28056 Federal Register / Vol. 72, No. 96 / Friday, May 18, 2007 / Notices 

we attempted to obtain a balance 

between availability of data needed to 

assess the impact of the intervention, 

and the generalizability of the setting of 

care. In revisions made to the protocol 

we have focused on developing an 

intervention that could be conducted in 

a community pharmacy, and as such 

may be generalizable to community 

pharmacies. 

Dated: May 10, 2007. 

Carolyn M. Clancy, 

Director. 

[FR Doc. 07–2481 Filed 5–17–07; 8:45 am] 

BILLING CODE 4160–90–M 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10233, CMS–

10234 and CMS–10236] 

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: Regional 

Preferred Provider Organization (RPPO) 

Reconciliation Cost Report; Form 

Number: CMS–10233 (OMB#: 0938–

New); Use: The Medicare Prescription 

Drug, Improvement, and Modernization 

Act of 2003 (MMA), Title II, Subtitle C 

(Offering of Medicare Advantage 

Regional Plans; Medicare Advantage 

Competition) provided for the 

establishment of Medicare Advantage 

Regional Plans. Subsequently, the 

Regional Preferred Provider 

Organization (RPPO) program was 

developed and began contracting with 

Managed Care Organizations (MCOs) 

and enrolling beneficiaries for the 2006 

contract year. Section 1858 of the Social 

Security Act provides for risk sharing 

with RPPOs to be in place for contract 

years 2006 and 2007. The Code of 

Federal Regulations at 42 CFR 422.458 

provides specific direction with respect 

to how the Centers for Medicare and 

Medicaid Services (CMS) will share risk 

with the RPPOs. The regulations require 

CMS to collect Allowable Cost data, and 

to compare this data to Target Amounts. 

If the comparison demonstrates that 

there were either savings or losses in the 

contract year, the regulations provide 

specific risk corridors to be used in 

determining the Risk Sharing 

Reconciliation amount due to either the 

plan or CMS. The Risk Sharing 

Reconciliation cost report will be used 

to collect the information necessary to 

accurately reconcile the payments made 

to RPPOs for the 2006 and 2007 contract 

years. Frequency: Reporting—Annually; 

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

Number of Respondents: 14; Total 

Annual Responses: 14; Total Annual 

Hours: 1,120. 

2. Type of Information Collection 

Request: New collection; Title of 

Information Collection: State Plan Preprint implementing Section 6087 of the 

Deficit Reduction Act: Optional SelfDirection Personal Assistance Services 

(PAS) Program (Cash and Counseling); 

Form Number: CMS–10234 (OMB#: 

0938–New); Use: Information submitted 

via the State Plan Amendment (SPA) 

pre-print will be used by the Centers for 

Medicare & Medicaid Services (CMS) 

Central and Regional Offices to analyze 

a State’s proposal to implement Section 

6087 of the Deficit Reduction Act 

(DRA). State Medicaid Agencies will 

complete the SPA pre-print, and submit 

it to CMS for a comprehensive analysis. 

The pre-print contains assurances, 

check-off items, and areas for States to 

describe policies and procedures for 

subjects such as quality assurance, risk 

management, and voluntary and 

involuntary disenrollment; Frequency: 

Reporting—Once; Affected Public: State, 

Local, or Tribal Government; Number of 

Respondents: 56; Total Annual 

Responses: 30; Total Annual Hours: 600. 

3. Type of Information Collection 

Request: New collection; Title of 

Information Collection: Disclosure of 

Financial Relationships Report 

(‘‘DFRR’’); Form Number: CMS–10236 

(OMB#: 0938–New); Use: Section 

1877(f) of the Social Security Act 

requires that each entity providing 

covered items or services for which 

payment may be made shall provide the 

Secretary with information concerning 

the entity’s ownership, investment, and 

compensation arrangements, in such 

form, manner, and at such times as the 

Secretary shall specify. DFRR is a new 

collection instrument that will be used 

by CMS to obtain information necessary 

to analyze each hospital’s compliance 

with Section 1877 of the Social Security 

Act (‘‘the physician self-referral law’’), 

and implementing regulations (42 Code 

of Federal Regulations, Subpart J). 

Frequency: Reporting—Once; Affected 

Public: Business or other for-profit and 

Not-for-profit institutions; Number of 

Respondents: 500; Total Annual 

Responses: 500; Total Annual Hours: 

2,000. 

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 July 17, 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. 

Dated: May 11, 2007. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. E7–9472 Filed 5–17–07; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–265–94 and 

CMS–460] 

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 


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