Federal Register / Vol. 75, No. 95 / Tuesday, May 18, 2010 / Notices 27787 

E-mail comments to 

paperwork@hrsa.gov or mail the HRSA 

Reports Clearance Officer, Room 10–33, 

Parklawn Building, 5600 Fishers Lane, 

Rockville, MD 20857. Written comments 

should be received within 60 days of 

this notice. 

Dated: May 12, 2010. 

Sahira Rafiullah, 

Director, Division of Policy and Information 

Coordination. 

[FR Doc. 2010–11840 Filed 5–17–10; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Health Resources and Services 

Administration 

Agency Information Collection 

Activities: Submission for OMB 

Review; Comment Request 

Periodically, the Health Resources 

and Services Administration (HRSA) 

publishes abstracts of information 

collection requests under review by the 

Office of Management and Budget 

(OMB), in compliance with the 

Paperwork Reduction Act of 1995 (44 

U.S.C. Chapter 35). To request a copy of 

the clearance requests submitted to 

OMB for review, e-mail 

paperwork@hrsa.gov or call the HRSA 

Reports Clearance Office on (301) 443– 

1129. 

The following request has been 

submitted to the Office of Management 

and Budget for review under the 

Paperwork Reduction Act of 1995: 

Proposed Project: Data Collection Tool 

for State Offices of Rural Health Grant 

Program 

(OMB No. 0915–0322)—Extension 

The mission of the Office of Rural 

Health Policy (ORHP) is to sustain and 

improve access to quality care services 

for rural communities. In its authorizing 

language (Sec. 711 of the Social Security 

Act [42 U.S.C. 912]), Congress charged 

ORHP with administering grants, 

cooperative agreements, and contracts to 

provide technical assistance and other 

activities as necessary to support 

activities related to improving health 

care in rural areas. 

In accordance with the Public Health 

Service Act, Section 338J; 42 U.S.C. 

254r, the Health Resources and Services 

Administration proposes to revise the 

State Offices of Rural Health Grant 

Program—Guidance and Forms for the 

Application. The guidance is used 

annually by 50 States in writing 

applications for grants under the State 

Offices of Rural Health (SORH) Grant 

Program of the Public Health Service 

Act, and in preparing the required 

report. 

ORHP seeks to expand the 

information gathered from grantees on 

their efforts to provide technical 

assistance to clients within their State. 

SORH grantees would be required to 

submit a Technical Assistance Report 

that includes: (1) The total number of 

technical assistance encounters 

provided directly by the Grantee; and, 

(2) the total number of unduplicated 

clients that received direct technical 

assistance from the grantee. Submission 

of the Technical Assistance Report 

would be done via e-mail to ORHP no 

later than 30 days after the end of each 

twelve month budget period. 

The estimated average annual burden 

is as follows: 

Form Number of 

respondents 

Responses 

per 

respondent 

Burden hours 

per response 

Total burden 

hours 

Technical Assistance Report ........................................................................... 50 1 12.5 625 

Total .......................................................................................................... 50 ........................ ........................ 625 

Written comments and 

recommendations concerning the 

proposed information collection should 

be sent within 30 days of this notice to 

the desk officer for HRSA, either by email to OIRA_submission@omb.eop.gov 

or by fax to 202–395–6974. Please direct 

all correspondence to the ‘‘attention of 

the desk officer for HRSA.’’ 

Dated: May 11, 2010. 

Sahira Rafiullah, 

Director, Division of Policy and Information 

Coordination. 

[FR Doc. 2010–11835 Filed 5–17–10; 8:45 am] 

BILLING CODE 4165–15–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10171, CMS–460 

and CMS–10318] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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: Coordination of 

Benefits between Part D Plans and Other 

Prescription Coverage Providers; Use: 

Section 1860D–23 and 1860D–24 of the 

Social Security Act requires the 

Secretary to establish requirements for 

prescription drug plans to ensure the 

effective coordination between Part D 

plans, State pharmaceutical Assistance 

programs and other payers. The 

requirements must relate to the 

following elements: (1) Enrollment file 

sharing; (2) claims processing and 

payment; (3) claims reconciliation 

reports; (4) application of the 

protections against high out-of-pocket 

expenditures by tracking True out-ofmstockstill on DSKH9S0YB1PROD with NOTICES

27788 Federal Register / Vol. 75, No. 95 / Tuesday, May 18, 2010 / Notices 

pocket (TrOOP) expenditures; and (5) 

other processes that the Secretary 

determines. CMS, via the TrOOP 

facilitation contractor, automated the 

transfer of beneficiary coverage 

information when a beneficiary changes 

Part D plans. This information is 

necessary to assist with coordination of 

prescription drug benefits provided to 

the Medicare beneficiary. Refer to the 

crosswalk document for a list of the 

current changes. Form Number: CMS– 

10171 (OMB#: 0938–0978); Frequency: 

