[Federal Register Volume 70, Number 189 (Friday, September 30, 2005)]
[Notices]
[Page 57296]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 05-19581]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10146 and CMS-10147]


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: New Collection; Title of 
Information Collection: Notice of Denial of Medicare Prescription Drug 
Coverage; Form No.: CMS-10146 (OMB 0938-NEW); Use: Pursuant to 
42 CFR 423.568(c), if a Part D plan denies drug coverage, in whole or 
in part, the Part D plan must give the enrollee written notice of the 
coverage determination; Frequency: Other: Distribution; Affected 
Public: Business or other for profit, Not-for-profit institutions; 
Individuals or Households and Federal Government; Number of 
Respondents: 450; Total Annual Responses: 1,056,000; Total Annual 
Hours: 528,000.
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Medicare Prescription Drug Coverage and Your 
Rights; Form No.: CMS-10147 (OMB  0938-NEW); Use: Pursuant to 
42 CFR 423.562(a)(3), a Part D plan sponsor must arrange with its 
network pharmacies to post or distribute notices informing enrollees to 
contact their plan to request a coverage determination or an exception 
if the enrollee disagrees with the information provided by the 
pharmacy; Frequency: Other: Distribution; Affected Public: Business or 
other for profit, Not-for-profit institutions; Individuals or 
Households and Federal Government; Number of Respondents: 41,000; Total 
Annual Responses: 35,000,000; Total Annual Hours: 583,333.
    To obtain copies of the supporting statement and any related forms 
for these 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 by the OMB Desk 
Officer at the address below, no later than 5 p.m. on October 31, 2005.
    OMB Human Resources and Housing Branch, Attention: Christopher 
Martin, New Executive Office Building, Room 10235, Washington, DC 
20503.

    Dated: September 23, 2005.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 05-19581 Filed 9-29-05; 8:45 am]
BILLING CODE 4120-01-P