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[Federal Register Volume 78, Number 76 (Friday, April 19, 2013)]
[Notices]
[Page 23567]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-09256]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifiers: CMS-576A]

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: Organ Procurement 
Organization's (OPOs) Health Insurance Benefits Agreement and 
Supporting Regulations at 42 CFR 486.301-486.348; Use: The Medicare and 
Medicaid Programs final conditions for coverage for Organ Procurement 
Organizations (OPOs) require OPOs to sign agreements with the Center 
for Medicare and Medicaid Services (CMS) in order to be reimbursed and 
perform their services. The information provided on this form serves as 
a basis for continuing the agreements with CMS and the OPOs for 
participation in the Medicare and Medicaid programs for reimbursement 
of service. Form Number: CMS-576A (OCN: 0938-0512); Frequency: 
Occasionally; Affected Public: Private Sector: Business or other for-
profit and not-for-profit institutions; Number of Respondents: 58; 
Total Annual Responses: 58; Total Annual Hours: 116. (For policy 
questions regarding this collection contact Melissa Rice at 410-786-
3270. 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 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 by the OMB desk 
officer at the address below, no later than 5 p.m. on May 20, 2013.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, Email: OIRA_submission@omb.eop.gov

    Dated: April 16, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-09256 Filed 4-18-13; 8:45 am]
BILLING CODE 4120-01-P
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