52078 Federal Register / Vol. 71, No. 170 / Friday, September 1, 2006 / Notices 

Times and Dates: 11 a.m.–5:30 p.m., 

September 14, 2006. 

Place: Hubert H. Humphrey Building, 

Room 705A, 200 Independence Avenue, 

SW., Washington, DC 20201. 

8:30 a.m.–2 p.m., September 15, 2006. 

Place: NCHS Headquarters, 3311 

Toledo Road, Hyattsville, Maryland 

20782. 

Status: Open to the public, limited 

only by the space available. The meeting 

room accommodates approximately 100 

people. 

Purpose: This committee is charged 

with providing advice and making 

recommendations to the Secretary, 

Department of Health and Human 

Services; the Director, CDC; and the 

Director, NCHS, regarding the scientific 

and technical program goals and 

objectives, strategies, and priorities of 

NCHS. 

Matters To Be Discussed: The agenda 

will include welcome remarks by the 

Director, NCHS; introductions of 

members and key NCHS staff; scientific 

presentations and discussions on the 

National Survey of Family Growth, 

implications of confidentiality 

requirements in natality and mortality 

vital statistics, and re-engineering the 

vital statistics system and role of health 

information technology; and an open 

session for comments from the public. 

Requests to make oral presentations 

should be submitted in writing to the 

contact person listed below by 

September 8, 2006. All requests must 

contain the name, address, telephone 

number, and organizational affiliation of 

the presenter. 

Written comments should not exceed 

five single-spaced typed pages in length 

and must be received by September 8, 

2006. 

The agenda items are subject to 

change as priorities dictate. 

Due to programmatic matters, this 

Federal Register notice is being 

published on less than 15 calendar days 

notice to the public (41 CFR 102–

3.150(b)). 

Contact Person for More Information: 

Virginia S. Cain, Ph.D., Director of 

Extramural Research, NCHS/CDC, 3311 

Toledo Road, Room 7211, Hyattsville, 

Maryland 20782, telephone (301) 458–

4500, fax (301) 458–4020. 

The Director, Management Analysis 

and Services Office, has been delegated 

the authority to sign Federal Register 

notices pertaining to announcements of 

meetings and other committee 

management activities for both CDC and 

the Agency for Toxic Substances and 

Disease Registry. 

Dated: August 28, 2006. 

Alvin Hall, 

Director, Management Analysis and Services 

Office Centers for Disease Control and 

Prevention. 

[FR Doc. E6–14629 Filed 8–31–06; 8:45 am] 

BILLING CODE 4163–18–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–13 and CMS–

10088] 

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: Revision of a currently 

approved collection. 

Title of Information Collection: 

Conditions of Coverage for Organ 

Procurement Organizations (OPOs) and 

Supporting Regulations in 42 CFR 

486.301–348. 

Use: Organ Procurement 

Organizations are required to submit 

accurate data to CMS through the Organ 

Procurement and Transplantation 

Network (OPTN). The data concerns the 

organ procurement activities, as well as 

various OPO business activities, 

including information on its designated 

service area; structure; various policies, 

procedures, and protocols; and its 

quality assessment and performance 

improvement (QAPI) program. This 

information is necessary to assure 

maximum effectiveness in the 

procurement and distribution of organs. 

Form Number: CMS–R–13 (OMB#: 

0938–0688. 

Frequency: Reporting—Every 4 years 

and as needed. 

Affected Public: Not-for-profit 

institutions. 

Number of Respondents: 58. 

Total Annual Responses: 58. 

Total Annual Hours: 21,427. 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection. 

Title of Information Collection: 

Notification of Fiscal Intermediaries 

(FIs) and CMS of Co-located Medicare 

Providers and Supporting Regulations 

in 42 CFR 412.22 and 412.533. 

Use: Many long term care hospitals 

(LCTHs) are co-located with other 

Medicare providers (acute care 

hospitals, inpatient rehabilitation 

facilities, skilled nursing facilities, and 

psychiatric facilities), which leads to 

potential gaming of the Medicare system 

based on patient shifting. CMS is 

requiring LTCHs to notify fiscal 

intermediaries (FIs) and CMS of colocated providers. In addition, CMS has 

established policies to limit payment 

abuse that will be based on FIs tracking 

patient movement among these colocated providers. 

Form Number: CMS–10088 (OMB#: 

0938–0897. 

Frequency: Reporting—as needed. 

Affected Public: Business or other for 

profit and Not-for-profit institutions. 

Number of Respondents: 200. 

Total Annual Responses: 200. 

Total Annual Hours: 50. 

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 

Paperwork@cms.hhs.gov, 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 at the address below, no 

later than 5 p.m. on October 31, 2006. 

CMS, Office of Strategic Operations and 

Regulatory Affairs, Division of 

Regulations Development—A, 

Attention: Melissa Musotto, Room C4–

26–05, 7500 Security Boulevard, 

Baltimore, Maryland 21244–1850. 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 71, No. 170 / Friday, September 1, 2006 / Notices 52079 

Dated: August 25, 2006. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 06–7290 Filed 8–31–06; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–R–143, CMS–R–

247, CMS–10199, and CMS–10184] 

Agency Information Collection 

Activities: Submission for OMB 

Review; 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), 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: Extension of a currently 

approved collection. 

Title of Information Collection: 

Medicare Physician Fee Schedule 

Geographic Practice Expense Index 

(GPCI). 

