[Federal Register: November 22, 2002 (Volume 67, Number 226)]
[Notices]
[Page 70434-70435]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr22no02-81]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-R-70, CMS-2567, CMS-R-107]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
Agency: Centers for Medicare and Medicaid Services.
In compliance with the requirement of section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995, the Centers for Medicare and Medicaid
Services (CMS) (formerly known as the Health Care Financing
Administration (HCFA), 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 functions; (2) the accuracy of the estimated burden; (3)
ways to enhance the quality, utility, and clarity of the information to
[[Page 70435]]
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: Requirements in
HSQ-110, Acquisition, Protection and Disclosure of Peer Review
Organization Information and Supporting Regulations in 42 CFR, Sections
480.104, 480.105, 480.116, and 480.134.; Form No.: CMS-R-70
(OMB 0938-0426); Use: The Peer Review Improvement Act of 1982
authorizes quality improvement organizations (QIOs), formally known as
PROs, to acquire information necessary to fulfill their duties and
functions and places limits on disclosure of the information. These
requirements are on the QIOs to provide notices to the affected parties
when disclosing information about them. These requirements serve to
protect the rights of the affected parties. Frequency: On occasion;
Affected Public: Business or other for-profit, Individuals or
Households, and Not-for-profit institutions; Number of Respondents:
362; Total Annual Responses: 3,729; Total Annual Hours: 60,919.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Statement of
Deficiencies and Plan of Correction and Supporting Regulations in 42
CFR 488.18, 488.26, and 488.28; Form No.: CMS-2567 (OMB 0938-
0391); Use: This Paperwork package provides information regarding the
form used by the Medicare, Medicaid, and the Clinical Laboratory
Improvement Amendments (CLIA) programs to document a health care
facility's compliance or noncompliance (deficiencies) with regard to
the Medicare/Medicaid Conditions of Participation and Coverage, the
requirements for participation for Skilled Nursing Facilities and
Nursing Facilities, and for certification under CLIA. This form becomes
the basis for both public disclosure of information and CMS
certification decisions (including termination or denial of
participation); Frequency: Biennially and Annually; Affected Public:
Business or other for-profit, Not-for-profit institutions, Federal
Government, and State, Local or Tribal Government; Number of
Respondents: 60,000; Total Annual Responses: 60,000; Total Annual
Hours: 120,000.
3. Type of Information Collection Request: Reinstatement, with
change, of a previously approved collection for which approval has
expired; Title of Information Collection: Determining Third Party
Liability (TPL) State Plan Preprint and Supporting Regulations in 42
CFR 433.138; Form No.: CMS-R-107 (OMB 0938-0502); Use: The
collection of third party liability information results in significant
program savings to the extent that liable third parties can be
identified and payments can be made for services that would otherwise
be paid for by the Medicaid program. Frequency: On occasion; Affected
Public: Individuals or Households, Federal Government, and State,
Local, or Tribal Government; Number of Respondents: 1,900,000; Total
Annual Responses: 1,900,000; Total Annual Hours: 329,965.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS Web
Site address at http://cms.hhs.gov/regulations/pra/default.asp, or E-
mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@hcfa.gov, or call the Reports
Clearance Office on (410) 786-1326. Written comments and
recommendations for the proposed information collections must be mailed
within 30 days of this notice directly to the OMB desk officer: OMB
Human Resources and Housing Branch, Attention: Brenda Aguilar, New
Executive Office Building, Room 10235, Washington, DC 20503.
Dated: November 14, 2002.
John P. Burke III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer,
Office of Strategic Operations and Regulatory Affairs, Division of
Regulations Development and Issuances.
[FR Doc. 02-29711 Filed 11-21-02; 8:45 am]
BILLING CODE 4120-03-P