[Federal Register: March 30, 2007 (Volume 72, Number 61)]
[Notices]
[Page 15139]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30mr07-80]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-10091, CMS-1728, CMS-10028 A, B and C, and
CMS-10099]
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: Extension of a currently
approved collection; Title of Information Collection: Accepting New
Patients Indicator UPIN (Unique Physician Identification Number)
Participating Physicians Directory; Use: CMS is expanding the
Participating Physician Directory to provide additional information
about physicians who participate in Medicare. The new data element
``accepting new Medicare patients'' will provide beneficiaries and
other users with much needed information about the physicians who
participate in the Medicare program. It will also provide a service to
physicians who are either seeking new Medicare patients or who wish to
reduce the burden of responding to callers when they are no longer
accepting new Medicare patients. Form Number: CMS-10091 (OMB:
0938-0905); Frequency: Reporting: Daily, Weekly and Yearly; Affected
Public: Business or other for-profit and Not-for-profit institutions;
Number of Respondents: 109.800; Total Annual Responses: 10,980; Total
Annual Hours: 915.
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Home Health
Agency Cost Report; Use: Providers of services participating in the
Medicare program are required under sections 1815(a) and 1861(v)(1)(A)
of the Social Security Act, to submit annual information to achieve
settlement of costs for health care services rendered to Medicare
beneficiaries. The CMS-1728-94 cost report is needed to determine the
amount of reimbursable cost, based upon the cost limits, that is due
these providers furnishing medical services to Medicare beneficiaries.
Form Number: CMS-1728-94 (OMB: 0938-0022); Frequency:
Reporting: Yearly; Affected Public: Business or other for-profit and
Not-for-profit institutions; Number of Respondents: 5069; Total Annual
Responses: 5069; Total Annual Hours: 892,144.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: State Health
Insurance Assistance Program (SHIP) Client Contact Form, Pubic and
Media Activity Form, and Resource Report Form; Use: The information
collected is used to fulfill the reporting requirements described in
Section 4360(f) of OBRA 1990. Also, the data will be accumulated and
analyzed to measure State Health Insurance Assistance Program (SHIP)
performance in order to determine whether and to what extent the SHIPs
have met the goals of improved CMS customer service to beneficiaries
and better understanding by beneficiaries of their health insurance
options. Further, the information will be used in the administration of
the grants, to measure performance and appropriate use of the funds by
the State grantees, to identify gaps in services and technical support
needed by SHIPs, and to identify and share best practices. Form Number:
CMS-10028-A, B and C (OMB: 0938-0850); Frequency: Reporting:
Quarterly and Semi-annually; Affected Public: State, Local, or Tribal
Governments; Number of Respondents: 12,000; Total Annual Responses:
1,056,000; Total Annual Hours: 87,965.
4. Type of Information Collection Request: Extension of a currently
approved information collection; Title of Information Collection:
Review of National Coverage Determinations and Local Coverage
Determinations and Supporting Regulations in 42 CFR 426.400 and 42 CFR
426.500; Use: Section 522 of the Benefits Improvement and Protection
Act (BIPA) of 2000 requires the implementation of a process for the
appeal of National Coverage Determinations (NCDs) and Local Coverage
Determinations (LCDs). Sections 426.400 and 426.500, state that an
aggrieved party may initiate a review of an LCD or NCD, respectively,
by filing a written complaint. These sections also identify the
information required in the complaint to qualify as an aggrieved party
as defined in Sec. 426.110, as well as the process and information
needed for an aggrieved party to withdraw a complaint. The required
documentation includes a copy of the written authorization to represent
the beneficiary, if the beneficiary has a representative, and a copy of
a written statement from the treating physician that the beneficiary
needs a service that is the subject of the LCD. Form Number: CMS-10099
(OMB: 0938-0911); Frequency: Reporting--On occasion; Affected
Public: Individuals or Households; Number of Respondents: 1,040; Total
Annual Responses: 1,040; Total Annual Hours: 4,160.
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.
Written comments and recommendations for the proposed information
collections must be mailed or faxed within 30 days of this notice
directly to the OMB desk officer: OMB Human Resources and Housing
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room
10235, Washington, DC 20503, Fax Number: (202) 395-6974.
Dated: March 22, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E7-5754 Filed 3-29-07; 8:45 am]
BILLING CODE 4120-01-P