[Federal Register Volume 72, Number 56 (Friday, March 23, 2007)]
[Notices]
[Page 13793]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E7-5296]


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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<greek-i>: 0938-0910); Frequency: Reporting: Yearly; Affected 
Public: Business or other for-profit 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 
e-mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to <a href="/cdn-cgi/l/email-protection#3767564752454058455c77545a44195f5f4419505841"><span class="__cf_email__" data-cfemail="025263726770756d706942616f712c6a6a712c656d74">[email protected]</span></a>, 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


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