[Federal Register Volume 73, Number 115 (Friday, June 13, 2008)]
[Notices]
[Pages 33824-33825]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-13095]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-906, CMS-1696, and CMS-10167]


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 a currently 
approved collection; Title of Information Collection: The Fiscal 
Soundness Reporting Requirements; Use: CMS is assigned responsibility 
for overseeing all Medicare Advantage Organizations (MAO) on-going 
financial performance. CMS needs the requested collection of 
information to establish that each MAO maintains a fiscally sound 
organization. Form Number: CMS-906 (OMB 0938-0469); Frequency: 
Yearly; Affected Public: Business or other for-profits and not-for-
profit institutions; Number of Respondents: 700; Total Annual 
Responses: 700; Total Annual Hours: 233.
    2. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Appointment of 
Representative; Use: This form will be completed by beneficiaries, 
providers and suppliers who wish to appoint representatives to assist 
them with obtaining initial determinations and filing appeals. The 
appointment of representative form must be signed by the party making 
the appointment and the individual agreeing to accept the appointment. 
Form Number: CMS-1696 (OMB 0938-0950); Frequency: 
Occasionally; Affected Public: Individuals or households and business 
or other for-profits; Number of Respondents: 268,268; Total Annual 
Responses: 268,268; Total Annual Hours: 67,067.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Competitive 
Acquisition Program for Medicare Part B Drugs: CAP Physician Election 
Agreement; Use: The Competitive Acquisition Program (CAP) is required 
by Section 303(d) of the Medicare Modernization Act (MMA), which 
amended Title XVIII of the Social Security Act (the Act) by adding a 
new section 1847(B), which establishes a competitive acquisition 
program for the payment for Part B covered drugs and biologicals 
furnished on or after January 1, 2006. Physicians are given a choice 
between buying and billing these drugs under the average sales price 
(ASP) system, or obtaining these drugs from vendors selected in a 
competitive bidding process. Section 108 of the Medicare Improvements 
and Extension Act under Division B, Title I of the Tax Relief Health 
Care Act of 2006 amended Section 1847(b)(a)(3) of the Act and requires 
that CAP implement a post payment review process.
    The CAP Physician Election Agreement is used annually by physicians 
to elect to participate in the CAP or to make changes to the previous

[[Page 33825]]

year's selections. The information collected by these documents is used 
by CMS, its Medicare contractor, and the approved CAP vendor to meet 
programmatic requirements pertaining to physician election as 
established by the MMA. Form Number: CMS-10167 (OMB 0938-
0955); Frequency: Yearly; Affected Public: Business or other for-
profits; Number of Respondents: 3800; Total Annual Responses: 3800; 
Total Annual Hours: 7600.
    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 July 14, 2008.
    OMB Human Resources and Housing Branch, Attention: OMB Desk 
Officer, New Executive Office Building, Room 10235, Washington, DC 
20503, Fax Number: (202) 395-6974.

    Dated: June 5, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-13095 Filed 6-12-08; 8:45 am]
BILLING CODE 4120-01-P