[Federal Register Volume 73, Number 245 (Friday, December 19, 2008)]
[Notices]
[Page 77701]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E8-30160]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-339 and CMS-R-144/CMS-368]


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: Medicare Provider 
Cost Report Reimbursement Questionnaire; Use: Form CMS-339 must be 
completed by all providers that submit full cost reports to the 
Medicare intermediary under Title XVIII of the Social Security Act. It 
is designed to answer pertinent questions about key reimbursement 
concepts found in the cost report and to gather information necessary 
to support certain financial and statistical entries on the cost 
report. The questionnaire is used by the Medicare intermediaries as a 
tool to help them arrive at a prompt and equitable settlement of all of 
the various types of provider cost reports (hospitals, skilled nursing 
facilities (SNFs), home health agencies (HHAs), etc.) and sometimes 
preclude the need for a comprehensive on-site audit. Form Number: CMS-
339 (OMB 0938-0301); Frequency: Annually; Affected Public: 
Business or other for-profit and Not-for-profit institutions; Number of 
Respondents: 38,429; Total Annual Responses: 38,429; Total Annual 
Hours: 431,148.
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: State Medicaid 
Drug Rebate; Use: Section 1927 of the Social Security Act requires each 
State Medicaid agency to report quarterly prescription drug utilization 
information to drug manufacturers and to CMS. As part of this 
information, the State Medicaid agencies are required to report the 
total Medicaid rebate amount they claim they are owed by each drug 
manufacturer for each covered prescription drug product each quarter. 
Form Number: CMS-R-144 and CMS-368 (OMB 0938-0582); Frequency: 
Quarterly; Affected Public: State, Local or Tribal Governments; Number 
of Respondents: 51; Total Annual Responses: 204; Total Annual Hours: 
9,389.
    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 February 17, 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: December 12, 2008.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
 [FR Doc. E8-30160 Filed 12-18-08; 8:45 am]
BILLING CODE 4120-01-P