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###### Department of Health and Human Services

###### Centers for Medicare and Medicaid Services 

          - [Document Identifier: CMS-382 and CMS-R-299] 

# AGENCY:

Centers for Medicare and 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 and Medicaid Services (CMS) (formerly known as the Health Care Financing Administration (HCFA), 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 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:*                         ESRD Beneficiary Selection and Supporting Regulations in 42 CFR 414.330;                         *Form No.:*                         CMS-382 (OMB# 0938-0372);                         *Use:*                         ESRD facilities have each new home dialysis patient select one of two methods to handle Medicare reimbursement. The intermediaries pay for the beneficiaries selecting Method I and the carriers pay for the beneficiaries selecting Method II. This system was developed to avoid duplicate billing by both intermediaries and carriers;                         *Frequency:*                         Other: One-time Only;                         *Affected Public:*                         Individuals or Households, Business or other for-profit, Not-for-profit institutions;                         *Number of Respondents:*                         7,400;                         *Total Annual Responses:*                         7,400;                         *Total Annual Hours:*                         617.                     

                        2.                         *Type of Information Collection Request:*                         Revision of a currently approved collection;                         *Title of Information Collection:*                         A project to Develop an Outcome-Based Continuous Quality Improvement System and Core Outcome and Comprehensive Assessment Data Set for PACE;                         *Form No.:*                         CMS-R-299(OMB# 0938-0791);                         *Use:*                         The purpose of this project is to develop an outcome-based continuous quality improvement (OBCQI) system and core comprehensive assessment data set for the PACE program by (a) developing and testing a set of data items for core outcome and comprehensive assessment (COCOA), (b) testing risk-adjustment methods so each site's outcomes can be appropriately evaluated, (c) designing an OBCQI approach to improve quality in a systematic, evolutionary manner, and (d) testing the usefulness of the data items for assessment and care planning. A three-phase field test will result in the refinement of the draft COCOA data items and protocols needed. Findings from the project are intended to guide the possible implementation of a national approach for OBCQI and core comprehensive assessment for PACE.;                         *Frequency:*                         On occasion and Semi-annually;                         *Affected Public:*                         Individuals or Households and Not-for-profit institutions;                         *Number of Respondents:*                         8,320;                         *Total Annual Responses:*                         116,038;                         *Total Annual Hours:*                         16,960.                               ( print page 5991)    

                        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://cms.hhs.gov/​regulations/​pra/​default.asp*, or E-mail your request, including your address, phone number, OMB number, and CMS document identifier, to Paperwork@hcfa.gov, or call the Reports Clearance Office on (410) 786-1326. Written comments and recommendations for the proposed information collections must be mailed within 30 days of this notice directly to the OMB desk officer: OMB Human Resources and Housing Branch, Attention: Brenda Aguilar, New Executive Office Building, Room 10235, Washington, DC 20503.                     

Dated: January 29, 2004. 

Melissa Musotto, 

Acting, Paperwork Reduction Act Team Leader, CMS Reports Clearance Officer, Office of Strategic Operations and Strategic Affairs, Division of Regulations Development and Issuances. 

[FR Doc. 04-2704 Filed 2-6-04; 8:45 am] 

BILLING CODE 4120-03-P