[Federal Register Volume 69, Number 26 (Monday, February 9, 2004)]
[Notices]
[Pages 5990-5991]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-2704]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier: CMS-382 and CMS-R-299]


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 (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: Revision of a currently 
approved collection; Title of Information Collection: A project to 
Develop an Outcome-Based Continuous Quality Improvement System and Core 
Outcome and Comprehensive Assessment Data Set for PACE; Form No.: CMS-
R-299(OMB 0938-0791); Use: The purpose of this project is to 
develop an outcome-based continuous quality improvement (OBCQI) system 
and core comprehensive assessment data set for the PACE program by (a) 
developing and testing a set of data items for core outcome and 
comprehensive assessment (COCOA), (b) testing risk-adjustment methods 
so each site's outcomes can be appropriately evaluated, (c) designing 
an OBCQI approach to improve quality in a systematic, evolutionary 
manner, and (d) testing the usefulness of the data items for assessment 
and care planning. A three-phase field test will result in the 
refinement of the draft COCOA data items and protocols needed. Findings 
from the project are intended to guide the possible implementation of a 
national approach for OBCQI and core comprehensive assessment for 
PACE.; Frequency: On occasion and Semi-annually; Affected Public: 
Individuals or Households and Not-for-profit institutions; Number of 
Respondents: 8,320; Total Annual Responses: 116,038; Total Annual 
Hours: 16,960.

[[Page 5991]]

    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS 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: January 29, 2004.
Melissa Musotto,
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. 04-2704 Filed 2-6-04; 8:45 am]
BILLING CODE 4120-03-P