[Federal Register: January 31, 2003 (Volume 68, Number 21)]
[Notices]
[Page 5024-5025]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr31ja03-87]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare and Medicaid Services
[Document Identifiers: CMS-R-242, CMS-10069, CMS-10078, CMS-R-52, and
CMS-R-30]
Agency Information Collection Activities: Proposed Collection;
Comment Request
Agency: Centers for Medicare and 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 and Medicaid
Services (CMS) (formerly known as the Health Care Financing
Administration (HCFA)), 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 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:
Refinement of RHC Certification and QAPI and Supporting Regulations in
42 CFR 491.8 and 491.11; Form No.: CMS-R-242 (OMB 0938-0792);
Use: This collection contains information collection requirements
concerning requests for additional waivers of staffing requirements and
documentation of quality assessment and performance improvement
programs; Frequency: Annually; Affected Public: Business or other for-
profit; Number of Respondents: 3,528; Total Annual Responses: 3,573;
Total Annual Hours: 3,663.
(2) Type of Information Collection Request: Extension of a
currently approved collection; Title of Information Collection:
Medicare Waiver Demonstration Application; Form No.: CMS-10069
(OMB 0938-0880); Use: The Medicare Waiver Demonstration
Application will be used to collect standard information needed to
implement Congressionally mandated and administration high priority
demonstrations. The application will be used to gather information
about the characteristics of the applicant's organization, benefits,
and services they propose to offer, success in operating the model, and
evidence that the model is likely to be successful in the Medicare
program. The standard application will be used for all waiver
demonstrations and will reduce the burden on applicants, provide for
consistent and timely information collections across demonstration, and
provide a user-friendly format for respondents; Frequency: On occasion;
Affected Public: Business or other for-profit and not-for-profit
institutions; Number of Respondents: 75; Total Annual Responses: 75;
Total Annual Hours: 1600.
(3) Type of Information Collection Request: Extension of a
currently approved collection; Title of Information Collection:
Matching Grants to States for the Operation of High Risk Pools; Form
No.: CMS-10078 (OMB 0938-0887); Use: HHS/CMS is requiring this
information as a condition of eligibility for grants that were
authorized in the Trade Act of 2002 (Pub. L. 107-210). The information
is necessary to determine if a state applicant meets the necessary
eligibility criteria for a grant as required by the law. The
respondents will be states that have a high risk pool as defined in
section 2744(c)(2) of the Public Health Service Act. The grants will
provide matching funds to states that incur losses in the operation of
high risk pools. High risk pools are set up by states to provide heatlh
insurance to individuals that cannot obtain health insurance in the
private market because of a history of illness; Frequency: On occasion;
Affected Public: State, local, or tribal government; Number of
Respondents: 20; Total Annual Responses: 20; Total Annual Hours: 800.
(4) Type of Information Collection Request: Extension of a
currently approved collection; Title of Information Collection:
Conditions of Coverage of Suppliers of End Stage Renal Disease (ESRD);
Form No.: CMS-R-52 (OMB 0938-0386); Use: This package is
needed to encourage proper distribution and effective utilization of
ESRD treatment sources while maintaining and improving the efficient
delivery of care by physicians and dialysis facilities; Frequency:
Annually; Affected Public: Business or other for-profit and Federal
Government; Number of Respondents: 4,297; Total Annual Responses:
4,297; Total Annual Hours: 148,785.
(5) Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Information
Collection Requirements in the Hospice Conditions Coverage. The
following
[[Page 5025]]
regulations are affected: 42 CFR 418.22; 418.24; 418.28; 418.56(b),
(e)(1), (e)(3); 418.58; 418.70(e); 418.83; 418.96(b); and 418.100(b);
Form No.: CMS-R-30 (OMB 0938-0302); Use: Establishes standards
for hospices that wish to participate in the Medicare program. The
regulations establish standards for eligibility, reimbursement
standards and procedure, and delineate conditions that hospices must
meet to be approved for participation in Medicare; Frequency: On
occasion; Affected Public: Business or other for-profit; Number of
Respondents: 2,316; Total Annual Responses: 2,316; Total Annual Hours:
5,981,427.
To obtain copies of the supporting statement and any related forms
for the proposed paperwork collections referenced above, access CMS's
Web Site address at http://cms.hhs.gov/regulations/pra/default.asp, or
E-mail your request, including your address, phone number, OMB number,
and CMS document identifier, to Paperwork@hcfa.gov, or call the Reports
Clearance Office on (410) 786-1326. Written comments and
recommendations for the proposed information collections must be mailed
within 60 days of this notice directly to the CMS Paperwork Clearance
Officer designated at the following address: CMS, Office of Strategic
Operations and Regulatory Affairs, Division of Regulations Development
and Issuances, Attention: Dawn Willinghan, Room: C5-14-03, 7500
Security Boulevard, Baltimore, Maryland 21244-1850.
Dated: January 23, 2003.
John P. Burke III,
CMS Reports Clearance Officer, Office of Strategic Operations and
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-2239 Filed 1-30-03; 8:45 am]
BILLING CODE 4120-03-P