[Federal Register Volume 71, Number 111 (Friday, June 9, 2006)]
[Notices]
[Pages 33459-33460]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-8932]


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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: 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: 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 (MA) 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

[[Page 33460]]

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 [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: June 1, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-8932 Filed 6-8-06; 8:45 am]
BILLING CODE 4120-01-P