[Federal Register: December 19, 2008 (Volume 73, Number 245)]
[Notices]
[Page 77701-77702]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr19de08-100]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10175, CMS-10236, and CMS-179]
Agency Information Collection Activities: Submission for OMB
Review; 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), 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
[[Page 77702]]
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: Reinstatement without
change of a previously approved collection; Title of Information
Collection: Certification Statement for Electronic File Interchange
Organizations (EFIOs); Use: Health care providers can currently obtain
a National Provider Identifier (NPI) via a paper application or over
the Internet through the National Plan and Provider Enumeration System
(NPPES). These applications must be submitted individually, on a per-
provider basis. The Electronic File Interchange (EFI) process allows
provider-designated electronic file interchange organizations (EFIOs)
to capture multiple providers' NPI application information on a single
electronic file for submission to NPPES. This process is also referred
to as ``bulk enumeration.'' To ensure that the EFIO has the authority
to act on behalf of each provider and complies with other Federal
requirements, an authorized official of the EFIO must sign a
certification statement and mail it to the Centers for Medicare and
Medicaid Services (CMS). Form Number: CMS-10175 (OMB 0938-
0984); Frequency: Once; Affected Public: Private Sector--Business or
other for-profits; Number of Respondents: 300; Total Annual Responses:
300; Total Annual Hours: 300.
2. Type of Information Collection Request: New collection; Title of
Information Collection: Disclosure of Financial Relationships Report
(``DFRR''); Use: Section 1877(f) of the Social Security Act requires
that each entity providing covered items or services for which payment
may be made shall provide the Secretary with information concerning the
entity's ownership and investment interests, and compensation
arrangements, in such form, manner, and at such times as the Secretary
shall specify. The DFRR collection instrument will be used by CMS to
(1) identify arrangements that potentially may not be in compliance
with the physician self-referral statute and implementing regulations;
and (2) to identify examples and areas of non-compliance that may
assist us in any future rulemaking concerning the reporting
requirements and other physician self-referral provisions. Form Number:
CMS-10236 (OMB 0938-New); Frequency: Once; Affected Public:
Private Sector--Business or other for-profits and Not-for-profit
institutions; Number of Respondents: 400; Total Annual Responses: 400;
Total Annual Hours: 40,000.
3. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Transmittal and
Notice of Approval of State Plan Material and Medicaid State Plan--Base
Plan, Attachments and Supplemental Pages and Supporting Regulations in
42 CFR 430.10-430.20 and 440.167; Use: The Medicaid State base plan
pages and attachments are documents utilized by State and territorial
agencies which have the responsibility for administering the Medicaid
program. The Medicaid State plan is comprised of ``pages'' and
organized by subject matter which includes Medicaid eligibility
services, payment for services, and general, financial and personnel
administration. When States seek to change selected pages of their
State plans, the page(s) are transmitted to CMS for review and approval
by the CMS Central and Regional Offices prior to amending its State
plan. Form Number: CMS-179 (OMB 0938-0193); Frequency: Once
and as needed; Affected Public: State, Local, or Tribal Governments;
Number of Respondents: 56; Total Annual Responses: 4,681; Total Annual
Hours: 9,271.
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 January 20, 2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: December 12, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-30327 Filed 12-18-08; 8:45 am]
BILLING CODE 4120-01-P