[Federal Register Volume 71, Number 165 (Friday, August 25, 2006)]
[Notices]
[Pages 50427-50428]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-14043]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-2744, CMS-2746, CMS-685, and CMS-10168]


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: End Stage Renal 
Disease Medical Information ESRD Facility Survey; Use: The ESRD 
Facility Survey is completed by all Medicare-approved ESRD facilities 
once a year. The survey was designed to collect information concerning 
treatment trends, utilization of services and patterns of practice in 
treating ESRD patients. The aggregate patient information is collected 
from each Medicare-approved provider of dialysis and kidney transplant 
services. The information is used to assess and evaluate the local, 
regional and national levels of medical and social impact of ESRD care 
and are used extensively by researchers and suppliers of services for 
trend analysis. The information is available on the CMS Dialysis 
Facility Compare Web site and will enable patients to make informed 
decisions about their care by comparing dialysis facilities in their 
area. The ESRD Facility Survey Public Use File is also posted at: 
http://www.cms.hhs.gov/ESRDGeneralInformation/02_Data.asp#TopOfPage; 
Form Number: CMS-2744 (OMB: 0938-0447); Frequency: Reporting--
Annually; Affected Public: Business or other for-profit, not-for-profit 
institutions; Number of Respondents: 4,800; Total Annual Responses: 
4,800; Total Annual Hours: 38,400.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: End Stage Renal 
Disease Death Notification P.L. 95-292; 42 CFR 405.2133, 45 CFR 5-5b; 
20 CFR Parts 401 and 422E Use: The ESRD Death Notification (CMS-2746) 
is completed by all Medicare-approved ESRD facilities upon the death of 
an ESRD patient. Its primary purpose is to collect fact of death and 
cause of death of ESRD patients. Certain other identifying information 
(e.g., name, Medicare claim number, and date of birth) is required for 
matching purposes. Federal regulations require that the ESRD Networks 
examine the mortality rates of every Medicare-approved facility within 
its area of responsibility. The Death Form provides the necessary data 
to assist the ESRD Networks in making decisions that result in improved 
patient care and in cost-effective distribution of ESRD resources. The 
data is used by the ESRD Networks to verify facility deaths and to 
monitor facility performance.; Form Number: CMS-2746 (OMB: 
0938-0448); Frequency: On occasion, weekly; Affected Public: Business 
or other for-profit, not-for-profit institutions; Number of 
Respondents: 4,719; Total Annual Responses: 75,504; Total Annual Hours: 
37,752.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: End Stage Renal 
Disease (ESRD) Network Semi-Annual Cost Report Forms and Supporting 
Regulations in 42 CFR section 405.2110 and 42 CFR 405.2112; Use: 
Section 1881(c) of the Social Security Act establishes End Stage Renal 
Disease (ESRD) Network contracts. The regulations found at 42 CFR 
405.2110 and 405.2112 designated 18 ESRD Networks which are funded by 
renewable contracts. These contracts are on 3-year cycles. To better 
administer the program, CMS is requiring contractors to submit semi-
annual cost reports. The purpose of the cost reports is to enable the 
ESRD Networks to report costs in a standardized manner. This will allow 
CMS to review, compare and project ESRD Network costs during the life 
of the contract. Form Number: CMS-685 (OMB: 0938-0657); 
Frequency: Reporting--semi-annually; Affected Public: Not-for-profit 
institutions; Number of Respondents: 18; Total Annual Responses: 36; 
Total Annual Hours: 108.
    4. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Program: 
Complex Medical Review; Use: Complex medical review involves the 
application of clinical judgment by a licensed medical professional in 
order to evaluate medical records to determine whether an item or 
service is covered, and is reasonable and necessary. The information 
required under this collection is requested by Medicare contractors, 
and is requested of providers or suppliers submitting claims for 
payment from the Medicare program when data analysis indicates aberrant 
billing patterns which may present a vulnerability to the Medicare 
program. Form Number: CMS-10168 (OMB: 0938-0969); Frequency: 
Recordkeeping and Reporting--As requested; Affected Public: Business or 
other for-profit and not-for-profit institutions; Number of 
Respondents: 1,169,683; Total Annual Responses: 2,900,000; Total Annual 
Hours: 966,666.
    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-

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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: August 17, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-14043 Filed 8-24-06; 8:45 am]
BILLING CODE 4120-01-P