[Federal Register: June 9, 2006 (Volume 71, Number 111)]
[Notices]
[Page 33459-33460]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr09jn06-45]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier: CMS-R-30, CMS-10117, 10118, 10119, 10135, 10136
and CMS-R-206]
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: Information
Collection Requirements in the Hospice Conditions for Coverage and
Supporting Regulations at 42 CFR 418.22, 418.24, 418.28, 418.56,
418.58, 418.70, 418.83, 418.96, and 418.100; Use: The information
collection requirements contained in the Hospice Conditions for
Coverage information collection request (ICR) serve to ensure
compliance with the hospice conditions of participation. The State
survey agencies utilize the furnished information during the
certification and re-certification periods to assist in determining
compliance with the statute and regulations. In addition, data
collected will be used to produce statistical reports to the Congress,
to establish reimbursement rates, and to provide increased information
on the hospice industry.; Form Number: CMS-R-30 (OMB: 0938-
0302); Frequency: Reporting--Other--depending on program areas and data
requirements; Affected Public: Business or other for-profit, not-for-
profit institutions, Federal government; Number of Respondents: 2,874;
Total Annual Responses: 2,874; Total Annual Hours: 9,930,912.
2. Type of Information Collection Request: Revision of a currently
approved collection; Title of Information Collection: Qualification--
Medicare Advantage (MA) Application For Coordinated Care, Private Fee-
For-Service, Regional Preferred Provider Organization, Service Area
Expansion For Coordinated Care and Private Fee-For-Service Plans,
Medical Savings Account Plans ; Use: An entity seeking a contract as an
MA organization must be able to provide Medicare's basic benefits plus
meet the organizational requirements set out under 42 CFR Part 422. An
applicant must demonstrate that it can meet the benefit and other
requirements within the specific geographic area it is requesting. The
application forms are designed to provide the information needed to
determine the health plan's compliance. The regulatory requirements are
incorporated into the MA applications. The MA application forms will be
used to determine if an entity is eligible to enter into a contract to
provide services to Medicare beneficiaries; Form Number: CMS-10117,
10118, 10119, 10135, 10136 (OMB: 0938-0935); Frequency:
Reporting: One time submission; Affected Public: Business or other for-
profit, not-for-profit institutions and State, Local or Tribal
Government; Number of Respondents: 80; Total Annual Responses: 110;
Total Annual Hours: 3,400.
3. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Information
Collection Requirements Referenced in HIPAA, Title 1, for the Group
Market, Supporting Regulations at 45 CFR 146.111, 146.115, 146.117,
146.150, 146.152, 146.160, and 146.180, and forms/instructions; Use:
The requirements of this information collection will ensure that group
health plans and issuers in the group market comply with Health
Insurance
[[Page 33460]]
Portability and Accountability Act of 1996 (HIPAA). These requirements
include providing individuals with certificates of creditable coverage,
notifying individuals about their status with respect to preexisting
condition exclusions, and giving individuals the special enrollment
rights to which they are entitled. In addition, this collection gives
states and the Federal government the flexibility necessary to enforce
these HIPAA requirements.; Form Number: CMS-R-206 (OMB: 0938-
0702); Frequency: Recordkeeping, third party disclosure and reporting:
On occasion; Affected Public: Individuals or Households, Business or
other for-profit, not-for-profit institutions and Federal, State, Local
or Tribal Government; Number of Respondents: 2,800; Total Annual
Responses: 37,002,217; Total Annual Hours: 446,679.
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: June 1, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. E6-8932 Filed 6-8-06; 8:45 am]
BILLING CODE 4120-01-P