[Federal Register: February 25, 2003 (Volume 68, Number 37)]
[Notices]               
[Page 8771]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr25fe03-60]                         


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-822, CMS-209 and CMS-R-305]

 
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 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 Federal 
Health Care Programs Provider/Supplier Enrollment Application; Form 
No.: CMS-855 (OMB 0938-0685); Use: This information is needed 
to enroll providers and suppliers into the Medicare program by 
identifying them, pricing and paying their claims, and verifying their 
qualifications and eligibility to participate in Medicare; Frequency: 
Initial enrollment/recertification and Every three years; Affected 
Public: Business or other for-profit, individuals or households, and 
not-for-profit institutions; Number of Respondents: 274,000; Total 
Annual Responses: 274,000; Total Annual Hours: 642,000.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Laboratory 
Personnel Report Clinical Laboratory Improvement Amendments (CLIA) and 
Supporting Regulations in 42 CFR 493.1--493.2001; Form No.: HCFA-0209 
(OMB 0938-0151); Use: CLIA requires the Department of Health 
and Human Services (DHHS) to establish certification requirements for 
any laboratory that performs tests on human specimens, and to certify 
through the issuance of a certificate that those laboratories meet the 
requirements established by DHHS. The information collected on this 
survey form is used in the administrative pursuit of the 
Congressionally-mandated program with regard to regulation of 
laboratories participating in CLIA. Information on personnel 
qualifications of all technical personnel is needed to ensure the 
sample is representative of all laboratories; Frequency: Biennially; 
Affected Public: Business or other for profit, not for profit 
institutions, Federal Government, and State, Local or Tribal 
Government; Number of Respondents: 22,500; Total Annual Responses: 
11,250; Total Annual Hours: 5,625.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: External Quality 
Review of Medicaid MCOs and Supporting Regulations in 42 CFR 
438.352,438.360, 438.362, and 438.36; Form No.: CMS-R-305 (OMB 
0938-0786); Use: The results of Medicare reviews, Medicare 
accreditation surveys, and Medicaid external quality reviews will be 
used by States in assessing the quality of care provided to Medicaid 
beneficiaries provided by managed care organizations or to provide 
information on the quality of the care provided to the general public 
upon request. Three of the protocol activities are mandatory and six 
are optional; Frequency: Annually; Affected Public: Business or other 
for-profit, State, local or tribal govt.; Number of Respondents: 500; 
Total Annual Responses: 14,226; Total Annual Hours: 648,877.
    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: February 13, 2003.
John P. Burke, III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, 
Office of Strategic Operations and Regulatory Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 03-4340 Filed 2-24-03; 8:45 am]

BILLING CODE 4120-03-P