[Federal Register Volume 68, Number 144 (Monday, July 28, 2003)]
[Notices]
[Page 44340]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-19104]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-730 & CMS-80, CMS-2649, and CMS-R-282]


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: Employee Building 
Pass Application and File; Form No.: CMS-730 & CMS-80 (OMB 
0938-0812); Use: The purpose of this system is to control United States 
Government Building Passes issued to all Centers for Medicare & 
Medicaid Services (CMS) employees and non-CMS employees who require 
continuous access to CMS buildings in Baltimore and other CMS and HHS 
Buildings; Frequency: As needed; Affected Public: Federal Government 
and Business or other for-profit; Number of Respondents: 2000; Total 
Annual Responses: 2000; Total Annual Hours: 500.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Reconsideration of Part A Medicare Claims and Supporting Regulations in 
42 CFR, 405.711; Form No.: CMS-2649 (OMB 0938-0045); Use: 
Section 1869 of the Social Security Act authorizes a hearing for any 
individual who is dissatisfied with the intermediary's determination or 
amount of benefit paid. This form is used so that a party may request a 
reconsideration of the initial determination; Frequency: Monthly, 
Quarterly, Annually; Affected Public: Individuals or Households and 
Not-for-profit institutions; Number of Respondents: 62,000; Total 
Annual Responses: 62,000; Total Annual Hours: 15,500.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare + Choice 
(M+C) Organization Appeals and Grievance Data Disclosure Requirements 
and Supporting Regulations in 42 CFR 422.64, 422.111, and 422.560-
422.626; Form No.: CMS-R-282 (OMB 0938-0778); Use: M+C 
organizations will collect information on appeals and grievance 
dispositions to help CMS monitor plan performance and to provide 
information to beneficiaries to help them make informed decisions about 
their or potential health plans' performance; Frequency: Semi-Annually; 
Affected Public: Business or other for-profit; Number of Respondents: 
214; Total Annual Responses: 428; Total Annual Hours: 1284.
    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: July 17, 2003.
Dawn Willinghan,
CMS Reports Clearance Officer, Division of Regulations Development and 
Issuances, Office of Strategic Operations and Strategic Affairs.
[FR Doc. 03-19104 Filed 7-25-03; 8:45 am]
BILLING CODE 4120-03-P