[Federal Register: June 13, 2008 (Volume 73, Number 115)]
[Notices]
[Page 33824-33825]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr13jn08-64]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-906, CMS-1696, and CMS-10167]
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: Revision of a currently
approved collection; Title of Information Collection: The Fiscal
Soundness Reporting Requirements; Use: CMS is assigned responsibility
for overseeing all Medicare Advantage Organizations (MAO) on-going
financial performance. CMS needs the requested collection of
information to establish that each MAO maintains a fiscally sound
organization. Form Number: CMS-906 (OMB 0938-0469); Frequency:
Yearly; Affected Public: Business or other for-profits and not-for-
profit institutions; Number of Respondents: 700; Total Annual
Responses: 700; Total Annual Hours: 233.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Appointment of
Representative; Use: This form will be completed by beneficiaries,
providers and suppliers who wish to appoint representatives to assist
them with obtaining initial determinations and filing appeals. The
appointment of representative form must be signed by the party making
the appointment and the individual agreeing to accept the appointment.
Form Number: CMS-1696 (OMB 0938-0950); Frequency:
Occasionally; Affected Public: Individuals or households and business
or other for-profits; Number of Respondents: 268,268; Total Annual
Responses: 268,268; Total Annual Hours: 67,067.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Competitive
Acquisition Program for Medicare Part B Drugs: CAP Physician Election
Agreement; Use: The Competitive Acquisition Program (CAP) is required
by Section 303(d) of the Medicare Modernization Act (MMA), which
amended Title XVIII of the Social Security Act (the Act) by adding a
new section 1847(B), which establishes a competitive acquisition
program for the payment for Part B covered drugs and biologicals
furnished on or after January 1, 2006. Physicians are given a choice
between buying and billing these drugs under the average sales price
(ASP) system, or obtaining these drugs from vendors selected in a
competitive bidding process. Section 108 of the Medicare Improvements
and Extension Act under Division B, Title I of the Tax Relief Health
Care Act of 2006 amended Section 1847(b)(a)(3) of the Act and requires
that CAP implement a post payment review process.
The CAP Physician Election Agreement is used annually by physicians
to elect to participate in the CAP or to make changes to the previous
[[Page 33825]]
year's selections. The information collected by these documents is used
by CMS, its Medicare contractor, and the approved CAP vendor to meet
programmatic requirements pertaining to physician election as
established by the MMA. Form Number: CMS-10167 (OMB 0938-
0955); Frequency: Yearly; Affected Public: Business or other for-
profits; Number of Respondents: 3800; Total Annual Responses: 3800;
Total Annual Hours: 7600.
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 by the OMB desk
officer at the address below, no later than 5 p.m. on July 14, 2008.
OMB Human Resources and Housing Branch, Attention: OMB Desk
Officer, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: June 5, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-13095 Filed 6-12-08; 8:45 am]
BILLING CODE 4120-01-P