Yearly; Affected Public: Business or 

other for-profits; Number of 

Respondents: 57,227; Total Annual 

Responses: 248,018; Total Annual 

Hours: 754,788 (For policy questions 

regarding this collection contact 

Christine Hinds at 410–786–4578. For 

all other issues call 410–786–1326.) 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare 

Participating Physician or Supplier 

Agreement; Form No.: CMS–460 (OMB# 

0938–0373); Use: The CMS–460 is the 

agreement a physician, supplier or their 

authorized official signs to participate in 

Medicare Part B. By signing the 

agreement to participate in Medicare, 

the physician, supplier or their 

authorized official agrees to accept the 

Medicare-determined payment for 

Medicare covered services as payment 

in full and to charge the Medicare Part 

B beneficiary no more than the 

applicable deductible or coinsurance for 

the covered services. For purposes of 

this explanation, the term a supplier 

means any person or entity that may bill 

Medicare for Part B services (e.g. DME 

supplier, nurse practitioner, supplier of 

diagnostic tests) except a Medicare 

provider of services (e.g. hospital), 

which must participate to be paid by 

Medicare for covered care. 

There are additional benefits 

associated with payment for services 

paid under the Medicare fee schedule. 

Payments made under the Medicare fee 

schedule for physician services to 

participating physicians and suppliers 

are based on 100 percent of the 

Medicare fee schedule amount, while 

the Medicare fee schedule payment for 

physician services by nonparticipating 

physicians and suppliers is based on 95 

percent of the fee schedule amount. 

Physicians and suppliers who do not 

participate in Medicare are subject to 

limits on their actual charges for 

unassigned claims for physician 

services. These limits, known as 

limiting charges, cannot exceed 115 

percent of the non-participant fee 

schedule, which is set at 95 percent of 

the full fee schedule amount. In 

addition, if a physician or supplier does 

not accept assignment on a claim for 

Medicare payment, the physician or 

supplier must collect payment from the 

beneficiary. If the physician or supplier 

accepts assignment on the claim, 

Medicare pays its share of the payment 

directly to the physician or supplier, 

resulting in faster and more certain 

payment. Frequency: Reporting, Other— 

when starting a new business; Affected 

Public: Business or other for-profit; 

Number of Respondents: 8,000; Total 

Annual Responses: 8,000; Total Annual 

Hours: 2,000. (For policy questions 

regarding this collection contact April 

Billingsley at 410–786–0410. For all 

other issues call 410–786–1326.) 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Survey to 

Inform the Children’s Health Insurance 

Program (CHIP) National Outreach & 

Education Campaign; Form No.: CMS– 

10318 (OMB# 0938–New); Use: The 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA or 

Pub. L. 111–3) reauthorized the 

Children’s Health Insurance Program 

(CHIP) through FY 2013. It will preserve 

coverage for the millions of children 

who rely on CHIP today and provide the 

resources for States to reach millions of 

additional uninsured children. This 

legislation will help ensure the health 

and well-being of our nation’s children. 

To support this legislation and to help 

people who would benefit from CHIP 

make more informed decisions, CMS 

will be conducting outreach. The 

outreach will employ numerous 

communications channels to educate 

people who would benefit from CHIP 

concerning the program benefits, 

eligibility and enrollment requirements, 

utilization, and retention. As part of the 

outreach, CMS will seek to increase 

awareness, enrollment and retention in 

CHIP for the eligible audiences. The 

primary target audience for the outreach 

includes parents and guardians of 

potentially eligible children as well as 

pregnant women. Secondary audiences 

are information intermediaries 

including State, local, and tribal 

governments, educators (including nonparental caregivers), health care 

providers/social workers, national and 

local partners. The challenge is reaching 

the population segments that have 

access barriers to information including 

language, literacy, location, and culture 

to understand health insurance. To 

support the outreach and education, 

CMS needs to conduct survey research 

to be able to effectively reach the target 

audiences. Frequency: Reporting—Once; 

Affected Public: Individuals or 

Households; Number of Respondents: 

1,850; Total Annual Responses: 1,850; 

Total Annual Hours: 2,000. (For policy 

questions regarding this collection 

contact Barbara Allen at 410–786–6716. 

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/Paperwork

ReductionActof1995, or E-mail your 

request, including your address, phone 

number, OMB number, and CMS 

document identifier, to 

Paperwork@cms.hhs.gov, 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 July 19, 2010: 

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. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–11774 Filed 5–17–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Administration for Children and 

Families 

Submission for OMB Review; 

Comment Request 

Title: Form CB–496. Title IV–E 

Programs Quarterly Financial Report. 

OMB No.: 0970–0205. 

Description: Through FY 2008, only 

State agencies were responsible for 

administering the Foster Care and 

Adoption Assistance Programs under 

title IV–E of the Social Security Act. 

With the enactment of Public Law 110– 

351, the ‘‘Fostering Connections to 

Success and Increasing Adoptions Act 

mstockstill on DSKH9S0YB1PROD with NOTICES