[Federal Register Volume 78, Number 44 (Wednesday, March 6, 2013)]
[Notices]
[Pages 14555-14556]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-05176]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-10066 and CMS-R-193]


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. Title of 
Information Collection: Detailed Notice of Discharge (DND). Use: When a 
Medicare beneficiary requests a Quality Improvement Organization review 
of his/her inpatient hospital discharge, hospitals and Medicare plans 
have used the DND to provide the beneficiary with a detailed 
explanation regarding the reason for discharge. Form Number: CMS-10066 
(OCN 0938-1019). Frequency: Yearly. Affected Public: Private Sector 
(business or other for-profit and not-for-profit institutions). Number 
of Respondents: 6,169. Total Annual Responses: 12,852. Total Annual 
Hours: 12,852. (For policy questions regarding this collection contact 
Evelyn Blaemire at 410-786-1803. For all other issues call 410-786-
1326.)
    2. Type of Information Collection Request: Extension. Title of 
Information Collection: Important Message from Medicare (IM). Use: 
Hospitals have used the IM to inform original Medicare, Medicare 
Advantage, and other Medicare plan beneficiaries who are hospital 
inpatients about their hospital rights and discharge rights. In 
particular, the IM provides information about when a beneficiary will 
and will not be liable for charges for a continued stay in a hospital 
and offers a detailed description of the Quality Improvement 
Organization review process. Form Number: CMS-R-193 (OCN 0938-0692). 
Frequency: Yearly. Affected Public: Private Sector (business or other 
for-profit and not-for-profit institutions). Number of Respondents: 
6,169. Total Annual Responses: 19,840,000. Total Annual Hours: 
2,976,000. (For policy questions regarding this collection contact 
Evelyn Blaemire at 410-786-1803. 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 Email 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 May 6, 2013:
    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.


[[Page 14556]]


    Dated: March 1, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-05176 Filed 3-5-13; 8:45 am]
BILLING CODE 4120-01-P