[Federal Register Volume 68, Number 7 (Friday, January 10, 2003)]
[Notices]
[Pages 1467-1468]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-482]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[CMS-10080, CMS-R-262, CMS-R-13, and CMS-484]


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: New collection; Title 
of Information Collection: Publications Use Study; Form No.: CMS-10080 
(OMB 0938-NEW); Use: CMS/CBC needs to conduct this research to 
evaluate how CMS meets beneficiaries' informational needs about health 
care benefits and choices, as directed by the Balanced Budget Act of 
1997. This telephone survey will gather data on publications users' 
demographics, usage patterns, and attitudes toward Medicare 
publications. Research findings will support the improvement of an 
dissemination of Medicare publications; Frequency: Quarterly; Affected 
Public: Individuals or households; Number of Respondents: 3,000; Total 
Annual Responses: 3,000; Total Annual Hours: 850.
    (2) Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: The Adjusted 
Community Rate (ACRP) Medicare+Choice (M+C) Plan Benefit Package (PBP) 
and Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-
422.80, 422.100-422.132, and 422.300-422.312. Form No.: CMS-R-262 
(OMB 0938-0763); Use: Under part C of the Social Security Act, 
a Medicare+Choice (M+C) organization is required to offer at least one 
plan benefit package that is approved and prices properly to all 
Medicare beneficiaries residing in the plan service area. This software 
is used by M+C organizations to describe their plan benefit package(s); 
Frequency: On occasion, annually, and as required by new legislation; 
Affected Public: Business or other for-profit and not-for-profit 
institutions; Number of Respondents: 200; Total Annual Responses: 200; 
Total Annual Hours: 600.
    (3) Type of Information Collection Request: Extension of a 
currently approved collection; Title of Information Collection: 
Conditions of Coverage for Organ Procurement Organizations (OPOs) and 
Supporting Regulations in 42 CFR, Section 486.301-.325. Form No.: CMS-
R-13 (OMB 0938-0688); Use: OPOs are required to submit 
accurate data to CMS concerning population and information on donors 
and organs on an annual basis in order to assure maximum effectiveness 
in the procurement and distribution of organs; Frequency: Annually; 
Affected Public: Not-for-profit institutions; Number of Respondents: 
59; Total Annual Responses: 59; Total Annual Hours: 1.
    (4) Type of Information Collection Request: Extension of a 
currently approved collection; Title of Information Collection: 
Attending Physician's Certification of Medical Necessity for Home 
Oxygen Therapy and Supporting Regulations 42 CFR 410.38 and 42 CFR 
424.5; Form No.: 0938-0534 (CMS-484); Use: This form is used to 
determine if oxygen is reasonable and necessary pursuant to Medicare 
Statute; Medicare claims for home oxygen therapy must be supported by 
the treating physician's statement and other information including 
estimate length of need ( of months), diagnosis codes (ICD-9) 
etc.; Frequency: As needed; Affected Public: Business or other for-
profit; Number of Respondents: 175,000; Total Annual Responses: 
500,000; Total Annual Hours: 50,000.
    To obtain copies of the supporting statement and any related forms 
for the

[[Page 1468]]

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 [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 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 2, 2003.
John P. Burke, III,
CMS Reports Clearance Officer, Office of Strategic Operations and 
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-482 Filed 1-9-03; 8:45 am]
BILLING CODE 4120-03-P