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[Federal Register: March 29, 2010 (Volume 75, Number 59)]
[Notices]               
[Page 15435-15436]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr29mr10-63]                         

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-10292, CMS-718-721 and CMS-685]

 
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: New Collection; Title of 
Information Collection: State Medicaid HIT Plan and Templates for 
Implementation of Section 4201 of ARRA; Form Number: CMS-10292 
(OMB: 0938-NEW); Use: This information is being requested in 
order that States can submit documentation to CMS for review and 
approval in order that States can implement the Medicaid program and 
draw down Federal financial participation. The American Reinvestment 
and Recovery Act of 2009 (ARRA) provides States with the flexibility to 
request funds to develop a health information technology vision and 
road to get to the ultimate goal of meaningful use of certified 
electronic health records technology. We will be sending State Medicaid 
Directors letters and templates for the State Medicaid Hit Plan (SMHP), 
the Planning Advance Planning Document (PAPD) and the Implementation 
Advance Planning Document (IAPD) to States in an effort to request 
these changes if they so choose to make the process as simple as 
possible. Frequency: Yearly, once and/or occasionally; Affected Public: 
State, Tribal and Local governments; Number

[[Page 15436]]

of Respondents: 56; Total Annual Responses: 56; Total Annual Hours: 
280. (For policy questions regarding this collection contact Donna 
Schmidt at 410-786-5532. For all other issues call 410-786-1326.)
    2. Type of Information Collection Request: Reinstatement with 
change of a previously approved collection; Title of Information 
Collection: Business Proposal Forms for Quality Improvement 
Organizations (QIOs); Use: The submission of proposal information by 
current quality improvement associations (QIOs) and other bidders, on 
the appropriate forms, will satisfy CMS's need for meaningful, 
consistent, and verifiable data with which to evaluate contract 
proposals. The data collected on the forms associated with this 
information collection request is used by CMS to negotiate QIO 
contracts. The revised business proposal forms will be useful in a 
number of important ways. The Government will be able to compare the 
costs reported by the QIOs on the cost reports to the proposed costs 
noted on the business proposal forms. Subsequent contract and 
modification negotiations will be based on historic cost data. The 
business proposal forms will be one element of the historical cost data 
from which we can analyze future proposed costs. In addition, the 
business proposal format will standardize the cost proposing and 
pricing process among all QIOs. With well-defined cost centers and line 
items, proposals can be compared among QIOs for reasonableness and 
appropriateness. Form Number: CMS-718-721 (OMB: 0938-0579); 
Frequency: Reporting--Triennially; Affected Public: Business or other 
for-profits and Not-for-profit institutions; Number of Respondents: 21; 
Total Annual Responses: 21; Total Annual Hours: 1,785. (For policy 
questions regarding this collection contact Clarissa Whatley at 410-
786-7154. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Reinstatement without 
change of a previously approved collection; Title of Information 
Collection: End Stage Renal Disease (ESRD) Network Semi-Annual Cost 
Report Forms and Supporting Regulations in 42 CFR 405.2110 and 42 CFR 
405.2112; Use: Section 1881(c) of the Social Security Act establishes 
End Stage Renal Disease (ESRD) Network contracts. The regulations found 
at 42 CFR 405.2110 and 405.2112 designated 18 ESRD Networks which are 
funded by renewable contracts. These contracts are on 3-year cycles. To 
better administer the program, CMS is requiring contractors to submit 
semi-annual cost reports. The purpose of the cost reports is to enable 
the ESRD Networks to report costs in a standardized manner. This will 
allow CMS to review, compare and project ESRD Network costs during the 
life of the contract. Form Number: CMS-685 (OMB: 0938-0657); 
Frequency: Reporting--Semi-annually; Affected Public: Not-for-profit 
institutions; Number of Respondents: 18; Total Annual Responses: 36; 
Total Annual Hours: 108. (For policy questions regarding this 
collection contact Victoria Morgan at 410-786-7232. 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 April 28, 2010: 
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 19, 2010.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2010-7033 Filed 3-26-10; 8:45 am]
BILLING CODE 4120-01-P
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