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[Federal Register Volume 76, Number 73 (Friday, April 15, 2011)]
[Notices]
[Page 21370]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2011-9024]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-216-94 and CMS-10112]

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: Extension of a currently 
approved collection; Title of Information Collection: Organ Procurement 
Organization/Histocompatibility Laboratory Statement of Reimbursable 
Costs, manual instructions and supporting regulations contained in 42 
CFR 413.20 and 413.24; Use: This form is required by statue and 
regulation for participation in the Medicare program. The information 
is used to determine payment for Medicare. Organ Procurement 
Organizations and Histocompatibility Laboratories are the users. Form 
Number: CMS-216-94 (OMB 0938-0102); Frequency: Yearly; 
Affected Public: Business or other for-profit, Not-for-profit 
institutions; Number of Respondents: 115; Total Annual Responses: 115; 
Total Annual Hours: 5175. (For policy questions regarding this 
collection contact Angela Havrilla at 410-786-4516 or Amelia Citerone 
at 410-786-3901. 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: 
Phone Surveys of Products and Services for Medicare Payment Validation 
and Supporting Regulations in 42 CFR 405.502. Use: The phone surveys of 
products and services for Medicare payment validation and supporting 
regulations in 42 CFR 405.502 will be used to identify specific 
products/services provided to Medicare beneficiaries and the costs 
associated with the provision of those products/services. The 
information collected will be used to validate the Medicare payment 
amounts for those products/services and institute revisions of payment 
amounts where necessary. The respondents will be the companies that 
have provided the product/service under review to Medicare 
beneficiaries. Form Number: CMS-10112 (OMB 0938-0939); 
Frequency: Occasionally; Affected Public: Private sector--Business or 
other for-profit; Number of Respondents: 4,000; Total Annual Responses: 
4,000; Total Annual Hours: 16,000. (For policy questions regarding this 
collection contact Michael Rich at 410-786-6856. For all other issues 
call 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 May 16, 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: April 8, 2011.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. 2011-9024 Filed 4-14-11; 8:45 am]
BILLING CODE 4120-01-P
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