[Federal Register Volume 70, Number 155 (Friday, August 12, 2005)]
[Notices]
[Pages 47216-47217]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-15977]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-29/30, CMS-10150, CMS-381, CMS-10161, CMS-
10134, CMS-R-137]


Agency Information Collection Activities: Proposed Collection; 
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) 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: Request for 
Certification as Rural Health Clinic and Rural Health Clinic Survey 
Report Form and Supporting Regulations in 42 CFR 491.1-491.11; Form 
No.: CMS-29 and CMS-30 (OMB 0938-0074); Use: The form CMS-29 
is utilized as an application to be completed by suppliers of Rural 
Health Clinic (RHC) services requesting participation in the Medicare/
Medicaid programs. This form initiates the process of obtaining a 
decision as to whether the conditions for certification are met as a 
supplier of RHC services. It also promotes data reduction or 
introduction to and retrieval from the Online Survey and Certification 
and Reporting System (OSCAR) by CMS Regional Offices (RO). The Form 
CMS-30 is an instrument used by the State survey agency to record data 
collected in order to determine RHC compliance with individual 
conditions of participation and to report it to the Federal government. 
The form is primarily a coding worksheet designed to facilitate data 
reduction (keypunching) and retrieval into OSCAR at the CMS ROs. The 
form includes basic information on compliance (i.e., met, not met and 
explanatory statements) and does not require any descriptive 
information regarding the survey activity itself; Frequency: 
Reporting--Annually; Affected Public: State, Local or Tribal 
Government; Number of Respondents: 698; Total Annual Responses: 698; 
Total Annual Hours: 1,222.

    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Collection of 
Drug Pricing and Network Pharmacy Data from Medicare Prescription Drug 
Plans (PDPs and MA-PDs) and Supporting Regulations in 42 CFR 423.48; 
Form No.: CMS-10150 (OMB 0938-0951); Use: Both stand alone 
prescription drug plans (PDPs) and Medicare Advantage Prescription Drug 
(MA-PDs) plans will be required to submit drug pricing and pharmacy 
network data to CMS. These data will be made publicly available to 
Medicare beneficiaries through the new Medicare prescription drug plan 
finder tool that will be launched in the fall of 2005 on http://www.medicare.gov. The purpose of the data is to enable beneficiaries to 
compare, learn, select and enroll in a plan that best meets their 
needs; Frequency: Reporting--Weekly; Affected Public: Business or other 
for-profit; Number of Respondents: 350; Total Annual Responses: 18,200; 
Total Annual Hours: 36,400.

    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Identification of 
Extension Units of Outpatient Physical Therapy/Outpatient Speech 
Pathology (OPT/OSP) Providers and Supporting Regulations in 42 CFR 
Sections 485.701-485.729; Form No.: CMS-381 (OMB 0938-0273); 
Use: Medicare provides OPT/OSP providers to be surveyed to determine 
compliance with Federal regulations. All locations where OPT/OSP 
providers furnish services must meet these requirements. The CMS-381 is 
the form used to identify all the OPT/OSP locations. Frequency: 
Reporting--Annually; Affected Public: Business or other for-profit; 
Number of Respondents: 2960; Total Annual Responses: 2960; Total Annual 
Hours: 740.

    4. Type of Information Collection Request: New Collection; Title of 
Information Collection: New Freedom Initiative--Web-based Reporting 
System for Grantees; Form No.: CMS-10161 (OMB 0938-NEW); Use: 
CMS currently awards competitive grants to States and other eligible 
entities for the purpose of designing and implementing effective and 
enduring improvements in community-based long-term services and 
supporting systems. We currently require grantees to report quarterly, 
semi-annual, and or annually, depending on the grant type. CMS requires 
the information obtained through Web-based grantee reporting for two 
reasons: (1) in order to effectively monitor the grants, and; (2) to 
report to Congress and other interested stakeholders the progress and 
obstacles experienced by the grantees. The grantees are the respondents 
to the Web-based reporting system; Frequency: Reporting--Quarterly, 
Semi-annually,

[[Page 47217]]

and Annually; Affected Public: State, Local or Tribal Government and 
Not-for-profit institutions; Number of Respondents: 298; Total Annual 
Responses: 836; Total Annual Hours: 6,440.
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Physician Group 
Practice (PGP) Standardized Ambulatory Care Quality Measure Collection 
Initiative; Use: The Benefits Improvement & Protection Act of 2000 
mandated the Physician Group Practice (PGP) Demonstration and gave the 
Secretary discretion to use quality measures to assess physician 
performance in order to reward them for improvements in the quality and 
efficiency of health care. This demonstration is intended to strengthen 
the Medicare program by offering innovative models to beneficiaries 
that improve quality and access and lower costs. As a result, Medicare 
beneficiaries will directly benefit from these innovative models. The 
demonstration represents the first pay for performance project for 
physician group practices and will enable comparisons across groups and 
geography; Form Number: CMS-10134 (OMB 0938-0942); Frequency: 
Annually; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 10; Total Annual Responses: 
10; Total Annual Hours: 790.

    6. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Internal Revenue 
Service/Social Security Administration/Centers for Medicare and 
Medicaid Services Data Match and Supporting Regulations in 42 CFR 
411.20-491.206; Form No.: CMS-R-137 (OMB 0938-0565); Use: The 
Data Match project and information collection activity provides a 
``check and balance'' against the Medicare program relying solely on a 
single information collection system. It gives CMS the opportunity to 
pursue collection of identified mistaken payments (within legal 
constraints) and to update incorrect status indicators to prevent 
further incorrect suspensions or mistaken payment or denial. Employers 
identified through a match of IRS, SSA, and Medicare records will be 
contacted concerning group health plan coverage of identified 
individuals to ensure compliance with Medicare Secondary Payer 
provisions found at 42 U.S.C. 1395y(b); Frequency: Reporting--Annually; 
Affected Public: Business or other for-profit, Not-for-profit 
institutions, Farms, Federal, State, Local or Tribal Government; Number 
of Respondents: 341,065; Total Annual Responses: 341,065; Total Annual 
Hours: 1,986,810.
    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 60 days of this notice to the address 
below: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Melissa Musotto, Room 
C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 5, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 05-15977 Filed 8-11-05; 8:45 am]
BILLING CODE 4120-01-P