[Federal Register: June 24, 2005 (Volume 70, Number 121)]
[Notices]
[Page 36612-36613]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr24jn05-79]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-339]
Agency Information Collection Activities: Proposed Collection;
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) 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
[[Page 36613]]
other forms of information technology to minimize the information
collection burden.
1. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Medicare Provider
Cost Report Reimbursement Questionnaire and Supporting Regulations in
42 CFR 413.20, 413.24, and 415.60; Form Nos.: CMS-339 (OMB
0938-0301); Use: The purpose of Form CMS-339 is to assist the provider
in preparing an acceptable cost report and to minimize subsequent
contact between the provider and its intermediary. Form CMS-339
provides the basic data necessary to support the information in the
cost report. This includes information the provider uses to develop the
provider and professional components of physician compensation so that
compensation can be properly allocated between the Part A and the Part
B trust funds. CMS is currently working on eliminating Form CMS-339 and
including the applicable questions on the individual cost report forms.
Because of the time required to include the applicable questions in
each of the individual cost reports, CMS is revising the currently
approved information collection; Frequency: Annually; Affected Public:
Business or other for-profit, not-for-profit institutions, State, local
or tribal governments; Number of Respondents: 35,904; Total Annual
Responses: 35,904; Total Annual Hours: 618,210.
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 to the address
below: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: William N. Parham, III,
PRA Analyst, Room C5-13-27, 7500 Security Boulevard, Baltimore,
Maryland 21244-1850.
Dated: June 3, 2005.
Jim L. Wickliffe,
CMS Reports Clearance Officer, Regulations Development Group, Office of
Strategic Operations and Regulatory Affairs.
[FR Doc. 05-12161 Filed 6-23-05; 8:45 am]
BILLING CODE 4120-01-P