[Federal Register: September 9, 2005 (Volume 70, Number 174)]
[Notices]
[Page 53665]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09se05-88]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-416 and CMS-10156]
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 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: Annual Early and
Periodic Screening, Diagnostic and Treatment Services (EPSDT)
Participation Report; Form No.: CMS-416 (OMB 0938-0354); Use:
States are required to submit an annual report on the provision of
EPSDT services to CMS pursuant to section 1902(1)(43)(D) of the Social
Security Act. These reports provide CMS with data necessary to assess
the effectiveness of State EPSDT programs, to determine a state's
results in achieving its participation goal, and to respond to
inquiries; Frequency: Annually; Affected Public: State, local or tribal
Government; Number of Respondents: 56; Total Annual Responses: 56;
Total Annual Hours: 1,568.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Retiree Drug
Subsidy (RDS) Application and Instructions; Use: Under the Medicare
Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 and
implementing regulations at 42 CFR subpart R plan sponsors (employers,
unions) who offer prescription drug coverage to their qualified covered
retirees are eligible to receive a 28% tax-free subsidy for allowable
drug costs. In order to qualify, plan sponsors must submit a complete
application to CMS with a list of retirees for whom it intends to
collect the subsidy; Form Number: CMS-10156 (OMB: 0938-0957);
Frequency: Quarterly, Monthly, Annually; Affected Public: Business or
other for-profit, Not-for-profit institutions, Federal, State, local
and/or tribal Government; Number of Respondents: 50,000; Total Annual
Responses: 50,000; Total Annual Hours: 2,025,000.
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 25, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-17734 Filed 9-8-05; 8:45 am]
BILLING CODE 4120-01-P