[Federal Register Volume 71, Number 121 (Friday, June 23, 2006)]
[Notices]
[Pages 36098-36099]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-9841]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-1957, CMS-R-72, CMS-10175 and CMS-R-05]


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: SSO Report of 
State Buy-in Problem and Supporting Regulations in 42 CFR 407.40; Use: 
Under the State Buy-In program, States enroll certain groups of needy 
people under the Part B Supplementary Medical Insurance (SMI) Program 
and pay their premiums. The purpose of the ``buy-in'' is to allow the 
States to provide SMI protection to certain groups of needy individuals 
as part of its total assistance plan. Generally, States ``buy-in'' for 
individuals who are categorically needy under Medicaid and meet the 
eligibility requirements for Medicare Part B. States can also include 
in their buy-in agreement those eligible for medical assistance only. 
The CMS-1957 is used in the resolution of beneficiary complaints 
regarding State buy-in. This form facilitates the coordination of 
efforts between the SSO, State Medicaid Agencies, and CMS in the 
resolution of a beneficiary's State buy-in problem; Form Number: CMS-
1957 (OMB: 0938-0035); Frequency: Reporting--On occasion; 
Affected Public: Federal government, Individuals or Households, and 
State, Local, and Tribal governments; Number of Respondents: 6,600; 
Total Annual Responses: 6,600; Total Annual Hours: 2,366.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Information 
Collection Requirements in 42 CFR 478.18, 478.34, 478.36, 478.42, QIO 
Reconsiderations and Appeals; Use: In the event that a beneficiary, 
provider, physician, or other practitioner does not agree with the 
initial determination of a Quality Improvement Organization (QIO) or a 
QIO subcontractor, it is within that party's rights to request 
reconsideration. The information collection requirements 42 CFR 478.18, 
478.34, 478.36, and 478.42, contain procedures for QIOs to use in 
reconsideration of initial determinations. The information requirements 
contained in these regulations are on QIOs to provide information to 
parties requesting the reconsideration. These parties will use the 
information as guidelines for appeal rights in instances where issues 
are actively being disputed; Form Number: CMS-R-72 (OMB: 0938-
0443); Frequency: Reporting--On occasion; Affected Public: Individuals 
or Households and Business or other for-profit institutions; Number of 
Respondents: 2,590; Total Annual Responses: 5,228; Total Annual Hours: 
2,822.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Certification 
Statement for Electronic File Interchange Organizations (EFIOS) that 
Submit National Provider Identifier (NPI) Data to the National Plan and 
Enumeration System; Use: The EFI process is designed to allow 
organizations to submit NPI application information for large numbers 
of providers in a single file. Once it has obtained and formatted the 
necessary provider data, the EFIO will electronically submit the file 
to NPPES for processing. As each file can contain up to approximately 
100,000 records, or provider applications, the EFI process greatly 
reduces the paperwork and overall administrative burden associated with 
enumerating providers; Form Number: CMS-10175 (OMB: 0938-
0984); Frequency: Other--One-time; Affected Public: Business or other 
for-profit, and Not-for-profit institutions; Number of Respondents: 
1000; Total Annual Responses: 1000; Total Annual Hours: 3000.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Physician 
Certifications/Recertifications in Skilled Nursing Facilities (SNFs) 
Manual Instructions and Supporting Regulations in 42 CFR 424.20; Use: 
Regulations at 42 CFR 424.20 require SNFs to keep record of physician 
certifications and recertifications of information such as the need for 
care and services, estimated duration of the SNF stay, and plan for 
home care. As a condition for Medicare Part A payment for post-hospital 
skilled nursing facility (SNF) services, the Medicare program requires 
that a physician certify and periodically recertify that a beneficiary 
requires an SNF level of care. The physician certification and 
recertification is intended to ensure that the beneficiary's need for 
services has been established and then reviewed and updated at 
appropriate intervals; Form Number: CMS-R-05 (OMB: 0938-0454);

[[Page 36099]]

Frequency: Recordkeeping and Reporting--On occasion; Affected Public: 
State, Local or Tribal governments, Individuals or Households, Business 
or other for-profit and Not-for-profit institutions; Number of 
Respondents: 2,458,549; Total Annual Responses: 981,642; Total Annual 
Hours: 547,578.
    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 by July 24, 2006 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 14, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-9841 Filed 6-22-06; 8:45 am]
BILLING CODE 4120-01-P