[Federal Register Volume 68, Number 225 (Friday, November 21, 2003)]
[Notices]
[Pages 65714-65715]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-29138]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-382, CMS-10003 and CMS-10098]


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 (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: Extension of a currently 
approved collection; Title of Information Collection: ESRD Beneficiary 
Selection and Supporting Regulations in 42 CFR 414.330; Form No.: CMS-
382 (OMB 0938-0372); Use: ESRD facilities have each new home 
dialysis patient select one of two methods to handle Medicare 
reimbursement. The intermediaries pay for the beneficiaries selecting 
Method I and the carriers pay for the beneficiaries selecting Method 
II. This system was developed to avoid duplicate billing by both 
intermediaries and carriers; Frequency: Other: One-time only; Affected 
Public: Individuals or households, business or other for-profit, not-
for-profit institutions; Number of Respondents: 7,400; Total Annual 
Responses: 7,400; Total Annual Hours: 617.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare+Choice 
Appeals Notices, ``Notice of Denial of Medical Coverage'', ``Notice of 
Denial Payment''; Form No.: CMS-10003 (OMB 0938-0829); Use: 
Section 1852(g)(1)(B) requires M+C organizations to provide 
determinations to deny coverage (i.e., medical services or payment) in 
writing and include a statement in understandable language of the 
reasons for the denial and a description of the reconsideration and 
appeals processes.
    These notices fulfill the statutory requirement.; Frequency: On 
occasion and other: distrubution; Affected Public: Individuals or 
households, business or other for-profit, not-for-profit institutions; 
Number of Respondents: 71,411; Total Annual Responses: 71,411; Total 
Annual Hours: 78,290.
    3. Type of Information Collection Request: New Collection; Title of 
Information Collection: 1-800-Medicare Beneficiary Satisfaction Survey; 
Form No.: CMS-10098 (OMB 0938-NEW); Use: The Beneficiary 
Satisfaction survey is performed to insure that the CMS 1-800-Medicare 
helpline contractor is delivering satisfactory service to the Medicare 
beneficiaries. It gathers data on several helpline operations such as 
print fulfillment and Web site tools hosted on http://www.medicare.gov. 
Respondents to the survey are Medicare beneficiaries that have 
contacted the 1-800-Medicare number within the past week for benefits 
and services information.; Frequency: On occasion; Affected Public: 
Individuals or households; Number of Respondents: 14,400; Total Annual 
Responses: 14,400; Total Annual Hours: 1,200.
    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: Melissa Musotto, Room C5-14-03, 7500 Security 
Boulevard, Baltimore, Maryland 21244-1850.


[[Page 65715]]


    Dated: November 13, 2003.
Julie Brown,
CMS Reports Clearance Officer, Office of Strategic Operations and 
Strategic Affairs, Division of Regulations Development and Issuances.
[FR Doc. 03-29138 Filed 11-20-03; 8:45 am]
BILLING CODE 4120-03-P