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[Federal Register Volume 76, Number 63 (Friday, April 1, 2011)]
[Notices]
[Page 18223]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-7747]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-148 and CMS-R-266]

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 without change 
of a currently approved collection; Title of Information Collection: 
Limitations on Provider Related Donations and Health Care Related 
Taxes; Limitation on Payments for Disproportionate Share Hospitals and 
Supporting Regulations in 42 CFR 433.68, 433.74 and 447.272; Use: The 
collected information collection is necessary to ensure compliance with 
sections 1903 and 1923 of the Social Security Act by helping to prevent 
payments of Federal financial participation on amounts prohibited by 
statute; Form Number: CMS-R-148 (OMB: 0938-0618); Frequency: 
Quarterly and occasionally; Affected Public: State, Local, or Tribal 
Governments; Number of Respondents: 50; Total Annual Responses: 40; 
Total Annual Hours: 3,200. (For policy questions regarding this 
collection contact Rory Howe at 410-786-4878. For all other issues call 
410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Medicaid 
Disproportionate Share Hospital Annual Reporting; Use: Section 
1923(j)(i) of the Social Security Act (Act) requires States to submit 
an annual report that identifies each disproportionate share hospital 
(DSH) that received a DSH payment under the State's Medicaid program in 
the preceding fiscal year and the amount of DSH payments paid to that 
hospital in the same year along with other information that the 
Secretary determines necessary to ensure the appropriateness of DSH 
payments. The collected information will also satisfy the requirements 
under section 1923(a)(2)(D) of the Act; Form Number: CMS-R-266 
(OMB: 0938-0746); Frequency: Yearly; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 52; Total Annual 
Responses: 52; Total Annual Hours: 1,976. (For policy questions 
regarding this collection contact Rory Howe at 410-786-4878. 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 
E-mail 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 by the OMB desk 
officer at the address below, no later than 5 p.m. on May 2, 2011 OMB, 
Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

    Dated: March 25, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2011-7747 Filed 3-31-11; 8:45 am]
BILLING CODE 4120-01-P
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