[Federal Register Volume 73, Number 207 (Friday, October 24, 2008)]
[Notices]
[Pages 63479-63480]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-25206]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10036, CMS-10161 and CMS-1880/1882]


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: Extension of a currently 
approved collection; Title of Information Collection: Inpatient 
Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data 
and Supporting Regulations in 42 CFR 412 Subpart P; Use: This 
instrument with its supporting manual is needed to permit the Secretary 
of Health and Human Services, and CMS, to implement section 1886(j) of 
the Social Security Act. The statute requires the Secretary to develop 
a prospective payment system for inpatient rehabilitation facility 
services for the Medicare program. This payment system is to cover both 
operating and capital costs for inpatient rehabilitation facility 
services. It applies to inpatient rehabilitation hospitals as well as 
rehabilitation units of acute care hospitals. CMS implemented the

[[Page 63480]]

inpatient rehabilitation facility prospective payment system for cost 
reporting periods beginning on or after January 1, 2002. Form Number: 
CMS-10036 (OMB 0938-0842); Frequency: Annually; Affected 
Public: Business or other for-profit, Not-for-profit institutions, 
State, Local or Tribal Governments and Federal Government; Number of 
Respondents: 1202; Total Annual Responses: 396,660; Total Annual Hours: 
337,161.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: New Freedom 
Initiative--Web-based Reporting System for Grantees; Use: CMS currently 
awards competitive grants to States and other eligible entities for the 
purpose of designing and implementing effective and enduring 
improvements in community-based long-term services and support systems. 
CMS currently requires grantees to report on a quarterly, semi-annual, 
and or annual basis depending upon the grant type. CMS requires the 
information obtained through web-based grantee reporting for two 
reasons: (1) In order to effectively monitor the grants; and, (2) To 
report to Congress and other interested stakeholders the progress and 
obstacles experienced by the grantees. The grantees are the respondents 
to the web-based reporting system. Form Number: CMS-10161 (OMB 
0938-0979); Frequency: annually, semi-annually, and quarterly; Affected 
Public: State, Local or Tribal Governments; Number of Respondents: 171; 
Total Annual Responses: 428; Total Annual Hours: 3,764.
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Request for 
Certification as a Supplier of Portable X-ray Services and Portable X-
ray Survey Report Form under the Medicare/Medicaid Program and 
Supporting Regulations in 42 CFR 486.100-486.110; Use: The Medicare 
program requires portable X-ray suppliers to be surveyed for health and 
safety standards. The CMS-1882 is the survey form that records survey 
results. The CMS-1880 is used by the surveyor to determine if a 
portable X-ray applicant meets the eligibility requirements. Form 
Numbers: CMS-1880/1882 (OMB 0938-0027); Frequency: 
Occasionally; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 544; Total Annual Responses: 68; Total Annual 
Hours: 4,760.
    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 December 23, 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.

    Dated: October 16, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-25206 Filed 10-23-08; 8:45 am]
BILLING CODE 4120-01-P