[Federal Register: August 12, 2005 (Volume 70, Number 155)]
[Notices]
[Page 47216-47217]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12au05-85]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-29/30, CMS-10150, CMS-381, CMS-10161, CMS-
10134, CMS-R-137]
Agency Information Collection Activities: Proposed Collection;
Comment Request
AGENCY: Centers for Medicare & Medicaid Services.
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 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: Request for
Certification as Rural Health Clinic and Rural Health Clinic Survey
Report Form and Supporting Regulations in 42 CFR 491.1-491.11; Form
No.: CMS-29 and CMS-30 (OMB 0938-0074); Use: The form CMS-29
is utilized as an application to be completed by suppliers of Rural
Health Clinic (RHC) services requesting participation in the Medicare/
Medicaid programs. This form initiates the process of obtaining a
decision as to whether the conditions for certification are met as a
supplier of RHC services. It also promotes data reduction or
introduction to and retrieval from the Online Survey and Certification
and Reporting System (OSCAR) by CMS Regional Offices (RO). The Form
CMS-30 is an instrument used by the State survey agency to record data
collected in order to determine RHC compliance with individual
conditions of participation and to report it to the Federal government.
The form is primarily a coding worksheet designed to facilitate data
reduction (keypunching) and retrieval into OSCAR at the CMS ROs. The
form includes basic information on compliance (i.e., met, not met and
explanatory statements) and does not require any descriptive
information regarding the survey activity itself; Frequency:
Reporting--Annually; Affected Public: State, Local or Tribal
Government; Number of Respondents: 698; Total Annual Responses: 698;
Total Annual Hours: 1,222.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Collection of
Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug
Plans (PDPs and MA-PDs) and Supporting Regulations in 42 CFR 423.48;
Form No.: CMS-10150 (OMB 0938-0951); Use: Both stand alone
prescription drug plans (PDPs) and Medicare Advantage Prescription Drug
(MA-PDs) plans will be required to submit drug pricing and pharmacy
network data to CMS. These data will be made publicly available to
Medicare beneficiaries through the new Medicare prescription drug plan
finder tool that will be launched in the fall of 2005 on http://www.medicare.gov.
The purpose of the data is to enable beneficiaries to
compare, learn, select and enroll in a plan that best meets their
needs; Frequency: Reporting--Weekly; Affected Public: Business or other
for-profit; Number of Respondents: 350; Total Annual Responses: 18,200;
Total Annual Hours: 36,400.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Identification of
Extension Units of Outpatient Physical Therapy/Outpatient Speech
Pathology (OPT/OSP) Providers and Supporting Regulations in 42 CFR
Sections 485.701-485.729; Form No.: CMS-381 (OMB 0938-0273);
Use: Medicare provides OPT/OSP providers to be surveyed to determine
compliance with Federal regulations. All locations where OPT/OSP
providers furnish services must meet these requirements. The CMS-381 is
the form used to identify all the OPT/OSP locations. Frequency:
Reporting--Annually; Affected Public: Business or other for-profit;
Number of Respondents: 2960; Total Annual Responses: 2960; Total Annual
Hours: 740.
4. Type of Information Collection Request: New Collection; Title of
Information Collection: New Freedom Initiative--Web-based Reporting
System for Grantees; Form No.: CMS-10161 (OMB 0938-NEW); Use:
CMS currently awards competitive grants to States and other eligible
entities for the purpose of designing and implementing effective and
enduring improvements in community-based long-term services and
supporting systems. We currently require grantees to report quarterly,
semi-annual, and or annually, depending on the grant type. CMS requires
the information obtained through Web-based grantee reporting for two
reasons: (1) in order to effectively monitor the grants, and; (2) to
report to Congress and other interested stakeholders the progress and
obstacles experienced by the grantees. The grantees are the respondents
to the Web-based reporting system; Frequency: Reporting--Quarterly,
Semi-annually,
[[Page 47217]]
and Annually; Affected Public: State, Local or Tribal Government and
Not-for-profit institutions; Number of Respondents: 298; Total Annual
Responses: 836; Total Annual Hours: 6,440.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Physician Group
Practice (PGP) Standardized Ambulatory Care Quality Measure Collection
Initiative; Use: The Benefits Improvement & Protection Act of 2000
mandated the Physician Group Practice (PGP) Demonstration and gave the
Secretary discretion to use quality measures to assess physician
performance in order to reward them for improvements in the quality and
efficiency of health care. This demonstration is intended to strengthen
the Medicare program by offering innovative models to beneficiaries
that improve quality and access and lower costs. As a result, Medicare
beneficiaries will directly benefit from these innovative models. The
demonstration represents the first pay for performance project for
physician group practices and will enable comparisons across groups and
geography; Form Number: CMS-10134 (OMB 0938-0942); Frequency:
Annually; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 10; Total Annual Responses:
10; Total Annual Hours: 790.
6. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Internal Revenue
Service/Social Security Administration/Centers for Medicare and
Medicaid Services Data Match and Supporting Regulations in 42 CFR
411.20-491.206; Form No.: CMS-R-137 (OMB 0938-0565); Use: The
Data Match project and information collection activity provides a
``check and balance'' against the Medicare program relying solely on a
single information collection system. It gives CMS the opportunity to
pursue collection of identified mistaken payments (within legal
constraints) and to update incorrect status indicators to prevent
further incorrect suspensions or mistaken payment or denial. Employers
identified through a match of IRS, SSA, and Medicare records will be
contacted concerning group health plan coverage of identified
individuals to ensure compliance with Medicare Secondary Payer
provisions found at 42 U.S.C. 1395y(b); Frequency: Reporting--Annually;
Affected Public: Business or other for-profit, Not-for-profit
institutions, Farms, Federal, State, Local or Tribal Government; Number
of Respondents: 341,065; Total Annual Responses: 341,065; Total Annual
Hours: 1,986,810.
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: Melissa Musotto, Room
C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: August 5, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-15977 Filed 8-11-05; 8:45 am]
BILLING CODE 4120-01-P