[Federal Register Volume 74, Number 36 (Wednesday, February 25, 2009)]
[Notices]
[Pages 8546-8547]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-3937]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-838, CMS-10267 and CMS-339]
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 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: Extension of a currently
approved collection; Title of Information Collection: Medicare Credit
Balance Reporting Requirements and Supporting Regulations in 42 CFR
405.371, 405.378 and 413.20; Use: Section 1815(a) of the Act authorizes
the Secretary to request information from providers which is necessary
to properly administer the Medicare program. Quarterly credit balance
reporting is needed to monitor and control the identification and
timely collection of improper payments. The information obtained from
Medicare credit balance reports will be used by the contractors to
identify and recover outstanding Medicare credit balances and by
Federal enforcement agencies to protect Federal funds. The information
will also be used to identify the causes of credit balances and to take
corrective action. Form Number: CMS-838 (OMB 0938-0600);
Frequency: Yearly; Affected Public: Private sector--business or other
for-profits; Number of Respondents: 52,380; Total Annual Responses:
209,520; Total Annual Hours: 628,560. (For policy questions regarding
this collection contact: Milton Jacobsen at 410-786-7553. For all other
issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: CROWNWeb
Authentication Service (CAS) Account Form; Form Number: CMS-10267
(OMB: 0938-1050); Use: The Consolidated Renal Operations in a
Web Enabled Network (CROWNWeb) Authentication Service (CAS) application
must be completed by any person needing access to the CROWNWeb system
which includes CMS employees, ESRD Network Organization staff and
dialysis facilities staff. The CROWNWeb system is the system used as
the collection point of data necessary for entitlement of ESRD patients
to Medicare benefits and Federal Government monitoring and assessing of
quality and type of care provided to renal patients. The data collected
in CAS will provide the necessary security measures for creating and
maintaining active CROWNWeb user accounts and collection of audit trail
information required by the CMS Information Security Officers (ISSO).
Frequency: Reporting--One-time; Affected Public: Business or other for-
profit, not-for-profit; Number of Respondents: 15,600; Total Annual
Responses: 15,600; Total Annual Hours: 7,800. (For policy questions
regarding this collection contact: Michelle Tucker at 410-786-0376. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Medicare Provider
Cost Report Reimbursement Questionnaire; Use: Form CMS-339 must be
completed by all providers that submit full cost reports to the
Medicare intermediary under Title XVIII of the Social Security Act. It
is designed to answer pertinent questions about key reimbursement
concepts found in the cost report and to gather information necessary
to support certain financial and statistical entries on the cost
report. The questionnaire is used by the Medicare intermediaries as a
tool to help them arrive at a prompt and equitable settlement of all of
the various types of provider cost reports (hospitals, skilled nursing
facilities (SNFs), home health agencies (HHAs), etc.) and sometimes
preclude the need for a comprehensive on-site audit. Form Number: CMS-
339 (OMB 0938-0301); Frequency: Annually; Affected Public:
Business or other for-profit and not-for-profit institutions; Number of
Respondents: 38,429; Total Annual Responses: 38,429; Total Annual
Hours:
[[Page 8547]]
431,148. (For policy questions regarding this collection contact:
Christine Dobrzycki at 410-786-3389. For all other issues call 410-786-
1326.)
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 [email protected], or call the
Reports Clearance Office at (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 March 27, 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: February 12, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-3937 Filed 2-24-09; 8:45 am]
BILLING CODE 4120-01-P