[Federal Register: September 8, 2003 (Volume 68, Number 173)]
[Notices]
[Page 52948-52949]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr08se03-83]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-2744 and CMS-2746]
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: Revision of a currently
approved collection;
Title of Information Collection: End Stage Renal Disease Medical
Information System ESRD Facility Survey and Supporting Regulations in
42 CFR 405.2133; Form No.: CMS-2744 (OMB 0938-0447); Use: The
ESRD Facility Survey form (CMS-2744) is completed annually by Medicare-
approved providers of dialysis and transplant services. The CMS-2744 is
designed to collect information concerning treatment trends,
utilization of services and patterns of practice in treating ESRD
patients; Frequency: Annually; Affected Public: Business or other for-
profit, and Not-for-profit institutions; Number of Respondents: 4,360;
Total Annual Responses: 4,360; Total Annual Hours: 34,880.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: End Stage Renal
Disease Death Notification, Pub. L. 95-292; 42 CFR 405.2133; 45 CFR 5,
5b; 20 CFR parts 401, 422E; Form No.: CMS-2746 (OMB 0938-
0448); Use: The ESRD Death Notification is to be completed upon the
death of ESRD patients. Its primary purpose is to collect fact and
cause of death. Reports of deaths are used to show cause of death and
demographic characteristics of these patients; Frequency: Other: One-
time (patient death); Affected Public: Business or other for-profit,
Not-for-profit institutions, and Federal Government; Number of
Respondents: 4,360; Total Annual Responses: 69,760; Total Annual Hours:
34,880.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections
[[Page 52949]]
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: August 28, 2003.
Dawn Willinghan,
Acting CMS Reports Clearance Officer, Office of Strategic Operations
and Strategic Affairs, Division of Regulations Development and
Issuances.
[FR Doc. 03-22695 Filed 9-5-03; 8:45 am]
BILLING CODE 4120-03-P