22810 Federal Register / Vol. 75, No. 83 / Friday, April 30, 2010 / Notices 

programs; and be consistent with the 

beginning of the new fiscal year for 

Federal agencies. Given the imminence 

of the current effective date, seeking 

prior public comment on this temporary 

delay would be impractical. Further, 

given the risk of inconsistency and 

confusion from the imposition of 

divergent requirements across federal 

agencies, it has been determined that 

seeking prior comment on this 

temporary delay would be contrary to 

the public interest. The imminence of 

the effective date is also good cause for 

making this rule effective immediately 

upon publication. 

DOT’s rule is expected to issue in 

time to go into effect by October 1, 2010; 

however, should it later appear that 

DOT regulations may not issue in time 

for an October 1, 2010 implementation, 

SAMHSA will undertake notice and 

comment rulemaking to delay the 

effective date further. 

No other changes to the Mandatory 

Guidelines have been made. The new 

effective date for the revisions to the 

HHS Mandatory Guidelines is October 

1, 2010. 

Dated: April 26, 2010. 

Pamela S. Hyde, 

Administrator, Substance Abuse and Mental 

Health Services Administration. 

Kathleen Sebelius, 

Secretary. 

[FR Doc. 2010–10118 Filed 4–29–10; 8:45 am] 

BILLING CODE 4160–20–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–2552–10] 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Hospital and 

Health Care Complexes Cost Report and 

supporting Regulations in 42 CFR 

413.20 and 413.24; Use: Part A 

institutional providers must provide 

adequate cost data to receive Medicare 

reimbursement (42 CFR 413.24(a)). 

Providers must submit the cost data to 

their Medicare Fiscal Intermediary (FI)/ 

Medicare Administrative Contractor 

(MAC) through the Medicare cost report 

(MCR). The primary function of the cost 

report is to determine the 

reimbursement of providers for services 

rendered to program beneficiaries. The 

FI/MAC uses the cost report to make 

settlement with the provider for the 

fiscal period covered by the cost report. 

Furthermore, the FI/MAC uses the cost 

report to determine the necessity and 

scope of an audit of the records of the 

provider. CMS uses the data collected 

on the MCR to project future Medicare 

expenditures, determine adequate 

deductibles and premiums, and develop 

and update provider market baskets 

mandated for use in updating Medicare 

payment rates. CMS also uses the data 

to offer public use data files. Revisions 

made to update the forms currently in 

use are incorporated within this request 

for approval. Form Number: CMS– 

2552–10 (OMB#: 0938–0050); 

Frequency: Yearly; Affected Public: 

Business or other for-profits and not-forprofit institutions; Number of 

Respondents: 6,174; Total Annual 

Responses: 6,174; Total Annual Hours: 

4,155,102. (For policy questions 

regarding this collection contact Nadia 

Massuda at 410–786–5834. 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 June 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: April 23, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–10041 Filed 4–29–10; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10165, CMS– 

10095 and CMS–10003] 

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: Revision of a currently 

approved collection; Title of 

Information Collection: Electronic 

Health Records Demonstration System 

(EHRDS)—practice application and 

profile update system; Use: In 2008, the 

Secretary of the Department of Health 

and Human Services directed the 

Centers for Medicare & Medicaid 

Services to develop a new 

demonstration initiative using Medicare 

waiver authority to reward the delivery 

of high-quality care supported by the 


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