[Federal Register: March 13, 2009 (Volume 74, Number 48)]
[Notices]
[Page 10917]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr13mr09-58]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-305, CMS-643, CMS-359/360/R-55 and CMS-
10277]
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: Extension of a currently
approved collection; Title of Information Collection: External Quality
Review Protocols; Use: The results of Medicare reviews, Medicare
accreditation services, and Medicaid external quality reviews will be
used by States in assessing the quality of care provided to Medicaid
beneficiaries by managed care organizations and to provide information
on the quality of care provided to the general public upon request.
Form Number: CMS-R-305 (OMB: 0938-0786); Frequency:
Reporting--Yearly; Affected Public: State, Local or Tribal Governments;
Number of Respondents: 40; Total Annual Responses: 40; Total Annual
Hours: 520,000. (For policy questions regarding this collection contact
Gary B. Jackson at 410-786-1218. For all other issues call 410-786-
1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Hospice Survey
and Deficiencies Report; Use: In order to participate in the Medicare
program, a hospice must meet certain Federal health and safety
conditions of participation. This form is used by State surveyors to
record data about a hospice's compliance with these conditions of
participation in order to initiate the certification or recertification
process. Form Number: CMS-643 (OMB: 0938-0379); Frequency:
Reporting--Yearly; Affected Public: State, Local or Tribal Governments;
Number of Respondents: 3377; Total Annual Responses: 1130; Total Annual
Hours: 1130. (For policy questions regarding this collection contact
Kim Roche at 410-786-3524. For all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Comprehensive
Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms
and Information Collection Requirements at 42 CFR 485.54 through
485.66; Use: In order to participate in the Medicare program as a CORF,
providers must meet Federal conditions of participation. The
certification form is needed to determine if providers meet at least
preliminary requirements. The survey form is used to record provider
compliance with the individual conditions and report findings to CMS.
Form Number: CMS-359/360/R-55 (OMB: 0938-0267); Frequency:
Reporting--Occasionally; Affected Public: Private Sector: Business or
other for-profits; Number of Respondents: 476; Total Annual Responses:
60; Total Annual Hours: 223,285. (For policy questions regarding this
collection contact Georgia Johnson at 410-786-6859. For all other
issues call 410-786-1326.)
4. Type of Information Collection Request: New collection; Title of
Information Collection: Hospice Conditions of Participation and
Supporting Regulations in 42 CFR 418.52, 418.54, 418.56, 418.58,
418.60, 418.64, 418.66, 418.70, 418.72, 418.74, 418.76, 418.78,
418.100, 418.106, 4118.108, 418.110, 418.112, and 418.114; Use: The
Conditions of Participation and accompanying requirements are used by
Federal and State surveyors as a basis for determining whether a
hospice qualifies for approval or re-approval under Medicare. The
healthcare industry and CMS believe that the availability of the
records and general content of records as specified in the Conditions
of Participation final rule (72 FR 32088), is standard medical
practice, and is necessary in order to ensure the well-being and safety
of patients and professional treatment accountability. Form Number:
CMS-10277 (OMB: 0938-New); Frequency: Reporting and
Recordkeeping--Yearly; Affected Public: Business or other for-profit
and Not-for-profit institutions; Number of Respondents: 2,872; Total
Annual Responses: 1,808,345; Total Annual Hours: 2,152,396. (For policy
questions regarding this collection contact Danielle Shearer at 410-
786-6617. 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 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 May 12, 2009:
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: March 9, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E9-5457 Filed 3-12-09; 8:45 am]
BILLING CODE 4120-01-P