[Federal Register: September 16, 2005 (Volume 70, Number 179)]
[Notices]
[Page 54750]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr16se05-117]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-1856/1893, CMS-R-254, CMS-10160, CMS-10154]
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 function; (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 in the Medicare and/or Medicaid Program to Provide
Outpatient Physical Therapy (OPT) and/or Speech Pathology Services, OPT
Speech Pathology Survey Report and Supporting Regulations in 42 CFR
485.701-485.729.; Form No.: CMS-1856, CMS-1893 (OMB 0938-
0065); Use: The Medicare Program requires OPT providers to meet certain
health and safety requirements. The request for certification form is
used by State agency surveyors to determine if minimum Medicare
eligibility requirements are met. The survey report form records the
result of the on-site survey; Frequency: On occasion and Other--every 6
years; Affected Public: Business or other for-profit; Number of
Respondents: 2,968; Total Annual Responses: 495; Total Annual Hours:
866.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: National Medicare
Education Program (NMEP); Form No.: CMS-R-254 (OMB 0938-
0738); Use: The NMEP was developed to inform people with Medicare,
their family members, and other interested parties about their Medicare
options. The Medicare Modernization Act of 2003 expanded the program to
include among other things, a new Prescription Drug Benefit; therefore,
this package has been revised to include this information. The NMEP
employs numerous communication channels to educate people with Medicare
and help them make more informed decisions concerning the Medicare
program benefits; health plan choices; supplemental health insurance;
rights, responsibilities, and protections; and preventive health
services. As part of the NMEP, CMS must provide information to this
population about the Medicare program and their Health Plan options, as
well as information about the new prescription drug coverage to help
them choose the option that is right for them. This survey seeks to
assess the awareness, knowledge, understanding and experiences of
people with Medicare regarding the Medicare program overall and these
new initiatives; Frequency: On occasion; Affected Public: Individuals
or Households; Number of Respondents: 5,700; Total Annual Responses:
5,700; Total Annual Hours: 1,425.
3. Type of Information Collection Request: New collection; Title of
Information Collection: The Consumer Assessment of Health Behaviors
Survey; Form No.: CMS-10160 (OMB 0938-NEW); Use: New focus on
personalizing messages by relating health care choices with individual
beliefs may help guide these educational efforts. The intent of this
survey is to understand the role personal responsibility plays when
people with Medicare make health care decisions; Affected Public:
Individuals or households; Number of Respondents: 1580; Total Annual
Responses: 1580; Total Annual Hours: 395.
4. Type of Information Collection Request: New collection; Title of
Information Collection: Physician Assessment of Hospital Quality
Reports; Form No.: CMS-10154 (OMB 0938-NEW); Use: This
assessment will monitor the attitudes and behaviors of physicians as
they relate to the concerns of their patients who have been exposed to
hospital quality-of-care reports at CMS's Web Site; Affected Public:
Individuals or households; Number of Respondents: 1730; Total Annual
Responses: 1730; Total Annual Hours: 346.
To obtain copies of the supporting statement and any related forms
for these 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.
To be assured consideration, comments and recommendations for the
proposed information collections must be received by the OMB Desk
Officer at the address below, no later than 5 p.m. on October 17, 2005.
OMB Human Resources and Housing Branch, Attention: Christopher Martin,
New Executive Office Building, Room 10235, Washington, DC 20503.
Dated: September 8, 2005.
Michelle Short,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 05-18508 Filed 9-15-05; 8:45 am]
BILLING CODE 4120-01-P