[Federal Register Volume 71, Number 130 (Friday, July 7, 2006)]
[Notices]
[Pages 38649-38650]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-10587]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-136 and CMS-10198]


Agency Information Collection Activities: Proposed Collection; 
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) 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: Proper Claim Not Filed and 
Supporting Regulation in 42 CFR 411.32(c).
    Use: Section 411.32(c) requires physicians, providers, other 
suppliers, and beneficiaries, in case where they failed to submit a 
proper claim with a third party payer to report these situations on the 
current Medicare forms. The primary payer will notify the physician, 
provider, other supplier, or beneficiary of the amount normally 
payable, the amount of the reduction payable because the claim was not 
filed properly, and the amount the physician, provider, other supplier, 
or beneficiary is being paid under the ``primary plan'' due to the 
reduction. The information is transmitted on an explanation of benefits 
or remittance advice determination that third party payers provide to 
all covered individuals and physicians, providers and other suppliers 
as part of an industry practice. The information contained in this 
explanation, whether or not it concerns improperly filed claims, is 
submitted to Medicare as part of the claims process.
    Form Number: CMS-R-136 (OMB: 0938-0564).
    Frequency: Reporting--On occasion.
    Affected Public: Business or other for-profit Not-for-profit 
institutions, and Individuals or Households.
    Number of Respondents: 1,129,000.
    Total Annual Responses: 1,129,000.
    Total Annual Hours: 1.
    2. Type of Information Collection Request: New Collection.
    Title of Information Collection: Creditable Coverage Disclosure to 
CMS Instructions contained in 42 CFR 423.56.
    Use: Section 1860D-13 of the Medicare Modernization Act requires 
certain entities that provide prescription drug coverage to Medicare 
Part D eligible individuals to disclose to CMS whether such coverage 
meets the actuarial requirements specified in the guidelines provided 
by CMS. The actuarial determination measures whether the expected 
amount of paid claims under the entity's prescription drug coverage is 
at least as much as the expected amount of paid claims under the 
standard Medicare prescription drug benefit. This information will be 
used for research, program evaluation and to verify whether or not 
beneficiaries are subject to a late enrollment penalty.
    Form Number: CMS-10198 (OMB: 0938-New).
    Frequency: Recordkeeping, Third party disclosure and Reporting--On 
occasion and Annually.
    Affected Public: Business or other for-profit, Not-for-profit 
institutions and Federal, State, local or tribal government.
    Number of Respondents: 446,160.
    Total Annual Responses: 466,373.
    Total Annual Hours: 37,555.
    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 September 5, 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.


[[Page 38650]]


    Dated: June 28, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-10587 Filed 7-6-06; 8:45 am]
BILLING CODE 4120-01-P