[Federal Register: January 3, 2005 (Volume 70, Number 1)]
[Notices]
[Page 91]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr03ja05-59]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10112, CMS-R-218]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & 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 & Medicaid
Services (CMS), 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: Phone Surveys of Product/Service for Medicare
Payment Validation and Supporting Regulations in 42 CFR 405.502; Form
No.: CMS-10112 (OMB 0938-NEW); Use: This collection will be
used to identify specific Medicare Part B 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.
2.Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: ICRS Contained in
45 CFR Part 162; HIPAA Standards for Electronic Transactions; Use: This
submission contains information collection requirements in HCFA-0149-F,
CMS-0003-P, CMS-0005-P, and CMS-003/005-F. This collection establishes
standards for electronic transactions and for code sets to be used in
those transactions. The collection standardizes the approximately 400
formats of electronic health care claims used in the United States. The
use of these standards significantly reduces the administrative burden
associated with paper documents, lowers operating costs, and improves
data quality for health care providers and health plans; Form Number:
CMS-R-218 (OMB 0938-0866); Frequency: On occasion; Affected
Public: Business or other for-profit; Number of Respondents: 3.4
million; Total Annual Responses: 3.4 million; Total Annual Hours: 1
hour.
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 30 days of this notice directly to the OMB desk officer: OMB
Human Resources and Housing Branch, Attention: Christopher Martin, New
Executive Office Building, Room 10235, Washington, DC 20503.
Dated: December 23, 2004.
John P. Burke, III,
CMS Paperwork Reduction Act Reports Clearance Officer, Office of
Strategic Operations and Regulatory Affairs, Regulations Development
Group.
[FR Doc. 04-28649 Filed 12-30-04; 8:45 am]
BILLING CODE 4120-03-P