[Federal Register Volume 68, Number 137 (Thursday, July 17, 2003)]
[Notices]
[Page 42415]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-18060]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-588, CMS-1514, CMS-368/R-144]


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 (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: Revision of a currently 
Approved collection; Title of Information Collection: Authorization 
agreement for electronic forms transfer; Form No.: CMS-0588 
(OMB 0938-0626); Use: The information is needed to allow 
providers to receive funds electronically in their bank accounts; 
Frequency: On occasion; Affected Public: Business or other for-profit, 
Not-for-profit institutions; Number of Respondents: 10,000; Total 
Annual Responses: 10,000; Total Annual Hours: 1,250.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospital Request 
for Certification in the Medicare/Medicaid Program; Form No.: CMS-1514 
(OMB 0938-0380); Use: Section 1861 of the Social Security Act 
requires hospitals and critical access hospitals to be certified to 
participate in the Medicare/Medicaid program. These providers must 
complete the ``Hospital Request for Certification in the Medicare/
Medicaid Program'' form in order to be certified or recertified; 
Frequency: Annually; Affected Public: Business or other for-profit, 
Not-for-profit institutions; Number of Respondents: 6,300; Total Annual 
Responses: 2,000; Total Annual Hours: 500.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid Drug 
Rebate; Form No.: 0938-0582; Use: Section 1927 requires State Medicaid 
agencies to report to drug manufacturers and CMS on the drug 
utilization for their State and the amount of rebate to be paid by the 
manufacturer; Frequency: Quarterly; Affected Public: State, local, or 
tribal government; Number of Respondents: 51; Total Annual Responses: 
204; Total Annual Hours: 6,125.
    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 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: July 10, 2003.
Dawn Willinghan,
Acting Paperwork Reduction Act Team Leader, CMS Reports Clearance 
Officer, Office of Strategic Operations and Strategic Affairs, Division 
of Regulations Development and Issuances.
[FR Doc. 03-18060 Filed 7-16-03; 8:45 am]
BILLING CODE 4120-03-P