4826 Federal Register / Vol. 75, No. 19 / Friday, January 29, 2010 / Notices 

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: Eligibility Error 

Rate Measurement in Medicaid and the 

Children’s Health Insurance Program; 

Use: The collection of information is 

necessary for CMS to produce national 

error rates for Medicaid and CHIP as 

required by Public Law 107–300, the 

IPIA of 2002. The collection of 

information is also necessary to 

implement provisions from the 

Children’s Health Insurance Program 

Reauthorization Act of 2009 (CHIPRA) 

(Pub. L. 111–3) with regard to the 

Medicaid Eligibility Quality Control 

(MEQC) and Payment Error Rate 

Measurement (PERM) programs. The 

information collected from the States 

selected for review will be used by CMS 

to ensure States use a statistically sound 

sampling methodology, to ensure the 

States complete reviews on all cases 

sampled, and will be used by the 

Federal contractor to calculate State and 

national Medicaid and CHIP eligibility 

error rates. Form Number: CMS–10184 

(OMB#: 0938–1012); Frequency: 

Reporting—Occasionally; Affected 

Public: State, Local, Tribal 

Governments; Number of Respondents: 

34; Total Annual Responses: 53; Total 

Annual Hours: 942,764. (For policy 

questions regarding this collection 

contact Jessica Woodard at 410–786– 

9249. 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. 

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 March 1, 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: January 22, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–1918 Filed 1–28–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2746] 

Agency Information Collection 

Activities: Proposed Collection; 

Comment Request 

AGENCY: Centers for Medicare & 

Medicaid Services. 

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: End Stage Renal 

Disease Death Notification Public Law 

95–292; 42 CFR 405.2133, 45 CFR 5–5b; 

20 CFR Parts 401 and 422E Use: The 

ESRD Death Notification (CMS–2746) is 

completed by all Medicare-approved 

ESRD facilities upon the death of an 

ESRD patient. Its primary purpose is to 

collect fact of death and cause of death 

of ESRD patients. Certain other 

identifying information (e.g., name, 

Medicare claim number, and date of 

birth) is required for matching purposes. 

Federal regulations require that the 

ESRD Networks examine the mortality 

rates of every Medicare-approved 

facility within its area of responsibility. 

The Death Form provides the necessary 

data to assist the ESRD Networks in 

making decisions that result in 

improved patient care and in costeffective distribution of ESRD resources. 

The data is used by the ESRD Networks 

to verify facility deaths and to monitor 

facility performance. Form Number: 

CMS–2746 (OMB#: 0938–0448); 

Frequency: On occasion; Affected 

Public: Business or other for-profit, Notfor-profit institutions; Number of 

Respondents: 5,173; Total Annual 

Responses: 82,768; Total Annual Hours: 

41,384. (For policy questions regarding 

this collection contact Connie Cole at 

410–786–0257. 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 

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. 

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 March 30, 2010: 

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: January 22, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–1916 Filed 1–28–10; 8:45 am] 

BILLING CODE 4120–01–P 


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