[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]
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