[Federal Register Volume 67, Number 5 (Tuesday, January 8, 2002)]
[Notices]
[Page 903]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-425]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-273 and CMS-2088]


Agency Information Collection Activities: Submission for OMB 
Review; 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: Revision of a currently 
approved collection. Title of Information Collection: Site Visit 
Assessment Tool (previously known as Community Mental Health Center 
Site Visit Assessment Tool) and Supporting Regulations in 42 CFR 410.2. 
Form No.: CMS-R-0273 (OMB# 0938-0770). Use: This information collection 
tool is essential for CMS to ensure that new and existing Community 
Mental Health Centers (CMHC) are in compliance with Medicare provider 
requirements, as well as applicable Federal and State requirements. 
This revision is requested to implement the collection of information 
required by the Benefit Improvement and Protection Act of 2000 
regarding the CMHC's provision of pre-admission screening to State 
mental health facilities and to expand the collection tool's use into 
other program areas as a means to screen applicants, enrollees, and 
existing providers/suppliers to ensure their legitimacy to participate 
in the Medicare program. Frequency: Upon initial application or re-
enrollment into the Medicare program. Affected Public: Business or 
other for profit, Not for profit institutions, and state, local, or 
tribal Government. Number of Respondents: 4,550; Total Annual 
Responses: 4,550. Total Annual Hours: 17,400.
    (2) Type of Information Collection Request: Extension of a 
currently approved collection. Title of Information Collection: 
Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 
CFR 413.20 and 413.24. Form No.: CMS-2088. Use: This form is used by 
Outpatient Rehabilitation Facilities to report their health care costs 
to determine the amount reimbursable for services furnished to Medicare 
beneficiaries. Frequency: Annually. Affected Public: Business or other 
for-profit, Not-for-profit institutions, and state, local or tribal 
government. Number of Respondents: 716. Total Annual Responses: 716. 
Total Annual Hours: 71,600.
    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.hcfa.gov/regs/prdact95.htm, 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. Written comments and 
recommendations for the proposed information collections must be mailed 
within 30 days of this notice directly to the OMB desk officer: OMB 
Human Resources and Housing Branch, Attention: Allison Herron Eydt, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: December 20, 2001.
Julie Brown,
Acting, CMS Reports Clearance Officer, CMS Office of Information 
Services, Security and Standards Group, Division of CMS Enterprise 
Standards.
[FR Doc. 02-425 Filed 1-7-02; 8:45 am]
BILLING CODE 4120-03-P