[Federal Register Volume 73, Number 230 (Friday, November 28, 2008)]
[Notices]
[Pages 72486-72487]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-28380]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10170, CMS-838 and CMS-10267]


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) Payment Request and Instructions; Use: Under section 
1860D-22 of the Social Security Act, plan sponsors (e.g., employers, 
unions) who offer prescription drug coverage meeting specified criteria 
to their qualified covered retirees are eligible to receive a 28% tax-
free subsidy for allowable drug costs. Plan sponsors must submit 
required prescription drug cost data and other information in order to 
receive the subsidy. Form Number: CMS-10170 (OMB 0938-0977); 
Frequency: Yearly; Affected Public: Business or other for-profits, not-
for-profit institutions, not-for-profit institutions and State, Local 
or Tribal Governments; Number of Respondents: 4,500; Total Annual 
Responses: 4,500; Total Annual Hours: 679,500.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicare Credit 
Balance Reporting Requirements and Supporting Regulations in 42 CFR 
405.371, 405.378 and 413.20; Use: Section 1815(a) of the Act authorizes 
the

[[Page 72487]]

Secretary to request information from providers which is necessary to 
properly administer the Medicare program. Quarterly credit balance 
reporting is needed to monitor and control the identification and 
timely collection of improper payments. The information obtained from 
Medicare credit balance reports will be used by the contractors to 
identify and recover outstanding Medicare credit balances and by 
Federal enforcement agencies to protect Federal funds. The information 
will also be used to identify the causes of credit balances and to take 
corrective action. Form Number: CMS-838 (OMB 0938-0600); 
Frequency: Yearly; Affected Public: Private sector--business or other 
for-profits; Number of Respondents: 52,380; Total Annual Responses: 
209,520; Total Annual Hours: 628,560.
    3. Type of Information Collection Request: New collection; Title of 
Information Collection: CROWNWeb Authentication Service (CAS) Account 
Form; Form Number: CMS-10267 (OMB: 0938-1050); Use: The 
CROWNWeb Authentication Service (CAS) application must be completed by 
any person needing access to the CROWNWeb system which include includes 
CMS employees, ESRD Network Organization staff and dialysis facilities 
staff. The CROWNWeb system is the system used as the collection point 
of data necessary for entitlement of ESRD patients to Medicare benefits 
and Federal Government monitoring and assessing of quality and type of 
care provided to renal patients. The data collected in CAS will provide 
the necessary security measures for creating and maintaining active 
CROWNWeb user accounts and collection of audit trail information 
required by the CMS Information Security Officers (ISSO). Frequency: 
Reporting--one-time; Affected Public: Business or other for-profit, 
not-for-profit; Number of Respondents: 15,600; Total Annual Responses: 
15,600; Total Annual Hours: 7,800.
    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 January 27, 2009.
    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: November 21, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E8-28380 Filed 11-26-08; 8:45 am]
BILLING CODE 4120-01-P