[Federal Register: September 12, 2008 (Volume 73, Number 178)]
[Notices]
[Page 53027]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr12se08-65]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10156, CMS-9042 and CMS-29/30]
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: Revision of a currently
approved collection; Title of Information Collection: Retiree Drug
Subsidy (RDS) Applications and Instructions; Use: Under the Medicare
Prescription Drug, Improvement, and Modernization Act of 2003 and
implementing regulations at 42 CFR Part 423 Subpart R, Plan Sponsors
(e.g., employers or unions) who offer prescription drug coverage to
their qualified covered retirees are eligible to receive a 28% tax-free
subsidy for allowable drug costs. Plan Sponsors must submit a complete
application to CMS in order to be considered for the RDS Program. Form
Number: CMS-10165 (OMB 0938-0957); Frequency: Yearly; Affected
Public: Business or other for-profits and not-for-profit institutions,
and State, Local, or Tribal Governments; Number of Respondents: 4,500;
Total Annual Responses: 4,500; Total Annual Hours: 288,000.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Accelerated
Payments and supporting regulations 42 CFR, Section 412.116(f),
412.632(e), 413.64(g), 413.350(d), and 484.245; Use: Section 1815(a) of
the Social Security Act describes payment to providers of services.
When a delay in Medicare payment by a fiscal intermediary for covered
services causes financial difficulties for a provider, the provider may
request an accelerated payment. An accelerated payment also may be made
in highly exceptional situations where a provider has incurred a
temporary delay in its bill processing beyond the provider's normal
billing cycle. Accelerated payments are limited to providers that are
not receiving periodic interim payments. Form CMS-9042 is used by
fiscal intermediaries to assess a provider's eligibility for
accelerated payments. Form Number: CMS-9042 (OMB 0938-0269);
Frequency: Yearly; Affected Public: Business or other for-profits and
not-for-profit institutions; Number of Respondents: 880; Total Annual
Responses: 880; Total Annual Hours: 440.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Request for
Certification as Rural Health Clinic (RHC) and RHC Survey Report Form
and Supporting Regulations in 42 CFR 491.1-491.11; Use: The CMS-29 is
utilized as an application to be completed by suppliers of RHC services
requesting participation in the Medicare/Medicaid programs. This form
initiates the process of obtaining a decision as to whether the
conditions for certification are met as a supplier of RHC services. It
also promotes data reduction or introduction to and retrieval from the
Automated Survey Process Environment (ASPEN) and related survey and
certification databases by the CMS Regional Offices. Form Number: CMS-
29/30 (OMB 0938-0074); Frequency: Yearly; Affected Public:
State, Local, or Tribal Governments; Number of Respondents: 766; Total
Annual Responses: 766; Total Annual Hours: 192.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS'
Web site 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.
In commenting on the proposed information collections please
reference the document identifier or OMB control number. To be assured
consideration, comments and recommendations must be submitted in one of
the following ways by November 12, 2008:
1. Electronically. You may submit your comments electronically to
http://www.regulations.gov. Follow the instructions for ``Comment or
Submission'' or ``More Search Options'' to find the information
collection document(s) accepting comments.
2. By regular mail. You may mail written comments to the following
address: CMS, Office of Strategic Operations and Regulatory Affairs,
Division of Regulations Development, Attention: Document Identifier/OMB
Control Number --------, Room C4-26-05, 7500 Security Boulevard,
Baltimore, Maryland 21244-1850.
Date: September 5, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-21159 Filed 9-11-08; 8:45 am]
BILLING CODE 4120-01-P