[Federal Register Volume 76, Number 10 (Friday, January 14, 2011)]
[Notices]
[Pages 2690-2691]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2011-737]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-268 and CMS-10328]


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 of a currently 
approved collection; Title of Information Collection: CMS Survey Tool 
for http://www.cms.gov and http://www.medicare.gov; Use: The purpose of 
this submission is to continue to collect information from Internet 
users as they exit from the Web sites Medicare.gov and CMS.gov. To 
ensure that we gather information about user reactions to the Web 
sites, we have developed a survey tool that users can complete when 
they exit either site or by accessing a link on the bottom bar on the 
page. The responses on this survey tool will help CMS to make 
appropriate changes to the Web sites in the future. The survey tool 
contains questions about the information that visitors are seeking from 
the sites, the degree to which either site was useful to them, the 
improvements that they would like to see in the sites, and their 
general comments. Form Number: CMS-R-268 (OMB<greek-i> 0938-0756); 
Frequency: Yearly; Affected Public: Individuals and households, Private 
sector--Business or other for-profit; Number of Respondents: 7,000; 
Total Annual Responses: 9,100; Total Annual Hours: 1,167. (For policy 
questions regarding this collection contact Matthew Aiken at 410-786-
1029. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Revision of currently 
approved collection; Title of Information Collection: Medicare Self-
Referral Disclosure Protocol; Use: Section 6409 of the ACA requires the 
Secretary to establish and post information on the CMS' public Internet 
Web site concerning a self-referral disclosure protocol (SRDP) that 
sets forth a process for providers of services and suppliers to self-
disclose actual or potential violations of section 1877 of the Act. In 
addition, section 6409(b) of the ACA gives the Secretary authority to 
reduce

[[Page 2691]]

the amounts due and owing for the violations. This information 
collection request is necessary in order to inform the public of the 
process and the types of information needed to participate in the SRDP.
    The SRDP is a voluntary self-disclosure instrument that will allow 
providers of services and suppliers to disclose actual or potential 
violations of section 1877 of the Act. CMS will analyze the disclosed 
conduct to determine compliance with section 1877 of the Act and the 
application of the exceptions to the physician self-referral 
prohibition. In addition, the authority granted to the Secretary under 
section 6409(b) of the ACA, and subsequently delegated to CMS, may be 
used to reduce the amount due and owing for violations. Form Number: 
CMS-10328 (OMB<greek-i>: 0938-1106; Frequency: Once; Affected Public: 
Private Sector, Business and other for-profit and not-for-profit 
institutions; Number of Respondents: 50; Total Annual Responses: 50; 
Total Annual Hours: 1,175. (For policy questions regarding this 
collection contact Ronke Fabayo at 410-786-4460. 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/PaperworkReductionActof1995, or e-
mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#88d8e9f8edfaffe7fae3c8ebe5fba6e0e0fba6efe7fe"><span class="__cf_email__" data-cfemail="81d1e0f1e4f3f6eef3eac1e2ecf2afe9e9f2afe6eef7">[email protected]</span></a>, 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 March 15, 2011:
    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.

    Dated: January 7, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-737 Filed 1-13-11; 8:45 am]
BILLING CODE 4120-01-P


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