[Federal Register Volume 70, Number 179 (Friday, September 16, 2005)]
[Notices]
[Pages 54748-54749]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-18004]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10036]


Agency Information Collection Activities: Proposed Collection; 
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) 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;

[[Page 54749]]

(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: Inpatient 
Rehabilitation Assessment Instrument and Data Set for PPS for Inpatient 
Rehabilitation Facilities and Supporting Regulations in 42 CFR Sections 
412.23, 412.604, 412.606, 412.610, 412.614, 412.618, 412.626, 413.64; 
Form Number: CMS-10036 (OMB: 0938-0842); Use: This is a 
request to use the IRF-PAI (Inpatient Rehabilitation Facilities--
Patient Assessment Instrument) and its supporting manual for the 
implementation phase of the Inpatient Rehabilitation PPS (Prospective 
Payment System). This payment system is to cover both operating and 
capital costs for inpatient rehabilitation hospital services. It will 
apply to rehabilitation units of acute care hospitals as well as to 
rehabilitation hospitals, both of which are exempt from the current 
Medicare PPS which is generally applicable for inpatient hospital 
services. Use of this instrument will enable CMS to implement a 
classification and payment system for the legislatively mandated 
inpatient rehabilitation hospital and the aforementioned exempt units. 
Frequency: Recordkeeping, third party disclosure and reporting--On 
occasion; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 1,165; Total Annual 
Responses: 390,000; Total Annual Hours: 421,939.
    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.
    To be assured consideration, comments and recommendations for the 
proposed information collections must be received at the address below, 
no later than 5 p.m. on November 15, 2005. CMS, Office of Strategic 
Operations and Regulatory Affairs, Division of Regulations Development, 
Attention: Bonnie L Harkless, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: September 1, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 05-18004 Filed 9-15-05; 8:45 am]
BILLING CODE 4120-01-P