[Federal Register Volume 70, Number 140 (Friday, July 22, 2005)]
[Notices]
[Page 42326]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-14474]



[[Page 42326]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10060, CMS-37, and CMS-10117, 10118, 10119, 
10135, 10136]


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

AGENCY: Centers for Medicare & Medicaid Services.
    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: Quality 
Assessment and Performance Improvement (QAPI) Project Completion Report 
and Supporting Regulations in 42 CFR 422.152; Use: This project 
completion report derives from the Quality Improvement System for 
Managed Care (QISMC) Standards and Guidelines as required by the 
Balanced Budget Act of 1997 (as amended by Balanced Budget Refinement 
Act of 1999) and the related regulations, 42 CFR 422.152. These 
regulations established QISMC as a requirement for Medicare Advantage 
Organizations (MAOs) by requiring improved health outcomes for enrolled 
beneficiaries. The provisions of QISMC specify that MAOs will implement 
and evaluate quality improvement projects. The form submitted herein 
will permit MAOs to report their completed projects to CMS in a 
standardized fashion for evaluation by CMS of the MAO's compliance with 
regulatory provisions. This form will improve consistency and 
reliability in the CMS evaluation process, as well as provide a 
standardized structure for public use and review; Form Number: CMS-
10060 (OMB No.: 0938-0873); Frequency: Annually; Affected Public: 
Business or other for-profit and Not-for-profit institutions; Number of 
Respondents: 155; Total Annual Responses: 155; Total Annual Hours: 620.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicaid Program 
Budget Report; Form Nos.: CMS-37 (OMB No. 0938-0101); Use: The Medicaid 
Program Budget Report is prepared by the State Medicaid Agencies and is 
used by the Centers for Medicare & Medicaid Services (CMS) for (1) 
developing National Medicaid Budget estimates, (2) qualification of 
Budget Estimate Changes, and (3) the issuance of quarterly Medicaid 
Grant Awards. The structure of the currently approved CMS-37 was 
revised based on CMS experience with budget information provided by the 
States. (Note: Details are outlined in the Addendum which can be found 
on the CMS Web site address below.) Frequency: Quarterly; Affected 
Public: State, local or tribal government; Number of Respondents: 56; 
Total Annual Responses: 224; Total Annual Hours: 7,616.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Medicare 
Advantage Application for Coordinated Care, Private Fee-for-Service, 
Regional Preferred Provider Organization, Service Area Expansion for 
Coordinated Care and Private Fee-for-Service Plans, Medical Savings 
Account Plans; Form Nos.: CMS-10117, 10118, 10119, 10135, 10136 (OMB 
No. 0938-0935); Use: Health plans must meet certain regulatory 
requirements to enter into a contract with CMS to provide health 
benefits to Medicare beneficiaries. These applications are the 
collection forms to obtain the information from a health plan that will 
allow CMS staff to determine compliance with the regulations; 
Frequency: Other--one-time submission; Affected Public: Business or 
other for-profit, Not-for-profit institutions, and State, local or 
tribal government; Number of Respondents: 370; Total Annual Responses: 
520; Total Annual Hours: 20,100.
    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 will be considered if they are 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 15, 2005.
Michelle Shortt,
Acting Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 05-14474 Filed 7-21-05; 8:45 am]
BILLING CODE 4120-01-P