[Federal Register Volume 71, Number 213 (Friday, November 3, 2006)]
[Notices]
[Pages 64710-64711]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E6-18413]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

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


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

[[Page 64711]]

other forms of information technology to minimize the information 
collection burden.
    1. 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.
    2. 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.
    3. Type of Information Collection Request: Extension of a currently 
approved collection.
    Title of Information Collection: Organ Procurement Organization's 
(OPOs) 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.
    4. 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 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: October 24, 2006.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E6-18413 Filed 11-2-06; 8:45 am]
BILLING CODE 4120-01-P