[Federal Register: June 26, 2003 (Volume 68, Number 123)]
[Notices]
[Page 38053]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr26jn03-93]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[CMS-R-64, CMS-R-26, CMS-10005, CMS-3427]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare and 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 and Medicaid
Services (CMS) (formerly known as the Health Care Financing
Administration (CMS)), 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: Indirect Medical Education (IME)
and Supporting Regulations in 42 CFR 412.105.
Form No.: CMS-R-64 (OMB 0938-0456).
Use: This collection of information on interns and residents (IR)
is needed to properly calculate Medicare program payments to hospitals
that incur indirect costs for medical education. The agency's Intern
and Resident Information System uses the information for producing
automated reports of duplicate full-time equivalent IRs for IME. The
reports provide contractors with information to ensure that hospitals
are properly reimbursed for IME, and help eliminate duplicate reporting
of IR counts, which inflate payments. The collection of this
information affects 1,350 hospitals which participate in approved
medical education programs.
Frequency: Annually.
Affected Public: Not-for-profit institutions, and Business or other
for-profit.
Number of Respondents: 1,225.
Total Annual Responses: 1,225.
Total Annual Hours: 2,450.
2. Type of Information Request: Revision of a currently approved
collection.
Title of Information Collection: Clinical Laboratory Improvement
Amendments (CLIA) and the ICRs contained in the supporting regulations
in 42 CFR 493.1-493.2001.
Form Number: CMS-R-26 (OMB approval : 0938-0612).
Use: The ICRs referenced in 42 CFR part 493 outline the
requirements necessary to determine an entity's compliance with CLIA.
CLIA requires laboratories that perform testing on human beings to meet
performance requirements (quality standards) in order to be certified
by HHS.
Frequency: Other: As needed.
Affected Public: Business or other for-profit, Not-for-profit
institutions, Federal government, State, local or tribal gov't.
Number of Respondents: 168,688.
Total Annual Responses: 756,241.
Total Annual Hours Requested: 9,379,917.
3. Type of Information Request: Extension of a currently approved
collection.
Title of Information Collection: Ticket to Work and Work
Incentives: Medicaid Infrastructure Grants.
Form Number: CMS-10005 (OMB approval : 0938-0811).
Use: Section 203 of the Ticket to Work and Work Incentives Act of
1999 provides for the establishment of a grants program for states that
build infrastructures designed to support people with disabilities.
State agencies will be applying for these grants.
Frequency: Annually.
Affected Public: State, local or tribal govt.
Number of Respondents: 56.
Total Annual Responses: 56.
Total Annual Burden Hours: 5,600.
4. Type of Information Collection Request: Extension of a currently
approved collection.
Title of Information Collection: End Stage Renal Disease
Application and Survey and Certification Report and Supporting
Regulations in 42 CFR 405.2100-405.2184.
Form No.: CMS-3427 (OMB 0938-0360).
Use: Part I of this form is a facility identification and screening
measurement used to initiate the certification and recertification of
ESRD facilities. Part II is completed by the Medicare/Medicaid State
survey agency to determine facility compliance with ESRD conditions for
coverage.
Frequency: Annually.
Affected Public: State, local or tribal government.
Number of Respondents: 4000.
Total Annual Responses: 1,320.
Total Annual Hours: 330.
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@cms.hhs.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: June 19, 2003.
Dawn Willinghan,
CMS Reports Clearance Officer, Division of Regulations Development and
Issuances, Office of Strategic Operations and Strategic Affairs.
[FR Doc. 03-16105 Filed 6-25-03; 8:45 am]
BILLING CODE 4120-03-P