[Federal Register: April 14, 2006 (Volume 71, Number 72)]
[Notices]
[Page 19522-19523]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr14ap06-52]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-05, CMS-R-72, CMS-10175, CMS 10050, CMS-
1957, CMS-1515 & 1572]
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: Physician
Certifications/Recertifications in Skilled Nursing Facilities (SNFs)
Manual Instructions and Supporting Regulations in 42 CFR 424.20; Use:
Regulations at 42 CFR 424.20 require SNFs to keep record of physician
certifications and recertifications of information such as the need for
care and services, estimated duration of the SNF stay, and plan for
home care. As a condition for Medicare Part A payment for post-hospital
skilled nursing facility (SNF) services, the Medicare program requires
that a physician certify and periodically recertify that a beneficiary
requires an SNF level of care. The physician certification and
recertification is intended to ensure that the beneficiary's need for
services has been established and then reviewed and updated at
appropriate intervals; Form Number: CMS-R-05 (OMB: 0938-0454);
Frequency: Recordkeeping and Reporting--On occasion; Affected Public:
State, Local or Tribal governments, Individuals or Households, Business
or other for-profit
[[Page 19523]]
and Not-for-profit institutions; Number of Respondents: 2,458,549;
Total Annual Responses: 981,642; Total Annual Hours: 547,578.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements in 42 CFR 478.18, 478.34, 478.36, 478.42, QIO
Reconsiderations and Appeals; Use: In the event that a beneficiary,
provider, physician, or other practitioner does not agree with the
initial determination of a Quality Improvement Organization (QIO) or a
QIO subcontractor, it is within that party's rights to request
reconsideration. The information collection requirements 42 CFR 478.18,
478.34, 478.36, and 478.42, contain procedures for QIOs to use in
reconsideration of initial determinations. The information requirements
contained in these regulations are on QIOs to provide information to
parties requesting the reconsideration. These parties will use the
information as guidelines for appeal rights in instances where issues
are actively being disputed.; Form Number: CMS-R-72 (OMB:
0938-0443); Frequency: Reporting--On occasion; Affected Public:
Individuals or Households and Business or other for-profit
institutions; Number of Respondents: 2,590; Total Annual Responses:
5,228; Total Annual Hours: 2,822.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Certification
Statement for Electronic File Interchange Organizations (EFIOS) that
Submit National Provider Identifier (NPI) Data to the National Plan and
Enumeration System; Use: The EFI process is designed to allow
organizations to submit NPI application information for large numbers
of providers in a single file. Once it has obtained and formatted the
necessary provider data, the EFIO will electronically submit the file
to NPPES for processing. As each file can contain up to approximately
100,000 records, or provider applications, the EFI process greatly
reduces the paperwork and overall administrative burden associated with
enumerating providers; Form Number: CMS-10175 (OMB: 0938-
0984); Frequency: Reporting--Other, One-time; Affected Public: Business
or other for-profit, and Not-for-profit institutions; Number of
Respondents: 1000; Total Annual Responses: 1000; Total Annual Hours:
3000.
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Survey of Newly
Eligible Medicare Beneficiaries; Use: CMS is responsible for providing
beneficiaries with the Medicare program information they need to
effectively choose the health care plan best suited to their needs. In
order to provide such information, CMS needs to know (1) Whether or not
new enrollees are aware of the choices they have, (2) what
beneficiaries understand about the basic elements of the Medicare
program, (3) what other sources currently provide Medicare-related
information, and (4) how all of these items vary across beneficiary
subpopulations. To this end, CMS must have the ability to measure over
time what beneficiaries know and understand about the Medicare program.
Measuring beneficiaries' information needs and knowledge over time will
help CMS evaluate its impact on information/education, population
changes and other initiatives; Form Number: CMS-10050 (OMB:
0938-0869); Frequency: Reporting--Quarterly; Affected Public:
Individuals or Households; Number of Respondents: 2400; Total Annual
Responses: 2400; Total Annual Hours: 800.
5. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: SSO Report of
State Buy-in Problem and Supporting Regulations in 42 CFR 407.40; Use:
Under the State Buy-In program, States enroll certain groups of needy
people under the Part B Supplementary Medical Insurance (SMI) Program
and pay their premiums. The purpose of the ``buy-in'' is to allow the
States to provide SMI protection to certain groups of needy individuals
as part of its total assistance plan. Generally, States ``buy-in'' for
individuals who are categorically needy under Medicaid and meet the
eligibility requirements for Medicare Part B. States can also include
in their buy-in agreement those eligible for medical assistance only.
The CMS-1957 is used in the resolution of beneficiary complaints
regarding State buy-in. This form facilitates the coordination of
efforts between the SSO, State Medicaid Agencies, and CMS in the
resolution of a beneficiary's State buy-in problem; Form Number: CMS-
1957 (OMB: 0938-0035); Frequency: Reporting--On occasion;
Affected Public: Federal government, Individuals or Households, and
State, Local, and Tribal governments; Number of Respondents: 6,600;
Total Annual Responses: 6,600; Total Annual Hours: 2,366.
6. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Home Health
Agency Survey and Deficiencies Report, Home Health Functional
Assessment Instrument and Supporting Regulations in 42 CFR 488.26 and
442.30; Use: In order to participate in the Medicare program as a Home
Health Agency (HHA) provider, the HHA must meet Federal Standards.
These forms used to record information about patients' health and
provider compliance with requirement and report information to the
Federal Government; Form Number: CMS-1515 & 1572 (OMB: 0938-
0355); Frequency: Reporting--Annually; Affected Public: Business or
other for-profit, Individuals or Households, and Not-for-profit
institutions; Number of Respondents: 24,150; Total Annual Responses:
24,150; Total Annual Hours: 3,864.
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/PaperworkReductionActof1995,
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 at the address below,
no later than 5 p.m. on June 13, 2006.
CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development--B, Attention: William N. Parham,
III, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.
Dated: April 4, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-5408 Filed 4-13-06; 8:45 am]
BILLING CODE 4120-01-P