[Federal Register Volume 71, Number 62 (Friday, March 31, 2006)]
[Notices]
[Pages 16312-16313]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-4633]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-30, CMS-10117,10118,10119,10135,10136 and 
CMS-R-206


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; (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: Information 
Collection Requirements in the Hospice Conditions for Coverage and 
Supporting Regulations at 42 CFR 418.22, 418.24, 418.28, 418.56, 
418.58, 418.70, 418.83, 418.96, and 418.100; Use: The information 
collection requirements contained in the Hospice Conditions for 
Coverage information collection request (ICR) serve to ensure 
compliance with the hospice conditions of participation. The State 
survey agencies utilize the furnished information during the 
certification and re-certification periods to assist in determining 
compliance with the statute and regulations. In addition, data 
collected will be used to produce statistical reports to the Congress, 
to establish reimbursement rates, and to provide increased information 
on the hospice industry.; Form Number: CMS-R-30 (OMB: 0938-
0302); Frequency: Reporting--Other--depending on program areas and data 
requirements; Affected Public: Business or other for-profit, Not-for-
profit institutions, Federal government; Number of Respondents: 2,874; 
Total Annual Responses: 2,874; Total Annual Hours: 9,930,912.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Qualification--
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; Use: An entity seeking a contract as an 
MA organization must be able to provide Medicare's basic benefits plus 
meet the organizational requirements set out under 42 CFR part 422. An 
applicant must demonstrate that it can meet the benefit and other 
requirements within the specific geographic area it is requesting. The 
application forms are designed to provide the information needed to 
determine the health plan's compliance. The regulatory requirements are 
incorporated into the MA applications. The MA application forms will be 
used to determine if an entity is eligible to enter into a contract to 
provide services to Medicare beneficiaries; Form Number: CMS-10117, 
10118, 10119, 10135, 10136 (OMB: 0938-0935); Frequency: 
Reporting: One time submission; Affected Public: Business or other for-
profit, Not-for-profit institutions and State, local or tribal 
government; Number of Respondents: 80; Total Annual Responses: 110; 
Total Annual Hours: 3,400.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Information 
Collection Requirements Referenced in HIPAA, Title 1, for the Group 
Market, Supporting Regulations at 45 CFR 146.111, 146.115, 146.117, 
146.150, 146.152, 146.160, and 146.180, and forms/instructions; Use: 
The requirements of this information collection will ensure that group 
health plans and issuers in the group market comply with Health 
Insurance Portability and Accountability Act of 1996 (HIPAA). These 
requirements include providing individuals with certificates of 
creditable coverage, notifying individuals about their status with 
respect to preexisting condition exclusions, and giving individuals the 
special enrollment rights to which they are entitled. In addition, this 
collection gives states and the Federal government the flexibility 
necessary to enforce these HIPAA requirements.; Form Number: CMS-R-206 
(OMB: 0938-0702); Frequency: Recordkeeping, Third party 
disclosure and Reporting: On occasion; Affected Public: Individuals or 
Households, Business or other for-profit, Not-for-profit institutions 
and Federal, State, Local or Tribal Government; Number of Respondents: 
2,800; Total Annual Responses: 37,002,217; Total Annual Hours: 446,679.
    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/PaperworkReductionActof1995, 
or E-mail your request, including your address, phone number, OMB 
number, and CMS document identifier, to

[[Page 16313]]

[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 May 30, 2006.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--B, Attention: William N. Parham, 
III, Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-
1850.

    Dated: March 24, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-4633 Filed 3-30-06; 8:45 am]
BILLING CODE 4120-01-P