[Federal Register: October 15, 2004 (Volume 69, Number 199)]
[Notices]
[Page 61257-61258]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr15oc04-102]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifier: CMS-10128, CMS-10112 and CMS-10068]
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: New collection; Title of
Information Collection: Public Reporting on Quality Outcomes National
Survey of Hospital Executives (``PRO QUO''); Use: CMS seeks to survey
hospitals quality improvement executives in spring 2005 to assess
awareness of CMS Hospital Quality Initiatives and related publicity,
and to assess impact of these initiatives on hospitals and their
quality improvement programs. Findings will be used to enhance CMS
programs to assist hospitals in quality improvement. Form Number: CMS-
10128 (OMB: 0938-NEW); Frequency: Once; Affected Public: Not-
for-profit institutions and business or other for-profit; Number of
Respondents: 1,600; Total Annual Responses: 1,600; Total Annual Hours:
792.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Phone Surveys of Product/Service for Medicare
Payment Validation and Supporting Regulations in 42 CFR 405.502; Form
No.: CMS-10112 (OMB 0938-NEW);
[[Page 61258]]
Use: The Phone Surveys of Product/Service for Medicare Payment
Validation will be used to identify specific products/services provided
to Medicare beneficiaries and the costs associated with the provision
of those products/services. The information collected will be used to
validate the Medicare payment amounts for those products/services and
institute revisions of payment amounts where necessary. The respondents
will be the companies that have provided the product/service under
review to Medicare beneficiaries.; Frequency: On occasion; Affected
Public: Business or other for-profit; Number of Respondents: 2,000;
Total Annual Responses: 2,000; Total Annual Hours: 16,000.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Assessing the
Division of Beneficiary Inquiry Customer Service's Performance for
Written Responses; Form No.: CMS-10068 (OMB 0938-0894); Use:
The Division of Beneficiary Inquiry Customer Service (DBICS) will
collect information several times during FY '04-'05 to assess the
customer service provided via written responses. DBICS will conduct the
written survey through mailings that will accompany actual responses.
The envelopes will be sent by Release Clerks so that the actual writer
has no knowledge that a particular response is being rated.; Frequency:
Quarterly; Affected Public: Individuals or households; Number of
Respondents: 2,872; Total Annual Responses: 2,872; Total Annual Hours:
287.
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://www.cms.hhs.gov/regulations/pra/, 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: Melissa
Musotto, Room C5-14-03, 7500 Security Boulevard, Baltimore, Maryland
21244-1850.
Dated: October 7, 2004.
John P. Burke, III,
Paperwork Reduction Act Team Leader, Office of Strategic Operations and
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 04-23123 Filed 10-14-04; 8:45 am]
BILLING CODE 4120-03-P