[Federal Register Volume 71, Number 156 (Monday, August 14, 2006)]
[Notices]
[Pages 46483-46484]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-13189]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-576A, CMS-10203, CMS-R-64, CMS-3070G-I, and
CMS-304/304A]
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: Organ Procurement
Organization's (OPO's) Health Insurance Benefits Agreement and
Supporting Regulations at 42 CFR 486.301-486.348; Use: The information
provided on this form serves as a basis for continuing the agreements
with CMS and the 58 OPOs for participation in the Medicare and Medicaid
programs and for reimbursement of service; Form Number: CMS-576A
(OMB: 0938-0512; Frequency: Reporting--Every 4 years and as
needed; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 58; Total Annual Responses:
58; Total Annual Hours: 116.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Medicare Health Outcome Survey (HOS) and
supporting regulations at 42 CFR 422.152; Use: The Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 mandates
the collection, analysis and reporting of health outcomes information.
The collection of Medicare health outcomes information is necessary to
hold Medicare managed care contractors accountable for the quality of
care they are delivering. This reporting requirement allows CMS to
obtain the information necessary for the proper oversight of the
program; Form Number: CMS-10203 (OMB: 0938-New; Frequency:
Recordkeeping, Reporting: Annually; Affected Public: Individuals or
Households, Business or other for-profit and Not-for-profit
institutions; Number of Respondents: 320,040; Total Annual Responses:
320,040; Total Annual Hours: 105,613.
3. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Indirect Medical Education (IME) and Supporting Regulations 42 CFR
412.105; Direct Graduate Medical Education (GME) and Supporting
Regulations in 42 CFR 413.75-413.73; Use: The collection of information
on interns and residents (IR) is needed to properly calculate Medicare
program payments to hospitals that incur indirect and direct costs for
medical education. The agency's Intern and Resident Information System
(IRIS) and similar contractor systems use the information for producing
reports of duplicate full-time equivalent IR counts for IME and GME.
The contractors also use this information to ensure that hospitals are
properly reimbursed for IME and GME, and help eliminate duplicate
reporting of IR counts which inflate payments. The collection of this
information affects 1,215 hospitals which participate in approved
medical education programs; Form Number: CMS-R-64 (OMB: 0938-
0456); Frequency: Recordkeeping and Reporting--Annually; Affected
Public: Not-for-profit and Business or other for-profit institutions;
Number of Respondents: 1,215; Total Annual Responses: 1,215; Total
Annual Hours: 2,430.
[[Page 46484]]
4. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Intermediate Care Facility for the Mentally Retarded or Persons with
Related Conditions ICF/MR Survey Report Form and Supporting Regulations
at 42 CFR 442.30, 483.410, 483.420, 483.440, 483.50, and 483.460; Use:
The survey forms are needed to ensure provider compliance. In order to
participate in the Medicaid program as an ICF/MR, providers must meet
Federal standards. The survey report form is used to record providers'
level of compliance with the individual standard requirements and
report it to the Federal government; Form Number: CMS-3070G-I
(OMB: 0938-0062); Frequency: Recordkeeping and Reporting--
Annually; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 6,428; Total Annual
Responses: 6,428; Total Annual Hours: 19,284.
5. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Reconciliation of State Invoice and Prior Quarter Adjustment Statement;
Use: Section 1927 of the Social Security Act requires drug labelers to
enter into and have in effect a rebate agreement with CMS for States to
receive funding for drugs dispensed to Medicaid recipients. Drug
manufacturers must complete and submit to States the CMS-304 form to
explain any rebate payment adjustments for the current quarter, and
complete and submit the CMS-304A form to States to explain rebate
payment adjustments to any prior quarters. Both forms are used to
reconcile drug rebate payments made by manufacturers with the States'
invoices of rebates due; Form Number: CMS-304/304A (OMB: 0938-
0676); Frequency: Recordkeeping and Reporting--Quarterly; Affected
Public: Business or other for-profit; Number of Respondents: 550; Total
Annual Responses: 3,740; Total Annual Hours: 139,480.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS's
Web site address at http://www.cms.hhs.gov/PaperworkReductionActof1995,
or E-mail your request, including your address, phone number, OMB
number, and CMS document identifier, to [email protected], 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 at the address below,
no later than 5 p.m. on October 13, 2006.
CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development--A, Attention: Melissa Musotto,
Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: August 3, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-13189 Filed 8-11-06; 8:45 am]
BILLING CODE 4120-01-P