Federal Register / Vol. 70, No. 189 / Friday, September 30, 2005 / Notices 57295 

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: HIPAA 

Administrative Simplification NonPrivacy Enforcement; Form Nos.: CMS–

10148 (OMB# 0938–0948); Use: The 

Health Insurance Portability and 

Accountability Act (HIPAA) became law 

in 1996 (Pub. L. 104–191). Subtitle F of 

Title II of HIPAA, entitled 

‘‘Administrative Simplification,’’ (A.S.) 

requires the Secretary of Health and 

Human Services to adopt national 

standards for certain information-related 

activities of the health care industry. 

The HIPAA provisions, by statute, apply 

only to ‘‘covered entities’’ referred to in 

section 1320d–2(a)(1) of this title. 

Responsibility for administering and 

enforcing the HIPAA A.S. Transactions, 

Code Sets, Identifiers and Security 

Rules has been delegated to the Centers 

for Medicare & Medicaid Services; 

Frequency: Reporting—On occasion; 

Affected Public: Business or other forprofit, Individuals or Households; Notfor-profit institutions, Federal 

Government, and State, Local or Tribal 

Government; Number of Respondents: 

500; Total Annual Responses: 500; Total 

Annual Hours: 500. 

To obtain copies of the supporting 

statement and any related forms for 

these paperwork collections referenced 

above, access CMS Web site address at 

http://www.cms.hhs.gov/regulations/ 

pra/, 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 October 31, 2005. 

OMB Human Resources and Housing 

Branch, Attention: Christopher Martin, 

New Executive Office Building, Room 

10235, Washington, DC 20503. 

Dated: September 21, 2005. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 05–19244 Filed 9–29–05; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10157, CMS–R–

0074, CMS–R–244 and CMS–10163] 

Agency Information Collection 

Activities: Proposed Collection; 

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) 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: CMS Real-time 

Eligibility Agreement and Access 

Request; Form Number: CMS–10157 

(OMB#: 0938–0960); Use: Federal law 

requires that CMS take precautions to 

minimize the security risk to Federal 

information systems. Accordingly, CMS 

is requiring that trading partners who 

wish to conduct the eligibility 

transaction on a real-time basis to access 

Medicare beneficiary information 

provide certain assurances as a 

condition of receiving access to the 

Medicare database for the purpose of 

conducting eligibility verification. 

Health care providers, clearinghouses, 

and health plans that wish access to the 

Medicare database are required to 

complete this form. The information 

will be used to assure that those entities 

that access the Medicare database are 

aware of applicable provisions and 

penalties. Frequency: Recordkeeping 

and Reporting—One time; Affected 

Public: Business or other for-profit, Notfor-profit institutions; Number of 

Respondents: 122,000; Total Annual 

Responses: 122,000; Total Annual 

Hours: 45,000. 

2. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Income and 

Eligibility Verification System Reporting 

in Section 1137 of the Social Security 

Act and Supporting Regulations in 42 

CFR 431.17, 431.306, 435.910, 435.920, 

435.940–435.960; Form Number: CMS–

R–0074 (OMB#: 0938–0467); Use: This 

information is used to verify the income 

and eligibility of Medicaid applicants 

and recipients as required by Section 

1137 of the Social Security Act; Affected 

Public: Individuals or Households and 

State, Local or Tribal Government; 

Number of Respondents: 54; Total 

Annual Responses: 54; Total Annual 

Hours: 124,054. 

3. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: Medicare and 

Medicaid: Programs of All-Inclusive 

Care for the Elderly (PACE) contained in 

42 CFR 460.12–460.210/Medicare and 

Medicaid: Programs of All-Inclusive 

Care for the Elderly (PACE; Program 

Revisions) contained in 42 CFR 460.10–

460.210; Form Number: CMS–R–244 

(OMB#: 0938–0790); Use: PACE is a prepaid, capitated plan that provides 

comprehensive health care services to 

frail, older adults in the community, 

who are eligible for nursing home care 

according to State standards. The 

Balanced Budget Act (BBA) of 1997 

authorized coverage of PACE under the 

Medicare program and as a State option 

under Medicaid. The Medicare, 

Medicaid, and SCHIP Benefits 

Improvement Act of 2000 (BIPA) 

amended section 1894 and 1943 of 

Social Security Act to provide authority 

for CMS to modify or waive PACE 

regulatory provisions. Organizations 

that seek participation under PACE 

must apply for approval and are 

evaluated in terms of specific criteria. 

The information collection requirement 

is necessary to ensure that only 

appropriate organizations are selected to 

become PACE organizations. CMS and 

the State Administering Agencies will 

57296 Federal Register / Vol. 70, No. 189 / Friday, September 30, 2005 / Notices 

use the information to select PACE 

organizations and monitor their 

performance. Frequency: 

Recordkeeping, Reporting—Quarterly 

and Annually; Affected Public: Not-forprofit institutions, Federal Government 

and State, Local, or Tribal Government; 

Number of Respondents: 54; Total 

Annual Responses: 54; Total Annual 

Hours: 44,378. 

