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[Federal Register Volume 78, Number 31 (Thursday, February 14, 2013)]
[Notices]
[Page 10620]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2013-03452]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-576A]

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: 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 Peggye Wilkerson at 410-
786-4857. 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.
    In commenting on the proposed information collections please 
reference the document identifier or OMB control number. To be assured 
consideration, comments and recommendations must be submitted in one of 
the following ways by April 15, 2013:
    1. Electronically. You may submit your comments electronically to 
http://www.regulations.gov. Follow the instructions for ``Comment or 
Submission'' or ``More Search Options'' to find the information 
collection document(s) accepting comments.
    2. By regular mail. You may mail written comments to the following 
address: CMS, Office of Strategic Operations and Regulatory Affairs, 
Division of Regulations Development, Attention: Document Identifier/OMB 
Control Number --------, Room C4-26-05, 7500 Security Boulevard, 
Baltimore, Maryland 21244-1850.

    Dated: February 11, 2013.
Martique Jones,
Deputy Director, Regulations Development Group, Office of Strategic 
Operations and Regulatory Affairs.
[FR Doc. 2013-03452 Filed 2-13-13; 8:45 am]
BILLING CODE 4120-01-P
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