[Federal Register Volume 71, Number 156 (Monday, August 14, 2006)]
[Notices]
[Pages 46483-46484]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-13189]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-576A, CMS-10203, CMS-R-64, CMS-3070G-I, and 
CMS-304/304A]


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: Organ Procurement 
Organization's (OPO's) Health Insurance Benefits Agreement and 
Supporting Regulations at 42 CFR 486.301-486.348; Use: The information 
provided on this form serves as a basis for continuing the agreements 
with CMS and the 58 OPOs for participation in the Medicare and Medicaid 
programs and for reimbursement of service; Form Number: CMS-576A 
(OMB: 0938-0512; Frequency: Reporting--Every 4 years and as 
needed; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 58; Total Annual Responses: 
58; Total Annual Hours: 116.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Medicare Health Outcome Survey (HOS) and 
supporting regulations at 42 CFR 422.152; Use: The Medicare 
Prescription Drug, Improvement, and Modernization Act of 2003 mandates 
the collection, analysis and reporting of health outcomes information. 
The collection of Medicare health outcomes information is necessary to 
hold Medicare managed care contractors accountable for the quality of 
care they are delivering. This reporting requirement allows CMS to 
obtain the information necessary for the proper oversight of the 
program; Form Number: CMS-10203 (OMB: 0938-New; Frequency: 
Recordkeeping, Reporting: Annually; Affected Public: Individuals or 
Households, Business or other for-profit and Not-for-profit 
institutions; Number of Respondents: 320,040; Total Annual Responses: 
320,040; Total Annual Hours: 105,613.
    3. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
Indirect Medical Education (IME) and Supporting Regulations 42 CFR 
412.105; Direct Graduate Medical Education (GME) and Supporting 
Regulations in 42 CFR 413.75-413.73; Use: The collection of information 
on interns and residents (IR) is needed to properly calculate Medicare 
program payments to hospitals that incur indirect and direct costs for 
medical education. The agency's Intern and Resident Information System 
(IRIS) and similar contractor systems use the information for producing 
reports of duplicate full-time equivalent IR counts for IME and GME. 
The contractors also use this information to ensure that hospitals are 
properly reimbursed for IME and GME, and help eliminate duplicate 
reporting of IR counts which inflate payments. The collection of this 
information affects 1,215 hospitals which participate in approved 
medical education programs; Form Number: CMS-R-64 (OMB: 0938-
0456); Frequency: Recordkeeping and Reporting--Annually; Affected 
Public: Not-for-profit and Business or other for-profit institutions; 
Number of Respondents: 1,215; Total Annual Responses: 1,215; Total 
Annual Hours: 2,430.

[[Page 46484]]

    4. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
Intermediate Care Facility for the Mentally Retarded or Persons with 
Related Conditions ICF/MR Survey Report Form and Supporting Regulations 
at 42 CFR 442.30, 483.410, 483.420, 483.440, 483.50, and 483.460; Use: 
The survey forms are needed to ensure provider compliance. In order to 
participate in the Medicaid program as an ICF/MR, providers must meet 
Federal standards. The survey report form is used to record providers' 
level of compliance with the individual standard requirements and 
report it to the Federal government; Form Number: CMS-3070G-I 
(OMB: 0938-0062); Frequency: Recordkeeping and Reporting--
Annually; Affected Public: Business or other for-profit and Not-for-
profit institutions; Number of Respondents: 6,428; Total Annual 
Responses: 6,428; Total Annual Hours: 19,284.
    5. Type of Information Collection Request: Extension of a currently 
approved information collection; Title of Information Collection: 
Reconciliation of State Invoice and Prior Quarter Adjustment Statement; 
Use: Section 1927 of the Social Security Act requires drug labelers to 
enter into and have in effect a rebate agreement with CMS for States to 
receive funding for drugs dispensed to Medicaid recipients. Drug 
manufacturers must complete and submit to States the CMS-304 form to 
explain any rebate payment adjustments for the current quarter, and 
complete and submit the CMS-304A form to States to explain rebate 
payment adjustments to any prior quarters. Both forms are used to 
reconcile drug rebate payments made by manufacturers with the States' 
invoices of rebates due; Form Number: CMS-304/304A (OMB: 0938-
0676); Frequency: Recordkeeping and Reporting--Quarterly; Affected 
Public: Business or other for-profit; Number of Respondents: 550; Total 
Annual Responses: 3,740; Total Annual Hours: 139,480.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS's 
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 October 13, 2006.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--A, Attention: Melissa Musotto, 
Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 3, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-13189 Filed 8-11-06; 8:45 am]
BILLING CODE 4120-01-P