[Federal Register Volume 71, Number 67 (Friday, April 7, 2006)]
[Notices]
[Pages 17887-17888]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-4947]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-52 and CMS-R-194]


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: Conditions for 
Coverage of Suppliers of End Stage Renal Disease (ESRD) Services and 
Supporting Regulations Contained in 42 CFR 405.2100-405.2171; Use: The 
requirements associated with the Medicare and Medicaid Conditions for 
Coverage for Suppliers of ESRD Services fall into two categories: 
record keeping requirements and reporting requirements. With regard to 
the recordkeeping requirements, CMS uses these conditions for coverage 
to certify health care facilities that want to participate in the 
Medicare or Medicaid

[[Page 17888]]

programs. These record keeping requirements are no different than other 
conditions for coverage in that they reflect comparable standards 
developed by industry organizations such as the Renal Physicians 
Association, American Society of Transplant Surgeons, and the National 
Association of Patients on Hemodialysis and Transplantation. With 
respect to reporting requirements, the information is needed to assess 
and ensure proper distribution and effective utilization of ESRD 
treatment resources while maintaining or improving quality of care. It 
is CMS's responsibility to closely monitor ESRD service utilization to 
prevent over-expansion of facilities and resultant under-utilization.; 
Form Number: CMS-R-52 (OMB: 0938-0386); Frequency: 
Recordkeeping and Reporting--Annually; Affected Public: Business or 
other for-profit and Federal government; Number of Respondents: 4,757; 
Total Annual Responses: 4,757; Total Annual Hours: 160,702.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare 
Disproportionate Share Adjustment Procedures and Criteria and 
Supporting Regulations in 42 CFR 412.106; Use: A hospital's 
disproportionate share adjustment is determined by its fiscal 
intermediary (FI) using a combination of Medicare Part A and 
Supplemental Security Income data provided by CMS, and Medicaid data 
calculated from the hospital's cost report. The data provided through 
these calculations are then compared to the qualifying criteria located 
in 42 CFR 412.106 to determine the final adjustment. If these 
calculations, based on the Federal fiscal year, do not allow the 
hospital to qualify for a disproportionate share adjustment, the 
hospital may request that the calculations be performed using its cost 
reporting period.; Form Number: CMS-R-194 (OMB: 0938-0691); 
Frequency: Recordkeeping and Reporting--On occasion; Affected Public: 
Business or other for-profit and Not-for-profit institutions; Number of 
Respondents: 100; Total Annual Responses: 100; Total Annual Hours: 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/PaperworkReductionActof1995, 
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 June 6, 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 30, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-4947 Filed 4-6-06; 8:45 am]
BILLING CODE 4120-01-P