[Federal Register: January 17, 2003 (Volume 68, Number 12)]
[Notices]
[Page 2558-2559]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr17ja03-76]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifiers: CMS-R-72, CMS-10042, CMS-10081]
Agency Information Collection Activities: Proposed Collection;
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
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: Information Collection
Requirements in 42 CFR 478.18, 478.34, 478.36, and 478.42, QIO
Reconsiderations and Appeals; Form No.: CMS-R-72 (OMB 0938-
0443); Use: These regulations contain procedures for QIOs (formerly
known as PROs) to use in reconsideration of initial determinations. The
information requirements contained in these regulations are on QIOs to
provide information to parties requesting a reconsideration. These
parties will use the information as guidelines for appeal rights in
instances where issues are still in dispute.; Frequency: On occasion;
Affected Public: Individuals or Households and Business or other for-
profit; Number of Respondents: 2,509; Total Annual Responses: 5,228;
Total Annual Hours: 2,882.
(2) Type of Information Collection Request: New Collection; Title
of Information Collection: Medicare Part A Provider and Durable Medical
Equipment Supplier Satisfaction Survey; Form No.: CMS-10042
(OMB 0938-NEW); Use: This is a request for clearance of a
survey questionnaire to conduct a standardized random sample of Part A
providers' and DME suppliers' satisfaction of their experience with
their Medicare contractor's performance in its administration of the
Medicare-fee-for-service program. The purpose of this study is to
develop a baseline measure of providers' and suppliers' satisfaction
with Medicare contractors by administering a survey to 15,000 providers
and suppliers, 5,000 serviced by each of the following contractors:
Connecticut General Life Insurance Company (CIGNA)-D, Palmetto
Government Business Administrators (PBGA)-D, and United Government
Services, LLC (UGS)-Part A. The data collected will be interpreted to
produce indicators of the contractor's quality of performance.;
Frequency: Annually; Affected Public: Business or other for-profit, and
Not-for-profit institutions; Number of Respondents: 4,500; Total Annual
Responses: 4,500; Total Annual Hours: 1,125.
(3) Type of Information Request: New Collection; Title of
Information Collection: Data Collection for Administering the Survey
for the Evaluation of the Demonstration to Maintain Independence and
[[Page 2559]]
Employment (DMIE); Form No.: CMS-10081 (OMB 0938-NEW); Use:
The DMIE Programs, funded by CMS under Title II of the Federal Ticket
to Work Legislation, provide Medicaid coverage to low-income working
populations. The Survey Evaluation is designed to assess the impact of
the Mississippi DMIE program on access to care, health status and
quality of life, workforce participation, etc.; Frequency: Annually;
Affected Public: Individuals or Households, and State, Local, or Tribal
Gov.; Number of Respondents: 928; Total Annual Responses: 928; Total
Annual Hours: 253.
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://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 60 days of this notice directly to the CMS Paperwork Clearance
Officer designated at the following address: CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development
and Issuances, Attention: Dawn Willinghan, Room: C5-14-03, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: January 9, 2003.
John P. Burke, III,
CMS Reports Clearance Officer, Office of Strategic Operations and
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-1054 Filed 1-16-03; 8:45 am]
BILLING CODE 4120-03-P