13792 Federal Register / Vol. 72, No. 56 / Friday, March 23, 2007 / Notices 

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: Paid Feeding 

Assistants in Long Term Care Facilities 

and Supporting Regulations at 42 CFR 

483.160. Use: 42 CFR part 483 permits 

long-term care facilities to use paid 

feeding assistants to supplement the 

services of certified nurse aides. If 

facilities choose this option, feeding 

assistants must completed a specified 

training program. In addition, a facility 

must maintain a record of all 

individuals, used by the facility as 

feeding assistants, who have 

successfully completed the training 

course for paid feeding assistants. This 

information is used as part of the 

process to determine facility compliance 

with this requirement. Form Number: 

CMS–10053 (OMB#: 0938–0916); 

Frequency: Recordkeeping—once; 

Affected Public: Business or other forprofit and not-for-profit institutions; 

Number of Respondents: 8,772; Total 

Annual Responses: 3,509; Total Annual 

Hours: 21,054. 

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. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Katherine Astrich, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: March 8, 2007. 

Michelle Shortt, 

Director, Regulations Development Group 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–4900 Filed 3–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10220] 

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: New collection; Title of 

Information Collection: Provider 

Enrollment Chain and Ownership 

System (PECOS) Web Security Consent 

Form; Form No.: CMS–10220 (OMB# 

0938–NEW); Use: In establishing a Web 

based application process, we allow 

providers and suppliers the ability to 

enroll in the Medicare program via the 

Internet. For these applicants, no 

security consent form is needed to 

enroll or make a change in their 

Medicare enrollment information. These 

applicants receive complete access to 

their own enrollments through the Web 

based version of the Provider 

Enrollment, Chain and Ownership 

System (PECOS). 

In order to allow a provider or 

supplier to delegate the Medicare 

credentialing process to another 

individual or organization, it is 

necessary to establish a Security 

Consent Form for those providers and 

suppliers who choose to have another 

individual or organization access their 

enrollment information and complete 

enrollments on their behalf. These users 

could consist of administrative staff, 

independent contractors, or 

credentialing departments and are 

represented as a User group. User 

groups and its members must request 

access to enrollment data through a 

Security Consent Form. The security 

consent form replicates business service 

agreements between Medicare 

applicants and organizations providing 

enrollment services. 

We are proposing four different 

versions of the Security Consent Form. 

The form, once signed, mailed and 

approved, grants a user group or its 

member access to specific Medicare 

enrollment records. The system 

administrator, within the user group, 

assigns to each member of the group, a 

security role that will define their levels 

of functionality within PECOS web for 

an individual or organization. 

Frequency: Reporting—On occasion; 

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

Individuals or Households; Number of 

Respondents: 177,500; Total Annual 

Responses: 177,500; Total Annual 

Hours: 44,375. 

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 May 22, 2007. 

CMS, Office of Strategic Operations 

and Regulatory Affairs, Division of 

Regulations Development—B, Attention: 

William N. Parham, III, Room C4–26–

05, 7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 


sroberts on PROD1PC70 with NOTICES
Federal Register / Vol. 72, No. 56 / Friday, March 23, 2007 / Notices 13793 

Dated: March 8, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–4901 Filed 3–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10095] 

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: Detailed 

Explanation of Non-Coverage and 

Notice of Medicare Non-Coverage and 

Supporting Regulations in 42 CFR 

422.624 and 42 CFR 422.626; Use: 

Providers will deliver a Notice of 

Medicare Non-Coverage to enrollees at 

least two days prior to the end of 

covered services in skilled nursing 

facilities, home health agencies, and 

comprehensive outpatient rehabilitation 

facilities. Enrollees will use this 

information to determine whether they 

wish to appeal the service termination 

to the Quality Improvement 

Organization (QIO) in their State. If the 

enrollee decides to appeal, the Medicare 

Health organization will send the QIO 

and the enrollee a Detailed Explanation 

of Non-Coverage detailing the rationale 

for the termination decision. Form 

Number: CMS–10095 (OMB#: 0938–

0910); Frequency: Reporting: Yearly; 

Affected Public: Business or other forprofit and Not-for-profit institutions; 

Number of Respondents: 454; Total 

Annual Responses: 47,558; Total 

Annual Hours: 23,780.52. 

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. 

Written comments and 

recommendations for the proposed 

information collections must be mailed 

or faxed within 30 days of this notice 

directly to the OMB desk officer: OMB 

Human Resources and Housing Branch, 

Attention: Carolyn Lovett, New 

Executive Office Building, Room 10235, 

Washington, DC 20503, Fax Number: 

(202) 395–6974. 

Dated: March 16, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–5296 Filed 3–22–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10216, CMS–R–

0053, CMS–179, CMS–10137, CMS–10069 

and CMS–R–246] 

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 without change of a 

currently approved collection; Title of 

Information Collection: Alternative 

Benefits State Plan Amendment Health 

Opportunity Accounts (HOA) 

Demonstration Program; Use: The DRA 

provides States with numerous 

flexibilities in operating their State 

Medicaid programs. For example, 

Section 6082 of the DRA allows up to 

10 States to operate Medicaid 

demonstrations to test alternative 

systems for delivering their Medicaid 

benefits. Under these demonstrations, 

States would have the flexibility to 

deliver their Medicaid benefits to 

volunteer beneficiaries through a 

program that is comprised of an HOA 

and a High Deductible Health Plan 

(HDHP). Under the DRA, States can 

submit a State Plan Pre-print to CMS to 

effectuate this change to their Medicaid 

programs. CMS will provide a State 

Medicaid Director letter providing 

guidance on this provision and the 

implementation of the DRA and the 

associated State Plan Amendment 

template for use by States to modify 

their Medicaid State Plans if they 

choose to implement this flexibility; 

Form Number: CMS–10216 (OMB#: 

0938–1007); Frequency: Reporting: Onetime; Affected Public: State, Local or 

tribal Government; Number of 

Respondents: 56; Total Annual 

Responses: 10; Total Annual Hours: 10. 

2. Type of Information Collection 

Request: Extension without change of a 

currently approved collection; Title of 

Information Collection: Imposition of 

Cost Sharing Charges Under Medicare 

and Supporting Regulations Contained 

in 42 CFR 447.53; Use: The purpose of 

this collection is to ensure that States 

impose nominal cost sharing charges 

upon categorically and medically needy 

individuals as allowed by law and 

implementing regulations. States must 

identify in their State plan the 

following: (1) The service for which the 

charge is made; (2) The amount of the 

charge; (3) The basis for determining the 

charge; (4) The method used to collect 

the charge; (5) The basis for determining 

whether an individual is unable to pay 

the charge and the way in which the 

individual will be identified to 

providers; and, (6) The procedures for 

implementing and enforcing the 

exclusions from cost sharing; Form 


sroberts on PROD1PC70 with NOTICES