[Federal Register: March 6, 2009 (Volume 74, Number 43)]
[Notices]
[Page 9819-9820]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr06mr09-41]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10110, CMS-R-250, CMS-R-144/CMS-368 and CMS-
668B]
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 a currently
approved collection; Title of Information Collection: Manufacturer
Submission of Average Sales Price (ASP) Data for Medicare Part B Drugs
and Biologicals; Use: Section 1847A of the Social Security Act requires
that the Medicare Part B payment amounts for covered drugs and
biologicals not paid on a cost or prospective payment basis be based
upon manufacturers' average sales price data submitted to CMS. CMS will
utilize the ASP data to determine the Medicare Part B drug payment
amounts. Form Number: CMS-10110 (OMB 0938-0921); Frequency:
Quarterly; Affected Public: Business or other for-profits; Number of
Respondents: 180; Total Annual Responses: 720; Total Annual Hours:
28,800. (For policy questions regarding this collection contact
Catherine Jansto at 410-786-7762. For all other issues call 410-786-
1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: MPAF Data and
Supporting Regulations in 42 CFR 413.337, 413.343, 424.32 and 483.20;
Use: Resident assessment information that Skilled Nursing Facilities
(SNFs) are required to submit is described under section 42 CFR 413.343
and 483.20. The manner necessary to administer the payment rate
methodology is described under section 42 CFR 413.337. An assessment
form comprised of a subset of resident assessment information has been
developed for use by SNFs to satisfy Medicare payment requirements, in
lieu of a full Minimum Data Set. The associated burden is the time the
SNF staff is required to complete the Medicare PPS Assessment Form
(MPAF), SNF staff time to encode, and SNF staff time spent in
transmitting the data. Form Number: CMS-R-250 (OMB 0938-0739);
Frequency: Occasionally; Affected Public: Business or other for-profits
and not-for-profit institutions, State, Local, or Tribal Governments,
and Federal Government; Number of Respondents: 15,039; Total Annual
Responses: 3,834,945; Total Annual Hours: 2,704,764. (For policy
questions regarding this collection contact Julie Stankivic at 410-786-
5725. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Medicaid
Drug Rebate; Use: Section 1927 of the Social Security Act requires each
State Medicaid agency to report quarterly prescription drug utilization
information to drug manufacturers and to CMS. As part of this
information, the State Medicaid agencies are required to report the
total Medicaid rebate amount they claim they are owed by each drug
manufacturer for each covered prescription drug product each quarter.
Form Number: CMS-R-144 and CMS-368 (OMB 0938-0582); Frequency:
Quarterly; Affected Public: State, Local or Tribal Governments; Number
of Respondents: 51; Total Annual Responses: 204; Total Annual Hours:
9,389. (For policy questions regarding this collection contact Dusty
Kerhart at 410-786-3273. For all other issues call 410-786-1326.)
4. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Post Clinical
Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR
493.1771, 493.1773, and 493.1777; Use: This form is used by the State
agency to determine a laboratory's compliance with the Clinical
Laboratory Improvement Amendments of 1988 (CLIA). This information is
needed for a laboratory's CLIA certification and recertification. Form
Number: CMS-
[[Page 9820]]
668B (OMB 0938-0653); Frequency: Biennially; Affected Public:
Business or other for-profits and not-for-profit institutions. State,
Local, or Tribal Government, Federal Government; Number of Respondents:
21,000; Total Annual Responses: 10,500; Total Annual Hours: 2,625. (For
policy questions regarding this collection contact Kathleen Todd at
410-786-3385. 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 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 April 6, 2009.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, E-mail: OIRA_
submission@omb.eop.gov.
Dated: February 27, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-4791 Filed 3-5-09; 8:45 am]
BILLING CODE 4120-01-P