[Federal Register Volume 73, Number 63 (Tuesday, April 1, 2008)]
[Notices]
[Page 17347]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-6507]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10115]


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: Revision of currently 
approved 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 the Emergency Medical Treatment and 
Active Labor Act (EMTALA), which is found under section 1867 of the 
Social Security Act, 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 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 by the OMB desk 
officer at the address below, no later than 5 p.m. on May 1, 2008:
    OMB Human Resources and Housing Branch, Attention: Carolyn 
Raffaelli, New Executive Office Building, Room 10235, Washington, DC 
20503, Fax Number: (202) 395-6974.

    Dated: March 21, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-6507 Filed 3-31-08; 8:45 am]
BILLING CODE 4120-01-P