[Federal Register Volume 68, Number 173 (Monday, September 8, 2003)]
[Notices]
[Pages 52948-52949]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-22695]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-2744 and CMS-2746]


Agency Information Collection Activities: Proposed Collection; 
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 (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: Revision of a currently 
approved collection;
    Title of Information Collection: End Stage Renal Disease Medical 
Information System ESRD Facility Survey and Supporting Regulations in 
42 CFR 405.2133; Form No.: CMS-2744 (OMB 0938-0447); Use: The 
ESRD Facility Survey form (CMS-2744) is completed annually by Medicare-
approved providers of dialysis and transplant services. The CMS-2744 is 
designed to collect information concerning treatment trends, 
utilization of services and patterns of practice in treating ESRD 
patients; Frequency: Annually; Affected Public: Business or other for-
profit, and Not-for-profit institutions; Number of Respondents: 4,360; 
Total Annual Responses: 4,360; Total Annual Hours: 34,880.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: End Stage Renal 
Disease Death Notification, Pub. L. 95-292; 42 CFR 405.2133; 45 CFR 5, 
5b; 20 CFR parts 401, 422E; Form No.: CMS-2746 (OMB 0938-
0448); Use: The ESRD Death Notification is to be completed upon the 
death of ESRD patients. Its primary purpose is to collect fact and 
cause of death. Reports of deaths are used to show cause of death and 
demographic characteristics of these patients; Frequency: Other: One-
time (patient death); Affected Public: Business or other for-profit, 
Not-for-profit institutions, and Federal Government; Number of 
Respondents: 4,360; Total Annual Responses: 69,760; Total Annual Hours: 
34,880.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections

[[Page 52949]]

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: August 28, 2003.
Dawn Willinghan,
Acting CMS Reports Clearance Officer, Office of Strategic Operations 
and Strategic Affairs, Division of Regulations Development and 
Issuances.
[FR Doc. 03-22695 Filed 9-5-03; 8:45 am]
BILLING CODE 4120-03-P