[Federal Register Volume 70, Number 135 (Friday, July 15, 2005)]
[Notices]
[Pages 41034-41035]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-13866]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-295 and CMS-8003]


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: Medicare CAHPS 
Disenrollment Surveys and Supporting Regulations in 42 CFR 417.126, 
417.470, 422.64, and 422.210; Use: This survey helps track a variety of 
consumer satisfaction measures relating to Medicare beneficiaries who 
leave their MA plans. The Centers for Medicare & Medicaid Services 
(CMS) has a responsibility to its Medicare beneficiaries to require 
that care provided by managed care organizations under contract to CMS 
is of high quality. One way of ensuring high quality care is through 
the development of performance measures and standardized satisfaction 
surveys that enable CMS to gather the data needed to evaluate the care 
provided to Medicare beneficiaries; Form Number: CMS-R-

[[Page 41035]]

295 (OMB: 0938-0779; Frequency: Quarterly; Affected Public: 
Individuals or Households; Number of Respondents: 44,200; Total Annual 
Responses: 41,697; Total Annual Hours: 17,823.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Home and 
Community-Based Waiver Requests and Supporting Regulations in 42 CFR 
440.180 and 441.300-.310; Use: Under a Secretarial waiver, States may 
offer a wide array of home and community-based services to individuals 
who would otherwise require institutionalization. States requesting a 
waiver must provide certain assurances, documentation and cost & 
utilization estimates which are reviewed, approved and maintained for 
the purpose of identifying/verifying States' compliance with such 
statutory and regulatory requirements; Form Number: CMS-8003 
(OMB: 0938-0449); Frequency: Other: when a State requests a 
waiver or amendment to a waiver; Affected Public: State, Local or 
Tribal Government; Number of Respondents: 50; Total Annual Responses: 
132; Total Annual Hours: 7,930.
    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: July 5, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 05-13866 Filed 7-14-05; 8:45 am]
BILLING CODE 4120-01-P