[Federal Register Volume 68, Number 123 (Thursday, June 26, 2003)]
[Notices]
[Page 38053]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-16105]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[CMS-R-64, CMS-R-26, CMS-10005, CMS-3427]


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 (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 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: Extension of a currently 
approved collection.
    Title of Information Collection: Indirect Medical Education (IME) 
and Supporting Regulations in 42 CFR 412.105.
    Form No.: CMS-R-64 (OMB 0938-0456).
    Use: This collection of information on interns and residents (IR) 
is needed to properly calculate Medicare program payments to hospitals 
that incur indirect costs for medical education. The agency's Intern 
and Resident Information System uses the information for producing 
automated reports of duplicate full-time equivalent IRs for IME. The 
reports provide contractors with information to ensure that hospitals 
are properly reimbursed for IME, and help eliminate duplicate reporting 
of IR counts, which inflate payments. The collection of this 
information affects 1,350 hospitals which participate in approved 
medical education programs.
    Frequency: Annually.
    Affected Public: Not-for-profit institutions, and Business or other 
for-profit.
    Number of Respondents: 1,225.
    Total Annual Responses: 1,225.
    Total Annual Hours: 2,450.
    2. Type of Information Request: Revision of a currently approved 
collection.
    Title of Information Collection: Clinical Laboratory Improvement 
Amendments (CLIA) and the ICRs contained in the supporting regulations 
in 42 CFR 493.1-493.2001.
    Form Number: CMS-R-26 (OMB approval : 0938-0612).
    Use: The ICRs referenced in 42 CFR part 493 outline the 
requirements necessary to determine an entity's compliance with CLIA. 
CLIA requires laboratories that perform testing on human beings to meet 
performance requirements (quality standards) in order to be certified 
by HHS.
    Frequency: Other: As needed.
    Affected Public: Business or other for-profit, Not-for-profit 
institutions, Federal government, State, local or tribal gov't.
    Number of Respondents: 168,688.
    Total Annual Responses: 756,241.
    Total Annual Hours Requested: 9,379,917.
    3. Type of Information Request: Extension of a currently approved 
collection.
    Title of Information Collection: Ticket to Work and Work 
Incentives: Medicaid Infrastructure Grants.
    Form Number: CMS-10005 (OMB approval : 0938-0811).
    Use: Section 203 of the Ticket to Work and Work Incentives Act of 
1999 provides for the establishment of a grants program for states that 
build infrastructures designed to support people with disabilities. 
State agencies will be applying for these grants.
    Frequency: Annually.
    Affected Public: State, local or tribal govt.
    Number of Respondents: 56.
    Total Annual Responses: 56.
    Total Annual Burden Hours: 5,600.
    4. Type of Information Collection Request: Extension of a currently 
approved collection.
    Title of Information Collection: End Stage Renal Disease 
Application and Survey and Certification Report and Supporting 
Regulations in 42 CFR 405.2100-405.2184.
    Form No.: CMS-3427 (OMB 0938-0360).
    Use: Part I of this form is a facility identification and screening 
measurement used to initiate the certification and recertification of 
ESRD facilities. Part II is completed by the Medicare/Medicaid State 
survey agency to determine facility compliance with ESRD conditions for 
coverage.
    Frequency: Annually.
    Affected Public: State, local or tribal government.
    Number of Respondents: 4000.
    Total Annual Responses: 1,320.
    Total Annual Hours: 330.
    To obtain copies of the supporting statement and any related forms 
for the 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: June 19, 2003.
Dawn Willinghan,
CMS Reports Clearance Officer, Division of Regulations Development and 
Issuances, Office of Strategic Operations and Strategic Affairs.
[FR Doc. 03-16105 Filed 6-25-03; 8:45 am]
BILLING CODE 4120-03-P