[Federal Register Volume 74, Number 171 (Friday, September 4, 2009)]
[Notices]
[Pages 45860-45861]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-21425]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10079 and CMS-10293]


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: Revision of a currently 
approved collection; Title of Information Collection: Hospital Wage 
Index Occupational Mix Survey and Supporting Regulations in 42 CFR, 
Section 412.64; Use: Section 304(c) of Public Law 106-554 amended 
section 1886(d)(3)(E) of the Social Security Act to require CMS to 
collect data every 3 years on the occupational mix of employees for 
each short-term, acute care hospital participating in the Medicare 
program, in order to construct an occupational mix adjustment to the 
wage index, for application beginning October 1, 2004 (the FY 2005 wage 
index). The purpose of the occupational mix adjustment is to control 
for the effect of hospitals' employment choices on the wage index. 
Refer to the summary of changes document for a list of current changes. 
Form Number: CMS-10079 (OMB: 0938-0907); Frequency: 
Reporting--Yearly, Biennially and Occasionally; Affected Public: 
Private Sector--Business or other for-profits and Not-for-profit 
institutions; Number of Respondents: 3,522; Total Annual Responses: 
3,522; Total Annual Hours: 1,690,560. (For policy questions regarding 
this collection contact Taimyra Jones at 410-786-1562. For all other 
issues call 410-786-1326.)
    2. Type of Information Collection Request: New Collection; Title of 
Information Collection: Tribal Consultation State Plan Amendment 
Template; Use: Effective July 1, 2009, section 5006 of the American 
Recovery and Reinvestment Act of 2009 (Recovery Act) amended section 
1902(a)(73) of the Act to require that certain States utilize a process 
for the State to seek advice on a regular, ongoing basis from designees 
of the Indian Health Service (IHS) and Urban Indian Organizations 
concerning Medicaid and Children's Health Insurance Program (CHIP) 
matters having a direct effect on them. The consultation process is 
required for the 37 States in which 1 or more Indian Health Programs or 
Urban Indian Organizations furnish health care services. The State 
Medicaid agency for each of these States will complete the template 
page and submit it for approval as part of a State plan amendment, to 
document how it meets the requirements for tribal consultation. Form 
Number: CMS-10293 (OMB: 0938-NEW); Frequency: Reporting--Once 
and occasionally; Affected Public: State, Local, or Tribal Governments; 
Number of Respondents: 37; Total Annual Responses: 37; Total Annual 
Hours: 37. (For policy questions regarding this collection contact Mary 
Corddry at 410-786-6618. 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 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 3, 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,

[[Page 45861]]

Attention: Document Identifier/OMB Control Number, Room C4-26-05, 7500 
Security Boulevard, Baltimore, Maryland 21244-1850.

    Dated: August 28, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-21425 Filed 9-3-09; 8:45 am]
BILLING CODE 4120-01-P