[Federal Register Volume 73, Number 64 (Wednesday, April 2, 2008)]
[Notices]
[Pages 17984-17985]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-6773]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-148, CMS-R-185, CMS-R-50, CMS-10112 and 
CMS-287-05]


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 without change 
of a currently approved collection; Title of Information Collection: 
Limitations on Provider Related Donations and Health Care Related 
Taxes; Limitation on Payments for Disproportionate Share Hospitals and 
Supporting Regulations in 42 CFR 433.68, 433.74 and 447.272; Use: This 
information collection is necessary to ensure compliance with Sections 
1903 and 1923 of the Social Security Act for the purpose of preventing 
payments of Federal financial participation on amounts prohibited by 
statute. Form Number: CMS-R-148 (OMB 0938-0618); Frequency: 
Quarterly and occasionally; Affected Public: State, Local or Tribal 
Governments; Number of Respondents: 50; Total Annual Responses: 40; 
Total Annual Hours: 3,200.
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Granting and Withdrawal of Deeming Authority to Private Nonprofit 
Accreditation Organizations and of State Exemption Under State 
Laboratory Programs and Supporting Regulations in 42 CFR 493.551-
493.557. Form Number: CMS-R-185 (OMB 0938-0686); Frequency: On 
occasion; Affected Public: Private sector--Business or other for-profit 
and Not-for-profit institutions; Number of Respondents: 8; Total Annual 
Responses: 96; Total Annual Hours: 384.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medical Records 
Review under the Prospective Payment System (PPS) and Supporting 
Regulations in 42 CFR 412.40-412.52; Use: The Social Security 
Amendments of 1983 (Public Law 98-21), requires quality improvement 
organization (QIO) review of medical services provided to Medicare 
beneficiaries. Review of services under the QIO program can be 
accomplished by individual case review and the Clinical Data 
Abstraction Centers (CDACs). Accordingly, QIOs must review, at the 
direction of CMS: (1) All anti-dumping referrals; (2) beneficiary 
complaints involving quality issues; (3) potential gross and flagrant 
violations of unnecessary admission concerns identified during project 
data collection; (4) requests from hospitals for higher-weighted DRG 
adjustments; (5) hospital and managed care plan issued notices of non-
coverage; (6) specific codes for assistants at cataract surgery; and 
(7) cases referred by CMS, the Office of the Inspector General, the 
Department of Justice, the managed care appeals contractor, 
intermediaries, carriers, or the CDACs. Form Number: CMS-R-50 
(OMB 0938-0359);

[[Page 17985]]

Frequency: Yearly; Affected Public: Private sector--Business or other 
for-profit and Not-for-profit institutions; Number of Respondents: 
6,100; Total Annual Responses: 276,500; Total Annual Hours: 8,280.
    4. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Phone Surveys of Products and Services for Medicare Payment Validation 
and Supporting Regulations in 42 CFR 405.502. Use: The phone surveys of 
products and services for Medicare payment validation and supporting 
regulations in 42 CFR 405.502 will be used to identify specific 
products/services provided to Medicare beneficiaries and the costs 
associated with the provision of those products/services. The 
information collected will be used to validate the Medicare payment 
amounts for those products/services and institute revisions of payment 
amounts where necessary. The respondents will be the companies that 
have provided the product/service under review to Medicare 
beneficiaries. Form Number: CMS-10112 (OMB 0938-0939); 
Frequency: Occasionally; Affected Public: Private sector--Business or 
other for-profit; Number of Respondents: 4,000; Total Annual Responses: 
4,000; Total Annual Hours: 16,000.
    5. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Chain Home Office Cost Statement and supporting Regulations in 42 CFR 
413.17 and 413.20; Use: The Form CMS-287-05 is filed annually by Chain 
Home Offices to report the information necessary for the determination 
of Medicare reimbursement to components of chain organizations. 
However, where providers are components of chain organizations, 
information included in the chain home office cost statement is in 
addition to that included in the provider cost report and is needed to 
determine whether payments are appropriate. Form Number: CMS-287-05 
(OMB 0938-0202); Frequency: Yearly; Affected Public: Business 
or other for-profit and Not-for-profit institutions; Number of 
Respondents: 1,345; Total Annual Responses: 1,345; Total Annual Hours: 
626,770.
    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 2, 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 27, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-6773 Filed 4-1-08; 8:45 am]
BILLING CODE 4120-01-P