[Federal Register: September 12, 2003 (Volume 68, Number 177)]
[Notices]
[Page 53741-53742]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12se03-58]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[CMS-10096, CMS-2786]
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 (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: New Collection; Title of
Information Collection: Medicare Health Survey (MHS); Form No.: CMS-
10096 (OMB 0938-NEW); Use: The Centers for Medicare and
Medicaid Services has developed a survey, the Medicare Health Survey,
that is similar to the Health Outcomes Survey (HOS). The main purpose
of the MHS is to collect information that may be used to adjust
Medicare payment. This approach has been tested for PACE (as mandated
by BBA) and other organizations that serve frail populations and
frailty adjusted payments will be made to PACE and certain
demonstrations starting in 2004. CMS is currently investigating the
feasibility of applying frailty adjustment to the M+C program in the
future. To
[[Page 53742]]
conduct the necessary research, CMS needs functional impairment
information for a national sample of FFS beneficiaries. The information
will be used for two purposes; to develop appropriate adjustments to
the ratebook for levels of functional impairment, and to recalibrate
the frailty payment model using FFS data. Adjusting the ratebook is
necessary to ensure accurate payment while recalibration of the frailty
model based on the MHS will properly align the calibration of the model
and the data collection method, thereby avoiding payment error
associated with the mode of administration issues; Frequency: Annually;
Affected Public: Individuals or Households; Number of Respondents:
50,000; Total Annual Responses: 35,000; Total Annual Hours: 5,833.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Fire Safety
Survey Report Forms and Supporting Regulations in 42 CFR 488.26 and
442.30; Form No.: CMS-2786 M, R, and T-Y (OMB 0938-0242); Use:
CMS surveys facilities to determine compliance with the Life Safety
Code of 2000. The providers must make documentation proving compliance
available to the surveyors; Frequency: Annually; Affected Public:
Business or other for-profit, Not-for-profit institutions; Number of
Respondents: 27,900; Total Annual Responses: 27,900; Total Annual
Hours: 2325.
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: September 5, 2003.
Julie Brown,
CMS Reports Clearance Officer, Office of Strategic Operations and
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-23213 Filed 9-11-03; 8:45 am]
BILLING CODE 4120-03-P