[Federal Register Volume 71, Number 102 (Friday, May 26, 2006)]
[Notices]
[Pages 30421-30422]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-7944]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-668B, CMS-R-284, CMS-R-205, CMS-10187, and 
CMS-10116]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: Extension of a currently 
approved collection; Title of Information Collection: Post Clinical 
Laboratory Survey Questionnaire and Supporting Regulations in 42 CFR 
493.1771, 493.1773, and 493.1777; Use: To provide an opportunity and a 
mechanism for Clinical Laboratory Improvement Amendments of 1988 (CLIA) 
laboratories surveyed by CMS or CMS' agents to express their 
satisfaction and concerns about the CLIA survey process.; Form Number: 
CMS-668B (OMB: 0938-0653); Frequency: Recordkeeping, 
Reporting--Biennially; Affected Public: Business or other for-profit 
and Not-for-profit institutions; Number of Respondents: 21,000; Total 
Annual Responses: 10,500; Total Annual Hours: 2,625.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Statistical Information System; Use: State data are reported by the 
Federally mandated electronic process, known as Medicaid Statistical 
Information System (MSIS). These data are the basis of actuarial 
forecasts for Medicaid service utilization and costs; of analysis and 
cost savings estimates required for legislative initiatives relating to 
Medicaid; and for responding to requests for information from CMS 
components, the Department, Congress and other customers.; Form Number: 
CMS-R-284 (OMB: 0938-0345); Frequency: Quarterly; Affected 
Public: State, Local or Tribal Government; Number of Respondents: 53; 
Total Annual Responses: 212; Total Annual Hours: 2,120.
    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 Individual 
Market, supporting regulations at 45 CFR 148.120, 148.122, 148.124, 
148.126, and 148.128, and Forms/instructions; Use: The provisions of 
Title I of the Health Insurance Portability and Accountability Act of 
1996 (HIPAA) amend the Public Health Service Act (PHS Act) and are 
designed to make it easier for people to get access to health care 
coverage, reduce the limitations that can be put on the coverage, and 
limit the issuers' ability to terminate coverage. This information 
collection requirement will ensure that issuers in the individual 
market comply with Title 1 of HIPAA, provide individuals with 
certificates of creditable coverage necessary to demonstrate prior 
creditable coverage, file the necessary documentation with CMS for 
review in States that have Federal direct enforcement, and ensure 
States' flexibility to implement State alternative mechanisms. 
Individuals and their dependents need certificates of creditable 
coverage to take advantage of the rights they have under HIPAA. States 
and CMS need the information supplied by issuers to properly perform 
their regulatory functions under HIPAA and or existing State law.; Form 
Number: CMS-R-205 (OMB: 0938-0703); 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: 1,042; Total Annual Responses: 2,987,501; Total Annual 
Hours: 868,147.
    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Evaluation of the Demonstration of Coverage of 
Chiropractic Services Under Medicare; Use: Section 651 of the Medicare 
Prescription Drug, Improvement and Modernization Act of 2003, 
authorizes a

[[Page 30422]]

two-year demonstration ``to evaluate the feasibility and advisability 
of covering chiropractic services under Medicare''. The Demonstration 
aims to evaluate both the costs and the benefits of expanded coverage 
for chiropractic services. The evaluation will examine the achievements 
as well as the difficulties inherent in demonstration implementation. 
The study includes a descriptive evaluation of the program, a survey of 
a total of 2,000 beneficiaries using expanded services, analyses of 
medical claims to determine service utilization and expenditures, as 
well as the cost impact on the Medicare program. These data will allow 
the researchers to examine use, effectiveness, and satisfaction of 
Medicare beneficiaries with the chiropractic services they receive in 
relation to their demographic and clinical characteristics. The results 
will help CMS to understand the user's experience with chiropractic 
services and with this Medicare demonstration.; Form Number: CMS-10187 
(OMB: 0938-New); Frequency: Reporting--Monthly; Affected 
Public: Individuals or Households; Number of Respondents: 2000; Total 
Annual Responses: 2000; Total Annual Hours: 667.
    5. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Conditions of 
Payment of Power Mobility Devices, including Power Wheelchairs and 
Power-Operated Vehicles (CMS-3017-IFC); Use: CMS-3017-IFC (Conditions 
for Payment of Power Mobility Devices, including Power Wheelchairs and 
Power-Operated Vehicles) provides further guidance with respect to the 
prescribing of and payment for Power Mobility Devices (PMDs). This rule 
defines the term power mobility devices (PMDs) as power wheelchairs and 
power operated vehicles (POVs or scooters). This rule conforms our 
regulations to section 302(a)(2)(E)(iv) of the Medicare Prescription 
Drug, Improvement, and Modernization Act of 2003 (MMA). The MMA 
mandated: (1) A face-to-face examination of the individual be conducted 
by a physician (as defined in section 1861(r)(1) of the Social Security 
Act (the Act)), a physician assistant, a nurse practitioner or a 
clinical nurse specialist (as those terms are defined in section 
1861(aa)(5) of the Act; and (2) that payment may not be made for a 
power wheelchair unless the physician or treating practitioner has 
written a prescription for the item. With this information collection 
request, CMS is seeking approval for the collection requirements 
associated with CMS-3017-IFC (70 FR 50940).; Form Number: CMS-10116 
(OMB: 0938-0971); Frequency: Recordkeeping and Reporting--On 
occasion; Affected Public: Business or other for-profit, Not-for-profit 
institutions, Federal government, State, Local, or Tribal governments; 
Number of Respondents: 17,000; Total Annual Responses: 37,400; Total 
Annual Hours: 37,400.
    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.
    Written comments and recommendations for the proposed information 
collections must be mailed or faxed within 30 days of this notice 
directly to the OMB desk officer: OMB Human Resources and Housing 
Branch, Attention: Carolyn Lovett, New Executive Office Building, Room 
10235, Washington, DC 20503. Fax Number: (202) 395-6974.

    Dated: May 15, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E6-7944 Filed 5-25-06; 8:45 am]
BILLING CODE 4120-01-P