[Federal Register Volume 74, Number 36 (Wednesday, February 25, 2009)]
[Notices]
[Pages 8546-8547]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-3937]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-838, CMS-10267 and CMS-339]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: 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 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. (For policy questions regarding 
this collection contact: Milton Jacobsen at 410-786-7553. For all other 
issues call 410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: CROWNWeb 
Authentication Service (CAS) Account Form; Form Number: CMS-10267 
(OMB: 0938-1050); Use: The Consolidated Renal Operations in a 
Web Enabled Network (CROWNWeb) Authentication Service (CAS) application 
must be completed by any person needing access to the CROWNWeb system 
which 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. (For policy questions 
regarding this collection contact: Michelle Tucker at 410-786-0376. For 
all other issues call 410-786-1326.)
    3. 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:

[[Page 8547]]

431,148. (For policy questions regarding this collection contact: 
Christine Dobrzycki at 410-786-3389. For all other issues call 410-786-
1326.)
    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 at (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 March 27, 2009.
    OMB, Office of Information and Regulatory Affairs, Attention: CMS 
Desk Officer, New Executive Office Building, Room 10235, Washington, DC 
20503, Fax Number: (202) 395-6974.

    Dated: February 12, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-3937 Filed 2-24-09; 8:45 am]
BILLING CODE 4120-01-P