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[Federal Register Volume 74, Number 48 (Friday, March 13, 2009)]
[Notices]
[Page 10917]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-5457]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[Document Identifier: CMS-R-305, CMS-643, CMS-359/360/R-55 and CMS-
10277]

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: Extension of a currently 
approved collection; Title of Information Collection: External Quality 
Review Protocols; Use: The results of Medicare reviews, Medicare 
accreditation services, and Medicaid external quality reviews will be 
used by States in assessing the quality of care provided to Medicaid 
beneficiaries by managed care organizations and to provide information 
on the quality of care provided to the general public upon request. 
Form Number: CMS-R-305 (OMB: 0938-0786); Frequency: 
Reporting--Yearly; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 40; Total Annual Responses: 40; Total Annual 
Hours: 520,000. (For policy questions regarding this collection contact 
Gary B. Jackson at 410-786-1218. For all other issues call 410-786-
1326.)
    2. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Hospice Survey 
and Deficiencies Report; Use: In order to participate in the Medicare 
program, a hospice must meet certain Federal health and safety 
conditions of participation. This form is used by State surveyors to 
record data about a hospice's compliance with these conditions of 
participation in order to initiate the certification or recertification 
process. Form Number: CMS-643 (OMB: 0938-0379); Frequency: 
Reporting--Yearly; Affected Public: State, Local or Tribal Governments; 
Number of Respondents: 3377; Total Annual Responses: 1130; Total Annual 
Hours: 1130. (For policy questions regarding this collection contact 
Kim Roche at 410-786-3524. For all other issues call 410-786-1326.)
    3. Type of Information Collection Request: Extension of a currently 
approved collection; Title of Information Collection: Comprehensive 
Outpatient Rehabilitation Facility (CORF) Eligibility and Survey Forms 
and Information Collection Requirements at 42 CFR 485.54 through 
485.66; Use: In order to participate in the Medicare program as a CORF, 
providers must meet Federal conditions of participation. The 
certification form is needed to determine if providers meet at least 
preliminary requirements. The survey form is used to record provider 
compliance with the individual conditions and report findings to CMS. 
Form Number: CMS-359/360/R-55 (OMB: 0938-0267); Frequency: 
Reporting--Occasionally; Affected Public: Private Sector: Business or 
other for-profits; Number of Respondents: 476; Total Annual Responses: 
60; Total Annual Hours: 223,285. (For policy questions regarding this 
collection contact Georgia Johnson at 410-786-6859. For all other 
issues call 410-786-1326.)
    4. Type of Information Collection Request: New collection; Title of 
Information Collection: Hospice Conditions of Participation and 
Supporting Regulations in 42 CFR 418.52, 418.54, 418.56, 418.58, 
418.60, 418.64, 418.66, 418.70, 418.72, 418.74, 418.76, 418.78, 
418.100, 418.106, 4118.108, 418.110, 418.112, and 418.114; Use: The 
Conditions of Participation and accompanying requirements are used by 
Federal and State surveyors as a basis for determining whether a 
hospice qualifies for approval or re-approval under Medicare. The 
healthcare industry and CMS believe that the availability of the 
records and general content of records as specified in the Conditions 
of Participation final rule (72 FR 32088), is standard medical 
practice, and is necessary in order to ensure the well-being and safety 
of patients and professional treatment accountability. Form Number: 
CMS-10277 (OMB: 0938-New); Frequency: Reporting and 
Recordkeeping--Yearly; Affected Public: Business or other for-profit 
and Not-for-profit institutions; Number of Respondents: 2,872; Total 
Annual Responses: 1,808,345; Total Annual Hours: 2,152,396. (For policy 
questions regarding this collection contact Danielle Shearer at 410-
786-6617. 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 e-
mail your request, including your address, phone number, OMB number, 
and CMS document identifier, to [email protected], 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 May 12, 2009:
    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.

    Dated: March 9, 2009.
Michelle Shortt,
Director, Regulations Development Group, Office of Strategic Operations 
and Regulatory Affairs.
[FR Doc. E9-5457 Filed 3-12-09; 8:45 am]
BILLING CODE 4120-01-P
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