[Federal Register: September 21, 2007 (Volume 72, Number 183)]
[Notices]
[Page 54042-54043]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr21se07-93]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-379, CMS-10102, and CMS-R-235]
Agency Information Collection Activities: Submission for OMB
Review; Comment Request
AGENCY: Centers for Medicare & Medicaid Services, Department of Health
and Human 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), 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: Financial
Statement of Debtor and Supporting Regulations in 42 CFR, Section
405.376; Use: Section 42 CFR 405.376(g) requires that, `` * * * In
determining whether a claim will be compromised, or collection action
terminated, CMS will consider the following factors: * * * age and
health of the debtor, present and potential income, inheritance
prospects, possible concealment or fraudulent transfer of assets * *
*'' Sections 1842(a)(1)(B) and (C) of the Social Security Act and 42
CFR 405.376(g), provide the authority for collection of this
information.
In some instances a physician/supplier who is notified of a debt
may allege inability to immediately repay the debt in full and may
request an extended repayment schedule. Alternatively, the debtor may
request a compromise settlement for less than the full amount due.
Before establishing an extended repayment schedule or compromise
settlement, the CMS's Regional Offices and the carrier must evaluate
the provider's capacity to pay the debt. Accordingly, the provider is
requested to complete a ``Financial Statement of Debtor'' form, CMS-
379. Form Number: CMS-379 (OMB: 0938-0270); Frequency:
Reporting: Yearly; Affected Public: Business or other for-profit;
Number of Respondents: 500; Total Annual Responses: 500; Total Annual
Hours: 1000.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: National
Implementation of Hospital Consumer Assessment of Health Providers and
Systems (HCAHPS); Use: The intent of the HCAHPS initiative is to
provide a standardized survey instrument and data collection
methodology for measuring patients' perspectives on hospital care.
While many hospitals collect information on patient satisfaction, there
is no national standard for collecting or publicly reporting this
information that would enable valid comparisons to be made across all
hospitals. In order to make ``apples to apples'' comparisons to support
consumer choice, it is necessary to introduce a standard measurement
approach. Hospital Consumer Assessment of Healthcare Providers and
Systems, also known as the CAHPS Hospital Survey (HCAHPS) can be viewed
as a core set of questions that hospitals can combine with their
customized items. HCAHPS was developed and is being implemented under
the auspices of the Hospital Quality Alliance, a private/public
partnership that includes hospital associations, consumer groups,
payors and government agencies that share a common interest in
reporting on hospital quality.
Beginning in July 2007, participation in HCAHPS can affect the
annual payment update for the inpatient prospective payment system
(IPPS) hospitals participating in the Reporting Hospital Quality Data
Annual Payment Update (RHQDAPU) program; Form Number: CMS-10102
(OMB: 0938-0981); Frequency: Reporting: Monthly; Affected
Public: Individuals or households; Number of Respondents: 2,820,000;
Total Annual Responses: 2,820,000; Total Annual Hours: 285,200.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Data Use
Agreement Information Collection Requirements, Model Language and
Supporting Regulations in 45 CFR Section 5b. Use: The Data Use
Agreement (DUA) is needed as part of the review of each CMS data
request to
[[Page 54043]]
ensure compliance with the requirements of the Privacy Act for
disclosure of data that contain individually-identifiable information.
In addition, the DUA is used to maintain appropriate accounting and
tracking of disclosures of records from Privacy Act systems of records.
While the burden has not changed, we revised the DUA to The DUA was
updated to include language to ensure the agreement is a binding
agreement between CMS and the User, to ensure the data is being
encrypted and appropriate protections are in place at all times, and to
ensure appropriate actions are immediately taken if there is a data
breach or incident. Form Number: CMS-R-0235 (OMB: 0938-0734);
Frequency: Reporting--On occasion; Affected Public: Not-for-profit
institutions; Number of Respondents: 1,500; Total Annual Responses:
1,500; Total Annual Hours: 750.
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.
Written comments and recommendations for the proposed information
collections must be mailed or faxed within 30 days of this notice
directly to the OMB desk officer:
OMB Human Resources and Housing Branch,
Attention: Carolyn Lovett,
New Executive Office Building, Room 10235,
Washington, DC 20503,
Fax Number: (202) 395-6974.
Dated: September 13, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E7-18468 Filed 9-20-07; 8:45 am]
BILLING CODE 4120-01-P