[Federal Register Volume 73, Number 178 (Friday, September 12, 2008)]
[Notices]
[Page 53027]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-21159]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10156, CMS-9042 and CMS-29/30]


Agency Information Collection Activities: Proposed Collection; 
Comment Request

AGENCY: Centers for Medicare & Medicaid Services.

    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 a currently 
approved collection; Title of Information Collection: Retiree Drug 
Subsidy (RDS) Applications and Instructions; Use: Under the Medicare 
Prescription Drug, Improvement, and Modernization Act of 2003 and 
implementing regulations at 42 CFR Part 423 Subpart R, Plan Sponsors 
(e.g., employers or unions) who offer prescription drug coverage to 
their qualified covered retirees are eligible to receive a 28% tax-free 
subsidy for allowable drug costs. Plan Sponsors must submit a complete 
application to CMS in order to be considered for the RDS Program. Form 
Number: CMS-10165 (OMB 0938-0957); Frequency: Yearly; Affected 
Public: Business or other for-profits and not-for-profit institutions, 
and State, Local, or Tribal Governments; Number of Respondents: 4,500; 
Total Annual Responses: 4,500; Total Annual Hours: 288,000.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Accelerated 
Payments and supporting regulations 42 CFR, Section 412.116(f), 
412.632(e), 413.64(g), 413.350(d), and 484.245; Use: Section 1815(a) of 
the Social Security Act describes payment to providers of services. 
When a delay in Medicare payment by a fiscal intermediary for covered 
services causes financial difficulties for a provider, the provider may 
request an accelerated payment. An accelerated payment also may be made 
in highly exceptional situations where a provider has incurred a 
temporary delay in its bill processing beyond the provider's normal 
billing cycle. Accelerated payments are limited to providers that are 
not receiving periodic interim payments. Form CMS-9042 is used by 
fiscal intermediaries to assess a provider's eligibility for 
accelerated payments. Form Number: CMS-9042 (OMB 0938-0269); 
Frequency: Yearly; Affected Public: Business or other for-profits and 
not-for-profit institutions; Number of Respondents: 880; Total Annual 
Responses: 880; Total Annual Hours: 440.
    3. Type of Information Collection Request: Revision of a currently 
approved collection; Title of Information Collection: Request for 
Certification as Rural Health Clinic (RHC) and RHC Survey Report Form 
and Supporting Regulations in 42 CFR 491.1-491.11; Use: The CMS-29 is 
utilized as an application to be completed by suppliers of RHC services 
requesting participation in the Medicare/Medicaid programs. This form 
initiates the process of obtaining a decision as to whether the 
conditions for certification are met as a supplier of RHC services. It 
also promotes data reduction or introduction to and retrieval from the 
Automated Survey Process Environment (ASPEN) and related survey and 
certification databases by the CMS Regional Offices. Form Number: CMS-
29/30 (OMB 0938-0074); Frequency: Yearly; Affected Public: 
State, Local, or Tribal Governments; Number of Respondents: 766; Total 
Annual Responses: 766; Total Annual Hours: 192.
    To obtain copies of the supporting statement and any related forms 
for the proposed paperwork collections referenced above, access CMS' 
Web site 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.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by November 12, 2008:
    1. Electronically. You may submit your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number --------, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Date: September 5, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-21159 Filed 9-11-08; 8:45 am]
BILLING CODE 4120-01-P