[Federal Register Volume 75, Number 39 (Monday, March 1, 2010)]
[Notices]
[Pages 9222-9223]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-4186]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-576A]


Agency Information Collection Activities: Submission for OMB 
Review; 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), 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

[[Page 9223]]

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: Organ Procurement 
Organization's (OPO's) Health Insurance Benefits Agreement and 
Supporting Regulations at 42 CFR 486.301-486.348; Use: The information 
provided on this form serves as a basis for continuing the agreements 
with CMS and the 580 OPOs for participation in the Medicare and 
Medicaid programs for reimbursement of service. Form Number: CMS-576A 
(OMB: 0938-0512); Frequency: Reporting--Occasionally; Affected 
Public: Private Sector: Business or other for-profits and Not-for-
profit institutions; Number of Respondents: 58; Total Annual Responses: 
58; Total Annual Hours: 116. (For policy questions regarding this 
collection contact Michele Walton at 410-786-3353. 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 on (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 31, 2010.
    OMB, Office of Information and Regulatory Affairs,
    Attention: CMS Desk Officer,
    Fax Number: (202) 395-6974,
    E-mail: [email protected].

    Dated: February 23, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-4186 Filed 2-26-10; 8:45 am]
BILLING CODE 4120-01-P