[Federal Register Volume 67, Number 226 (Friday, November 22, 2002)]
[Notices]
[Pages 70434-70435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-29711]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-R-70, CMS-2567, CMS-R-107]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

    Agency: Centers for Medicare and Medicaid Services.
    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

[[Page 70435]]

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: Requirements in 
HSQ-110, Acquisition, Protection and Disclosure of Peer Review 
Organization Information and Supporting Regulations in 42 CFR, Sections 
480.104, 480.105, 480.116, and 480.134.; Form No.: CMS-R-70 
(OMB 0938-0426); Use: The Peer Review Improvement Act of 1982 
authorizes quality improvement organizations (QIOs), formally known as 
PROs, to acquire information necessary to fulfill their duties and 
functions and places limits on disclosure of the information. These 
requirements are on the QIOs to provide notices to the affected parties 
when disclosing information about them. These requirements serve to 
protect the rights of the affected parties. Frequency: On occasion; 
Affected Public: Business or other for-profit, Individuals or 
Households, and Not-for-profit institutions; Number of Respondents: 
362; Total Annual Responses: 3,729; Total Annual Hours: 60,919.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Statement of 
Deficiencies and Plan of Correction and Supporting Regulations in 42 
CFR 488.18, 488.26, and 488.28; Form No.: CMS-2567 (OMB 0938-
0391); Use: This Paperwork package provides information regarding the 
form used by the Medicare, Medicaid, and the Clinical Laboratory 
Improvement Amendments (CLIA) programs to document a health care 
facility's compliance or noncompliance (deficiencies) with regard to 
the Medicare/Medicaid Conditions of Participation and Coverage, the 
requirements for participation for Skilled Nursing Facilities and 
Nursing Facilities, and for certification under CLIA. This form becomes 
the basis for both public disclosure of information and CMS 
certification decisions (including termination or denial of 
participation); Frequency: Biennially and Annually; Affected Public: 
Business or other for-profit, Not-for-profit institutions, Federal 
Government, and State, Local or Tribal Government; Number of 
Respondents: 60,000; Total Annual Responses: 60,000; Total Annual 
Hours: 120,000.
    3. Type of Information Collection Request: Reinstatement, with 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Determining Third Party 
Liability (TPL) State Plan Preprint and Supporting Regulations in 42 
CFR 433.138; Form No.: CMS-R-107 (OMB 0938-0502); Use: The 
collection of third party liability information results in significant 
program savings to the extent that liable third parties can be 
identified and payments can be made for services that would otherwise 
be paid for by the Medicaid program. Frequency: On occasion; Affected 
Public: Individuals or Households, Federal Government, and State, 
Local, or Tribal Government; Number of Respondents: 1,900,000; Total 
Annual Responses: 1,900,000; Total Annual Hours: 329,965.
    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://cms.hhs.gov/regulations/pra/default.asp, 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: Brenda Aguilar, New 
Executive Office Building, Room 10235, Washington, DC 20503.

    Dated: November 14, 2002.
John P. Burke III,
Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, 
Office of Strategic Operations and Regulatory Affairs, Division of 
Regulations Development and Issuances.
[FR Doc. 02-29711 Filed 11-21-02; 8:45 am]
BILLING CODE 4120-03-P