[Federal Register: April 1, 2008 (Volume 73, Number 63)]
[Notices]
[Page 17347]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr01ap08-58]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10115]
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 currently
approved collection; Title of Information Collection: Federal
Reimbursement of Emergency Health Services Furnished to Undocumented
Aliens (Sections 1011) Provider Enrollment Application; Use: Section
1011 of the Medicare Prescription Drug, Improvement, and Modernization
Act of 2003, provides that the Secretary will establish a process
(i.e., enrollment and claims payment) for eligible providers to request
payment. The Secretary must directly pay hospitals, physicians and
ambulance providers (including Indian Health Service, Indian tribe and
tribal organizations) for their otherwise un-reimbursed costs of
providing services required by the Emergency Medical Treatment and
Active Labor Act (EMTALA), which is found under section 1867 of the
Social Security Act, and related hospital inpatient, outpatient and
ambulance services. CMS will use the application information to
administer this health services program and establish an audit process.
The Federal Reimbursement of Emergency Health Services Furnished to
Undocumented Aliens (Sections 1011) Provider Enrollment Application has
been revised. For a list of these revisions, refer to the summary of
changes document. Form Number: CMS-10115 (OMB 0938-0929);
Frequency: On occasion; Affected Public: Private sector--Business or
other for-profit and Not-for-profit institutions; Number of
Respondents: 10,000; Total Annual Responses: 10,000; Total Annual
Hours: 4,998.
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 May 1, 2008:
OMB Human Resources and Housing Branch, Attention: Carolyn
Raffaelli, New Executive Office Building, Room 10235, Washington, DC
20503, Fax Number: (202) 395-6974.
Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E8-6507 Filed 3-31-08; 8:45 am]
BILLING CODE 4120-01-P