[Federal Register Volume 70, Number 18 (Friday, January 28, 2005)]
[Notices]
[Pages 4127-4128]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-1481]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-50 and CMS-10054]


Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare & 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 & Medicaid 
Services (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 function; (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: Medical Records 
Review under Inpatient PPS and Supporting Regulations in 42 CFR, 
Sections 412.40-412.52; Form No: CMS-R-50 (OMB 0938-0359); 
Use: The Quality Improvement Organizations (QIOs) are authorized to 
conduct medical review activities under the Prospective Payment System 
(PPS). In order to conduct these review activities, CMS depends upon 
hospitals to make available specific records regarding care provided to 
Medicare beneficiaries. The Clinical Data Abstraction Centers (CDACs) 
obtain copies of medical records from which they abstract data to 
analyze patterns of care and outcomes for heart failure/myocardial 
infarction, pneumonia, diabetes and surgical infection; Frequency: When 
records are reviewed; Affected Public: Business or other for-profit, 
Not-for-profit institutions, Federal Government, and State, Local or 
Tribal Government; Number of Respondents: 6,100; Total Annual 
Responses: 397,500; Total Annual Hours: 11,925.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Recognition of 
Payment for New Technology Services for Ambulatory Payment 
Classifications (APCs) Under the Outpatient Prospective Payment System 
and Supporting Regulations in 42 CFR, Sections 413.65 and 419.42; Form 
Number: CMS-10054 (OMB 0938-0860); Use: Information is 
necessary to determine eligibility of medical devices for establishment 
of additional device categories for payment under transitional pass-
through payment

[[Page 4128]]

provisions as required by section 1833(t)(6) of the Social Security 
Act. Transitional pass-through payments have been made to hospitals for 
certain drugs, biologicals, and medical devices; Frequency: On 
occasion; Affected Public: Business or other for-profit; Number of 
Respondents: 15; Total Annual Responses: 15; Total Annual Hours: 180.
    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://www.cms.hhs.gov/regulations/pra/, 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: Christopher Martin, New Executive Office Building, Room 
10235, Washington, DC 20503.

    Dated: January 19, 2005.
John P. Burke, III,
CMS Paperwork Reduction Act Reports Clearance Officer, Office of 
Strategic Operations and Regulatory Affairs, Regulations Development 
Group.
[FR Doc. 05-1481 Filed 1-27-05; 8:45 am]
BILLING CODE 4120-03-P