[Federal Register: December 30, 2003 (Volume 68, Number 249)]
[Notices]
[Page 75260-75261]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30de03-80]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-10000, CMS-10091 and CMS-10028A, B, and C]
Agency Information Collection Activities: Submission for OMB
Review; 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
[[Page 75261]]
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: Medicare Consumer
Assessment of Health Plan Survey-Fee for Service (CAHPS-FFS); Form No.:
CMS-10000 (OMB 0938-0796); Use: Under the Balanced Budget Act
of 1997, CMS is required to provide general and plan comparative
information to beneficiaries that will help them make more informed
plan choices. A CAHPS fee-for-service survey is needed to provide
information comparable to those data collected from the CAHPS managed
care survey; Frequency: Annually; Affected Public: Individuals or
Households; Number of Respondents: 142,920; Total Annual Responses:
142,920; Total Annual Hours: 47,640.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: UPIN (Unique
Physician Identification Number) Participating Physicians Directory;
Form No.: CMS-10091 (OMB 0938-0905); Use: In November of 2000,
CMS launched the Participating Physicians Directory on http://www.medicare.gov.
This particular directory was created to provide
beneficiaries with the names, addresses, and specialties of Medicare
participating physicians who have agreed to accept assignment on all
Medicare claims and covered services. CMS is adding information from
already existing sources; in addition, CMS wants to collect a new data
element ``Accepting New Patients Indicator'' which is essential to a
beneficiary's search for a physician; Frequency: On occasion; Affected
Public: Business or other for-profit; Number of Respondents: 10,980;
Total Annual Responses: 10,980; Total Annual Hours: 915.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Health
Insurance Assistance Program (SHIP) Client Contact Form, Public and
Media Activity Form, and Resource Report; Form No.: CMS-10028A, B, C
(OMB 0938-0850); Use: The State Health Insurance Assistance
Program (SHIP) Client Contract form will be completed by SHIP
counselors at each counseling event in order to collect SHIP
performance data. This data will then be accumulated and analyzed to
measure SHIP performance; Frequency: Semi-annually and annually;
Affected Public: State, Local, or Tribal Government, Not-for-profit
institutions, and Federal Government; Number of Respondents: 12,000;
Total Annual Responses: 1,000,000; Total Annual Hours: 116,747.
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: December 18, 2003.
Melissa Musotto,
Acting, Paperwork Reduction Act Team Leader, CMS Reports Clearance
Officer, Office of Strategic Operations and Strategic Affairs, Division
of Regulations Development and Issuances.
[FR Doc. 03-32044 Filed 12-29-03; 8:45 am]
BILLING CODE 4120-03-P