[Federal Register Volume 72, Number 8 (Friday, January 12, 2007)]
[Notices]
[Page 1537]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-225]



[[Page 1537]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-204, CMS-10208 and CMS-R-234]


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: Data Collection 
for the Second Generation Social Health Maintenance Organization 
Demonstration; Use: The purpose of the Second Generation Social Health 
Maintenance Organization Demonstration (S/HMO-II) is to refine the 
targeting and financing methodologies, and benefit design of the Social 
Health Maintenance Organization Demonstration model. Four primary 
components of the S/HMO-II demonstration are: (1) A geriatric care 
approach that will be applied across the entire spectrum of S/HMO-II 
enrollees; (2) expanded community care coordination through links 
between chronic care case-management and acute care providers; (3) 
provision of long-term-benefits; and (4) an adjusted average per capita 
costs based risk-adjusted payment methodology. Form Number: CMS-R-204 
(OMB: 0938-0709); Frequency: Reporting--Yearly; Affected 
Public: Individuals or households; Number of Respondents: 17,624; Total 
Annual Responses: 17,624; Total Annual Hours: 3,425.
    2. Type of Information Collection Request: New collection; Title of 
Information Collection: Assessing Degrees of Health Care Involvement 
Survey Use: It is not sufficient to merely mail information about the 
Medicare program to each beneficiary. CMS needs to know that the 
beneficiaries received the information, understood the information and 
found the information useful in making choices about their Medicare 
participation. To this end, CMS must have measure(s) over time of what 
beneficiaries know and understand about the Medicare program now to be 
able to quantify and attribute any changes to their understanding or 
behavior to information/education initiatives. Measuring beneficiary 
information needs and knowledge over time will help CMS to evaluate the 
impact of information/education and other initiatives, as well as to 
understand how the population is changing separate from such 
initiatives. Form Number: CMS-10208 (OMB: 0938-NEW); 
Frequency: Reporting--Weekly; Affected Public: Individuals or 
households; Number of Respondents: 4,000; Total Annual Responses: 
3,500; Total Annual Hours: 1,200.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Subpart D--
Private Contracts and Supporting Regulations in 42 CFR 405.410, 
405.430, 405.435, 405.440, 405.445, and 405.455; Use: Under the section 
4507 of the Balanced Budget Act of 1997, CMS is required to permit 
certain physicians and practitioners to opt out of Medicare and furnish 
covered services to Medicare beneficiaries through private contracts. 
Form Number: CMS-R-234 (OMB: 0938-0730); Frequency: 
Reporting--Biennially; Affected Public: Business or other for-profits; 
Number of Respondents: 26,820; Total Annual Responses: 26,820; Total 
Annual Hours: 7,197.
    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: January 5, 2007.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E7-225 Filed 1-11-07; 8:45 am]
BILLING CODE 4120-01-P