```

[Federal Register Volume 76, Number 58 (Friday, March 25, 2011)]
[Notices]
[Pages 16792-16793]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-7099]

-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare and Medicaid Services

[Document Identifier CMS-10328 and CMS-10319]

Agency Information Collection Activities: Submission for OMB 
Review; Comment Request

AGENCY: Centers for Medicare and 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 currently 
approved collection; Title of Information Collection: Medicare Self-
Referral Disclosure Protocol; Use: Section 6409 of the ACA requires the 
Secretary to establish and post information on the CMS' public Internet 
Web site concerning a self-referral disclosure protocol (SRDP) that 
sets forth a process for providers of services and suppliers to self-
disclose actual or potential violations of section 1877 of the Act. In 
addition, section 6409(b) of the ACA gives the Secretary authority to 
reduce the amounts due and owing for the violations. This information 
collection request is necessary in order to inform the public of the 
process and the types of information needed to participate in the SRDP.
    The SRDP is a voluntary self-disclosure instrument that will allow 
providers of services and suppliers to disclose actual or potential 
violations of section 1877 of the Act. CMS will analyze the disclosed 
conduct to determine compliance with section 1877 of the Act and the 
application of the exceptions to the physician self-referral 
prohibition. In addition, the authority granted to the Secretary under 
section 6409(b) of the ACA, and subsequently delegated to CMS, may be 
used to reduce the amount due and owing for violations. Form Number: 
CMS-10328 (OMB: 0938-1106; Frequency: Once; Affected Public: 
Private Sector, Business and other for-profit and not-for-profit 
institutions; Number of Respondents: 50; Total Annual Responses: 50; 
Total Annual Hours: 1,175. (For policy questions regarding this 
collection contact Ronke Fabayo at 410-786-4460. For all other issues 
call 410-786-1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Pre-Existing 
Condition Insurance Plan Program Solicitation and Contractor's Proposal 
Package; Use: The Department of Health and Human Services (HHS) is 
requesting a renewal of this package by the Office of Management and 
Budget (OMB); specifically, HHS is now seeking a three-year approval 
for this collection. On March 23, 2010, the President signed into law 
H.R. 3590, the Patient Protection and Affordable Care Act (Affordable 
Care Act), Public Law 111-148. Section 1101 of the law establishes a 
``temporary high risk health insurance pool program'' (which has been 
named the Pre-Existing Condition Insurance Plan, or PCIP) to provide 
health insurance coverage to currently uninsured individuals with pre-
existing conditions. The law authorizes HHS to carry out the program 
directly or through contracts with states or private, non-profit 
entities.
    This package renewal is requested as a result of a possible 
transition in administration of the program from a federally-run to a 
State administered program. A State who originally decided to have HHS 
administer the program in their State may in the future notify HHS of 
their desire to administer the Pre-Existing Condition Plan (PCIP) 
program. PCIP is also referred to as the temporary qualified high risk 
insurance pool program, as it is called in the Affordable Care Act, but 
we have adopted the term PCIP to better describe the program and avoid 
confusion with the existing state high risk pool programs. Form Number: 
CMS-10319 (OMB: 0938-1085); Frequency: Occasionally; Affected 
Public: State governments; Number of Respondents: 2; Total Annual 
Responses: 2; Total Annual Hours: 2,992. (For policy questions 
regarding this collection contact Laura Dash at 301-492-4296. 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 25, 2011. 
OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

[[Page 16793]]

    Dated: March 18, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-7099 Filed 3-24-11; 8:45 am]
BILLING CODE 4120-01-P
```