[Federal Register Volume 71, Number 116 (Friday, June 16, 2006)]
[Notices]
[Pages 34939-34940]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-9479]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

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


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: 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.
    2. 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 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

[[Page 34940]]

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.
    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 9, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-9479 Filed 6-15-06; 8:45 am]
BILLING CODE 4120-01-P