Use: This information collection is a 

survey of State insurance 

commissioners and malpractice insurers 

to acquire premium data for use in 

computing the malpractice component 

of the geographic practice cost index, a 

component of the geographic cost index 

as set forth in the Omnibus 

Reconciliation Act of 1989. The data 

collected in this information collection 

request will be used by CMS staff and 

outside contractors to update the 

Medicare physician fee schedule 

geographic practice expense index 

(MGPCI), the malpractice relative value 

units (MRVUs), and to supplement the 

updating of the malpractice component 

of the Medicare Economic Index (MEI). 

The MGPCI is one of the components of 

the GPCI, the others being physician 

work (net income), employee wages, 

office rents, medical equipment and 

supplies, and miscellaneous expenses. 

The MRVUs are one of the three 

components of the fee schedule, the 

others being physician work RVUs and 

practice expense RVUs. The GPCIs and 

fee schedule RVUs also used by other 

Federal agencies such as the Veteran’s 

Administration and the Department of 

Labor. Form Number: CMS–R–143 

(OMB#: 0938–0575). 

Frequency: Reporting—Every three 

years. 

Affected Public: State, Local or Tribal 

governments, Business or other forprofit and Not-for-profit institutions. 

Number of Respondents: 150. 

Total Annual Responses: 50. 

Total Annual Hours: 150. 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection. 

Title of Information Collection: 

Expanded Coverage for Diabetes 

Outpatient Self-Management Training 

Services and Supporting Regulations 

Contained in 42 CFR 410.141, 410.142, 

410.143, 410.144, 410.145, 410.146, 

414.63. 

Use: According to the National Health 

and Nutrition Examination Survey 

(NHANES), as many as 18.7 percent of 

Americans over age 65 are at risk for 

developing diabetes. The goals in the 

management of diabetes are to achieve 

normal metabolic control and reduce 

the risk of micro- and macro-vascular 

complications. Numerous epidemiologic 

and interventional studies point to the 

necessity of maintaining good glycemic 

control to reduce the risk of the 

complications of diabetes. In expanding 

the Medicare program to include 

diabetes outpatient self-management 

training services, the Congress intended 

to empower Medicare beneficiaries with 

diabetes to better manage and control 

their conditions. The Conference Report 

indicates that the conferees believed 

that ‘‘this provision will provide 

significant Medicare savings over time 

due to reduced hospitalizations and 

complications arising from diabetes.’’

(H.R. Conf. Rep. No. 105–217, at 701 

(1997)). 

Form Number: CMS–R–247 (OMB#: 

0938–818). 

Frequency: Recordkeeping and 

Reporting—On occasion. 

Affected Public: Business or other forprofit institutions. 

Number of Respondents: 2008. 

Total Annual Responses: 8,032; Total 

Annual Hours: 88,519. 

3. Type of Information Collection 

Request: New collection. 

Title of Information Collection: Data 

Collection for Medicare Facilities 

Performing Carotid Artery Stenting with 

Embolic Protection in Patients at High 

Risk for Carotid Endarterectomy. 

Use: CMS provides coverage for 

carotid artery stenting (CAS) with 

embolic protection for patients at high 

risk for carotid endarterectomy and who 

also have symptomatic carotid artery 

stenosis between 50% and 70% or have 

asymptomatic carotid artery stenosis ≥ 

80% in accordance with the Category B 

IDE clinical trials regulation (42 CFR 

405.201), a trial under the CMS Clinical 

Trial Policy (NCD Manual § 310.1, or in 

accordance with the National Coverage 

Determination on CAS post approval 

studies (Medicare NCD Manual 20.7). 

Accordingly, CMS considers coverage 

for CAS reasonable and necessary 

{section 1862 (A)(1)(a) of the Social 

Security Act}. However, evidence for 

use of CAS with embolic protection for 

patients at high risk for carotid 

endarterectomy and who also have 

symptomatic carotid artery stenosis ≥ 

70% who are not enrolled in a study or 

trial is less compelling. To encourage 

responsible and appropriate use of CAS 

with embolic protection, CMS issued a 

Decision Memo for Carotid Artery 

Stenting on March 17, 2005, indicating 

that CAS with embolic protection for 

patients at high risk for carotid 

endarterectomy and who also have 

symptomatic carotid artery stenosis ≥ 

70% will be covered only if performed 

in facilities that have been determined 

to be competent. In accordance with this 

criteria CMS considers coverage for CAS 

reasonable and necessary (section 

1862(A)(1)(a) of the Social Security Act). 

Form Number: CMS–10199 (OMB#: 

0938–NEW). 

Frequency: Reporting—On. 

Affected Public: Business or other forprofit, Not-for-profit institutions. 

Number of Respondents: 1,000. 

Total Annual Responses: 1,000. 

Total Annual Hours: 500. 

4. Type of Information Collection 

Request: New collection. 

Title of Information Collection: 

Payment Error Rate Measurement 

(PERM) of Eligibility in Medicaid and 

the State Children’s Health Insurance 

Program (SCHIP). 

Use: The Improper Payments 

Information Act (IPIA) of 2002 requires 

CMS to produce national error rates for 

Medicaid and the State Children’s 

Health Insurance Program (SCHIP). To 

comply with the IPIA, CMS will use a 

national contracting strategy in part to 


sroberts on PROD1PC70 with NOTICES