2532 Federal Register / Vol. 72, No. 12 / Friday, January 19, 2007 / Notices 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–1728–94 and 

CMS–10091] 

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 of a currently 

approved collection; Title of 

Information Collection: Home Health 

Agency Cost Report; Use: Providers of 

services participating in the Medicare 

program are required under sections 

1815(a) and 1861(v)(1)(A) of the Social 

Security Act (42 U.S.C. 1395g) to submit 

annual information to achieve 

settlement of costs for health care 

services rendered to Medicare 

beneficiaries. The CMS–1728–94 cost 

report is needed to determine the 

amount of reimbursable cost, based 

upon the cost limits, that is due these 

providers furnishing medical services to 

Medicare beneficiaries. Form Number: 

CMS–1728–94 (OMB#: 0938–0022); 

Frequency: Reporting: Yearly; Affected 

Public: Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 5069; Total Annual 

Responses: 5069; Total Annual Hours: 

892,144. 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Accepting New 

Patients Indicator UPIN (Unique 

Physician Identification Number) 

Participating Physicians Directory; Use: 

CMS is expanding the Participating 

Physician Directory to provide 

additional information about physicians 

who participate in Medicare. The new 

data element ‘‘accepting new Medicare 

patients’’ will provide beneficiaries and 

other users with much needed 

information about the physicians who 

participate in the Medicare program. It 

will also provide a service to physicians 

who are either seeking new Medicare 

patients or who wish to reduce the 

burden of responding to callers when 

they are no longer accepting new 

Medicare patients. Form Number: CMS–

10091 (OMB#: 0938–0905); Frequency: 

Reporting: Daily, Weekly and Yearly; 

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

Number of Respondents: 109.800; Total 

Annual Responses: 10,980; Total 

Annual Hours: 915. 

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 March 20, 2007. 

CMS, Office of Strategic Operations 

and Regulatory Affairs, Division of 

Regulations Development—C, Attention: 

Bonnie L Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: January 10, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–604 Filed 1–18–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10176] 

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: Governmental 

Status of Health Care Provider Form; 

Use: The questions presented on the 

‘‘Governmental Status of Health Care 

Provider’’ form are required for CMS to 

be able to determine the permissibility 

of State funding sources associated with 

selected reimbursement-related State 

Plan Amendments. Without the 

information gathered on this form, CMS 

will not be able to determine the State’s 

compliance with Section 1902(a)(30)(A) 

or Section 1903(w) of the Social 

Security Act. If CMS cannot determine 

compliance, CMS cannot approve the 

State Plan Amendments, resulting in 

potential harm to Medicaid 

beneficiaries. The respondents of this 

information request will be the State’s 

State Medicaid Agency. Form Number: 

CMS–10176 (OMB#: 0938–NEW); 

Frequency: Reporting: Once and on 

occasion; Affected Public: State, Local, 

or Tribal Governments; Number of 

Respondents: 50; Total Annual 

Responses: 4,000; Total Annual Hours: 

4,000. 

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 March 20, 2007. 


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