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[Federal Register Volume 76, Number 43 (Friday, March 4, 2011)]
[Notices]
[Pages 12122-12123]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-4577]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier CMS-102 and CMS-105, and CMS-10241]

Agency Information Collection Activities: Submission for OMB 
Review; 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), 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: Extension without change 
of a currently approved collection; Title of Information Collection: 
Clinical Laboratory Improvement Amendments of 1988 (CLIA) Budget 
Workload Reports and Supporting Regulations in 42 CFR 493.1-.2001; Use: 
The collected information will be used by CMS to determine the amount 
of Federal reimbursement for surveys conducted. Use of the information 
includes program evaluation, audit, budget formulation and budget 
approval. Form CMS-102 is a multi-purpose form designed to capture and 
record all budget and expenditure data. Form CMS-105 captures the 
annual projected CLIA workload that the State survey agency will 
accomplish. It is also used by the CMS regional office to approve the 
annual projected CLIA workload. The information is required as part of 
the section 1864 agreement with the State; Form Numbers: CMS-102 and 
CMS-105 (OMB: 0938-0599); Frequency: Quarterly; Affected 
Public: State, Local, or Tribal Governments; Number of Respondents: 50; 
Total Annual Responses: 50; Total Annual Hours: 4,500. (For policy 
questions regarding

[[Page 12123]]

this collection contact Carla Ausby at 410-786-2153. For all other 
issues call 410-786-1326.)
    2. Type of Information Collection Request: Extension without change 
of a currently approved collection; Title of Information Collection: 
Annual State Report and Annual State Performance Rankings; Use: Section 
6001(f) of the Deficit Reduction Act (DRA) requires CMS to contract 
with a vendor to conduct a monthly national survey of retail 
prescription drug prices and to report the prices to the States. These 
national average prices may be used as a benchmark by the States for 
the management of their prescription drug programs. The DRA also 
requires that the States submit pricing information for the 50 most 
widely prescribed drugs so that the States' prices can be compared to 
the national average prices obtained from the survey. The States 
pricing information will be compared and the States will be ranked. The 
Act also requires that States report their drug utilization rates for 
noninnovator multiple source (generic) drugs, their payment rates under 
their State plan, and their dispensing fees. The template has been 
developed to facilitate data collection; Form Number: CMS-10241 
(OMB: 0938-1041); Frequency: Yearly; Affected Public: State, 
Local, or Tribal Governments; Number of Respondents: 51; Total Annual 
Responses: 51; Total Annual Hours: 765. (For policy questions regarding 
this collection contact Joseph Fine at 410-786-2128. 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 14, 2011.

OMB, Office of Information and Regulatory Affairs, Attention: CMS Desk 
Officer, Fax Number: (202) 395-6974, E-mail: OIRA_submission@omb.eop.gov.

    Dated: February 23, 2011.
Martique Jones,
Director, Regulations Development Group, Division B, Office of 
Strategic Operations and Regulatory Affairs.
[FR Doc. 2011-4577 Filed 3-3-11; 8:45 am]
BILLING CODE 4120-01-P
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