[Federal Register Volume 68, Number 153 (Friday, August 8, 2003)]
[Notices]
[Page 47328]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-20272]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-684A-I, CMS-685, CMS-R-136]


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 (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: End-Stage Renal 
Disease (ESRD) Network Business Proposal Forms and Supporting 
Regulations in 42 CFR 405.2110 and 405.2112; Form No.: CMS-684A-I 
(OMB 0938-0658); Use: The submission of business proposal 
information by current ESRD networks and other bidders, according to 
the business proposal instructions, meets CMS's need for meaningful, 
consistent, and verifiable data when evaluating contract proposals; 
Frequency: Other: Every 3 years; Affected Public: Not-for-profit 
institutions; Number of Respondents: 18; Total Annual Responses: 36; 
Total Annual Hours: 1,080.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: End-Stage Renal 
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting 
Regulations in 42 CFR 405.2110 and 405.2112; Form No.: CMS-685 
(OMB 0938-0657); Use: Submission of semi-annual cost reports 
allows CMS to review, compare, and project ESRD network costs. The 
reports are used as an early warning system to determine whether the 
networks are in danger of exceeding the total cost of the contract. 
Additionally, CMS can analyze line item costs to identify any 
significant aberrations; Frequency: Semiannually; Affected Public: Not-
for-profit institutions; Number of Respondents: 18; Total Annual 
Responses: 36; Total Annual Hours: 108.
    3. Type of Information Collection Request: Reinstatement, without 
change, of a previously approved collection for which approval has 
expired; Title of Information Collection: Proper Claim Not Filed and 
Supporting Regulation Contained in 42 CFR 411.32(c); Form No.: CMS-R-
136) (OMB 0938-0564); Use: Section 411.32(c) requires a 
provider, supplier, or beneficiary to notify Medicare that a claim to a 
third party was improperly filed; Frequency: On occasion; Affected 
Public: Business or other for-profit, Not-for-profit institutions, 
Individuals or households; Number of Respondents: 13,311; Total Annual 
Responses: 13,311; Total Annual Hours: 0.
    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, Fax 
Number: (202) 395-6974.

    Dated: July 31, 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. 03-20272 Filed 8-7-03; 8:45 am]
BILLING CODE 4120-03-P