[Federal Register Volume 76, Number 112 (Friday, June 10, 2011)]
[Notices]
[Pages 34075-34076]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-14226]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[Document Identifier CMS-370, CMS-377, and CMS-378; CMS-381; CMS-10145;
and CMS-10362]
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: Revision of a currently
approved collection; Titles of Information Collection: (CMS-370) Health
Insurance Benefits Agreement, (CMS-377) ASC Request for Certification
or Update of Certification Information in the Medicare Program,
[[Page 34076]]
and (CMS-378) Ambulatory Surgical Center (ASC) Survey Report Form; Use:
CMS-370 has not been revised and will continue to be used to establish
eligibility for payment under Title XVIII of the Social Security Act
(the ``Act''). As revised, CMS-377 will be used to collect facility-
specific characteristics that facilitate CMS' oversight of ASCs. The
data also enables CMS to respond to inquiries from the Congress, GAO,
and the OIG concerning the characteristics of Medicare-participating
ASCs. The data base that supports survey and certification activities
will be revised to reflect changes in the data fields on this revised
form, such as the data on the types of surgical procedures performed in
the ASC. CMS-378 will be discontinued since it duplicates information
collected by other means; Form Numbers: CMS-370, -377 and -378 (OCN:
0938-0266); Frequency: Occasionally; Affected Public: Private Sector:
Business or other for-profit and Not-for-profit institutions; Number of
Respondents: 7,213; Total Annual Responses: 1,795; Total Annual Hours:
648. (For policy questions regarding this collection contact Gail Vong
at 410-786-0787. For all other issues call 410-786-1326.)
2. Type of Information Collection Request: Extension of a currently
approved collection; Title of Information Collection: Identification of
Extension Units of Medicare Approved Outpatient Physical Therapy/
Outpatient Speech Pathology (OPT/OSP) Providers and Supporting
Regulations in 42 CFR 485.701-485.729; Use: The collected information
is used in conjunction with 42 CFR 485.701 through 485.729 governing
the operation of providers of outpatient physical therapy and speech-
language pathology services. The provider uses the form to report to
the State survey agency extension locations that it has added since the
date of last report. The form is used by the State survey agencies and
by the CMS regional offices to identify and monitor extension locations
to ensure their compliance with the Federal requirements for the
providers of outpatient physical therapy and speech-language pathology
services; Form Number: CMS-381 (OMB : 0938-0273); Frequency:
Annually; Affected Public: Private Sector; Business or other for-profit
and not-for-profit institutions; Number of Respondents: 2,960; Total
Annual Responses: 2,960; Total Annual Hours: 740. (For policy questions
regarding this collection contact Georgia Johnson at 410-786-6859. For
all other issues call 410-786-1326.)
3. Type of Information Collection Request: Extension without change
of a currently approved collection; Title of Information Collection:
Medicare Part B Drug and Biological Competitive Acquisition Program
(CAP) and Supporting Regulations in 42 CFR Sections 414.906, 414.908,
414.910, 414.914, 414.916, and 414.917; Use: Section 303(d) of the
Medicare Prescription Drug, Improvement, and Modernization Act of 2003
(MMA) provides an alternative payment methodology for Part B covered
drugs that are not paid on a cost or prospective payment basis. In
particular, Section 303(d) of the MMA amends Title XVIII of the Social
Security Act by adding a new section 1847B, which establishes a
competitive acquisition program for the acquisition of and payment for
Part B covered drugs and biologicals furnished on or after January 1,
2006. Since its inception, additional legislation has augmented the
CAP. Section 108 of the Medicare Improvements and Extension Act under
Division B, Title I of the Tax Relief Health Care Act of 2006 (MIEA-
TRHCA) amended Section 1847b(a)(3) of the Social Security Act and
requires that CAP implement a post payment review process. This
procedure is done to assure that payment is made for a drug or
biological under this section only if the drug or biological has been
administered to a beneficiary. Form Number: CMS-10145 (OCN: 0938-0945);
Frequency: Weekly, quarterly and occasionally; Affected Public: Private
sector--Business or other for-profit and Not-for-profit institutions;
Number of Respondents: 3000; Total Annual Responses: 156,020; Total
Annual Hours: 31,208. (For policy questions regarding this collection
contact Karen Hill at 410-786-5607. For all other issues call 410-786-
1326.)
4. Type of Information Collection Request: New collection; Title of
Information Collection: Autism Spectrum Disorders (ASD): State of the
States Services and Supports for People with ASD; Use: The information
that is collected in the interviews will be used to communicate
additional information about services available to people with ASD and
the public policy issues that affect people with ASD to key stakeholder
audiences. The format of the report will include data tables from
various State programs and narrative about the data being presented
based on the interviews with State agency staff. We propose
interviewing multiple staff in each State because several State
agencies have an impact on services and supports for people with ASD;
Form Number: CMS-10362 (OCN: 0938-New); Frequency: Once; Affected
Public: State, local, or Tribal Governments; Number of Respondents:
459; Total Annual Responses: 459; Total Annual Hours: 803. (For policy
questions regarding this collection contact Ellen Blackwell at 410-786-
4498. 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 July 11, 2011.
OMB, Office of Information and Regulatory Affairs, Attention: CMS
Desk Officer, Fax Number: (202) 395-6974, E-mail: [email protected].
Dated: June 3, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations
and Regulatory Affairs.
[FR Doc. 2011-14226 Filed 6-9-11; 8:45 am]
BILLING CODE 4120-01-P