them in locating
physicians who will accept Medicare assignment on claims for services
and therefore save them money. In addition, we use the form to gauge
the effectiveness of efforts to increase participation in Medicare.
Form Number: CMS-460 (OCN: 0938-0373); Frequency: Yearly; Affected
Public: Private sector (business or other for-profits); Number of
Respondents: 120,000; Total Annual Responses: 120,000; Total Annual
Hours: 30,000. (For policy questions regarding this collection contact
April Billingsley at 410-786-0140.)
Dated: June 18, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2013-14870 Filed 6-20-13; 8:45 am]
BILLING CODE 4120-01-P