[Federal Register Volume 73, Number 8 (Friday, January 11, 2008)]
[Notices]
[Pages 2043-2044]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-158]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10115]


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: Revision of currently 
approved

[[Page 2044]]

collection; Title of Information Collection: Federal Reimbursement of 
Emergency Health Services Furnished to Undocumented Aliens (sections 
1011) Provider Enrollment Application; Use: Section 1011 of the 
Medicare Prescription Drug, Improvement, and Modernization Act of 2003, 
provides that the Secretary will establish a process (i.e., enrollment 
and claims payment) for eligible providers to request payment. The 
Secretary must directly pay hospitals, physicians and ambulance 
providers (including Indian Health Service, Indian tribe and tribal 
organizations) for their otherwise un-reimbursed costs of providing 
services required by section 1867 of the Social Security Act (EMTALA) 
and related hospital inpatient, outpatient and ambulance services. CMS 
will use the application information to administer this health services 
program and establish an audit process. The Federal Reimbursement of 
Emergency Health Services Furnished to Undocumented Aliens (Sections 
1011) Provider Enrollment Application has been revised. For a list of 
these revisions, refer to the summary of changes document. Form Number: 
CMS-10115 (OMB 0938-0929); Frequency: On occasion; Affected 
Public: Private sector--Business or other for-profit and Not-for-profit 
institutions; Number of Respondents: 10,000; Total Annual Responses: 
10,000; Total Annual Hours: 4,998.
    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 March 11, 2008.
    CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development--C, Attention: Bonnie L Harkless, 
Room C4-26-05, 7500 Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: January 2, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-158 Filed 1-10-08; 8:45 am]
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