39696 Federal Register / Vol. 75, No. 132 / Monday, July 12, 2010 / Notices 

Seleda Perryman, 

Paperwork Reduction Act Clearance Officer, 

Office of the Secretary. 

[FR Doc. 2010–16871 Filed 7–9–10; 8:45 am] 

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DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10335, CMS–R– 

240 and CMS–10267] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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: New collection; Title of 

Information Collection: Current State 

Practices Related to Payments to 

Providers for Health Care-Acquired 

Conditions; Use: The Patient Protection 

and Affordable Care Act of 2010 

(Affordable Care Act), enacted March 

23, 2010 includes provisions prohibiting 

Federal Financial Participation to States 

for payments for health care-acquired 

conditions (HCACs). Section 2702(a) 

specifically requires that the Secretary 

identify current State practices that 

prohibit payment for HCACs and 

incorporate those practices or elements 

of those practices which she determines 

appropriate for application to the 

Medicaid program. In accordance with 

section 2702(a) of the Affordable Care 

Act, CMS is issuing this survey to States 

to obtain information on current State 

Medicaid practices for prohibiting 

payments for HCACs. Form Number: 

CMS–10335 (OMB#: 0938–New); 

Frequency: Once; Affected Public: State, 

Local, or Tribal Governments; Number 

of Respondents: 50; Total Annual 

Responses: 50; Total Annual Hours: 50 

(For policy questions regarding this 

collection contact Venesa Day at 410– 

786–8281. For all other issues call 410– 

786–1326.) 

2. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: Prospective 

Payments for Hospital Outpatient 

Service and Supporting Regulations is 

42 CFR 413.65; Use: Section 1833(t) of 

the Social Security Act requires the 

Secretary to establish a prospective 

payment system (PPS) for hospital 

outpatient services. Successful 

implementation of an outpatient PPS 

requires that CMS distinguish facilities 

or organizations that function as 

departments of hospitals from those that 

are freestanding, so that CMS can 

determine which services should be 

paid under the outpatient prospective 

payment system (OPPS), the clinical 

laboratory fee schedule, or other 

payment provisions applicable to 

services furnished to hospital 

outpatients. Information from the 

sections 413.65(b)(3) and (c) reports is 

needed to make these determinations. In 

addition, section 1866(b)(2) of the Act 

authorizes hospitals and other providers 

to impose deductible and coinsurance 

charges for facility services, but does not 

allow such charges by facilities or 

organizations which are not providerbased. Implementation of this provision 

requires that CMS have information 

from the required reports, so it can 

determine which facilities are providerbased. Form Number: CMS–R–240 

(OMB#: 0938–0798); Frequency: 

Occasionally; Affected Public: Business 

or other for-profits and Not-for-profit 

institutions; Number of Respondents: 

905; Total Annual Responses: 500,405; 

Total Annual Hours: 26,563 (For policy 

questions regarding this collection 

contact Daniel Schroder at 410–786– 

7452. For all other issues call 410–786– 

1326.) 

3. Type of Information Collection 

Request: Revision of a currently 

approved collection; Title of 

Information Collection: QualityNet 

Identity Management System (QIMS) 

Account Form; Use: The QualityNet 

Identity Management System (QIMS) 

account registration form must be 

completed by any new persons needing 

access to Consolidated Renal Operations 

in a Web Enabled Network 

(CROWNWeb). The 8,561 existing 

accounts owners will not have to 

reregister for new user accounts. The 

CROWNWeb user community is 

composed of CMS employees, ESRD 

Network Organization staff and dialysis 

facilities staff. The CROWNWeb system 

is the system used as the collection 

point of data necessary for entitlement 

of ESRD patients to Medicare benefits 

and Federal Government monitoring 

and assessing of quality and type of care 

provided to renal patients. The data 

collected in QIMS will provide the 

necessary security measures for creating 

and maintaining active CROWNWeb 

user accounts and collection of audit 

trail information required by the CMS 

Information Security Officers (ISSO). 

Form Number: CMS–10267 (OMB#: 

0938–1050); Frequency: Occasionally; 

Affected Public: Business or other forprofits and Not-for-profit institutions; 

Number of Respondents: 7,439; Total 

Annual Responses: 7,439; Total Annual 

Hours: 3,720. (For policy questions 

regarding this collection contact 

Michelle Tucker at 410–786–0376. 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 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. 

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 September 10, 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. 

Date: July 2, 2010. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 2010–16658 Filed 7–8–10; 4:15 pm] 

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