[Federal Register Volume 76, Number 19 (Friday, January 28, 2011)]
[Notices]
[Page 5179]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-1865]
[[Page 5179]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-10112 and CMS-287-05]
Agency Information Collection Activities: Proposed Collection;
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) 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 without change
of a currently approved collection; Title of Information Collection:
Phone Surveys of Products and Services for Medicare Payment Validation
and Supporting Regulations in 42 CFR 405.502. Use: The phone surveys of
products and services for Medicare payment validation and supporting
regulations in 42 CFR 405.502 will be used to identify specific
products/services provided to Medicare beneficiaries and the costs
associated with the provision of those products/services. The
information collected will be used to validate the Medicare payment
amounts for those products/services and institute revisions of payment
amounts where necessary. The respondents will be the companies that
have provided the product/service under review to Medicare
beneficiaries. Form Number: CMS-10112 (OMB 0938-0939);
Frequency: Occasionally; Affected Public: Private sector--business or
other for-profit; Number of Respondents: 4,000; Total Annual Responses:
4,000; Total Annual Hours: 16,000. (For policy questions regarding this
collection contact Michael Rich at 410-786-6856. For all other issues
call 410-786-1326.)
2. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Chain Home Office Cost Statement and supporting Regulations in 42 CFR
413.17 and 413.20; Use: The Form CMS-287-05 is filed annually by Chain
Home Offices to report the information necessary for the determination
of Medicare reimbursement to components of chain organizations.
However, where providers are components of chain organizations,
information included in the chain home office cost statement is in
addition to that included in the provider cost report and is needed to
determine whether payments are appropriate. Form Number: CMS-287-05
(OMB 0938-0202); Frequency: Yearly; Affected Public: Business
or other for-profit and not-for-profit institutions; Number of
Respondents: 1,541; Total Annual Responses: 1,541; Total Annual Hours:
718,106.
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 [email protected], 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 March 29, 2011:
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.
Martique Jones,
Director, Regulations Development Division-B, Office of Strategic
Operations and Regulatory Affairs.
[FR Doc. 2011-1865 Filed 1-27-11; 8:45 am]
BILLING CODE 4120-01-P