[Federal Register: February 29, 2008 (Volume 73, Number 41)]
[Notices]
[Page 11119-11120]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr29fe08-82]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10123 and 10124, CMS-216-94 and CMS-10114]
Agency Information Collection Activities: Proposed Collection;
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) 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: Notice of
Provider Non-Coverage (CMS-10123) and Detailed Explanation of Non-
Coverage (CMS-10124); Use: The Notice of Medicare Provider Non-Coverage
(CMS-10123) is used to inform fee-for-service Medicare beneficiaries of
the determination that their provider services will end, and of their
right to an expedited review of that determination. The Detailed
Explanation of Non-Coverage (CMS-10124) is used to provide
beneficiaries who request an expedited determination with detailed
information of why the services should end. The revised Notice of
Provider Non-Coverage and Detailed Explanation of Provider Non-Coverage
will no longer require use of the beneficiary's Medicare number as a
patient identifier. Instead, when applicable, providers may use a
number that helps to link the notice with a related claim. Form Number:
CMS-10123 and 10124 (OMB 0938-0953); Frequency: Occasionally;
Affected Public: Business or other for-profit, Not-for-profit
institutions, and Individuals or households; Number of Respondents:
3,115,637; Total Annual Responses: 3,115,637; Total Annual Hours:
522,138.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Organ Procurement
Organization/Histocompatibility Laboratory Statement of Reimbursable
Costs, manual instructions and supporting regulations contained in 42
CFR 413.20 and 413.24; Use: This form is required by the statute and
regulation for participation in the Medicare program. The information
is used to determine payment for Medicare. Organ Procurement
Organizations and Histocompatibility Laboratories are the users. Form
Number: CMS-216-94 (OMB 0938-0102); Frequency: Yearly;
Affected Public: Business or other for-profit, Not-for-profit
institutions; Number of Respondents: 108; Total Annual Responses: 108;
Total Annual Hours: 4,860.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: National Provider
Identifier (NPI) Application and Update Form and Supporting Regulations
in 45 CFR 142.408, 45 CFR 162.406, 45 CFR 162.408; Use: The National
Provider Identifier (NPI)
[[Page 11120]]
Application and Update Form is used by health care providers to apply
for NPIs and furnish updates to the information they supplied on their
initial applications. The form is also used to deactivate their NPIs if
necessary. The NPI Application/Update form has been revised to further
assist in uniquely identifying health care providers and provide
additional guidance on how to accurately complete the form. The form
captures additional data elements that will assist with unique
identification. It also includes more detailed instructions. Form
Number: CMS-10114 (OMB 0938-0931); Frequency: Reporting--On
occasion, one-time; Affected Public: Business or other for-profit, Not-
for-profit institutions, and Federal government; Number of Respondents:
325,608; Total Annual Responses: 325,608; Total Annual Hours: 108,560.
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.
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 April 29, 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.
Dated: February 21, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-3839 Filed 2-28-08; 8:45 am]
BILLING CODE 4120-01-P