4. Type of Information Collection 

Request: Extension of a currently 

approved collection; Title of 

Information Collection: 1–800–

MEDICARE Customer Experience 

Questionnaire; Form Number: CMS–

10163 (OMB#: 0938–0963); Use: Section 

923 (d) of the Medicare Prescription 

Drug, Improvement and Modernization 

Act of 2003 established 1–800 

MEDICARE as the primary source of 

general Medicare information and 

assistance. As part of the Medicare 

Modernization Act (MMA), CMS must 

provide Part D eligibles and their 

representatives with the information 

they need to make informed decisions 

among the available choices for Part D 

coverage. Part D sponsors can start 

marketing their programs on October 1, 

2005. The initial enrollment period for 

the general population will occur from 

November 15, 2005 to May 15, 2006. 

The information collected from this 

survey will allow CMS to monitor 

callers’ satisfaction with various aspects 

of both the Interactive Voice 

Recognition (IVR) component and live 

Customer Service Representative (CSR) 

component of the 1–800 MEDICARE 

line. Timely feedback from customers 

on key satisfaction indicators will be 

used for continuous quality 

enhancement. Frequency: Reporting—

Weekly, Quarterly and Monthly; 

Affected Public: Individuals and 

Households; Number of Respondents: 

31,200; Total Annual Responses: 

31,200; Total Annual Hours: 4940. 

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/ 

regulations/pra/, 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 at the address below, no 

later than 5 p.m. on November 29, 2005. 

CMS, Office of Strategic Operations 

and Regulatory Affairs, Division of 

Regulations Development, Attention: 

Bonnie L. Harkless, Room C4–26–05, 

7500 Security Boulevard, Baltimore, 

Maryland 21244–1850. 

Dated: September 21, 2005. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 05–19245 Filed 9–29–05; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[Document Identifier: CMS–10146 and CMS–

10147] 

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: New Collection; Title of 

Information Collection: Notice of Denial 

of Medicare Prescription Drug Coverage; 

Form No.: CMS–10146 (OMB# 0938–

NEW); Use: Pursuant to 42 CFR 

423.568(c), if a Part D plan denies drug 

coverage, in whole or in part, the Part 

D plan must give the enrollee written 

notice of the coverage determination; 

Frequency: Other: Distribution; Affected 

Public: Business or other for profit, Notfor-profit institutions; Individuals or 

Households and Federal Government; 

Number of Respondents: 450; Total 

Annual Responses: 1,056,000; Total 

Annual Hours: 528,000. 

2. Type of Information Collection 

Request: New Collection; Title of 

Information Collection: Medicare 

Prescription Drug Coverage and Your 

Rights; Form No.: CMS–10147 (OMB # 

0938–NEW); Use: Pursuant to 42 CFR 

423.562(a)(3), a Part D plan sponsor 

must arrange with its network 

pharmacies to post or distribute notices 

informing enrollees to contact their plan 

to request a coverage determination or 

an exception if the enrollee disagrees 

with the information provided by the 

pharmacy; Frequency: Other: 

Distribution; Affected Public: Business 

or other for profit, Not-for-profit 

institutions; Individuals or Households 

and Federal Government; Number of 

Respondents: 41,000; Total Annual 

Responses: 35,000,000; Total Annual 

Hours: 583,333. 

To obtain copies of the supporting 

statement and any related forms for 

these paperwork collections referenced 

above, access CMS Web site address at 

http://www.cms.hhs.gov/regulations/ 

pra/, 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 October 31, 2005. 

OMB Human Resources and Housing 

Branch, Attention: Christopher Martin, 

New Executive Office Building, Room 

10235, Washington, DC 20503. 

Dated: September 23, 2005. 

Michelle Shortt, 

Director, Regulations Development Group, 

Office of Strategic Operations and Regulatory 

Affairs. 

[FR Doc. 05–19581 Filed 9–29–05; 8:45 am] 

BILLING CODE 4120–01–P 

DEPARTMENT OF HEALTH AND 

HUMAN SERVICES 

Centers for Medicare & Medicaid 

Services 

[CMS–1269–N6] 

Medicare Program; Emergency Medical 

Treatment and Labor Act (EMTALA) 

Technical Advisory Group (TAG): 

Announcement of a New Member 

AGENCY: Centers for Medicare & 

Medicaid Services (CMS), HHS. 

ACTION: Notice. 

SUMMARY: This notice announces the 

selection of a new member of the 

Emergency Medical Treatment and 

Labor Act (EMTALA) Technical 

Advisory Group (TAG). The purpose of