[Federal Register Volume 75, Number 127 (Friday, July 2, 2010)]
[Notices]
[Pages 38530-38531]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-16008]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-297 and CMS-10209]
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: Request for
Employment Information; Use: Section 1837(i) of the Social Security Act
provides for a special enrollment period for individuals who delay
enrolling in Medicare Part B because they are covered by a group health
plan based on their own or a spouse's current employment status. When
these individuals apply for Medicare Part B,
[[Page 38531]]
they must provide proof that the group health plan coverage is (or was)
based on current employment status. This form is used by the Social
Security Administration to obtain information from employers regarding
whether a Medicare beneficiary's coverage under a group health plan is
based on current employment status. Form Number: CMS-R-297
(OMB: 0938-0787); Frequency: Once; Affected Public: Private
Sector: Business or other for-profits and Not-for-profit institutions;
Number of Respondents: 5,000; Total Annual Responses: 5,000; Total
Annual Hours: 1250. (For policy questions regarding this collection
contact Kevin Simpson at 410-786-0017. For all other issues call 410-
786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Chronic Care
Improvement Program and Medicare Advantage Quality Improvement Project;
Use: The Social Security Act, section 1852 e(1), (2) and (3)(a)(i), and
CFR 42, 422.152 describe CMS' regulatory authority to require each
Medicare Advantage Organization (other than Medicare Advantage (MA)
private fee for service and MSA plans) that offers one or more MA plans
to have an ongoing quality assessment and performance improvement
program. This program must include measuring performance using standard
measures required by CMS and report its performance to CMS. Form
Number: CMS-10209 (OMB: 0938-1023); Frequency: Yearly;
Affected Public: Business or other for-profits and Not-for-profit
institutions; Number of Respondents: 394; Total Annual Responses: 788;
Total Annual Hours: 18,912. (For policy questions regarding this
collection contact Darlene Anderson at 410-786-9824. 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 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 August 16, 2010.
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk
Officer, Fax Number: (202) 395-6974, e-mail: [email protected].
Dated: June 28, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2010-16008 Filed 7-1-10; 8:45 am]
BILLING CODE 4120-01-P